| benefitBalance.financial.used |
Claim.Properties
|
| billablePeriod |
Claim.StartDate
Claim.EndDate
|
| billablePeriod.extension('https://bluebutton.cms.gov/assets/ig/StructureDefinition-bluebutton-inpatient-claim-query-cd-extension.html') |
Claim.Property('https://bluebutton.cms.gov/assets/ig/StructureDefinition-bluebutton-inpatient-claim-query-cd-extension.html')
|
| billablePeriod.extension('https://bluebutton.cms.gov/assets/ig/StructureDefinition-bluebutton-outpatient-claim-query-cd-extension.html') |
Claim.Property('https://bluebutton.cms.gov/assets/ig/StructureDefinition-bluebutton-outpatient-claim-query-cd-extension.html')
|
| billablePeriod.extension('https://bluebutton.cms.gov/assets/ig/StructureDefinition-bluebutton-snf-claim-query-cd-extension.html') |
Claim.Property('https://bluebutton.cms.gov/assets/ig/StructureDefinition-bluebutton-snf-claim-query-cd-extension.html')
|
| careTeam.provider |
Claim.CaregiverRelationships.CaregiverID
|
| careTeam.role |
Claim.CaregiverRelationships.RelationshipType
|
| diagnosis.diagnosis |
Claim.Problems.Term
|
| diagnosis.extension('http://careevolution.com/fhirextensions#claim-problemDate') |
Claim.Problems.Date
|
| diagnosis.extension('https://bluebutton.cms.gov/assets/ig/StructureDefinition-bluebutton-inpatient-clm-poa-ind-sw1-extension.html') |
Claim.Problems.OnAdmission
|
| diagnosis.packageCode |
Claim.Properties
|
| diagnosis.sequence |
Claim.Problems.Sequence
|
| diagnosis.type |
Claim.Problems.Type
|
| disposition |
Claim.Property('FHIRExplanationOfBenefitDisposition')
|
| extension |
Claim.Properties
|
| extension('http://careevolution.com/fhirextensions#properties') |
Claim.Properties
|
| extension('https://bluebutton.cms.gov/assets/ig/StructureDefinition-bluebutton-carrier-carr-clm-pmt-dnl-cd-extension.html') |
Claim.Property('https://bluebutton.cms.gov/assets/ig/StructureDefinition-bluebutton-carrier-carr-clm-pmt-dnl-cd-extension.html')
|
| extension('https://bluebutton.cms.gov/assets/ig/StructureDefinition-bluebutton-hha-clm-mdcr-non-pmt-rsn-cd-extension.html') |
Claim.NonPaymentReason
|
| extension('https://bluebutton.cms.gov/assets/ig/StructureDefinition-bluebutton-inpatient-clm-mdcr-non-pmt-rsn-cd-extension.html') |
Claim.NonPaymentReason
|
| extension('https://bluebutton.cms.gov/assets/ig/StructureDefinition-bluebutton-outpatient-clm-mdcr-non-pmt-rsn-cd-extension.html') |
Claim.NonPaymentReason
|
| extension('https://bluebutton.cms.gov/assets/ig/StructureDefinition-bluebutton-snf-clm-mdcr-non-pmt-rsn-cd-extension.html') |
Claim.NonPaymentReason
|
| facility.extension |
Claim.Properties
|
| facility.extension('https://bluebutton.cms.gov/assets/ig/StructureDefinition-bluebutton-pde-phrmcy-srvc-type-cd-extension.html') |
Claim.Property('https://bluebutton.cms.gov/assets/ig/StructureDefinition-bluebutton-pde-phrmcy-srvc-type-cd-extension.html')
|
| facility.identifier |
Claim.Property('FacilityNpi')
|
| id |
Claim.Identifier
|
| identifier |
Claim.Identifier
Claim.AlternateIdentifier
|
| information.code |
Claim.Properties
|
| insurance |
Claim.InsuranceID
|
| item.adjudication |
Medications.AmountPaid
Medications.AmountBilled
Claim.Services.AmountPaid
Claim.Services.AmountClaimed
Claim.Services.Status
|
| item.careTeamLinkId |
Claim.Services.Property('FHIRCareTeamLinkId')
|
| item.category |
Claim.Services.RevenueCode
Claim.Services.Property('IsFromFhirCategoryProperty')
|
| item.detail.type.coding.display |
Medications.Comment
|
| item.diagnosisLinkId |
Claim.Services.Property('FHIRDiagnosisLinkId')
|
| item.extension |
Claim.Services.Properties
|
| item.extension('http://hl7.org/fhir/ValueSet/v3-ActInvoiceGroupCode') |
Claim.Services.Property('http://hl7.org/fhir/ValueSet/v3-ActInvoiceGroupCode')
|
| item.extension('https://bluebutton.cms.gov/resources/variables/betos_cd') |
Claim.Services.Property('https://bluebutton.cms.gov/resources/variables/betos_cd')
|
| item.extension('https://bluebutton.cms.gov/resources/variables/carr_line_mtus_cd') |
Claim.Services.Property('https://bluebutton.cms.gov/resources/variables/carr_line_mtus_cd')
|
| item.extension('https://bluebutton.cms.gov/resources/variables/carr_line_mtus_cnt') |
Claim.Services.Property('https://bluebutton.cms.gov/resources/variables/carr_line_mtus_cnt')
|
| item.extension('https://bluebutton.cms.gov/resources/variables/line_service_deductible') |
Claim.Services.Property('https://bluebutton.cms.gov/resources/variables/line_service_deductible')
|
| item.location |
Claim.Services.LocationType
|
| item.modifier |
Claim.Services.Modifier1
Claim.Services.Modifier2
Claim.Services.Modifier3
Claim.Services.Modifier4
Claim.Services.Modifier5
|
| item.procedureLinkId |
Claim.Services.Property('FHIRProcedureLinkId')
|
| item.quantity |
Medications.Quantity
Medications.Units
Claim.Services.Units
|
| item.quantity.extension('https://bluebutton.cms.gov/resources/variables/days_suply_num') |
Medications.DaysSupplied
|
| item.quantity.extension('https://bluebutton.cms.gov/resources/variables/fill_num') |
Medications.RefillNumber
|
| item.revenue |
Claim.Services.RevenueCode
Claim.Services.Property('IsFromFhirCategoryProperty')
|
| item.sequence |
Medications.Identifier
Claim.Services.Sequence
|
| item.service |
Medications.Term
Claim.Services.ServiceCode
|
| item.serviced |
Medications.Date
Claim.Services.StartDate
Claim.Services.EndDate
|
| patient |
Claim.PatientID
|
| payment.amount |
Claim.TotalPaid
|
| procedure.date |
Claim.Procedures.Date
|
| procedure.extension('http://careevolution.com/fhirextensions#claim-procedureType') |
Claim.Procedures.Type
|
| procedure.procedure |
Claim.Procedures.Term
|
| procedure.sequence |
Claim.Procedures.Sequence
|
| status |
Claim.Status
|
| text |
Claim.Comment
|
| totalCost |
Claim.Property('MDCR_INSTNL_TOT_CHRG_AMT')
|
| type |
Claim.ClaimType
Claim.BillClass
|
