API end point: http://fhir.careevolution.com/Master.Adapter1.WebClient/api/fhir-stu3.

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

From FHIR mappings

From To
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