dh-explanationofbenefit-medicare-mbs-1
type: StructureDefinition
node role: treeRoot
resource.id:
  value: dh-explanationofbenefit-medicare-mbs-1
domain resource.text:
  narrative.status:
    value: extensions
  narrative.div: Name Flags Card. Type Description & Constraints <a href="StructureDefinition-dh-explanationofbenefit-medicare-mbs-1-definitions.html#ExplanationOfBenefit" title="A record of the claim of an item claimed against the Medicare Benefits Schedule (MBS) or Department of Veterans' Affairs (DVA). Claim items include information about healthcare services provided to an individual that were partially or fully funded by the Australian Government run benefits scheme.">ExplanationOfBenefit 0..* ExplanationOfBenefit Record of Claim against MBS or DVA identifier S 1..* Identifier Business Identifier for the resource status S 1..1 code active | cancelled | draft | entered-in-error Fixed Value: active type S 1..1 CodeableConcept Category or discipline Binding: ClaimTypeCodes (required) subType S 1..1 CodeableConcept More granular claim type Binding: https://healthterminologies.gov.au/fhir/ValueSet/australian-medicare-benefit-claim-category-1 (required) use S 1..1 code claim | preauthorization | predetermination Fixed Value: claim patient SC 1..1 Reference(ADHA Core Patient) The recipient of the products and services inv-dh-eob-01: At least reference or a valid identifier shall be present created SC 1..1 dateTime Response creation date inv-dh-eob-03: Date shall be at least to day insurer SC 1..1 Reference(ADHA Core Organization) Australian Government department that subsidises the benefits scheme inv-dh-eob-02: At least reference or a valid identifier shall be present provider S 1..1 Reference(ADHA Core PractitionerRole) Party responsible for the claim priority 0..1 CodeableConcept Desired processing urgency Binding: ProcessPriorityCodes (example) outcome S 1..1 code queued | complete | error | partial Fixed Value: complete insurance S 1..1 BackboneElement Patient insurance information focal S 1..1 boolean Coverage to be used for adjudication Fixed Value: true coverage S 1..1 Reference(Coverage) Medicare or Veteran card information item S 1..1 BackboneElement Product or service provi…
structure definition.url:
  value: http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-explanationofbenefit-medicare-mbs-1
structure definition.version:
  value: 1.0.0
structure definition.name:
  value: ADHAExplanationofBenefitMBS
structure definition.title:
  value: ADHA Record of Claim against MBS or DVA
structure definition.status:
  value: active
structure definition.experimental:
  value: false
structure definition.date:
  value: 2023-08-07T21:41:43+10:00
structure definition.publisher:
  value: Australian Digital Health Agency
structure definition.contact:
  index: 0
  contact detail.telecom:
    index: 0
    contact point.system:
      value: email
structure definition.description:
  value: The purpose of this profile is to define a representation of a record of a claim against the Medicare Benefits Schedule (MBS) or Department of Veterans' Affairs (DVA) for the electronic exchange of digital health information between individuals, healthcare providers, and the My Health Record system infrastructure in Australia.
structure definition.jurisdiction:
  index: 0
  codeable concept.coding:
    index: 0
    coding.system:
      value: urn:iso:std:iso:3166
    coding.code:
      value: AU
structure definition.copyright:
  value: Copyright © 2022 Australian Digital Health Agency - All rights reserved. This content is licensed under a Creative Commons Attribution 4.0 International License. See https://creativecommons.org/licenses/by/4.0/.
structure definition.fhir version:
  value: 4.0.1
structure definition.mapping:
  index: 0
  structure definition.mapping.identity:
    value: workflow
  structure definition.mapping.uri:
    value: http://hl7.org/fhir/workflow
  structure definition.mapping.name:
    value: Workflow Pattern
structure definition.mapping:
  index: 1
  structure definition.mapping.identity:
    value: w5
  structure definition.mapping.uri:
    value: http://hl7.org/fhir/fivews
  structure definition.mapping.name:
    value: FiveWs Pattern Mapping
structure definition.mapping:
  index: 2
  structure definition.mapping.identity:
    value: v2
  structure definition.mapping.uri:
    value: http://hl7.org/v2
  structure definition.mapping.name:
    value: HL7 v2 Mapping
structure definition.mapping:
  index: 3
  structure definition.mapping.identity:
    value: rim
  structure definition.mapping.uri:
    value: http://hl7.org/v3
  structure definition.mapping.name:
    value: RIM Mapping
structure definition.kind:
  value: resource
structure definition.abstract:
  value: false
structure definition.type:
  value: ExplanationOfBenefit
structure definition.base definition:
  value: http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit
  link: http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit
structure definition.derivation:
  value: constraint
structure definition.snapshot:
  structure definition.snapshot.element:
    index: 0
    element.id:
      value: ExplanationOfBenefit
    element definition.path:
      value: ExplanationOfBenefit
    element definition.short:
      value: Record of Claim against MBS or DVA
    element definition.definition:
      value: A record of the claim of an item claimed against the Medicare Benefits Schedule (MBS) or Department of Veterans' Affairs (DVA). Claim items include information about healthcare services provided to an individual that were partially or fully funded by the Australian Government run benefits scheme.
    element definition.alias:
      value: EOB
      index: 0
    element definition.min:
      value: 0
    element definition.max:
      value: *
    element definition.base:
      element definition.base.path:
        value: ExplanationOfBenefit
      element definition.base.min:
        value: 0
      element definition.base.max:
        value: *
    element definition.constraint:
      index: 0
      element definition.constraint.key:
        value: dom-2
      element definition.constraint.severity:
        value: error
      element definition.constraint.human:
        value: If the resource is contained in another resource, it SHALL NOT contain nested Resources
      element definition.constraint.expression:
        value: contained.contained.empty()
      element definition.constraint.xpath:
        value: not(parent::f:contained and f:contained)
      element definition.constraint.source:
        value: http://hl7.org/fhir/StructureDefinition/DomainResource
        link: http://hl7.org/fhir/StructureDefinition/DomainResource
    element definition.constraint:
      index: 1
      element definition.constraint.key:
        value: dom-3
      element definition.constraint.severity:
        value: error
      element definition.constraint.human:
        value: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
      element definition.constraint.expression:
        value: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
      element definition.constraint.xpath:
        value: not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))
      element definition.constraint.source:
        value: http://hl7.org/fhir/StructureDefinition/DomainResource
        link: http://hl7.org/fhir/StructureDefinition/DomainResource
    element definition.constraint:
      index: 2
      element definition.constraint.key:
        value: dom-4
      element definition.constraint.severity:
        value: error
      element definition.constraint.human:
        value: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
      element definition.constraint.expression:
        value: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
      element definition.constraint.xpath:
        value: not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))
      element definition.constraint.source:
        value: http://hl7.org/fhir/StructureDefinition/DomainResource
        link: http://hl7.org/fhir/StructureDefinition/DomainResource
    element definition.constraint:
      index: 3
      element definition.constraint.key:
        value: dom-5
      element definition.constraint.severity:
        value: error
      element definition.constraint.human:
        value: If a resource is contained in another resource, it SHALL NOT have a security label
      element definition.constraint.expression:
        value: contained.meta.security.empty()
      element definition.constraint.xpath:
        value: not(exists(f:contained/*/f:meta/f:security))
      element definition.constraint.source:
        value: http://hl7.org/fhir/StructureDefinition/DomainResource
        link: http://hl7.org/fhir/StructureDefinition/DomainResource
    element definition.constraint:
      index: 4
      element.extension:
        index: 0
      element.extension:
        index: 1
      element definition.constraint.key:
        value: dom-6
      element definition.constraint.severity:
        value: warning
      element definition.constraint.human:
        value: A resource should have narrative for robust management
      element definition.constraint.expression:
        value: text.`div`.exists()
      element definition.constraint.xpath:
        value: exists(f:text/h:div)
      element definition.constraint.source:
        value: http://hl7.org/fhir/StructureDefinition/DomainResource
        link: http://hl7.org/fhir/StructureDefinition/DomainResource
    element definition.is modifier:
      value: false
    element definition.is summary:
      value: false
    element definition.mapping:
      index: 0
      element definition.mapping.identity:
        value: rim
      element definition.mapping.map:
        value: Entity. Role, or Act
    element definition.mapping:
      index: 1

value: true

value: When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time.

value: workflow

value: Event

index: 1
element.id:
  value: ExplanationOfBenefit.id
element definition.path:
  value: ExplanationOfBenefit.id
element definition.short:
  value: Logical id of this artifact
element definition.definition:
  value: The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
element definition.comment:
  value: The only time that a resource does not have an id is when it is being submitted to the server using a create operation.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Resource.id
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
    extension.value url:
      value: id
  element definition.type.code:
    value: http://hl7.org/fhirpath/System.String
element definition.is modifier:
  value: false
element definition.is summary:
  value: true

index: 2
element.id:
  value: ExplanationOfBenefit.meta
element definition.path:
  value: ExplanationOfBenefit.meta
element definition.short:
  value: Metadata about the resource
element definition.definition:
  value: The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Resource.meta
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: Meta
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: true

index: 3
element.id:
  value: ExplanationOfBenefit.implicitRules
element definition.path:
  value: ExplanationOfBenefit.implicitRules
element definition.short:
  value: A set of rules under which this content was created
element definition.definition:
  value: A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.
element definition.comment:
  value: Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Resource.implicitRules
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: uri
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: true
element definition.is modifier reason:
  value: This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
element definition.is summary:
  value: true

index: 4
element.id:
  value: ExplanationOfBenefit.language
element definition.path:
  value: ExplanationOfBenefit.language
element definition.short:
  value: Language of the resource content
element definition.definition:
  value: The base language in which the resource is written.
element definition.comment:
  value: Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Resource.language
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: code
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet
    extension.value canonical:
      value: http://hl7.org/fhir/ValueSet/all-languages
      link: http://hl7.org/fhir/ValueSet/all-languages
  element.extension:
    index: 1
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: Language
  element.extension:
    index: 2
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding
    extension.value boolean:
      value: true
  element definition.binding.strength:
    value: preferred
  element definition.binding.description:
    value: A human language.
  element definition.binding.value set:
    value: http://hl7.org/fhir/ValueSet/languages
    link: http://hl7.org/fhir/ValueSet/languages

index: 5
element.id:
  value: ExplanationOfBenefit.text
element definition.path:
  value: ExplanationOfBenefit.text
element definition.short:
  value: Text summary of the resource, for human interpretation
element definition.definition:
  value: A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.
element definition.comment:
  value: Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.
element definition.alias:
  value: narrative
  index: 0
element definition.alias:
  value: html
  index: 1
element definition.alias:
  value: xhtml
  index: 2
element definition.alias:
  value: display
  index: 3
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: DomainResource.text
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: Narrative
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: Act.text?

index: 6
element.id:
  value: ExplanationOfBenefit.contained
element definition.path:
  value: ExplanationOfBenefit.contained
element definition.short:
  value: Contained, inline Resources
element definition.definition:
  value: These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.
element definition.comment:
  value: This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.
element definition.alias:
  value: inline resources
  index: 0
element definition.alias:
  value: anonymous resources
  index: 1
element definition.alias:
  value: contained resources
  index: 2
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: DomainResource.contained
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Resource
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: N/A

index: 7
element.id:
  value: ExplanationOfBenefit.extension
element definition.path:
  value: ExplanationOfBenefit.extension
element definition.short:
  value: Additional content defined by implementations
element definition.definition:
  value: May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
element definition.comment:
  value: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
element definition.alias:
  value: extensions
  index: 0
element definition.alias:
  value: user content
  index: 1
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: DomainResource.extension
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Extension
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.constraint:
  index: 1
  element definition.constraint.key:
    value: ext-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: Must have either extensions or value[x], not both
  element definition.constraint.expression:
    value: extension.exists() != value.exists()
  element definition.constraint.xpath:
    value: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: N/A

index: 8
element.id:
  value: ExplanationOfBenefit.modifierExtension
element definition.path:
  value: ExplanationOfBenefit.modifierExtension
element definition.short:
  value: Extensions that cannot be ignored
element definition.definition:
  value: May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
element definition.comment:
  value: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
element definition.requirements:
  value: Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).
element definition.alias:
  value: extensions
  index: 0
element definition.alias:
  value: user content
  index: 1
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: DomainResource.modifierExtension
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Extension
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.constraint:
  index: 1
  element definition.constraint.key:
    value: ext-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: Must have either extensions or value[x], not both
  element definition.constraint.expression:
    value: extension.exists() != value.exists()
  element definition.constraint.xpath:
    value: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
element definition.is modifier:
  value: true
element definition.is modifier reason:
  value: Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: N/A

index: 9
element.id:
  value: ExplanationOfBenefit.identifier
element definition.path:
  value: ExplanationOfBenefit.identifier
element definition.short:
  value: Business Identifier for the resource
element definition.definition:
  value: A unique identifier assigned to this explanation of benefit.
element definition.requirements:
  value: Allows EOBs to be distinguished and referenced.
element definition.min:
  value: 1
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.identifier
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Identifier
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.must support:
  value: true
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: workflow
  element definition.mapping.map:
    value: Event.identifier
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: w5
  element definition.mapping.map:
    value: FiveWs.identifier

index: 10
element.id:
  value: ExplanationOfBenefit.status
element definition.path:
  value: ExplanationOfBenefit.status
element definition.short:
  value: active | cancelled | draft | entered-in-error
element definition.definition:
  value: The status of the resource instance.
element definition.comment:
  value: This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.
element definition.requirements:
  value: Need to track the status of the resource as 'draft' resources may undergo further edits while 'active' resources are immutable and may only have their status changed to 'cancelled'.
element definition.min:
  value: 1
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.status
  element definition.base.min:
    value: 1
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: code
element definition.fixed code:
  value: active
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.must support:
  value: true
element definition.is modifier:
  value: true
element definition.is modifier reason:
  value: This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid
element definition.is summary:
  value: true
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: ExplanationOfBenefitStatus
  element definition.binding.strength:
    value: required
  element definition.binding.description:
    value: A code specifying the state of the resource instance.
  element definition.binding.value set:
    value: http://hl7.org/fhir/ValueSet/explanationofbenefit-status|4.0.1
    link: 4.0
    link: .1
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: workflow
  element definition.mapping.map:
    value: Event.status
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: w5
  element definition.mapping.map:
    value: FiveWs.status

index: 11
element.id:
  value: ExplanationOfBenefit.type
element definition.path:
  value: ExplanationOfBenefit.type
element definition.short:
  value: Category or discipline
element definition.definition:
  value: The category of claim, e.g. oral, pharmacy, vision, institutional, professional.
element definition.comment:
  value: The majority of jurisdictions use: oral, pharmacy, vision, professional and institutional, or variants on those terms, as the general styles of claims. The valueset is extensible to accommodate other jurisdictional requirements.
element definition.requirements:
  value: Claim type determine the general sets of business rules applied for information requirements and adjudication.
element definition.min:
  value: 1
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.type
  element definition.base.min:
    value: 1
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: CodeableConcept
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.must support:
  value: true
element definition.is modifier:
  value: false
element definition.is summary:
  value: true
element definition.binding:
  element definition.binding.strength:
    value: required
  element definition.binding.value set:
    value: http://hl7.org/fhir/ValueSet/claim-type
    link: http://hl7.org/fhir/ValueSet/claim-type
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: workflow
  element definition.mapping.map:
    value: Event.code
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: w5
  element definition.mapping.map:
    value: FiveWs.class

