API end point: http://fhir.careevolution.com/Master.Adapter1.WebClient/api/fhir-r4.

Resource ExplanationOfBenefit

Maps CareEvolution Claim and contained Medication concepts

Supported interactions

Search parameters

Name Type Modifiers , prefixes Multiple values Can be chained Description
_id Token Yes See here
_lastUpdated Date lt le gt ge See here
care-team Reference :missing Yes Yes See here
coverage Reference :missing Yes Yes See here
created Date eq lt le gt ge See here
identifier Token Yes See here
patient Reference Yes Yes See here
provenance-agent Reference Yes Yes Search by provenance, specified by its author (aka originator) Organization
provider Reference :missing Yes Yes See here
service-date Date eq lt le gt ge See here
type Token Yes See here

Sorts

Supports multiple sorts

Includes

Operations

To FHIR mappings

From To
Claim.AdmitDate supportingInfo.admissionperiod
Claim.AdmitSource supportingInfo.admsrc
Claim.AdmitType supportingInfo.admtype
Claim.AlternateIdentifier identifier
Claim.BillClass supportingInfo.typeofbill
Claim.CaregiverRelationships provider
payee
Claim.CaregiverRelationships.CaregiverID careTeam.provider
Claim.CaregiverRelationships.RelationshipType careTeam.role
Claim.CaregiverRelationships.Responsible careTeam.responsible
Claim.ClaimType type
Claim.Comment text
Claim.CreatedDate created
Claim.DischargeDate supportingInfo.admissionperiod
Claim.Drg supportingInfo.drg
Claim.EndDate billablePeriod
Claim.FacilityType supportingInfo.placeofservice
Claim.Identifier identifier
Claim.InsuranceID insurance
insurer
Claim.NonPaymentReason adjudication.reason
Claim.PaidDate payment.date
Claim.PatientID patient
Claim.PatientStatus supportingInfo.discharge-status
Claim.Problems.Date diagnosis.extension('http://careevolution.com/fhirextensions#claim-problemDate')
Claim.Problems.OnAdmission diagnosis.onAdmission
Claim.Problems.Sequence diagnosis.sequence
Claim.Problems.Term diagnosis.diagnosis
Claim.Problems.Type diagnosis.type
Claim.Procedures.Date procedure.date
Claim.Procedures.Sequence procedure.sequence
Claim.Procedures.Term procedure.procedure
Claim.Procedures.Type procedure.type
Claim.Properties extension('http://careevolution.com/fhirextensions#properties')
Claim.Property('FacilityNpi') facility.identifier
Claim.Property('FHIRExplanationOfBenefitDisposition') disposition
Claim.Services.AmountClaimed item.adjudication.amount
item.net
Claim.Services.AmountPaid item.adjudication.amount
Claim.Services.EndDate item.serviced
Claim.Services.LocationType item.location
Claim.Services.Modifier1 item.modifier
Claim.Services.Modifier2 item.modifier
Claim.Services.Modifier3 item.modifier
Claim.Services.Modifier4 item.modifier
Claim.Services.Modifier5 item.modifier
Claim.Services.PatientPaid item.adjudication.amount
Claim.Services.Property('FHIRCareTeamLinkId') item.careTeamSequence
Claim.Services.Property('FHIRDiagnosisLinkId') item.diagnosisSequence
Claim.Services.Property('FHIRInformationLinkId') item.informationSequence
Claim.Services.Property('FHIRProcedureLinkId') item.procedureSequence
Claim.Services.RevenueCode item.revenue
Claim.Services.Sequence item.sequence
Claim.Services.ServiceCode item.productOrService
Claim.Services.StartDate item.serviced
Claim.Services.Units item.adjudication.value
item.quantity
Claim.StartDate billablePeriod
Claim.Status status
payment.type
Claim.TotalCharges total.amount
adjudication.amount
Claim.TotalPaid payment.amount
total.amount
adjudication.amount
Claim.TotalPatientPaid total.amount
adjudication.amount
Medication.DaysSupplied supportingInfo.dayssupply
Medication.DispenseAsWritten supportingInfo.dawcode
Medication.RefillNumber supportingInfo.refillnum
Medication.Term supportingInfo.brandgenericcode
Medications.AmountBilled item.adjudication.amount
item.net
Medications.AmountPaid item.adjudication.amount
Medications.Comment item.detail.productOrService.coding.display
Medications.Date item.serviced
Medications.Identifier item.sequence
Medications.Quantity item.quantity
Medications.Term item.productOrService
item.quantity
Medications.Units item.quantity

