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

Imported resource ExplanationOfBenefit (R4)

Maps the CareEvolution Claim, Medication concepts

From FHIR mappings

FHIR CareEvolution
adjudication.amount Claim.TotalPaid
Claim.TotalPatientPaid
Claim.TotalCharges
Claim.TotalAllowed
Claim.TotalCoinsuranceAmount
Claim.TotalDeductibleAmount
Claim.TotalCopayAmount
Claim.TotalNotCoveredAmount
Claim.TotalPatientResponsibleAmount
Claim.TotalHsaPaidAmount
adjudication.reason Claim.NonPaymentReason
benefitBalance.financial.used Claim.Properties
billablePeriod Claim.StartDate
Claim.EndDate
careTeam.provider Claim.CaregiverRelationships.CaregiverID
Claim.Services.CaregiverRelationships.CaregiverID
careTeam.responsible Claim.CaregiverRelationships.Responsible
Claim.Services.CaregiverRelationships.Responsible
careTeam.role Claim.CaregiverRelationships.RelationshipType
Claim.Services.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#explanationOfBenefit-adjudicationDate') Claim.AdjudicationDate
extension('http://careevolution.com/fhirextensions#explanationOfBenefit-controlNumber') Claim.ControlNumber
extension('http://careevolution.com/fhirextensions#explanationOfBenefit-disposition') Claim.Disposition
extension('http://careevolution.com/fhirextensions#explanationOfBenefit-encounterID') Claim.EncounterID
extension('http://careevolution.com/fhirextensions#explanationOfBenefit-mrn') Claim.Mrn
extension('http://careevolution.com/fhirextensions#properties') Claim.Properties
facility.identifier Claim.Property('FacilityNpi')
id Claim.Identifier
identifier Claim.Identifier
Claim.AlternateIdentifier
insurance.coverage.identifier Claim.InsuranceIdentifier
insurance.coverage.reference Claim.InsuranceID
insurer Claim.InsuranceID
Claim.InsuranceIdentifier
item.adjudication.amount Medications.AmountBilled
Medications.AmountPaid
Claim.Services.AmountClaimed
Claim.Services.AmountPaid
Claim.Services.PatientPaid
Claim.Services.AllowedAmount
Claim.Services.CoinsuranceAmount
Claim.Services.DeductibleAmount
Claim.Services.CopayAmount
Claim.Services.NotCoveredAmount
Claim.Services.PatientResponsibleAmount
Claim.Services.HsaPaidAmount
item.detail.productOrService.coding.display Medications.Comment
item.extension Claim.Services.Properties
item.extension('http://careevolution.com/fhirextensions#dataSource') Medications.DataSource
item.extension('http://careevolution.com/fhirextensions#explanationOfBenefitItem-alternateIdentifier') Medications.AlternateIdentifier
item.extension('http://careevolution.com/fhirextensions#explanationOfBenefitItem-caregiverReference') Medications.CaregiverID
item.extension('http://careevolution.com/fhirextensions#explanationOfBenefitItem-comment') Claim.Services.Comment
item.extension('http://careevolution.com/fhirextensions#explanationOfBenefitItem-dose') Medications.Dose
item.extension('http://careevolution.com/fhirextensions#explanationOfBenefitItem-doseUnits') Medications.DoseUnits
item.extension('http://careevolution.com/fhirextensions#explanationOfBenefitItem-filledBy') Medications.FilledByID
item.extension('http://careevolution.com/fhirextensions#explanationOfBenefitItem-frequency') Medications.Frequency
item.extension('http://careevolution.com/fhirextensions#explanationOfBenefitItem-isGeneric') Medications.IsGeneric
item.extension('http://careevolution.com/fhirextensions#explanationOfBenefitItem-prescribedDate') Medications.PrescribedDate
item.extension('http://careevolution.com/fhirextensions#explanationOfBenefitItem-problems') Claim.Services.Problem1
Claim.Services.Problem2
Claim.Services.Problem3
Claim.Services.Problem4
item.extension('http://careevolution.com/fhirextensions#explanationOfBenefitItem-reconcileStatus') Medications.ReconcileStatus
item.extension('http://careevolution.com/fhirextensions#explanationOfBenefitItem-refills') Medications.Refills
item.extension('http://careevolution.com/fhirextensions#explanationOfBenefitItem-status') Medications.Status
Claim.Services.Status
item.extension('http://careevolution.com/fhirextensions#explanationOfBenefitItem-strength') Medications.Strength
item.extension('http://careevolution.com/fhirextensions#explanationOfBenefitItem-therapeuticClass') Medications.TherapeuticClass
item.extension('http://careevolution.com/fhirextensions#properties') Medications.Properties
Claim.Services.Properties
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.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
preAuthRef Claim.AuthorizationNumber
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.category Claim.ClaimSupportingInformation.Type
supportingInfo.code Claim.ClaimSupportingInformation.Term
supportingInfo.dawcode Medication.DispenseAsWritten
supportingInfo.dayssupply Medication.DaysSupplied
supportingInfo.discharge-status Claim.PatientStatus
supportingInfo.drg Claim.Drg
supportingInfo.placeofservice Claim.FacilityType
supportingInfo.pointoforigin Claim.AdmitSource
supportingInfo.reason Claim.ClaimSupportingInformation.Reason
supportingInfo.refillnum Medication.RefillNumber
supportingInfo.sequence Claim.ClaimSupportingInformation.Sequence
supportingInfo.timing Claim.ClaimSupportingInformation.StartDate
Claim.ClaimSupportingInformation.EndDate
supportingInfo.typeofbill Claim.BillClass
supportingInfo.value Claim.ClaimSupportingInformation.Value
text Claim.Comment
total.amount Claim.TotalPaid
Claim.TotalPatientPaid
Claim.TotalCharges
Claim.TotalAllowed
Claim.TotalCoinsuranceAmount
Claim.TotalDeductibleAmount
Claim.TotalCopayAmount
Claim.TotalNotCoveredAmount
Claim.TotalPatientResponsibleAmount
Claim.TotalHsaPaidAmount
type Claim.ClaimType