index: 12
element.id:
  value: ExplanationOfBenefit.subType
element definition.path:
  value: ExplanationOfBenefit.subType
element definition.short:
  value: More granular claim type
element definition.definition:
  value: A finer grained suite of claim type codes which may convey additional information such as Inpatient vs Outpatient and/or a specialty service.
element definition.comment:
  value: This may contain the local bill type codes such as the US UB-04 bill type code.
element definition.requirements:
  value: Some jurisdictions need a finer grained claim type for routing and adjudication.
element definition.min:
  value: 1
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.subType
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: CodeableConcept
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.must support:
  value: true
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.binding:
  element definition.binding.strength:
    value: required
  element definition.binding.value set:
    value: https://healthterminologies.gov.au/fhir/ValueSet/australian-medicare-benefit-claim-category-1
    link: https://healthterminologies.gov.au/fhir/ValueSet/australian-medicare-benefit-claim-category-1
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: w5
  element definition.mapping.map:
    value: FiveWs.class

index: 13
element.id:
  value: ExplanationOfBenefit.use
element definition.path:
  value: ExplanationOfBenefit.use
element definition.short:
  value: claim | preauthorization | predetermination
element definition.definition:
  value: A code to indicate whether the nature of the request is: to request adjudication of products and services previously rendered; or requesting authorization and adjudication for provision in the future; or requesting the non-binding adjudication of the listed products and services which could be provided in the future.
element definition.requirements:
  value: This element is required to understand the nature of the request for adjudication.
element definition.min:
  value: 1
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.use
  element definition.base.min:
    value: 1
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: code
element definition.fixed code:
  value: claim
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.must support:
  value: true
element definition.is modifier:
  value: false
element definition.is summary:
  value: true
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: Use
  element definition.binding.strength:
    value: required
  element definition.binding.description:
    value: Complete, proposed, exploratory, other.
  element definition.binding.value set:
    value: http://hl7.org/fhir/ValueSet/claim-use|4.0.1
    link: 4.0
    link: .1
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: w5
  element definition.mapping.map:
    value: FiveWs.class

index: 14
element.id:
  value: ExplanationOfBenefit.patient
element definition.path:
  value: ExplanationOfBenefit.patient
element definition.short:
  value: The recipient of the products and services
element definition.definition:
  value: The party to whom the professional services and/or products have been supplied or are being considered and for whom actual for forecast reimbursement is sought.
element definition.requirements:
  value: The patient must be supplied to the insurer so that confirmation of coverage and service history may be considered as part of the authorization and/or adjudiction.
element definition.min:
  value: 1
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.patient
  element definition.base.min:
    value: 1
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: Reference
  element definition.type.target profile:
    value: http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-patient-core-1
    index: 0
    link: http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-patient-core-1
element definition.condition:
  value: inv-dh-eob-01
  index: 0
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.constraint:
  index: 1
  element definition.constraint.key:
    value: inv-dh-eob-01
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: At least reference or a valid identifier shall be present
  element definition.constraint.expression:
    value: reference.exists() or identifier.where(system.count() + value.count() >1).exists()
  element definition.constraint.xpath:
    value: exists(f:reference) or exists(f:identifier)
  element definition.constraint.source:
    value: http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-explanationofbenefit-medicare-mbs-1
    link: http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-explanationofbenefit-medicare-mbs-1
element definition.must support:
  value: true
element definition.is modifier:
  value: false
element definition.is summary:
  value: true
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: workflow
  element definition.mapping.map:
    value: Event.subject
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: w5
  element definition.mapping.map:
    value: FiveWs.subject[x]
element definition.mapping:
  index: 2
  element definition.mapping.identity:
    value: w5
  element definition.mapping.map:
    value: FiveWs.subject

index: 15
element.id:
  value: ExplanationOfBenefit.billablePeriod
element definition.path:
  value: ExplanationOfBenefit.billablePeriod
element definition.short:
  value: Relevant time frame for the claim
element definition.definition:
  value: The period for which charges are being submitted.
element definition.comment:
  value: Typically this would be today or in the past for a claim, and today or in the future for preauthorizations and prodeterminations. Typically line item dates of service should fall within the billing period if one is specified.
element definition.requirements:
  value: A number jurisdictions required the submission of the billing period when submitting claims for example for hospital stays or long-term care.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.billablePeriod
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: Period
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: true
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: w5
  element definition.mapping.map:
    value: FiveWs.done[x]

index: 16
element.id:
  value: ExplanationOfBenefit.created
element definition.path:
  value: ExplanationOfBenefit.created
element definition.short:
  value: Response creation date
element definition.definition:
  value: The date this resource was created.
element definition.comment:
  value: This field is independent of the date of creation of the resource as it may reflect the creation date of a source document prior to digitization. Typically for claims all services must be completed as of this date.
element definition.requirements:
  value: Need to record a timestamp for use by both the recipient and the issuer.
element definition.min:
  value: 1
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.created
  element definition.base.min:
    value: 1
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: dateTime
element definition.condition:
  value: inv-dh-eob-03
  index: 0
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.constraint:
  index: 1
  element definition.constraint.key:
    value: inv-dh-eob-03
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: Date shall be at least to day
  element definition.constraint.expression:
    value: toString().length() >= 10
  element definition.constraint.xpath:
    value: f:effectiveDateTime[matches(@value, '^\d{4}-\d{2}-\d{2}')]
  element definition.constraint.source:
    value: http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-explanationofbenefit-medicare-mbs-1
    link: http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-explanationofbenefit-medicare-mbs-1
element definition.must support:
  value: true
element definition.is modifier:
  value: false
element definition.is summary:
  value: true
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: workflow
  element definition.mapping.map:
    value: Event.occurrence[x]
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: w5
  element definition.mapping.map:
    value: FiveWs.recorded

index: 17
element.id:
  value: ExplanationOfBenefit.enterer
element definition.path:
  value: ExplanationOfBenefit.enterer
element definition.short:
  value: Author of the claim
element definition.definition:
  value: Individual who created the claim, predetermination or preauthorization.
element definition.requirements:
  value: Some jurisdictions require the contact information for personnel completing claims.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.enterer
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: Reference
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/Practitioner
    index: 0
    link: http://hl7.org/fhir/StructureDefinition/Practitioner
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/PractitionerRole
    index: 1
    link: http://hl7.org/fhir/StructureDefinition/PractitionerRole
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: workflow
  element definition.mapping.map:
    value: Event.performer.agent
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: w5
  element definition.mapping.map:
    value: FiveWs.author

index: 18
element.id:
  value: ExplanationOfBenefit.insurer
element definition.path:
  value: ExplanationOfBenefit.insurer
element definition.short:
  value: Australian Government department that subsidises the benefits scheme
element definition.definition:
  value: The party responsible for authorization, adjudication and reimbursement.
element definition.comment:
  value: In the context of a claim against the Medicare Benefits Schedule (MBS) or Department of Veterans' Affairs (DVA), the insurer is the Australian Government Department of Health.
element definition.requirements:
  value: To be a valid claim, preauthorization or predetermination there must be a party who is responsible for adjudicating the contents against a policy which provides benefits for the patient.
element definition.min:
  value: 1
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.insurer
  element definition.base.min:
    value: 1
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: Reference
  element definition.type.target profile:
    value: http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-organization-core-1
    index: 0
    link: http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-organization-core-1
element definition.condition:
  value: inv-dh-eob-02
  index: 0
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.constraint:
  index: 1
  element definition.constraint.key:
    value: inv-dh-eob-02
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: At least reference or a valid identifier shall be present
  element definition.constraint.expression:
    value: reference.exists() or identifier.where(system.count() + value.count() >1).exists()
  element definition.constraint.xpath:
    value: exists(f:reference) or exists(f:identifier)
  element definition.constraint.source:
    value: http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-explanationofbenefit-medicare-mbs-1
    link: http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-explanationofbenefit-medicare-mbs-1
element definition.must support:
  value: true
element definition.is modifier:
  value: false
element definition.is summary:
  value: true
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: workflow
  element definition.mapping.map:
    value: Event.performer.agent
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: w5
  element definition.mapping.map:
    value: FiveWs.author

index: 19
element.id:
  value: ExplanationOfBenefit.provider
element definition.path:
  value: ExplanationOfBenefit.provider
element definition.short:
  value: Party responsible for the claim
element definition.definition:
  value: The provider which is responsible for the claim, predetermination or preauthorization.
element definition.comment:
  value: Typically this field would be 1..1 where this party is responsible for the claim but not necessarily professionally responsible for the provision of the individual products and services listed below.
element definition.min:
  value: 1
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.provider
  element definition.base.min:
    value: 1
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: Reference
  element definition.type.target profile:
    value: http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-practitionerrole-core-1
    index: 0
    link: http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-practitionerrole-core-1
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.must support:
  value: true
element definition.is modifier:
  value: false
element definition.is summary:
  value: true
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: w5
  element definition.mapping.map:
    value: FiveWs.source

index: 20
element.id:
  value: ExplanationOfBenefit.priority
element definition.path:
  value: ExplanationOfBenefit.priority
element definition.short:
  value: Desired processing urgency
element definition.definition:
  value: The provider-required urgency of processing the request. Typical values include: stat, routine deferred.
element definition.comment:
  value: If a claim processor is unable to complete the processing as per the priority then they should generate and error and not process the request.
element definition.requirements:
  value: The provider may need to indicate their processing requirements so that the processor can indicate if they are unable to comply.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.priority
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: CodeableConcept
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.binding:
  element definition.binding.strength:
    value: example
  element definition.binding.value set:
    value: http://hl7.org/fhir/ValueSet/process-priority
    link: http://hl7.org/fhir/ValueSet/process-priority
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: v2
  element definition.mapping.map:
    value: Request.priority

index: 21
element.id:
  value: ExplanationOfBenefit.fundsReserveRequested
element definition.path:
  value: ExplanationOfBenefit.fundsReserveRequested
element definition.short:
  value: For whom to reserve funds
element definition.definition:
  value: A code to indicate whether and for whom funds are to be reserved for future claims.
element definition.comment:
  value: This field is only used for preauthorizations.
element definition.requirements:
  value: In the case of a Pre-Determination/Pre-Authorization the provider may request that funds in the amount of the expected Benefit be reserved ('Patient' or 'Provider') to pay for the Benefits determined on the subsequent claim(s). 'None' explicitly indicates no funds reserving is requested.
element definition.alias:
  value: Fund pre-allocation
  index: 0
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.fundsReserveRequested
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: CodeableConcept
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: FundsReserve
  element.extension:
    index: 1
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding
    extension.value boolean:
      value: true
  element definition.binding.strength:
    value: example
  element definition.binding.description:
    value: For whom funds are to be reserved: (Patient, Provider, None).
  element definition.binding.value set:
    value: http://hl7.org/fhir/ValueSet/fundsreserve
    link: http://hl7.org/fhir/ValueSet/fundsreserve

index: 22
element.id:
  value: ExplanationOfBenefit.fundsReserve
element definition.path:
  value: ExplanationOfBenefit.fundsReserve
element definition.short:
  value: Funds reserved status
element definition.definition:
  value: A code, used only on a response to a preauthorization, to indicate whether the benefits payable have been reserved and for whom.
element definition.comment:
  value: Fund would be release by a future claim quoting the preAuthRef of this response. Examples of values include: provider, patient, none.
element definition.requirements:
  value: Needed to advise the submitting provider on whether the rquest for reservation of funds has been honored.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.fundsReserve
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: CodeableConcept
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: FundsReserve
  element.extension:
    index: 1
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding
    extension.value boolean:
      value: true
  element definition.binding.strength:
    value: example
  element definition.binding.description:
    value: For whom funds are to be reserved: (Patient, Provider, None).
  element definition.binding.value set:
    value: http://hl7.org/fhir/ValueSet/fundsreserve
    link: http://hl7.org/fhir/ValueSet/fundsreserve

index: 23
element.id:
  value: ExplanationOfBenefit.related
element.extension:
  index: 0
  extension.url:
    value: http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name
  extension.value string:
    value: RelatedClaim
element definition.path:
  value: ExplanationOfBenefit.related
element definition.short:
  value: Prior or corollary claims
element definition.definition:
  value: Other claims which are related to this claim such as prior submissions or claims for related services or for the same event.
element definition.comment:
  value: For example, for the original treatment and follow-up exams.
element definition.requirements:
  value: For workplace or other accidents it is common to relate separate claims arising from the same event.
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.related
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: BackboneElement
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false

index: 24
element.id:
  value: ExplanationOfBenefit.related.id
element definition.path:
  value: ExplanationOfBenefit.related.id
element definition.representation:
  value: xmlAttr
  index: 0
element definition.short:
  value: Unique id for inter-element referencing
element definition.definition:
  value: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Element.id
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
    extension.value url:
      value: string
  element definition.type.code:
    value: http://hl7.org/fhirpath/System.String
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: n/a

index: 25
element.id:
  value: ExplanationOfBenefit.related.extension
element definition.path:
  value: ExplanationOfBenefit.related.extension
element definition.short:
  value: Additional content defined by implementations
element definition.definition:
  value: May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
element definition.comment:
  value: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
element definition.alias:
  value: extensions
  index: 0
element definition.alias:
  value: user content
  index: 1
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: Element.extension
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Extension
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.constraint:
  index: 1
  element definition.constraint.key:
    value: ext-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: Must have either extensions or value[x], not both
  element definition.constraint.expression:
    value: extension.exists() != value.exists()
  element definition.constraint.xpath:
    value: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: n/a

index: 26
element.id:
  value: ExplanationOfBenefit.related.modifierExtension
element definition.path:
  value: ExplanationOfBenefit.related.modifierExtension
element definition.short:
  value: Extensions that cannot be ignored even if unrecognized
element definition.definition:
  value: May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
element definition.comment:
  value: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
element definition.requirements:
  value: Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).
element definition.alias:
  value: extensions
  index: 0
element definition.alias:
  value: user content
  index: 1
element definition.alias:
  value: modifiers
  index: 2
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: BackboneElement.modifierExtension
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Extension
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.constraint:
  index: 1
  element definition.constraint.key:
    value: ext-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: Must have either extensions or value[x], not both
  element definition.constraint.expression:
    value: extension.exists() != value.exists()
  element definition.constraint.xpath:
    value: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
element definition.is modifier:
  value: true
element definition.is modifier reason:
  value: Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
element definition.is summary:
  value: true
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: N/A

index: 27
element.id:
  value: ExplanationOfBenefit.related.claim
element definition.path:
  value: ExplanationOfBenefit.related.claim
element definition.short:
  value: Reference to the related claim
element definition.definition:
  value: Reference to a related claim.
element definition.requirements:
  value: For workplace or other accidents it is common to relate separate claims arising from the same event.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.related.claim
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: Reference
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/Claim
    index: 0
    link: http://hl7.org/fhir/StructureDefinition/Claim
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false

index: 28
element.id:
  value: ExplanationOfBenefit.related.relationship
element definition.path:
  value: ExplanationOfBenefit.related.relationship
element definition.short:
  value: How the reference claim is related
element definition.definition:
  value: A code to convey how the claims are related.
element definition.comment:
  value: For example, prior claim or umbrella.
element definition.requirements:
  value: Some insurers need a declaration of the type of relationship.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.related.relationship
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: CodeableConcept
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: RelatedClaimRelationship
  element definition.binding.strength:
    value: example
  element definition.binding.description:
    value: Relationship of this claim to a related Claim.
  element definition.binding.value set:
    value: http://hl7.org/fhir/ValueSet/related-claim-relationship
    link: http://hl7.org/fhir/ValueSet/related-claim-relationship

index: 29
element.id:
  value: ExplanationOfBenefit.related.reference
element definition.path:
  value: ExplanationOfBenefit.related.reference
element definition.short:
  value: File or case reference
element definition.definition:
  value: An alternate organizational reference to the case or file to which this particular claim pertains.
element definition.comment:
  value: For example, Property/Casualty insurer claim number or Workers Compensation case number.
element definition.requirements:
  value: In cases where an event-triggered claim is being submitted to an insurer which requires a reference number to be specified on all exchanges.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.related.reference
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: Identifier
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false