From FHIR mappings

From To
adjudication.amount Claim.TotalCharges
Claim.TotalPaid
Claim.TotalPatientPaid
adjudication.reason Claim.NonPaymentReason
benefitBalance.financial.used Claim.Properties
billablePeriod Claim.StartDate
Claim.EndDate
careTeam.provider Claim.CaregiverRelationships.CaregiverID
careTeam.responsible Claim.CaregiverRelationships.Responsible
careTeam.role Claim.CaregiverRelationships.RelationshipType
created Claim.CreatedDate
diagnosis.diagnosis Claim.Problems.Term
diagnosis.extension('http://careevolution.com/fhirextensions#claim-problemDate') Claim.Problems.Date
diagnosis.onAdmission Claim.Problems.OnAdmission
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
facility.identifier Claim.Property('FacilityNpi')
id Claim.Identifier
identifier Claim.Identifier
Claim.AlternateIdentifier
insurance Claim.InsuranceID
insurer Claim.InsuranceID
item.adjudication.amount Medications.AmountBilled
Medications.AmountPaid
Claim.Services.AmountClaimed
Claim.Services.AmountPaid
Claim.Services.PatientPaid
item.careTeamSequence Claim.Services.Property('FHIRCareTeamLinkId')
item.detail.productOrService.coding.display Medications.Comment
item.diagnosisSequence Claim.Services.Property('FHIRDiagnosisLinkId')
item.extension Claim.Services.Properties
item.informationSequence Claim.Services.Property('FHIRInformationLinkId')
item.location Claim.Services.LocationType
item.modifier Claim.Services.Modifier1
Claim.Services.Modifier2
Claim.Services.Modifier3
Claim.Services.Modifier4
Claim.Services.Modifier5
item.net Medications.AmountBilled
Claim.Services.AmountClaimed
item.procedureSequence Claim.Services.Property('FHIRProcedureLinkId')
item.productOrService Medications.Term
Claim.Services.ServiceCode
item.quantity Medications.Quantity
Medications.Units
Claim.Services.Units
item.revenue Claim.Services.RevenueCode
item.sequence Medications.Identifier
Claim.Services.Sequence
item.serviced Medications.Date
Claim.Services.StartDate
Claim.Services.EndDate
patient Claim.PatientID
payee Claim.CaregiverRelationships
payment.amount Claim.TotalPaid
payment.date Claim.PaidDate
procedure.date Claim.Procedures.Date
procedure.procedure Claim.Procedures.Term
procedure.sequence Claim.Procedures.Sequence
procedure.type Claim.Procedures.Type
provider Claim.CaregiverRelationships
status Claim.Status
supportingInfo.admissionperiod Claim.AdmitDate
Claim.DischargeDate
supportingInfo.admsrc Claim.AdmitSource
supportingInfo.admtype Claim.AdmitType
supportingInfo.brandgenericcode Medication.Term
supportingInfo.dawcode Medication.DispenseAsWritten
supportingInfo.dayssupply Medication.DaysSupplied
supportingInfo.discharge-status Claim.PatientStatus
supportingInfo.drg Claim.Drg
supportingInfo.placeofservice Claim.FacilityType
supportingInfo.refillnum Medication.RefillNumber
supportingInfo.typeofbill Claim.BillClass
text Claim.Comment
total.amount Claim.TotalCharges
Claim.TotalPaid
Claim.TotalPatientPaid
type Claim.ClaimType