index: 30
element.id:
  value: ExplanationOfBenefit.prescription
element definition.path:
  value: ExplanationOfBenefit.prescription
element definition.short:
  value: Prescription authorizing services or products
element definition.definition:
  value: Prescription to support the dispensing of pharmacy, device or vision products.
element definition.requirements:
  value: Required to authorize the dispensing of controlled substances and devices.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.prescription
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: Reference
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/MedicationRequest
    index: 0
    link: http://hl7.org/fhir/StructureDefinition/MedicationRequest
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/VisionPrescription
    index: 1
    link: http://hl7.org/fhir/StructureDefinition/VisionPrescription
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false

index: 31
element.id:
  value: ExplanationOfBenefit.originalPrescription
element definition.path:
  value: ExplanationOfBenefit.originalPrescription
element definition.short:
  value: Original prescription if superceded by fulfiller
element definition.definition:
  value: Original prescription which has been superseded by this prescription to support the dispensing of pharmacy services, medications or products.
element definition.comment:
  value: For example, a physician may prescribe a medication which the pharmacy determines is contraindicated, or for which the patient has an intolerance, and therefor issues a new prescription for an alternate medication which has the same therapeutic intent. The prescription from the pharmacy becomes the 'prescription' and that from the physician becomes the 'original prescription'.
element definition.requirements:
  value: Often required when a fulfiller varies what is fulfilled from that authorized on the original prescription.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.originalPrescription
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: Reference
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/MedicationRequest
    index: 0
    link: http://hl7.org/fhir/StructureDefinition/MedicationRequest
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false

index: 32
element.id:
  value: ExplanationOfBenefit.payee
element.extension:
  index: 0
  extension.url:
    value: http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name
  extension.value string:
    value: Payee
element definition.path:
  value: ExplanationOfBenefit.payee
element definition.short:
  value: Recipient of benefits payable
element definition.definition:
  value: The party to be reimbursed for cost of the products and services according to the terms of the policy.
element definition.comment:
  value: Often providers agree to receive the benefits payable to reduce the near-term costs to the patient. The insurer may decline to pay the provider and may choose to pay the subscriber instead.
element definition.requirements:
  value: The provider needs to specify who they wish to be reimbursed and the claims processor needs express who they will reimburse.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.payee
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: BackboneElement
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false

index: 33
element.id:
  value: ExplanationOfBenefit.payee.id
element definition.path:
  value: ExplanationOfBenefit.payee.id
element definition.representation:
  value: xmlAttr
  index: 0
element definition.short:
  value: Unique id for inter-element referencing
element definition.definition:
  value: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Element.id
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
    extension.value url:
      value: string
  element definition.type.code:
    value: http://hl7.org/fhirpath/System.String
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: n/a

index: 34
element.id:
  value: ExplanationOfBenefit.payee.extension
element definition.path:
  value: ExplanationOfBenefit.payee.extension
element definition.short:
  value: Additional content defined by implementations
element definition.definition:
  value: May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
element definition.comment:
  value: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
element definition.alias:
  value: extensions
  index: 0
element definition.alias:
  value: user content
  index: 1
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: Element.extension
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Extension
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.constraint:
  index: 1
  element definition.constraint.key:
    value: ext-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: Must have either extensions or value[x], not both
  element definition.constraint.expression:
    value: extension.exists() != value.exists()
  element definition.constraint.xpath:
    value: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: n/a

index: 35
element.id:
  value: ExplanationOfBenefit.payee.modifierExtension
element definition.path:
  value: ExplanationOfBenefit.payee.modifierExtension
element definition.short:
  value: Extensions that cannot be ignored even if unrecognized
element definition.definition:
  value: May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
element definition.comment:
  value: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
element definition.requirements:
  value: Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).
element definition.alias:
  value: extensions
  index: 0
element definition.alias:
  value: user content
  index: 1
element definition.alias:
  value: modifiers
  index: 2
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: BackboneElement.modifierExtension
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Extension
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.constraint:
  index: 1
  element definition.constraint.key:
    value: ext-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: Must have either extensions or value[x], not both
  element definition.constraint.expression:
    value: extension.exists() != value.exists()
  element definition.constraint.xpath:
    value: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
element definition.is modifier:
  value: true
element definition.is modifier reason:
  value: Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
element definition.is summary:
  value: true
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: N/A

index: 36
element.id:
  value: ExplanationOfBenefit.payee.type
element definition.path:
  value: ExplanationOfBenefit.payee.type
element definition.short:
  value: Category of recipient
element definition.definition:
  value: Type of Party to be reimbursed: Subscriber, provider, other.
element definition.requirements:
  value: Need to know who should receive payment with the most common situations being the Provider (assignment of benefits) or the Subscriber.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.payee.type
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: CodeableConcept
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: PayeeType
  element.extension:
    index: 1
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding
    extension.value boolean:
      value: true
  element definition.binding.strength:
    value: example
  element definition.binding.description:
    value: A code for the party to be reimbursed.
  element definition.binding.value set:
    value: http://hl7.org/fhir/ValueSet/payeetype
    link: http://hl7.org/fhir/ValueSet/payeetype

index: 37
element.id:
  value: ExplanationOfBenefit.payee.party
element definition.path:
  value: ExplanationOfBenefit.payee.party
element definition.short:
  value: Recipient reference
element definition.definition:
  value: Reference to the individual or organization to whom any payment will be made.
element definition.comment:
  value: Not required if the payee is 'subscriber' or 'provider'.
element definition.requirements:
  value: Need to provide demographics if the payee is not 'subscriber' nor 'provider'.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.payee.party
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: Reference
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/Practitioner
    index: 0
    link: http://hl7.org/fhir/StructureDefinition/Practitioner
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/PractitionerRole
    index: 1
    link: http://hl7.org/fhir/StructureDefinition/PractitionerRole
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/Organization
    index: 2
    link: http://hl7.org/fhir/StructureDefinition/Organization
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/Patient
    index: 3
    link: http://hl7.org/fhir/StructureDefinition/Patient
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/RelatedPerson
    index: 4
    link: http://hl7.org/fhir/StructureDefinition/RelatedPerson
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false

index: 38
element.id:
  value: ExplanationOfBenefit.referral
element definition.path:
  value: ExplanationOfBenefit.referral
element definition.short:
  value: Treatment Referral
element definition.definition:
  value: A reference to a referral resource.
element definition.comment:
  value: The referral resource which lists the date, practitioner, reason and other supporting information.
element definition.requirements:
  value: Some insurers require proof of referral to pay for services or to pay specialist rates for services.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.referral
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: Reference
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/ServiceRequest
    index: 0
    link: http://hl7.org/fhir/StructureDefinition/ServiceRequest
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: w5
  element definition.mapping.map:
    value: FiveWs.cause

index: 39
element.id:
  value: ExplanationOfBenefit.facility
element definition.path:
  value: ExplanationOfBenefit.facility
element definition.short:
  value: Servicing Facility
element definition.definition:
  value: Facility where the services were provided.
element definition.requirements:
  value: Insurance adjudication can be dependant on where services were delivered.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.facility
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: Reference
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/Location
    index: 0
    link: http://hl7.org/fhir/StructureDefinition/Location
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: workflow
  element definition.mapping.map:
    value: Event.performer.location
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: w5
  element definition.mapping.map:
    value: FiveWs.where[x]

index: 40
element.id:
  value: ExplanationOfBenefit.claim
element definition.path:
  value: ExplanationOfBenefit.claim
element definition.short:
  value: Claim reference
element definition.definition:
  value: The business identifier for the instance of the adjudication request: claim predetermination or preauthorization.
element definition.requirements:
  value: To provide a link to the original adjudication request.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.claim
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: Reference
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/Claim
    index: 0
    link: http://hl7.org/fhir/StructureDefinition/Claim
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: w5
  element definition.mapping.map:
    value: FiveWs.why[x]

index: 41
element.id:
  value: ExplanationOfBenefit.claimResponse
element definition.path:
  value: ExplanationOfBenefit.claimResponse
element definition.short:
  value: Claim response reference
element definition.definition:
  value: The business identifier for the instance of the adjudication response: claim, predetermination or preauthorization response.
element definition.requirements:
  value: To provide a link to the original adjudication response.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.claimResponse
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: Reference
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/ClaimResponse
    index: 0
    link: http://hl7.org/fhir/StructureDefinition/ClaimResponse
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false

index: 42
element.id:
  value: ExplanationOfBenefit.outcome
element definition.path:
  value: ExplanationOfBenefit.outcome
element definition.short:
  value: queued | complete | error | partial
element definition.definition:
  value: The outcome of the claim, predetermination, or preauthorization processing.
element definition.comment:
  value: The resource may be used to indicate that: the request has been held (queued) for processing; that it has been processed and errors found (error); that no errors were found and that some of the adjudication has been undertaken (partial) or that all of the adjudication has been undertaken (complete).
element definition.requirements:
  value: To advise the requestor of an overall processing outcome.
element definition.min:
  value: 1
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.outcome
  element definition.base.min:
    value: 1
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: code
element definition.fixed code:
  value: complete
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.must support:
  value: true
element definition.is modifier:
  value: false
element definition.is summary:
  value: true
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: RemittanceOutcome
  element definition.binding.strength:
    value: required
  element definition.binding.description:
    value: The result of the claim processing.
  element definition.binding.value set:
    value: http://hl7.org/fhir/ValueSet/remittance-outcome|4.0.1
    link: 4.0
    link: .1

index: 43
element.id:
  value: ExplanationOfBenefit.disposition
element definition.path:
  value: ExplanationOfBenefit.disposition
element definition.short:
  value: Disposition Message
element definition.definition:
  value: A human readable description of the status of the adjudication.
element definition.requirements:
  value: Provided for user display.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.disposition
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: string
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false

index: 44
element.id:
  value: ExplanationOfBenefit.preAuthRef
element definition.path:
  value: ExplanationOfBenefit.preAuthRef
element definition.short:
  value: Preauthorization reference
element definition.definition:
  value: Reference from the Insurer which is used in later communications which refers to this adjudication.
element definition.comment:
  value: This value is only present on preauthorization adjudications.
element definition.requirements:
  value: On subsequent claims, the insurer may require the provider to quote this value.
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.preAuthRef
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: string
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false

index: 45
element.id:
  value: ExplanationOfBenefit.preAuthRefPeriod
element definition.path:
  value: ExplanationOfBenefit.preAuthRefPeriod
element definition.short:
  value: Preauthorization in-effect period
element definition.definition:
  value: The timeframe during which the supplied preauthorization reference may be quoted on claims to obtain the adjudication as provided.
element definition.comment:
  value: This value is only present on preauthorization adjudications.
element definition.requirements:
  value: On subsequent claims, the insurer may require the provider to quote this value.
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.preAuthRefPeriod
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Period
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false

index: 46
element.id:
  value: ExplanationOfBenefit.careTeam
element.extension:
  index: 0
  extension.url:
    value: http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name
  extension.value string:
    value: CareTeam
element definition.path:
  value: ExplanationOfBenefit.careTeam
element definition.short:
  value: Care Team members
element definition.definition:
  value: The members of the team who provided the products and services.
element definition.requirements:
  value: Common to identify the responsible and supporting practitioners.
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.careTeam
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: BackboneElement
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false

index: 47
element.id:
  value: ExplanationOfBenefit.careTeam.id
element definition.path:
  value: ExplanationOfBenefit.careTeam.id
element definition.representation:
  value: xmlAttr
  index: 0
element definition.short:
  value: Unique id for inter-element referencing
element definition.definition:
  value: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Element.id
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
    extension.value url:
      value: string
  element definition.type.code:
    value: http://hl7.org/fhirpath/System.String
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: n/a

index: 48
element.id:
  value: ExplanationOfBenefit.careTeam.extension
element definition.path:
  value: ExplanationOfBenefit.careTeam.extension
element definition.short:
  value: Additional content defined by implementations
element definition.definition:
  value: May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
element definition.comment:
  value: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
element definition.alias:
  value: extensions
  index: 0
element definition.alias:
  value: user content
  index: 1
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: Element.extension
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Extension
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.constraint:
  index: 1
  element definition.constraint.key:
    value: ext-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: Must have either extensions or value[x], not both
  element definition.constraint.expression:
    value: extension.exists() != value.exists()
  element definition.constraint.xpath:
    value: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: n/a

index: 49
element.id:
  value: ExplanationOfBenefit.careTeam.modifierExtension
element definition.path:
  value: ExplanationOfBenefit.careTeam.modifierExtension
element definition.short:
  value: Extensions that cannot be ignored even if unrecognized
element definition.definition:
  value: May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
element definition.comment:
  value: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
element definition.requirements:
  value: Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).
element definition.alias:
  value: extensions
  index: 0
element definition.alias:
  value: user content
  index: 1
element definition.alias:
  value: modifiers
  index: 2
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: BackboneElement.modifierExtension
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Extension
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.constraint:
  index: 1
  element definition.constraint.key:
    value: ext-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: Must have either extensions or value[x], not both
  element definition.constraint.expression:
    value: extension.exists() != value.exists()
  element definition.constraint.xpath:
    value: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
element definition.is modifier:
  value: true
element definition.is modifier reason:
  value: Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
element definition.is summary:
  value: true
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: N/A

index: 50
element.id:
  value: ExplanationOfBenefit.careTeam.sequence
element definition.path:
  value: ExplanationOfBenefit.careTeam.sequence
element definition.short:
  value: Order of care team
element definition.definition:
  value: A number to uniquely identify care team entries.
element definition.requirements:
  value: Necessary to maintain the order of the care team and provide a mechanism to link individuals to claim details.
element definition.min:
  value: 1
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.careTeam.sequence
  element definition.base.min:
    value: 1
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: positiveInt
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false

index: 51
element.id:
  value: ExplanationOfBenefit.careTeam.provider
element definition.path:
  value: ExplanationOfBenefit.careTeam.provider
element definition.short:
  value: Practitioner or organization
element definition.definition:
  value: Member of the team who provided the product or service.
element definition.requirements:
  value: Often a regulatory requirement to specify the responsible provider.
element definition.min:
  value: 1
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.careTeam.provider
  element definition.base.min:
    value: 1
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: Reference
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/Practitioner
    index: 0
    link: http://hl7.org/fhir/StructureDefinition/Practitioner
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/PractitionerRole
    index: 1
    link: http://hl7.org/fhir/StructureDefinition/PractitionerRole
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/Organization
    index: 2
    link: http://hl7.org/fhir/StructureDefinition/Organization
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: w5
  element definition.mapping.map:
    value: FiveWs.actor

index: 52
element.id:
  value: ExplanationOfBenefit.careTeam.responsible
element definition.path:
  value: ExplanationOfBenefit.careTeam.responsible
element definition.short:
  value: Indicator of the lead practitioner
element definition.definition:
  value: The party who is billing and/or responsible for the claimed products or services.
element definition.comment:
  value: Responsible might not be required when there is only a single provider listed.
element definition.requirements:
  value: When multiple parties are present it is required to distinguish the lead or responsible individual.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.careTeam.responsible
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: boolean
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false

index: 53
element.id:
  value: ExplanationOfBenefit.careTeam.role
element definition.path:
  value: ExplanationOfBenefit.careTeam.role
element definition.short:
  value: Function within the team
element definition.definition:
  value: The lead, assisting or supervising practitioner and their discipline if a multidisciplinary team.
element definition.comment:
  value: Role might not be required when there is only a single provider listed.
element definition.requirements:
  value: When multiple parties are present it is required to distinguish the roles performed by each member.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.careTeam.role
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: CodeableConcept
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: CareTeamRole
  element definition.binding.strength:
    value: example
  element definition.binding.description:
    value: The role codes for the care team members.
  element definition.binding.value set:
    value: http://hl7.org/fhir/ValueSet/claim-careteamrole
    link: http://hl7.org/fhir/ValueSet/claim-careteamrole

index: 54
element.id:
  value: ExplanationOfBenefit.careTeam.qualification
element definition.path:
  value: ExplanationOfBenefit.careTeam.qualification
element definition.short:
  value: Practitioner credential or specialization
element definition.definition:
  value: The qualification of the practitioner which is applicable for this service.
element definition.requirements:
  value: Need to specify which qualification a provider is delivering the product or service under.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.careTeam.qualification
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: CodeableConcept
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: ProviderQualification
  element definition.binding.strength:
    value: example
  element definition.binding.description:
    value: Provider professional qualifications.
  element definition.binding.value set:
    value: http://hl7.org/fhir/ValueSet/provider-qualification
    link: http://hl7.org/fhir/ValueSet/provider-qualification

index: 55
element.id:
  value: ExplanationOfBenefit.supportingInfo
element.extension:
  index: 0
  extension.url:
    value: http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name
  extension.value string:
    value: SupportingInformation
element definition.path:
  value: ExplanationOfBenefit.supportingInfo
element definition.short:
  value: Supporting information
element definition.definition:
  value: Additional information codes regarding exceptions, special considerations, the condition, situation, prior or concurrent issues.
element definition.comment:
  value: Often there are multiple jurisdiction specific valuesets which are required.
element definition.requirements:
  value: Typically these information codes are required to support the services rendered or the adjudication of the services rendered.
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.supportingInfo
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: BackboneElement
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false

index: 56
element.id:
  value: ExplanationOfBenefit.supportingInfo.id
element definition.path:
  value: ExplanationOfBenefit.supportingInfo.id
element definition.representation:
  value: xmlAttr
  index: 0
element definition.short:
  value: Unique id for inter-element referencing
element definition.definition:
  value: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Element.id
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
    extension.value url:
      value: string
  element definition.type.code:
    value: http://hl7.org/fhirpath/System.String
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: n/a

index: 57
element.id:
  value: ExplanationOfBenefit.supportingInfo.extension
element definition.path:
  value: ExplanationOfBenefit.supportingInfo.extension
element definition.short:
  value: Additional content defined by implementations
element definition.definition:
  value: May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
element definition.comment:
  value: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
element definition.alias:
  value: extensions
  index: 0
element definition.alias:
  value: user content
  index: 1
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: Element.extension
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Extension
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.constraint:
  index: 1
  element definition.constraint.key:
    value: ext-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: Must have either extensions or value[x], not both
  element definition.constraint.expression:
    value: extension.exists() != value.exists()
  element definition.constraint.xpath:
    value: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: n/a

index: 58
element.id:
  value: ExplanationOfBenefit.supportingInfo.modifierExtension
element definition.path:
  value: ExplanationOfBenefit.supportingInfo.modifierExtension
element definition.short:
  value: Extensions that cannot be ignored even if unrecognized
element definition.definition:
  value: May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
element definition.comment:
  value: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
element definition.requirements:
  value: Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).
element definition.alias:
  value: extensions
  index: 0
element definition.alias:
  value: user content
  index: 1
element definition.alias:
  value: modifiers
  index: 2
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: BackboneElement.modifierExtension
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Extension
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.constraint:
  index: 1
  element definition.constraint.key:
    value: ext-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: Must have either extensions or value[x], not both
  element definition.constraint.expression:
    value: extension.exists() != value.exists()
  element definition.constraint.xpath:
    value: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
element definition.is modifier:
  value: true
element definition.is modifier reason:
  value: Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
element definition.is summary:
  value: true
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: N/A

index: 59
element.id:
  value: ExplanationOfBenefit.supportingInfo.sequence
element definition.path:
  value: ExplanationOfBenefit.supportingInfo.sequence
element definition.short:
  value: Information instance identifier
element definition.definition:
  value: A number to uniquely identify supporting information entries.
element definition.requirements:
  value: Necessary to maintain the order of the supporting information items and provide a mechanism to link to claim details.
element definition.min:
  value: 1
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.supportingInfo.sequence
  element definition.base.min:
    value: 1
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: positiveInt
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false

index: 60
element.id:
  value: ExplanationOfBenefit.supportingInfo.category
element definition.path:
  value: ExplanationOfBenefit.supportingInfo.category
element definition.short:
  value: Classification of the supplied information
element definition.definition:
  value: The general class of the information supplied: information; exception; accident, employment; onset, etc.
element definition.comment:
  value: This may contain a category for the local bill type codes.
element definition.requirements:
  value: Required to group or associate information items with common characteristics. For example: admission information or prior treatments.
element definition.min:
  value: 1
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.supportingInfo.category
  element definition.base.min:
    value: 1
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: CodeableConcept
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: InformationCategory
  element definition.binding.strength:
    value: example
  element definition.binding.description:
    value: The valuset used for additional information category codes.
  element definition.binding.value set:
    value: http://hl7.org/fhir/ValueSet/claim-informationcategory
    link: http://hl7.org/fhir/ValueSet/claim-informationcategory

index: 61
element.id:
  value: ExplanationOfBenefit.supportingInfo.code
element definition.path:
  value: ExplanationOfBenefit.supportingInfo.code
element definition.short:
  value: Type of information
element definition.definition:
  value: System and code pertaining to the specific information regarding special conditions relating to the setting, treatment or patient for which care is sought.
element definition.comment:
  value: This may contain the local bill type codes such as the US UB-04 bill type code.
element definition.requirements:
  value: Required to identify the kind of additional information.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.supportingInfo.code
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: CodeableConcept
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: InformationCode
  element definition.binding.strength:
    value: example
  element definition.binding.description:
    value: The valuset used for additional information codes.
  element definition.binding.value set:
    value: http://hl7.org/fhir/ValueSet/claim-exception
    link: http://hl7.org/fhir/ValueSet/claim-exception

index: 62
element.id:
  value: ExplanationOfBenefit.supportingInfo.timing[x]
element definition.path:
  value: ExplanationOfBenefit.supportingInfo.timing[x]
element definition.short:
  value: When it occurred
element definition.definition:
  value: The date when or period to which this information refers.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.supportingInfo.timing[x]
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: date
element definition.type:
  index: 1
  element definition.type.code:
    value: Period
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false

index: 63
element.id:
  value: ExplanationOfBenefit.supportingInfo.value[x]
element definition.path:
  value: ExplanationOfBenefit.supportingInfo.value[x]
element definition.short:
  value: Data to be provided
element definition.definition:
  value: Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data.
element definition.comment:
  value: Could be used to provide references to other resources, document. For example, could contain a PDF in an Attachment of the Police Report for an Accident.
element definition.requirements:
  value: To convey the data content to be provided when the information is more than a simple code or period.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.supportingInfo.value[x]
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: boolean
element definition.type:
  index: 1
  element definition.type.code:
    value: string
element definition.type:
  index: 2
  element definition.type.code:
    value: Quantity
element definition.type:
  index: 3
  element definition.type.code:
    value: Attachment
element definition.type:
  index: 4
  element definition.type.code:
    value: Reference
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/Resource
    index: 0
    link: http://hl7.org/fhir/StructureDefinition/Resource
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false

index: 64
element.id:
  value: ExplanationOfBenefit.supportingInfo.reason
element definition.path:
  value: ExplanationOfBenefit.supportingInfo.reason
element definition.short:
  value: Explanation for the information
element definition.definition:
  value: Provides the reason in the situation where a reason code is required in addition to the content.
element definition.comment:
  value: For example: the reason for the additional stay, or why a tooth is missing.
element definition.requirements:
  value: Needed when the supporting information has both a date and amount/value and requires explanation.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.supportingInfo.reason
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: Coding
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: MissingReason
  element definition.binding.strength:
    value: example
  element definition.binding.description:
    value: Reason codes for the missing teeth.
  element definition.binding.value set:
    value: http://hl7.org/fhir/ValueSet/missing-tooth-reason
    link: http://hl7.org/fhir/ValueSet/missing-tooth-reason

index: 65
element.id:
  value: ExplanationOfBenefit.diagnosis
element.extension:
  index: 0
  extension.url:
    value: http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name
  extension.value string:
    value: Diagnosis
element definition.path:
  value: ExplanationOfBenefit.diagnosis
element definition.short:
  value: Pertinent diagnosis information
element definition.definition:
  value: Information about diagnoses relevant to the claim items.
element definition.requirements:
  value: Required for the adjudication by provided context for the services and product listed.
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.diagnosis
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: BackboneElement
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false

index: 66
element.id:
  value: ExplanationOfBenefit.diagnosis.id
element definition.path:
  value: ExplanationOfBenefit.diagnosis.id
element definition.representation:
  value: xmlAttr
  index: 0
element definition.short:
  value: Unique id for inter-element referencing
element definition.definition:
  value: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Element.id
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
    extension.value url:
      value: string
  element definition.type.code:
    value: http://hl7.org/fhirpath/System.String
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: n/a

index: 67
element.id:
  value: ExplanationOfBenefit.diagnosis.extension
element definition.path:
  value: ExplanationOfBenefit.diagnosis.extension
element definition.short:
  value: Additional content defined by implementations
element definition.definition:
  value: May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
element definition.comment:
  value: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
element definition.alias:
  value: extensions
  index: 0
element definition.alias:
  value: user content
  index: 1
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: Element.extension
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Extension
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.constraint:
  index: 1
  element definition.constraint.key:
    value: ext-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: Must have either extensions or value[x], not both
  element definition.constraint.expression:
    value: extension.exists() != value.exists()
  element definition.constraint.xpath:
    value: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: n/a

index: 68
element.id:
  value: ExplanationOfBenefit.diagnosis.modifierExtension
element definition.path:
  value: ExplanationOfBenefit.diagnosis.modifierExtension
element definition.short:
  value: Extensions that cannot be ignored even if unrecognized
element definition.definition:
  value: May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
element definition.comment:
  value: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
element definition.requirements:
  value: Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).
element definition.alias:
  value: extensions
  index: 0
element definition.alias:
  value: user content
  index: 1
element definition.alias:
  value: modifiers
  index: 2
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: BackboneElement.modifierExtension
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Extension
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.constraint:
  index: 1
  element definition.constraint.key:
    value: ext-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: Must have either extensions or value[x], not both
  element definition.constraint.expression:
    value: extension.exists() != value.exists()
  element definition.constraint.xpath:
    value: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
element definition.is modifier:
  value: true
element definition.is modifier reason:
  value: Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
element definition.is summary:
  value: true
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: N/A

index: 69
element.id:
  value: ExplanationOfBenefit.diagnosis.sequence
element definition.path:
  value: ExplanationOfBenefit.diagnosis.sequence
element definition.short:
  value: Diagnosis instance identifier
element definition.definition:
  value: A number to uniquely identify diagnosis entries.
element definition.comment:
  value: Diagnosis are presented in list order to their expected importance: primary, secondary, etc.
element definition.requirements:
  value: Necessary to maintain the order of the diagnosis items and provide a mechanism to link to claim details.
element definition.min:
  value: 1
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.diagnosis.sequence
  element definition.base.min:
    value: 1
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: positiveInt
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false

index: 70
element.id:
  value: ExplanationOfBenefit.diagnosis.diagnosis[x]
element definition.path:
  value: ExplanationOfBenefit.diagnosis.diagnosis[x]
element definition.short:
  value: Nature of illness or problem
element definition.definition:
  value: The nature of illness or problem in a coded form or as a reference to an external defined Condition.
element definition.requirements:
  value: Provides health context for the evaluation of the products and/or services.
element definition.min:
  value: 1
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.diagnosis.diagnosis[x]
  element definition.base.min:
    value: 1
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: CodeableConcept
element definition.type:
  index: 1
  element definition.type.code:
    value: Reference
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/Condition
    index: 0
    link: http://hl7.org/fhir/StructureDefinition/Condition
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: ICD10
  element definition.binding.strength:
    value: example
  element definition.binding.description:
    value: ICD10 Diagnostic codes.
  element definition.binding.value set:
    value: http://hl7.org/fhir/ValueSet/icd-10
    link: http://hl7.org/fhir/ValueSet/icd-10

index: 71
element.id:
  value: ExplanationOfBenefit.diagnosis.type
element definition.path:
  value: ExplanationOfBenefit.diagnosis.type
element definition.short:
  value: Timing or nature of the diagnosis
element definition.definition:
  value: When the condition was observed or the relative ranking.
element definition.comment:
  value: For example: admitting, primary, secondary, discharge.
element definition.requirements:
  value: Often required to capture a particular diagnosis, for example: primary or discharge.
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.diagnosis.type
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: CodeableConcept
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: DiagnosisType
  element definition.binding.strength:
    value: example
  element definition.binding.description:
    value: The type of the diagnosis: admitting, principal, discharge.
  element definition.binding.value set:
    value: http://hl7.org/fhir/ValueSet/ex-diagnosistype
    link: http://hl7.org/fhir/ValueSet/ex-diagnosistype

index: 72
element.id:
  value: ExplanationOfBenefit.diagnosis.onAdmission
element definition.path:
  value: ExplanationOfBenefit.diagnosis.onAdmission
element definition.short:
  value: Present on admission
element definition.definition:
  value: Indication of whether the diagnosis was present on admission to a facility.
element definition.requirements:
  value: Many systems need to understand for adjudication if the diagnosis was present a time of admission.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.diagnosis.onAdmission
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: CodeableConcept
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: DiagnosisOnAdmission
  element definition.binding.strength:
    value: example
  element definition.binding.description:
    value: Present on admission.
  element definition.binding.value set:
    value: http://hl7.org/fhir/ValueSet/ex-diagnosis-on-admission
    link: http://hl7.org/fhir/ValueSet/ex-diagnosis-on-admission

index: 73
element.id:
  value: ExplanationOfBenefit.diagnosis.packageCode
element definition.path:
  value: ExplanationOfBenefit.diagnosis.packageCode
element definition.short:
  value: Package billing code
element definition.definition:
  value: A package billing code or bundle code used to group products and services to a particular health condition (such as heart attack) which is based on a predetermined grouping code system.
element definition.comment:
  value: For example, DRG (Diagnosis Related Group) or a bundled billing code. A patient may have a diagnosis of a Myocardio-infarction and a DRG for HeartAttack would assigned. The Claim item (and possible subsequent claims) would refer to the DRG for those line items that were for services related to the heart attack event.
element definition.requirements:
  value: Required to relate the current diagnosis to a package billing code that is then referenced on the individual claim items which are specific to the health condition covered by the package code.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.diagnosis.packageCode
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: CodeableConcept
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: DiagnosisRelatedGroup
  element definition.binding.strength:
    value: example
  element definition.binding.description:
    value: The DRG codes associated with the diagnosis.
  element definition.binding.value set:
    value: http://hl7.org/fhir/ValueSet/ex-diagnosisrelatedgroup
    link: http://hl7.org/fhir/ValueSet/ex-diagnosisrelatedgroup

index: 74
element.id:
  value: ExplanationOfBenefit.procedure
element.extension:
  index: 0
  extension.url:
    value: http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name
  extension.value string:
    value: Procedure
element definition.path:
  value: ExplanationOfBenefit.procedure
element definition.short:
  value: Clinical procedures performed
element definition.definition:
  value: Procedures performed on the patient relevant to the billing items with the claim.
element definition.requirements:
  value: The specific clinical invention are sometimes required to be provided to justify billing a greater than customary amount for a service.
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.procedure
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: BackboneElement
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false

index: 75
element.id:
  value: ExplanationOfBenefit.procedure.id
element definition.path:
  value: ExplanationOfBenefit.procedure.id
element definition.representation:
  value: xmlAttr
  index: 0
element definition.short:
  value: Unique id for inter-element referencing
element definition.definition:
  value: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Element.id
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
    extension.value url:
      value: string
  element definition.type.code:
    value: http://hl7.org/fhirpath/System.String
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: n/a

index: 76
element.id:
  value: ExplanationOfBenefit.procedure.extension
element definition.path:
  value: ExplanationOfBenefit.procedure.extension
element definition.short:
  value: Additional content defined by implementations
element definition.definition:
  value: May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
element definition.comment:
  value: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
element definition.alias:
  value: extensions
  index: 0
element definition.alias:
  value: user content
  index: 1
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: Element.extension
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Extension
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.constraint:
  index: 1
  element definition.constraint.key:
    value: ext-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: Must have either extensions or value[x], not both
  element definition.constraint.expression:
    value: extension.exists() != value.exists()
  element definition.constraint.xpath:
    value: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: n/a

index: 77
element.id:
  value: ExplanationOfBenefit.procedure.modifierExtension
element definition.path:
  value: ExplanationOfBenefit.procedure.modifierExtension
element definition.short:
  value: Extensions that cannot be ignored even if unrecognized
element definition.definition:
  value: May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
element definition.comment:
  value: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
element definition.requirements:
  value: Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).
element definition.alias:
  value: extensions
  index: 0
element definition.alias:
  value: user content
  index: 1
element definition.alias:
  value: modifiers
  index: 2
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: BackboneElement.modifierExtension
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Extension
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.constraint:
  index: 1
  element definition.constraint.key:
    value: ext-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: Must have either extensions or value[x], not both
  element definition.constraint.expression:
    value: extension.exists() != value.exists()
  element definition.constraint.xpath:
    value: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
element definition.is modifier:
  value: true
element definition.is modifier reason:
  value: Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
element definition.is summary:
  value: true
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: N/A

index: 78
element.id:
  value: ExplanationOfBenefit.procedure.sequence
element definition.path:
  value: ExplanationOfBenefit.procedure.sequence
element definition.short:
  value: Procedure instance identifier
element definition.definition:
  value: A number to uniquely identify procedure entries.
element definition.requirements:
  value: Necessary to provide a mechanism to link to claim details.
element definition.min:
  value: 1
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.procedure.sequence
  element definition.base.min:
    value: 1
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: positiveInt
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false

index: 79
element.id:
  value: ExplanationOfBenefit.procedure.type
element definition.path:
  value: ExplanationOfBenefit.procedure.type
element definition.short:
  value: Category of Procedure
element definition.definition:
  value: When the condition was observed or the relative ranking.
element definition.requirements:
  value: Often required to capture a particular diagnosis, for example: primary or discharge.
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.procedure.type
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: CodeableConcept
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: ProcedureType
  element definition.binding.strength:
    value: example
  element definition.binding.description:
    value: Example procedure type codes.
  element definition.binding.value set:
    value: http://hl7.org/fhir/ValueSet/ex-procedure-type
    link: http://hl7.org/fhir/ValueSet/ex-procedure-type

index: 80
element.id:
  value: ExplanationOfBenefit.procedure.date
element definition.path:
  value: ExplanationOfBenefit.procedure.date
element definition.short:
  value: When the procedure was performed
element definition.definition:
  value: Date and optionally time the procedure was performed.
element definition.requirements:
  value: Required for auditing purposes.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.procedure.date
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: dateTime
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false

index: 81
element.id:
  value: ExplanationOfBenefit.procedure.procedure[x]
element definition.path:
  value: ExplanationOfBenefit.procedure.procedure[x]
element definition.short:
  value: Specific clinical procedure
element definition.definition:
  value: The code or reference to a Procedure resource which identifies the clinical intervention performed.
element definition.requirements:
  value: This identifies the actual clinical procedure.
element definition.min:
  value: 1
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.procedure.procedure[x]
  element definition.base.min:
    value: 1
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: CodeableConcept
element definition.type:
  index: 1
  element definition.type.code:
    value: Reference
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/Procedure
    index: 0
    link: http://hl7.org/fhir/StructureDefinition/Procedure
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: ICD10_Procedures
  element definition.binding.strength:
    value: example
  element definition.binding.description:
    value: ICD10 Procedure codes.
  element definition.binding.value set:
    value: http://hl7.org/fhir/ValueSet/icd-10-procedures
    link: http://hl7.org/fhir/ValueSet/icd-10-procedures

index: 82
element.id:
  value: ExplanationOfBenefit.procedure.udi
element definition.path:
  value: ExplanationOfBenefit.procedure.udi
element definition.short:
  value: Unique device identifier
element definition.definition:
  value: Unique Device Identifiers associated with this line item.
element definition.requirements:
  value: The UDI code allows the insurer to obtain device level information on the product supplied.
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.procedure.udi
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Reference
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/Device
    index: 0
    link: http://hl7.org/fhir/StructureDefinition/Device
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false

index: 83
element.id:
  value: ExplanationOfBenefit.precedence
element definition.path:
  value: ExplanationOfBenefit.precedence
element definition.short:
  value: Precedence (primary, secondary, etc.)
element definition.definition:
  value: This indicates the relative order of a series of EOBs related to different coverages for the same suite of services.
element definition.requirements:
  value: Needed to coordinate between multiple EOBs for the same suite of services.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.precedence
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: positiveInt
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false

index: 84
element.id:
  value: ExplanationOfBenefit.insurance
element.extension:
  index: 0
  extension.url:
    value: http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name
  extension.value string:
    value: Insurance
element definition.path:
  value: ExplanationOfBenefit.insurance
element definition.short:
  value: Patient insurance information
element definition.definition:
  value: Financial instruments for reimbursement for the health care products and services specified on the claim.
element definition.comment:
  value: All insurance coverages for the patient which may be applicable for reimbursement, of the products and services listed in the claim, are typically provided in the claim to allow insurers to confirm the ordering of the insurance coverages relative to local 'coordination of benefit' rules. One coverage (and only one) with 'focal=true' is to be used in the adjudication of this claim. Coverages appearing before the focal Coverage in the list, and where 'Coverage.subrogation=false', should provide a reference to the ClaimResponse containing the adjudication results of the prior claim.
element definition.requirements:
  value: At least one insurer is required for a claim to be a claim.
element definition.min:
  value: 1
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.insurance
  element definition.base.min:
    value: 1
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: BackboneElement
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.must support:
  value: true
element definition.is modifier:
  value: false
element definition.is summary:
  value: true
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: v2
  element definition.mapping.map:
    value: Coverage

index: 85
element.id:
  value: ExplanationOfBenefit.insurance.id
element definition.path:
  value: ExplanationOfBenefit.insurance.id
element definition.representation:
  value: xmlAttr
  index: 0
element definition.short:
  value: Unique id for inter-element referencing
element definition.definition:
  value: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Element.id
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
    extension.value url:
      value: string
  element definition.type.code:
    value: http://hl7.org/fhirpath/System.String
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: n/a

index: 86
element.id:
  value: ExplanationOfBenefit.insurance.extension
element definition.path:
  value: ExplanationOfBenefit.insurance.extension
element definition.short:
  value: Additional content defined by implementations
element definition.definition:
  value: May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
element definition.comment:
  value: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
element definition.alias:
  value: extensions
  index: 0
element definition.alias:
  value: user content
  index: 1
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: Element.extension
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Extension
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.constraint:
  index: 1
  element definition.constraint.key:
    value: ext-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: Must have either extensions or value[x], not both
  element definition.constraint.expression:
    value: extension.exists() != value.exists()
  element definition.constraint.xpath:
    value: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: n/a

index: 87
element.id:
  value: ExplanationOfBenefit.insurance.modifierExtension
element definition.path:
  value: ExplanationOfBenefit.insurance.modifierExtension
element definition.short:
  value: Extensions that cannot be ignored even if unrecognized
element definition.definition:
  value: May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
element definition.comment:
  value: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
element definition.requirements:
  value: Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).
element definition.alias:
  value: extensions
  index: 0
element definition.alias:
  value: user content
  index: 1
element definition.alias:
  value: modifiers
  index: 2
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: BackboneElement.modifierExtension
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Extension
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.constraint:
  index: 1
  element definition.constraint.key:
    value: ext-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: Must have either extensions or value[x], not both
  element definition.constraint.expression:
    value: extension.exists() != value.exists()
  element definition.constraint.xpath:
    value: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
element definition.is modifier:
  value: true
element definition.is modifier reason:
  value: Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
element definition.is summary:
  value: true
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: N/A

index: 88
element.id:
  value: ExplanationOfBenefit.insurance.focal
element definition.path:
  value: ExplanationOfBenefit.insurance.focal
element definition.short:
  value: Coverage to be used for adjudication
element definition.definition:
  value: A flag to indicate that this Coverage is to be used for adjudication of this claim when set to true.
element definition.comment:
  value: A patient may (will) have multiple insurance policies which provide reimbursement for healthcare services and products. For example, a person may also be covered by their spouse's policy and both appear in the list (and may be from the same insurer). This flag will be set to true for only one of the listed policies and that policy will be used for adjudicating this claim. Other claims would be created to request adjudication against the other listed policies.
element definition.requirements:
  value: To identify which coverage in the list is being used to adjudicate this claim.
element definition.min:
  value: 1
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.insurance.focal
  element definition.base.min:
    value: 1
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: boolean
element definition.fixed boolean:
  value: true
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.must support:
  value: true
element definition.is modifier:
  value: false
element definition.is summary:
  value: true

index: 89
element.id:
  value: ExplanationOfBenefit.insurance.coverage
element definition.path:
  value: ExplanationOfBenefit.insurance.coverage
element definition.short:
  value: Medicare or Veteran card information
element definition.definition:
  value: Reference to the insurance card level information contained in the Coverage resource. The coverage issuing insurer will use these details to locate the patient's actual coverage within the insurer's information system.
element definition.comment:
  value: Medicare or veteran card information may not be available in some records, for example if this resource describes claim information that was originally in another format.
element definition.requirements:
  value: Required to allow the adjudicator to locate the correct policy and history within their information system.
element definition.min:
  value: 1
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.insurance.coverage
  element definition.base.min:
    value: 1
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: Reference
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/Coverage
    index: 0
    link: http://hl7.org/fhir/StructureDefinition/Coverage
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.must support:
  value: true
element definition.is modifier:
  value: false
element definition.is summary:
  value: true

index: 90
element.id:
  value: ExplanationOfBenefit.insurance.preAuthRef
element definition.path:
  value: ExplanationOfBenefit.insurance.preAuthRef
element definition.short:
  value: Prior authorization reference number
element definition.definition:
  value: Reference numbers previously provided by the insurer to the provider to be quoted on subsequent claims containing services or products related to the prior authorization.
element definition.comment:
  value: This value is an alphanumeric string that may be provided over the phone, via text, via paper, or within a ClaimResponse resource and is not a FHIR Identifier.
element definition.requirements:
  value: Providers must quote previously issued authorization reference numbers in order to obtain adjudication as previously advised on the Preauthorization.
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.insurance.preAuthRef
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: string
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false

index: 91
element.id:
  value: ExplanationOfBenefit.accident
element.extension:
  index: 0
  extension.url:
    value: http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name
  extension.value string:
    value: Accident
element definition.path:
  value: ExplanationOfBenefit.accident
element definition.short:
  value: Details of the event
element definition.definition:
  value: Details of a accident which resulted in injuries which required the products and services listed in the claim.
element definition.requirements:
  value: When healthcare products and services are accident related, benefits may be payable under accident provisions of policies, such as automotive, etc before they are payable under normal health insurance.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.accident
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: BackboneElement
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false

index: 92
element.id:
  value: ExplanationOfBenefit.accident.id
element definition.path:
  value: ExplanationOfBenefit.accident.id
element definition.representation:
  value: xmlAttr
  index: 0
element definition.short:
  value: Unique id for inter-element referencing
element definition.definition:
  value: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Element.id
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
    extension.value url:
      value: string
  element definition.type.code:
    value: http://hl7.org/fhirpath/System.String
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: n/a

index: 93
element.id:
  value: ExplanationOfBenefit.accident.extension
element definition.path:
  value: ExplanationOfBenefit.accident.extension
element definition.short:
  value: Additional content defined by implementations
element definition.definition:
  value: May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
element definition.comment:
  value: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
element definition.alias:
  value: extensions
  index: 0
element definition.alias:
  value: user content
  index: 1
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: Element.extension
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Extension
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.constraint:
  index: 1
  element definition.constraint.key:
    value: ext-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: Must have either extensions or value[x], not both
  element definition.constraint.expression:
    value: extension.exists() != value.exists()
  element definition.constraint.xpath:
    value: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: n/a

index: 94
element.id:
  value: ExplanationOfBenefit.accident.modifierExtension
element definition.path:
  value: ExplanationOfBenefit.accident.modifierExtension
element definition.short:
  value: Extensions that cannot be ignored even if unrecognized
element definition.definition:
  value: May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
element definition.comment:
  value: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
element definition.requirements:
  value: Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).
element definition.alias:
  value: extensions
  index: 0
element definition.alias:
  value: user content
  index: 1
element definition.alias:
  value: modifiers
  index: 2
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: BackboneElement.modifierExtension
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Extension
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.constraint:
  index: 1
  element definition.constraint.key:
    value: ext-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: Must have either extensions or value[x], not both
  element definition.constraint.expression:
    value: extension.exists() != value.exists()
  element definition.constraint.xpath:
    value: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
element definition.is modifier:
  value: true
element definition.is modifier reason:
  value: Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
element definition.is summary:
  value: true
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: N/A

index: 95
element.id:
  value: ExplanationOfBenefit.accident.date
element definition.path:
  value: ExplanationOfBenefit.accident.date
element definition.short:
  value: When the incident occurred
element definition.definition:
  value: Date of an accident event related to the products and services contained in the claim.
element definition.comment:
  value: The date of the accident has to precede the dates of the products and services but within a reasonable timeframe.
element definition.requirements:
  value: Required for audit purposes and adjudication.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.accident.date
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: date
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false

index: 96
element.id:
  value: ExplanationOfBenefit.accident.type
element definition.path:
  value: ExplanationOfBenefit.accident.type
element definition.short:
  value: The nature of the accident
element definition.definition:
  value: The type or context of the accident event for the purposes of selection of potential insurance coverages and determination of coordination between insurers.
element definition.requirements:
  value: Coverage may be dependant on the type of accident.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.accident.type
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: CodeableConcept
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: AccidentType
  element definition.binding.strength:
    value: extensible
  element definition.binding.description:
    value: Type of accident: work place, auto, etc.
  element definition.binding.value set:
    value: http://terminology.hl7.org/ValueSet/v3-ActIncidentCode
    link: http://terminology.hl7.org/ValueSet/v3-ActIncidentCode

index: 97
element.id:
  value: ExplanationOfBenefit.accident.location[x]
element definition.path:
  value: ExplanationOfBenefit.accident.location[x]
element definition.short:
  value: Where the event occurred
element definition.definition:
  value: The physical location of the accident event.
element definition.requirements:
  value: Required for audit purposes and determination of applicable insurance liability.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.accident.location[x]
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: Address
element definition.type:
  index: 1
  element definition.type.code:
    value: Reference
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/Location
    index: 0
    link: http://hl7.org/fhir/StructureDefinition/Location
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false

index: 98
element.id:
  value: ExplanationOfBenefit.item
element.extension:
  index: 0
  extension.url:
    value: http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name
  extension.value string:
    value: Item
element definition.path:
  value: ExplanationOfBenefit.item
element definition.short:
  value: Product or service provided
element definition.definition:
  value: A claim line. Either a simple (a product or service) or a 'group' of details which can also be a simple items or groups of sub-details.
element definition.requirements:
  value: The items to be processed for adjudication.
element definition.min:
  value: 1
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.item
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: BackboneElement
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.must support:
  value: true
element definition.is modifier:
  value: false
element definition.is summary:
  value: false

index: 99
element.id:
  value: ExplanationOfBenefit.item.id
element definition.path:
  value: ExplanationOfBenefit.item.id
element definition.representation:
  value: xmlAttr
  index: 0
element definition.short:
  value: Unique id for inter-element referencing
element definition.definition:
  value: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Element.id
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
    extension.value url:
      value: string
  element definition.type.code:
    value: http://hl7.org/fhirpath/System.String
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: n/a

index: 100
element.id:
  value: ExplanationOfBenefit.item.extension
element definition.path:
  value: ExplanationOfBenefit.item.extension
element definition.short:
  value: Additional content defined by implementations
element definition.definition:
  value: May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
element definition.comment:
  value: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
element definition.alias:
  value: extensions
  index: 0
element definition.alias:
  value: user content
  index: 1
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: Element.extension
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Extension
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.constraint:
  index: 1
  element definition.constraint.key:
    value: ext-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: Must have either extensions or value[x], not both
  element definition.constraint.expression:
    value: extension.exists() != value.exists()
  element definition.constraint.xpath:
    value: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: n/a

index: 101
element.id:
  value: ExplanationOfBenefit.item.modifierExtension
element definition.path:
  value: ExplanationOfBenefit.item.modifierExtension
element definition.short:
  value: Extensions that cannot be ignored even if unrecognized
element definition.definition:
  value: May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
element definition.comment:
  value: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
element definition.requirements:
  value: Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).
element definition.alias:
  value: extensions
  index: 0
element definition.alias:
  value: user content
  index: 1
element definition.alias:
  value: modifiers
  index: 2
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: BackboneElement.modifierExtension
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Extension
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.constraint:
  index: 1
  element definition.constraint.key:
    value: ext-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: Must have either extensions or value[x], not both
  element definition.constraint.expression:
    value: extension.exists() != value.exists()
  element definition.constraint.xpath:
    value: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
element definition.is modifier:
  value: true
element definition.is modifier reason:
  value: Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
element definition.is summary:
  value: true
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: N/A

index: 102
element.id:
  value: ExplanationOfBenefit.item.sequence
element definition.path:
  value: ExplanationOfBenefit.item.sequence
element definition.short:
  value: Item instance identifier
element definition.definition:
  value: A number to uniquely identify item entries.
element definition.requirements:
  value: Necessary to provide a mechanism to link to items from within the claim and within the adjudication details of the ClaimResponse.
element definition.min:
  value: 1
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.item.sequence
  element definition.base.min:
    value: 1
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: positiveInt
element definition.fixed positive int:
  value: 1
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.must support:
  value: true
element definition.is modifier:
  value: false
element definition.is summary:
  value: false

index: 103
element.id:
  value: ExplanationOfBenefit.item.careTeamSequence
element definition.path:
  value: ExplanationOfBenefit.item.careTeamSequence
element definition.short:
  value: Applicable care team members
element definition.definition:
  value: Care team members related to this service or product.
element definition.requirements:
  value: Need to identify the individuals and their roles in the provision of the product or service.
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.item.careTeamSequence
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: positiveInt
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false

index: 104
element.id:
  value: ExplanationOfBenefit.item.diagnosisSequence
element definition.path:
  value: ExplanationOfBenefit.item.diagnosisSequence
element definition.short:
  value: Applicable diagnoses
element definition.definition:
  value: Diagnoses applicable for this service or product.
element definition.requirements:
  value: Need to related the product or service to the associated diagnoses.
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.item.diagnosisSequence
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: positiveInt
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false

index: 105
element.id:
  value: ExplanationOfBenefit.item.procedureSequence
element definition.path:
  value: ExplanationOfBenefit.item.procedureSequence
element definition.short:
  value: Applicable procedures
element definition.definition:
  value: Procedures applicable for this service or product.
element definition.requirements:
  value: Need to provide any listed specific procedures to support the product or service being claimed.
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.item.procedureSequence
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: positiveInt
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false

index: 106
element.id:
  value: ExplanationOfBenefit.item.informationSequence
element definition.path:
  value: ExplanationOfBenefit.item.informationSequence
element definition.short:
  value: Applicable exception and supporting information
element definition.definition:
  value: Exceptions, special conditions and supporting information applicable for this service or product.
element definition.requirements:
  value: Need to reference the supporting information items that relate directly to this product or service.
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.item.informationSequence
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: positiveInt
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false

index: 107
element.id:
  value: ExplanationOfBenefit.item.revenue
element definition.path:
  value: ExplanationOfBenefit.item.revenue
element definition.short:
  value: Revenue or cost center code
element definition.definition:
  value: The type of revenue or cost center providing the product and/or service.
element definition.requirements:
  value: Needed in the processing of institutional claims.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.item.revenue
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: CodeableConcept
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: RevenueCenter
  element definition.binding.strength:
    value: example
  element definition.binding.description:
    value: Codes for the revenue or cost centers supplying the service and/or products.
  element definition.binding.value set:
    value: http://hl7.org/fhir/ValueSet/ex-revenue-center
    link: http://hl7.org/fhir/ValueSet/ex-revenue-center

index: 108
element.id:
  value: ExplanationOfBenefit.item.category
element definition.path:
  value: ExplanationOfBenefit.item.category
element definition.short:
  value: Benefit classification
element definition.definition:
  value: Code to identify the general type of benefits under which products and services are provided.
element definition.comment:
  value: Examples include Medical Care, Periodontics, Renal Dialysis, Vision Coverage.
element definition.requirements:
  value: Needed in the processing of institutional claims as this allows the insurer to determine whether a facial X-Ray is for dental, orthopedic, or facial surgery purposes.
element definition.min:
  value: 1
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.item.category
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: CodeableConcept
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.must support:
  value: true
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.binding:
  element definition.binding.strength:
    value: extensible
  element definition.binding.value set:
    value: https://healthterminologies.gov.au/fhir/ValueSet/australian-medicare-benefit-claim-category-1
    link: https://healthterminologies.gov.au/fhir/ValueSet/australian-medicare-benefit-claim-category-1

index: 109
element.id:
  value: ExplanationOfBenefit.item.productOrService
element definition.path:
  value: ExplanationOfBenefit.item.productOrService
element definition.short:
  value: MBS Billing code
element definition.definition:
  value: The billing code the service was claimed with against the Australian Department of Health Modifications of MBS Item and DVA Fee Schedule Item (urn:oid:1.2.36.1.2001.1005.21).
element definition.comment:
  value: The code as instantiated may be padded with leading zeros when compared with the original (as published by the Department of Health).
element definition.requirements:
  value: Necessary to state what was provided or done.
element definition.alias:
  value: Drug Code
  index: 0
element definition.alias:
  value: Bill Code
  index: 1
element definition.alias:
  value: Service Code
  index: 2
element definition.min:
  value: 1
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.item.productOrService
  element definition.base.min:
    value: 1
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: CodeableConcept
element definition.pattern codeable concept:
  codeable concept.coding:
    index: 0
    coding.system:
      value: urn:oid:1.2.36.1.2001.1005.21
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.must support:
  value: true
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: ServiceProduct
  element definition.binding.strength:
    value: example
  element definition.binding.description:
    value: Allowable service and product codes.
  element definition.binding.value set:
    value: http://hl7.org/fhir/ValueSet/service-uscls
    link: http://hl7.org/fhir/ValueSet/service-uscls

index: 110
element.id:
  value: ExplanationOfBenefit.item.modifier
element definition.path:
  value: ExplanationOfBenefit.item.modifier
element definition.short:
  value: Product or service billing modifiers
element definition.definition:
  value: Item typification or modifiers codes to convey additional context for the product or service.
element definition.comment:
  value: For example, in Oral whether the treatment is cosmetic or associated with TMJ, or for Medical whether the treatment was outside the clinic or out of office hours.
element definition.requirements:
  value: To support inclusion of the item for adjudication or to charge an elevated fee.
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.item.modifier
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: CodeableConcept
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: Modifiers
  element definition.binding.strength:
    value: example
  element definition.binding.description:
    value: Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
  element definition.binding.value set:
    value: http://hl7.org/fhir/ValueSet/claim-modifiers
    link: http://hl7.org/fhir/ValueSet/claim-modifiers

index: 111
element.id:
  value: ExplanationOfBenefit.item.programCode
element definition.path:
  value: ExplanationOfBenefit.item.programCode
element definition.short:
  value: Program the product or service is provided under
element definition.definition:
  value: Identifies the program under which this may be recovered.
element definition.comment:
  value: For example: Neonatal program, child dental program or drug users recovery program.
element definition.requirements:
  value: Commonly used in in the identification of publicly provided program focused on population segments or disease classifications.
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.item.programCode
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: CodeableConcept
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: ProgramCode
  element definition.binding.strength:
    value: example
  element definition.binding.description:
    value: Program specific reason codes.
  element definition.binding.value set:
    value: http://hl7.org/fhir/ValueSet/ex-program-code
    link: http://hl7.org/fhir/ValueSet/ex-program-code

index: 112
element.id:
  value: ExplanationOfBenefit.item.serviced[x]
element definition.path:
  value: ExplanationOfBenefit.item.serviced[x]
element definition.short:
  value: Date or dates of service or product delivery
element definition.definition:
  value: The date or dates when the service or product was supplied, performed or completed.
element definition.requirements:
  value: Needed to determine whether the service or product was provided during the term of the insurance coverage.
element definition.min:
  value: 1
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.item.serviced[x]
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: date
element definition.type:
  index: 1
  element definition.type.code:
    value: Period
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.must support:
  value: true
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: w5
  element definition.mapping.map:
    value: FiveWs.done[x]

index: 113
element.id:
  value: ExplanationOfBenefit.item.location[x]
element definition.path:
  value: ExplanationOfBenefit.item.location[x]
element definition.short:
  value: Service in-hospital indicator
element definition.definition:
  value: When instantiated this element indicates the service was provided in a hospital
element definition.comment:
  value: When instantiated as a service in-hospital indicator this concept is equivalent to Australian Institute of Health and Welfare data element 604401 [Service event—Medicare in-hospital treatment indicator, yes/no code A](https://meteor.aihw.gov.au/content/index.phtml/itemId/604401).
element definition.requirements:
  value: The location can alter whether the item was acceptable for insurance purposes or impact the determination of the benefit amount.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.item.location[x]
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: CodeableConcept
element definition.pattern codeable concept:
  codeable concept.coding:
    index: 0
    coding.system:
      value: http://terminology.hl7.org/CodeSystem/v3-RoleCode
    coding.code:
      value: HOSP
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.must support:
  value: true
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: ServicePlace
  element definition.binding.strength:
    value: example
  element definition.binding.description:
    value: Place where the service is rendered.
  element definition.binding.value set:
    value: http://hl7.org/fhir/ValueSet/service-place
    link: http://hl7.org/fhir/ValueSet/service-place
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: w5
  element definition.mapping.map:
    value: FiveWs.where[x]

index: 114
element.id:
  value: ExplanationOfBenefit.item.quantity
element definition.path:
  value: ExplanationOfBenefit.item.quantity
element definition.short:
  value: Count of products or services
element definition.definition:
  value: The number of repetitions of a service or product.
element definition.requirements:
  value: Required when the product or service code does not convey the quantity provided.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.item.quantity
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: Quantity
  element definition.type.profile:
    value: http://hl7.org/fhir/StructureDefinition/SimpleQuantity
    index: 0
    link: http://hl7.org/fhir/StructureDefinition/SimpleQuantity
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.must support:
  value: true
element definition.is modifier:
  value: false
element definition.is summary:
  value: false

index: 115
element.id:
  value: ExplanationOfBenefit.item.unitPrice
element definition.path:
  value: ExplanationOfBenefit.item.unitPrice
element definition.short:
  value: Fee, charge or cost per item
element definition.definition:
  value: If the item is not a group then this is the fee for the product or service, otherwise this is the total of the fees for the details of the group.
element definition.requirements:
  value: The amount charged to the patient by the provider for a single unit.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.item.unitPrice
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: Money
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false

index: 116
element.id:
  value: ExplanationOfBenefit.item.factor
element definition.path:
  value: ExplanationOfBenefit.item.factor
element definition.short:
  value: Price scaling factor
element definition.definition:
  value: A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount.
element definition.comment:
  value: To show a 10% senior's discount, the value entered is: 0.90 (1.00 - 0.10).
element definition.requirements:
  value: When discounts are provided to a patient (example: Senior's discount) then this must be documented for adjudication.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.item.factor
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: decimal
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false

index: 117
element.id:
  value: ExplanationOfBenefit.item.net
element definition.path:
  value: ExplanationOfBenefit.item.net
element definition.short:
  value: Total item cost
element definition.definition:
  value: The quantity times the unit price for an additional service or product or charge.
element definition.comment:
  value: For example, the formula: quantity * unitPrice * factor = net. Quantity and factor are assumed to be 1 if not supplied.
element definition.requirements:
  value: Provides the total amount claimed for the group (if a grouper) or the line item.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.item.net
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: Money
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false

index: 118
element.id:
  value: ExplanationOfBenefit.item.udi
element definition.path:
  value: ExplanationOfBenefit.item.udi
element definition.short:
  value: Unique device identifier
element definition.definition:
  value: Unique Device Identifiers associated with this line item.
element definition.requirements:
  value: The UDI code allows the insurer to obtain device level information on the product supplied.
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.item.udi
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Reference
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/Device
    index: 0
    link: http://hl7.org/fhir/StructureDefinition/Device
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false

index: 119
element.id:
  value: ExplanationOfBenefit.item.bodySite
element definition.path:
  value: ExplanationOfBenefit.item.bodySite
element definition.short:
  value: Anatomical location
element definition.definition:
  value: Physical service site on the patient (limb, tooth, etc.).
element definition.comment:
  value: For example: Providing a tooth code, allows an insurer to identify a provider performing a filling on a tooth that was previously removed.
element definition.requirements:
  value: Allows insurer to validate specific procedures.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.item.bodySite
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: CodeableConcept
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: OralSites
  element definition.binding.strength:
    value: example
  element definition.binding.description:
    value: The code for the teeth, quadrant, sextant and arch.
  element definition.binding.value set:
    value: http://hl7.org/fhir/ValueSet/tooth
    link: http://hl7.org/fhir/ValueSet/tooth

index: 120
element.id:
  value: ExplanationOfBenefit.item.subSite
element definition.path:
  value: ExplanationOfBenefit.item.subSite
element definition.short:
  value: Anatomical sub-location
element definition.definition:
  value: A region or surface of the bodySite, e.g. limb region or tooth surface(s).
element definition.requirements:
  value: Allows insurer to validate specific procedures.
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.item.subSite
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: CodeableConcept
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: Surface
  element definition.binding.strength:
    value: example
  element definition.binding.description:
    value: The code for the tooth surface and surface combinations.
  element definition.binding.value set:
    value: http://hl7.org/fhir/ValueSet/surface
    link: http://hl7.org/fhir/ValueSet/surface

index: 121
element.id:
  value: ExplanationOfBenefit.item.encounter
element definition.path:
  value: ExplanationOfBenefit.item.encounter
element definition.short:
  value: Encounters related to this billed item
element definition.definition:
  value: A billed item may include goods or services provided in multiple encounters.
element definition.requirements:
  value: Used in some jurisdictions to link clinical events to claim items.
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.item.encounter
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Reference
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/Encounter
    index: 0
    link: http://hl7.org/fhir/StructureDefinition/Encounter
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false

index: 122
element.id:
  value: ExplanationOfBenefit.item.noteNumber
element definition.path:
  value: ExplanationOfBenefit.item.noteNumber
element definition.short:
  value: Applicable note numbers
element definition.definition:
  value: The numbers associated with notes below which apply to the adjudication of this item.
element definition.requirements:
  value: Provides a condensed manner for associating human readable descriptive explanations for adjudications on the line item.
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.item.noteNumber
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: positiveInt
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false

index: 123
element.id:
  value: ExplanationOfBenefit.item.adjudication
element.extension:
  index: 0
  extension.url:
    value: http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name
  extension.value string:
    value: Adjudication
element definition.path:
  value: ExplanationOfBenefit.item.adjudication
element definition.short:
  value: Adjudication details
element definition.definition:
  value: If this item is a group then the values here are a summary of the adjudication of the detail items. If this item is a simple product or service then this is the result of the adjudication of this item.
element definition.requirements:
  value: The adjudication results conveys the insurer's assessment of the item provided in the claim under the terms of the patient's insurance coverage.
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.item.adjudication
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: BackboneElement
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false

index: 124
element.id:
  value: ExplanationOfBenefit.item.adjudication.id
element definition.path:
  value: ExplanationOfBenefit.item.adjudication.id
element definition.representation:
  value: xmlAttr
  index: 0
element definition.short:
  value: Unique id for inter-element referencing
element definition.definition:
  value: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Element.id
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
    extension.value url:
      value: string
  element definition.type.code:
    value: http://hl7.org/fhirpath/System.String
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: n/a

index: 125
element.id:
  value: ExplanationOfBenefit.item.adjudication.extension
element definition.path:
  value: ExplanationOfBenefit.item.adjudication.extension
element definition.short:
  value: Additional content defined by implementations
element definition.definition:
  value: May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
element definition.comment:
  value: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
element definition.alias:
  value: extensions
  index: 0
element definition.alias:
  value: user content
  index: 1
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: Element.extension
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Extension
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.constraint:
  index: 1
  element definition.constraint.key:
    value: ext-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: Must have either extensions or value[x], not both
  element definition.constraint.expression:
    value: extension.exists() != value.exists()
  element definition.constraint.xpath:
    value: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: n/a

index: 126
element.id:
  value: ExplanationOfBenefit.item.adjudication.modifierExtension
element definition.path:
  value: ExplanationOfBenefit.item.adjudication.modifierExtension
element definition.short:
  value: Extensions that cannot be ignored even if unrecognized
element definition.definition:
  value: May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
element definition.comment:
  value: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
element definition.requirements:
  value: Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).
element definition.alias:
  value: extensions
  index: 0
element definition.alias:
  value: user content
  index: 1
element definition.alias:
  value: modifiers
  index: 2
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: BackboneElement.modifierExtension
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Extension
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.constraint:
  index: 1
  element definition.constraint.key:
    value: ext-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: Must have either extensions or value[x], not both
  element definition.constraint.expression:
    value: extension.exists() != value.exists()
  element definition.constraint.xpath:
    value: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
element definition.is modifier:
  value: true
element definition.is modifier reason:
  value: Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
element definition.is summary:
  value: true
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: N/A

index: 127
element.id:
  value: ExplanationOfBenefit.item.adjudication.category
element definition.path:
  value: ExplanationOfBenefit.item.adjudication.category
element definition.short:
  value: Type of adjudication information
element definition.definition:
  value: A code to indicate the information type of this adjudication record. Information types may include: the value submitted, maximum values or percentages allowed or payable under the plan, amounts that the patient is responsible for in-aggregate or pertaining to this item, amounts paid by other coverages, and the benefit payable for this item.
element definition.comment:
  value: For example, codes indicating: Co-Pay, deductible, eligible, benefit, tax, etc.
element definition.requirements:
  value: Needed to enable understanding of the context of the other information in the adjudication.
element definition.min:
  value: 1
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.item.adjudication.category
  element definition.base.min:
    value: 1
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: CodeableConcept
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: Adjudication
  element definition.binding.strength:
    value: example
  element definition.binding.description:
    value: The adjudication codes.
  element definition.binding.value set:
    value: http://hl7.org/fhir/ValueSet/adjudication
    link: http://hl7.org/fhir/ValueSet/adjudication

index: 128
element.id:
  value: ExplanationOfBenefit.item.adjudication.reason
element definition.path:
  value: ExplanationOfBenefit.item.adjudication.reason
element definition.short:
  value: Explanation of adjudication outcome
element definition.definition:
  value: A code supporting the understanding of the adjudication result and explaining variance from expected amount.
element definition.comment:
  value: For example, may indicate that the funds for this benefit type have been exhausted.
element definition.requirements:
  value: To support understanding of variance from adjudication expectations.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.item.adjudication.reason
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: CodeableConcept
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: AdjudicationReason
  element definition.binding.strength:
    value: example
  element definition.binding.description:
    value: Adjudication reason codes.
  element definition.binding.value set:
    value: http://hl7.org/fhir/ValueSet/adjudication-reason
    link: http://hl7.org/fhir/ValueSet/adjudication-reason

index: 129
element.id:
  value: ExplanationOfBenefit.item.adjudication.amount
element definition.path:
  value: ExplanationOfBenefit.item.adjudication.amount
element definition.short:
  value: Monetary amount
element definition.definition:
  value: Monetary amount associated with the category.
element definition.comment:
  value: For example, amount submitted, eligible amount, co-payment, and benefit payable.
element definition.requirements:
  value: Most adjuciation categories convey a monetary amount.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.item.adjudication.amount
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: Money
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false

index: 130
element.id:
  value: ExplanationOfBenefit.item.adjudication.value
element definition.path:
  value: ExplanationOfBenefit.item.adjudication.value
element definition.short:
  value: Non-monitary value
element definition.definition:
  value: A non-monetary value associated with the category. Mutually exclusive to the amount element above.
element definition.comment:
  value: For example: eligible percentage or co-payment percentage.
element definition.requirements:
  value: Some adjudication categories convey a percentage or a fixed value.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.item.adjudication.value
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: decimal
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false

index: 131
element.id:
  value: ExplanationOfBenefit.item.detail
element.extension:
  index: 0
  extension.url:
    value: http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name
  extension.value string:
    value: Detail
element definition.path:
  value: ExplanationOfBenefit.item.detail
element definition.short:
  value: Additional items
element definition.definition:
  value: Second-tier of goods and services.
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.item.detail
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: BackboneElement
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false

index: 132
element.id:
  value: ExplanationOfBenefit.item.detail.id
element definition.path:
  value: ExplanationOfBenefit.item.detail.id
element definition.representation:
  value: xmlAttr
  index: 0
element definition.short:
  value: Unique id for inter-element referencing
element definition.definition:
  value: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Element.id
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
    extension.value url:
      value: string
  element definition.type.code:
    value: http://hl7.org/fhirpath/System.String
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: n/a

index: 133
element.id:
  value: ExplanationOfBenefit.item.detail.extension
element definition.path:
  value: ExplanationOfBenefit.item.detail.extension
element definition.short:
  value: Additional content defined by implementations
element definition.definition:
  value: May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
element definition.comment:
  value: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
element definition.alias:
  value: extensions
  index: 0
element definition.alias:
  value: user content
  index: 1
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: Element.extension
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Extension
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.constraint:
  index: 1
  element definition.constraint.key:
    value: ext-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: Must have either extensions or value[x], not both
  element definition.constraint.expression:
    value: extension.exists() != value.exists()
  element definition.constraint.xpath:
    value: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: n/a

index: 134
element.id:
  value: ExplanationOfBenefit.item.detail.modifierExtension
element definition.path:
  value: ExplanationOfBenefit.item.detail.modifierExtension
element definition.short:
  value: Extensions that cannot be ignored even if unrecognized
element definition.definition:
  value: May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
element definition.comment:
  value: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
element definition.requirements:
  value: Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).
element definition.alias:
  value: extensions
  index: 0
element definition.alias:
  value: user content
  index: 1
element definition.alias:
  value: modifiers
  index: 2
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: BackboneElement.modifierExtension
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Extension
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.constraint:
  index: 1
  element definition.constraint.key:
    value: ext-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: Must have either extensions or value[x], not both
  element definition.constraint.expression:
    value: extension.exists() != value.exists()
  element definition.constraint.xpath:
    value: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
element definition.is modifier:
  value: true
element definition.is modifier reason:
  value: Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
element definition.is summary:
  value: true
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: N/A

index: 135
element.id:
  value: ExplanationOfBenefit.item.detail.sequence
element definition.path:
  value: ExplanationOfBenefit.item.detail.sequence
element definition.short:
  value: Product or service provided
element definition.definition:
  value: A claim detail line. Either a simple (a product or service) or a 'group' of sub-details which are simple items.
element definition.requirements:
  value: The items to be processed for adjudication.
element definition.min:
  value: 1
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.item.detail.sequence
  element definition.base.min:
    value: 1
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: positiveInt
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false

index: 136
element.id:
  value: ExplanationOfBenefit.item.detail.revenue
element definition.path:
  value: ExplanationOfBenefit.item.detail.revenue
element definition.short:
  value: Revenue or cost center code
element definition.definition:
  value: The type of revenue or cost center providing the product and/or service.
element definition.requirements:
  value: Needed in the processing of institutional claims.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.item.detail.revenue
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: CodeableConcept
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: RevenueCenter
  element definition.binding.strength:
    value: example
  element definition.binding.description:
    value: Codes for the revenue or cost centers supplying the service and/or products.
  element definition.binding.value set:
    value: http://hl7.org/fhir/ValueSet/ex-revenue-center
    link: http://hl7.org/fhir/ValueSet/ex-revenue-center

index: 137
element.id:
  value: ExplanationOfBenefit.item.detail.category
element definition.path:
  value: ExplanationOfBenefit.item.detail.category
element definition.short:
  value: Benefit classification
element definition.definition:
  value: Code to identify the general type of benefits under which products and services are provided.
element definition.comment:
  value: Examples include: Medical Care, Periodontics, Renal Dialysis, Vision Coverage.
element definition.requirements:
  value: Needed in the processing of institutional claims as this allows the insurer to determine whether a facial X-Ray is for dental, orthopedic, or facial surgery purposes.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.item.detail.category
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: CodeableConcept
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: BenefitCategory
  element definition.binding.strength:
    value: example
  element definition.binding.description:
    value: Benefit categories such as: oral, medical, vision, oral-basic etc.
  element definition.binding.value set:
    value: http://hl7.org/fhir/ValueSet/ex-benefitcategory
    link: http://hl7.org/fhir/ValueSet/ex-benefitcategory

index: 138
element.id:
  value: ExplanationOfBenefit.item.detail.productOrService
element definition.path:
  value: ExplanationOfBenefit.item.detail.productOrService
element definition.short:
  value: Billing, service, product, or drug code
element definition.definition:
  value: When the value is a group code then this item collects a set of related claim details, otherwise this contains the product, service, drug or other billing code for the item.
element definition.comment:
  value: If this is an actual service or product line, i.e. not a Group, then use code to indicate the Professional Service or Product supplied (e.g. CTP, HCPCS, USCLS, ICD10, NCPDP, DIN, RxNorm, ACHI, CCI). If a grouping item then use a group code to indicate the type of thing being grouped e.g. 'glasses' or 'compound'.
element definition.requirements:
  value: Necessary to state what was provided or done.
element definition.alias:
  value: Drug Code
  index: 0
element definition.alias:
  value: Bill Code
  index: 1
element definition.alias:
  value: Service Code
  index: 2
element definition.min:
  value: 1
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.item.detail.productOrService
  element definition.base.min:
    value: 1
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: CodeableConcept
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: ServiceProduct
  element definition.binding.strength:
    value: example
  element definition.binding.description:
    value: Allowable service and product codes.
  element definition.binding.value set:
    value: http://hl7.org/fhir/ValueSet/service-uscls
    link: http://hl7.org/fhir/ValueSet/service-uscls

index: 139
element.id:
  value: ExplanationOfBenefit.item.detail.modifier
element definition.path:
  value: ExplanationOfBenefit.item.detail.modifier
element definition.short:
  value: Service/Product billing modifiers
element definition.definition:
  value: Item typification or modifiers codes to convey additional context for the product or service.
element definition.comment:
  value: For example, in Oral whether the treatment is cosmetic or associated with TMJ, or for Medical whether the treatment was outside the clinic or out of office hours.
element definition.requirements:
  value: To support inclusion of the item for adjudication or to charge an elevated fee.
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.item.detail.modifier
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: CodeableConcept
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: Modifiers
  element definition.binding.strength:
    value: example
  element definition.binding.description:
    value: Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
  element definition.binding.value set:
    value: http://hl7.org/fhir/ValueSet/claim-modifiers
    link: http://hl7.org/fhir/ValueSet/claim-modifiers

index: 140
element.id:
  value: ExplanationOfBenefit.item.detail.programCode
element definition.path:
  value: ExplanationOfBenefit.item.detail.programCode
element definition.short:
  value: Program the product or service is provided under
element definition.definition:
  value: Identifies the program under which this may be recovered.
element definition.comment:
  value: For example: Neonatal program, child dental program or drug users recovery program.
element definition.requirements:
  value: Commonly used in in the identification of publicly provided program focused on population segments or disease classifications.
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.item.detail.programCode
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: CodeableConcept
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: ProgramCode
  element definition.binding.strength:
    value: example
  element definition.binding.description:
    value: Program specific reason codes.
  element definition.binding.value set:
    value: http://hl7.org/fhir/ValueSet/ex-program-code
    link: http://hl7.org/fhir/ValueSet/ex-program-code

index: 141
element.id:
  value: ExplanationOfBenefit.item.detail.quantity
element definition.path:
  value: ExplanationOfBenefit.item.detail.quantity
element definition.short:
  value: Count of products or services
element definition.definition:
  value: The number of repetitions of a service or product.
element definition.requirements:
  value: Required when the product or service code does not convey the quantity provided.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.item.detail.quantity
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: Quantity
  element definition.type.profile:
    value: http://hl7.org/fhir/StructureDefinition/SimpleQuantity
    index: 0
    link: http://hl7.org/fhir/StructureDefinition/SimpleQuantity
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false

index: 142
element.id:
  value: ExplanationOfBenefit.item.detail.unitPrice
element definition.path:
  value: ExplanationOfBenefit.item.detail.unitPrice
element definition.short:
  value: Fee, charge or cost per item
element definition.definition:
  value: If the item is not a group then this is the fee for the product or service, otherwise this is the total of the fees for the details of the group.
element definition.requirements:
  value: The amount charged to the patient by the provider for a single unit.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.item.detail.unitPrice
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: Money
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false

index: 143
element.id:
  value: ExplanationOfBenefit.item.detail.factor
element definition.path:
  value: ExplanationOfBenefit.item.detail.factor
element definition.short:
  value: Price scaling factor
element definition.definition:
  value: A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount.
element definition.comment:
  value: To show a 10% senior's discount, the value entered is: 0.90 (1.00 - 0.10).
element definition.requirements:
  value: When discounts are provided to a patient (example: Senior's discount) then this must be documented for adjudication.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.item.detail.factor
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: decimal
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false

index: 144
element.id:
  value: ExplanationOfBenefit.item.detail.net
element definition.path:
  value: ExplanationOfBenefit.item.detail.net
element definition.short:
  value: Total item cost
element definition.definition:
  value: The quantity times the unit price for an additional service or product or charge.
element definition.comment:
  value: For example, the formula: quantity * unitPrice * factor = net. Quantity and factor are assumed to be 1 if not supplied.
element definition.requirements:
  value: Provides the total amount claimed for the group (if a grouper) or the line item.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.item.detail.net
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: Money
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false

index: 145
element.id:
  value: ExplanationOfBenefit.item.detail.udi
element definition.path:
  value: ExplanationOfBenefit.item.detail.udi
element definition.short:
  value: Unique device identifier
element definition.definition:
  value: Unique Device Identifiers associated with this line item.
element definition.requirements:
  value: The UDI code allows the insurer to obtain device level information on the product supplied.
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.item.detail.udi
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Reference
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/Device
    index: 0
    link: http://hl7.org/fhir/StructureDefinition/Device
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false

index: 146
element.id:
  value: ExplanationOfBenefit.item.detail.noteNumber
element definition.path:
  value: ExplanationOfBenefit.item.detail.noteNumber
element definition.short:
  value: Applicable note numbers
element definition.definition:
  value: The numbers associated with notes below which apply to the adjudication of this item.
element definition.requirements:
  value: Provides a condensed manner for associating human readable descriptive explanations for adjudications on the line item.
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.item.detail.noteNumber
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: positiveInt
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false

index: 147
element.id:
  value: ExplanationOfBenefit.item.detail.adjudication
element definition.path:
  value: ExplanationOfBenefit.item.detail.adjudication
element definition.short:
  value: Detail level adjudication details
element definition.definition:
  value: The adjudication results.
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.item.detail.adjudication
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.content reference:
  value: http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit#ExplanationOfBenefit.item.adjudication
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false

index: 148
element.id:
  value: ExplanationOfBenefit.item.detail.subDetail
element.extension:
  index: 0
  extension.url:
    value: http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name
  extension.value string:
    value: SubDetail
element definition.path:
  value: ExplanationOfBenefit.item.detail.subDetail
element definition.short:
  value: Additional items
element definition.definition:
  value: Third-tier of goods and services.
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.item.detail.subDetail
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: BackboneElement
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false

index: 149
element.id:
  value: ExplanationOfBenefit.item.detail.subDetail.id
element definition.path:
  value: ExplanationOfBenefit.item.detail.subDetail.id
element definition.representation:
  value: xmlAttr
  index: 0
element definition.short:
  value: Unique id for inter-element referencing
element definition.definition:
  value: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Element.id
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
    extension.value url:
      value: string
  element definition.type.code:
    value: http://hl7.org/fhirpath/System.String
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: n/a

index: 150
element.id:
  value: ExplanationOfBenefit.item.detail.subDetail.extension
element definition.path:
  value: ExplanationOfBenefit.item.detail.subDetail.extension
element definition.short:
  value: Additional content defined by implementations
element definition.definition:
  value: May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
element definition.comment:
  value: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
element definition.alias:
  value: extensions
  index: 0
element definition.alias:
  value: user content
  index: 1
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: Element.extension
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Extension
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.constraint:
  index: 1
  element definition.constraint.key:
    value: ext-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: Must have either extensions or value[x], not both
  element definition.constraint.expression:
    value: extension.exists() != value.exists()
  element definition.constraint.xpath:
    value: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: n/a

index: 151
element.id:
  value: ExplanationOfBenefit.item.detail.subDetail.modifierExtension
element definition.path:
  value: ExplanationOfBenefit.item.detail.subDetail.modifierExtension
element definition.short:
  value: Extensions that cannot be ignored even if unrecognized
element definition.definition:
  value: May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
element definition.comment:
  value: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
element definition.requirements:
  value: Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).
element definition.alias:
  value: extensions
  index: 0
element definition.alias:
  value: user content
  index: 1
element definition.alias:
  value: modifiers
  index: 2
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: BackboneElement.modifierExtension
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Extension
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.constraint:
  index: 1
  element definition.constraint.key:
    value: ext-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: Must have either extensions or value[x], not both
  element definition.constraint.expression:
    value: extension.exists() != value.exists()
  element definition.constraint.xpath:
    value: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
element definition.is modifier:
  value: true
element definition.is modifier reason:
  value: Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
element definition.is summary:
  value: true
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: N/A

index: 152
element.id:
  value: ExplanationOfBenefit.item.detail.subDetail.sequence
element definition.path:
  value: ExplanationOfBenefit.item.detail.subDetail.sequence
element definition.short:
  value: Product or service provided
element definition.definition:
  value: A claim detail line. Either a simple (a product or service) or a 'group' of sub-details which are simple items.
element definition.requirements:
  value: The items to be processed for adjudication.
element definition.min:
  value: 1
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.item.detail.subDetail.sequence
  element definition.base.min:
    value: 1
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: positiveInt
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false

index: 153
element.id:
  value: ExplanationOfBenefit.item.detail.subDetail.revenue
element definition.path:
  value: ExplanationOfBenefit.item.detail.subDetail.revenue
element definition.short:
  value: Revenue or cost center code
element definition.definition:
  value: The type of revenue or cost center providing the product and/or service.
element definition.requirements:
  value: Needed in the processing of institutional claims.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.item.detail.subDetail.revenue
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: CodeableConcept
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: RevenueCenter
  element definition.binding.strength:
    value: example
  element definition.binding.description:
    value: Codes for the revenue or cost centers supplying the service and/or products.
  element definition.binding.value set:
    value: http://hl7.org/fhir/ValueSet/ex-revenue-center
    link: http://hl7.org/fhir/ValueSet/ex-revenue-center

index: 154
element.id:
  value: ExplanationOfBenefit.item.detail.subDetail.category
element definition.path:
  value: ExplanationOfBenefit.item.detail.subDetail.category
element definition.short:
  value: Benefit classification
element definition.definition:
  value: Code to identify the general type of benefits under which products and services are provided.
element definition.comment:
  value: Examples include Medical Care, Periodontics, Renal Dialysis, Vision Coverage.
element definition.requirements:
  value: Needed in the processing of institutional claims as this allows the insurer to determine whether a facial X-Ray is for dental, orthopedic, or facial surgery purposes.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.item.detail.subDetail.category
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: CodeableConcept
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: BenefitCategory
  element definition.binding.strength:
    value: example
  element definition.binding.description:
    value: Benefit categories such as: oral, medical, vision, oral-basic etc.
  element definition.binding.value set:
    value: http://hl7.org/fhir/ValueSet/ex-benefitcategory
    link: http://hl7.org/fhir/ValueSet/ex-benefitcategory

index: 155
element.id:
  value: ExplanationOfBenefit.item.detail.subDetail.productOrService
element definition.path:
  value: ExplanationOfBenefit.item.detail.subDetail.productOrService
element definition.short:
  value: Billing, service, product, or drug code
element definition.definition:
  value: When the value is a group code then this item collects a set of related claim details, otherwise this contains the product, service, drug or other billing code for the item.
element definition.comment:
  value: If this is an actual service or product line, i.e. not a Group, then use code to indicate the Professional Service or Product supplied (e.g. CTP, HCPCS, USCLS, ICD10, NCPDP, DIN, RxNorm, ACHI, CCI). If a grouping item then use a group code to indicate the type of thing being grouped e.g. 'glasses' or 'compound'.
element definition.requirements:
  value: Necessary to state what was provided or done.
element definition.alias:
  value: Drug Code
  index: 0
element definition.alias:
  value: Bill Code
  index: 1
element definition.alias:
  value: Service Code
  index: 2
element definition.min:
  value: 1
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.item.detail.subDetail.productOrService
  element definition.base.min:
    value: 1
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: CodeableConcept
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: ServiceProduct
  element definition.binding.strength:
    value: example
  element definition.binding.description:
    value: Allowable service and product codes.
  element definition.binding.value set:
    value: http://hl7.org/fhir/ValueSet/service-uscls
    link: http://hl7.org/fhir/ValueSet/service-uscls

index: 156
element.id:
  value: ExplanationOfBenefit.item.detail.subDetail.modifier
element definition.path:
  value: ExplanationOfBenefit.item.detail.subDetail.modifier
element definition.short:
  value: Service/Product billing modifiers
element definition.definition:
  value: Item typification or modifiers codes to convey additional context for the product or service.
element definition.comment:
  value: For example, in Oral whether the treatment is cosmetic or associated with TMJ, or for Medical whether the treatment was outside the clinic or outside of office hours.
element definition.requirements:
  value: To support inclusion of the item for adjudication or to charge an elevated fee.
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.item.detail.subDetail.modifier
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: CodeableConcept
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: Modifiers
  element definition.binding.strength:
    value: example
  element definition.binding.description:
    value: Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
  element definition.binding.value set:
    value: http://hl7.org/fhir/ValueSet/claim-modifiers
    link: http://hl7.org/fhir/ValueSet/claim-modifiers

index: 157
element.id:
  value: ExplanationOfBenefit.item.detail.subDetail.programCode
element definition.path:
  value: ExplanationOfBenefit.item.detail.subDetail.programCode
element definition.short:
  value: Program the product or service is provided under
element definition.definition:
  value: Identifies the program under which this may be recovered.
element definition.comment:
  value: For example: Neonatal program, child dental program or drug users recovery program.
element definition.requirements:
  value: Commonly used in in the identification of publicly provided program focused on population segments or disease classifications.
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.item.detail.subDetail.programCode
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: CodeableConcept
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: ProgramCode
  element definition.binding.strength:
    value: example
  element definition.binding.description:
    value: Program specific reason codes.
  element definition.binding.value set:
    value: http://hl7.org/fhir/ValueSet/ex-program-code
    link: http://hl7.org/fhir/ValueSet/ex-program-code

index: 158
element.id:
  value: ExplanationOfBenefit.item.detail.subDetail.quantity
element definition.path:
  value: ExplanationOfBenefit.item.detail.subDetail.quantity
element definition.short:
  value: Count of products or services
element definition.definition:
  value: The number of repetitions of a service or product.
element definition.requirements:
  value: Required when the product or service code does not convey the quantity provided.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.item.detail.subDetail.quantity
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: Quantity
  element definition.type.profile:
    value: http://hl7.org/fhir/StructureDefinition/SimpleQuantity
    index: 0
    link: http://hl7.org/fhir/StructureDefinition/SimpleQuantity
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false

index: 159
element.id:
  value: ExplanationOfBenefit.item.detail.subDetail.unitPrice
element definition.path:
  value: ExplanationOfBenefit.item.detail.subDetail.unitPrice
element definition.short:
  value: Fee, charge or cost per item
element definition.definition:
  value: If the item is not a group then this is the fee for the product or service, otherwise this is the total of the fees for the details of the group.
element definition.requirements:
  value: The amount charged to the patient by the provider for a single unit.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.item.detail.subDetail.unitPrice
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: Money
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false

index: 160
element.id:
  value: ExplanationOfBenefit.item.detail.subDetail.factor
element definition.path:
  value: ExplanationOfBenefit.item.detail.subDetail.factor
element definition.short:
  value: Price scaling factor
element definition.definition:
  value: A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount.
element definition.comment:
  value: To show a 10% senior's discount, the value entered is: 0.90 (1.00 - 0.10).
element definition.requirements:
  value: When discounts are provided to a patient (example: Senior's discount) then this must be documented for adjudication.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.item.detail.subDetail.factor
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: decimal
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false

index: 161
element.id:
  value: ExplanationOfBenefit.item.detail.subDetail.net
element definition.path:
  value: ExplanationOfBenefit.item.detail.subDetail.net
element definition.short:
  value: Total item cost
element definition.definition:
  value: The quantity times the unit price for an additional service or product or charge.
element definition.comment:
  value: For example, the formula: quantity * unitPrice * factor = net. Quantity and factor are assumed to be 1 if not supplied.
element definition.requirements:
  value: Provides the total amount claimed for the group (if a grouper) or the line item.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.item.detail.subDetail.net
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: Money
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false

index: 162
element.id:
  value: ExplanationOfBenefit.item.detail.subDetail.udi
element definition.path:
  value: ExplanationOfBenefit.item.detail.subDetail.udi
element definition.short:
  value: Unique device identifier
element definition.definition:
  value: Unique Device Identifiers associated with this line item.
element definition.requirements:
  value: The UDI code allows the insurer to obtain device level information on the product supplied.
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.item.detail.subDetail.udi
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Reference
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/Device
    index: 0
    link: http://hl7.org/fhir/StructureDefinition/Device
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false

index: 163
element.id:
  value: ExplanationOfBenefit.item.detail.subDetail.noteNumber
element definition.path:
  value: ExplanationOfBenefit.item.detail.subDetail.noteNumber
element definition.short:
  value: Applicable note numbers
element definition.definition:
  value: The numbers associated with notes below which apply to the adjudication of this item.
element definition.requirements:
  value: Provides a condensed manner for associating human readable descriptive explanations for adjudications on the line item.
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.item.detail.subDetail.noteNumber
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: positiveInt
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false

index: 164
element.id:
  value: ExplanationOfBenefit.item.detail.subDetail.adjudication
element definition.path:
  value: ExplanationOfBenefit.item.detail.subDetail.adjudication
element definition.short:
  value: Subdetail level adjudication details
element definition.definition:
  value: The adjudication results.
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.item.detail.subDetail.adjudication
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.content reference:
  value: http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit#ExplanationOfBenefit.item.adjudication
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false

index: 165
element.id:
  value: ExplanationOfBenefit.addItem
element.extension:
  index: 0
  extension.url:
    value: http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint
  extension.value string:
    value: 740;600
element.extension:
  index: 1
  extension.url:
    value: http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name
  extension.value string:
    value: AddedItem
element definition.path:
  value: ExplanationOfBenefit.addItem
element definition.short:
  value: Insurer added line items
element definition.definition:
  value: The first-tier service adjudications for payor added product or service lines.
element definition.requirements:
  value: Insurers may redefine the provided product or service or may package and/or decompose groups of products and services. The addItems allows the insurer to provide their line item list with linkage to the submitted items/details/sub-details. In a preauthorization the insurer may use the addItem structure to provide additional information on authorized products and services.
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.addItem
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: BackboneElement
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false

index: 166
element.id:
  value: ExplanationOfBenefit.addItem.id
element definition.path:
  value: ExplanationOfBenefit.addItem.id
element definition.representation:
  value: xmlAttr
  index: 0
element definition.short:
  value: Unique id for inter-element referencing
element definition.definition:
  value: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Element.id
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
    extension.value url:
      value: string
  element definition.type.code:
    value: http://hl7.org/fhirpath/System.String
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: n/a

index: 167
element.id:
  value: ExplanationOfBenefit.addItem.extension
element definition.path:
  value: ExplanationOfBenefit.addItem.extension
element definition.short:
  value: Additional content defined by implementations
element definition.definition:
  value: May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
element definition.comment:
  value: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
element definition.alias:
  value: extensions
  index: 0
element definition.alias:
  value: user content
  index: 1
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: Element.extension
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Extension
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.constraint:
  index: 1
  element definition.constraint.key:
    value: ext-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: Must have either extensions or value[x], not both
  element definition.constraint.expression:
    value: extension.exists() != value.exists()
  element definition.constraint.xpath:
    value: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: n/a

index: 168
element.id:
  value: ExplanationOfBenefit.addItem.modifierExtension
element definition.path:
  value: ExplanationOfBenefit.addItem.modifierExtension
element definition.short:
  value: Extensions that cannot be ignored even if unrecognized
element definition.definition:
  value: May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
element definition.comment:
  value: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
element definition.requirements:
  value: Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).
element definition.alias:
  value: extensions
  index: 0
element definition.alias:
  value: user content
  index: 1
element definition.alias:
  value: modifiers
  index: 2
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: BackboneElement.modifierExtension
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Extension
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.constraint:
  index: 1
  element definition.constraint.key:
    value: ext-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: Must have either extensions or value[x], not both
  element definition.constraint.expression:
    value: extension.exists() != value.exists()
  element definition.constraint.xpath:
    value: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
element definition.is modifier:
  value: true
element definition.is modifier reason:
  value: Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
element definition.is summary:
  value: true
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: N/A

index: 169
element.id:
  value: ExplanationOfBenefit.addItem.itemSequence
element definition.path:
  value: ExplanationOfBenefit.addItem.itemSequence
element definition.short:
  value: Item sequence number
element definition.definition:
  value: Claim items which this service line is intended to replace.
element definition.requirements:
  value: Provides references to the claim items.
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.addItem.itemSequence
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: positiveInt
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false

index: 170
element.id:
  value: ExplanationOfBenefit.addItem.detailSequence
element definition.path:
  value: ExplanationOfBenefit.addItem.detailSequence
element definition.short:
  value: Detail sequence number
element definition.definition:
  value: The sequence number of the details within the claim item which this line is intended to replace.
element definition.requirements:
  value: Provides references to the claim details within the claim item.
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.addItem.detailSequence
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: positiveInt
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false

index: 171
element.id:
  value: ExplanationOfBenefit.addItem.subDetailSequence
element definition.path:
  value: ExplanationOfBenefit.addItem.subDetailSequence
element definition.short:
  value: Subdetail sequence number
element definition.definition:
  value: The sequence number of the sub-details woithin the details within the claim item which this line is intended to replace.
element definition.requirements:
  value: Provides references to the claim sub-details within the claim detail.
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: ExplanationOfBenefit.addItem.subDetailSequence
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: positiveInt
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false