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

Resource ExplanationOfBenefit (R4)

Maps CareEvolution Claim and contained Medication concepts

Supported interactions

Search parameters

Name Type Modifiers , prefixes Multiple values Can be chained Description
_id Token Yes

Resource id

_lastUpdated Date lt le gt ge

When the resource last changed

_source Uri :missing Yes

Where the resource comes from

care-team Reference (Practitioner) :missing Yes Yes

Member of the CareTeam

coverage Reference (Coverage) :missing Yes Yes

The plan under which the claim was adjudicated

created Date :missing eq ne lt le gt ge sa eb ap

The creation date for the EOB

encounter Reference (Encounter) :missing Yes Yes

Encounters associated with a billed line item

identifier Token :missing Yes

The business identifier of the Explanation of Benefit

patient Reference (Patient) :missing Yes Yes

The patient the ExplanationOfBenefit is about

provenance-agent Reference (Organization) :missing Yes Yes

Search by provenance, specified by its author (aka originator) Organization

provider Reference (Practitioner) :missing Yes Yes

The reference to the provider

service-date Date :missing eq ne lt le gt ge sa eb ap

Date of the service for the EOB

service-start-date Date :missing eq ne lt le gt ge sa eb ap

Starting Date of the service for the EOB.

type Token :missing Yes

Claim type

Sorts

Supports multiple sorts

Includes

Operations

Default to FHIR mappings

CareEvolution FHIR
Claim.AdjudicationDate extension('http://careevolution.com/fhirextensions#explanationOfBenefit-adjudicationDate')
created
Claim.AdmitDate supportingInfo(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType|admissionperiod).timing
Claim.AdmitSource
Domain: AdmitSource
supportingInfo(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType|pointoforigin).code
Bindings:  https://www.nubc.org/CodeSystem/PointOfOrigin  https://www.nubc.org/CodeSystem/PointOfOriginNewBorn
supportingInfo(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/ClaimInformationCategory|admsrc).code
Bindings:  https://www.nubc.org/CodeSystem/PointOfOrigin  https://www.nubc.org/CodeSystem/PointOfOriginNewBorn
Claim.AdmitType
Domain: AdmissionType
supportingInfo(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType|admtype).code
Bindings:  https://www.nubc.org/CodeSystem/PriorityTypeOfAdmitOrVisit  http://terminology.hl7.org/CodeSystem/v3-ActCode  https://www.cms.gov/Medicare/Coding/place-of-service-codes/Place_of_Service_Code_Set  https://rosetta.careevolution.com/UBFacilityType
Claim.AlternateIdentifier identifier
Claim.AuthorizationNumber preAuthRef
Claim.BillClass
Domain: BillClass
supportingInfo(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType|typeofbill).code
Bindings:  https://www.nubc.org/CodeSystem/TypeOfBill
Claim.CaregiverRelationships provider Maps CaregiverRelationships with RelationshipType=ClaimProvider
payee Maps CaregiverRelationships with RelationshipType=PayToProvider
Claim.CaregiverRelationships.CaregiverID careTeam.provider Excludes CaregiverRelationships with RelationshipType equal to ClaimProvider or PayToProvider
Claim.CaregiverRelationships.RelationshipType
Domain: CaregiverRelationshipType
careTeam.role
Bindings:  ValueSet-C4BBClaimInstitutionalCareTeamRole
Excludes CaregiverRelationships with RelationshipType equal to ClaimProvider or PayToProvider
Claim.CaregiverRelationships.Responsible careTeam.responsible Excludes CaregiverRelationships with RelationshipType equal to ClaimProvider or PayToProvider
Claim.ClaimSupportingInformation.EndDate supportingInfo.timing
Claim.ClaimSupportingInformation.Reason
Domain: SupportingInformationReason
supportingInfo.reason
Claim.ClaimSupportingInformation.Sequence supportingInfo.sequence
Claim.ClaimSupportingInformation.StartDate supportingInfo.timing
Claim.ClaimSupportingInformation.Term
Domain: SupportingInformationCode
supportingInfo.code
Claim.ClaimSupportingInformation.Type
Domain: SupportingInformationType
supportingInfo.category
Bindings:  ValueSet-C4BBSupportingInfoType
Claim.ClaimSupportingInformation.Value supportingInfo.value
Claim.ClaimType
Domain: ClaimType
type
Bindings:  valueset-claim-type
Claim.Comment text
Claim.ControlNumber extension('http://careevolution.com/fhirextensions#explanationOfBenefit-controlNumber')
Claim.CreatedDate created
Claim.DischargeDate supportingInfo(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType|admissionperiod).timing
Claim.Disposition
Domain: ClaimDisposition
extension('http://careevolution.com/fhirextensions#explanationOfBenefit-disposition')
Claim.Drg
Domain: ClaimDrg
supportingInfo(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType|drg).code
Bindings:  https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/MS-DRG-Classifications-and-Software  https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/MS-DRG-Classifications-and-Software  https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/MS-DRG-Classifications-and-Software  https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/MS-DRG-Classifications-and-Software  https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/MS-DRG-Classifications-and-Software  https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/MS-DRG-Classifications-and-Software
Claim.EncounterID extension('http://careevolution.com/fhirextensions#explanationOfBenefit-encounterID')
Claim.EndDate billablePeriod
Claim.FacilityType
Domain: FacilityType
supportingInfo(category=http://careevolution.com/fhir/SupportingInfo|placeofservice).code
Bindings:  https://www.cms.gov/Medicare/Coding/place-of-service-codes/Place_of_Service_Code_Set  http://terminology.hl7.org/CodeSystem/v3-ActCode  https://rosetta.careevolution.com/UBFacilityType
Claim.Identifier identifier
Claim.InNetwork total.category
Bindings:  ValueSet-C4BBPayerBenefitPaymentStatus
adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudicationDiscriminator|benefitpaymentstatus).reason
Bindings:  ValueSet-C4BBPayerBenefitPaymentStatus
Claim.InsuranceID insurance.coverage
insurer
Claim.InsuranceIdentifier insurance.coverage
insurer
Claim.Mrn extension('http://careevolution.com/fhirextensions#explanationOfBenefit-mrn')
Claim.NonPaymentReason
Domain: NonPaymentReason
adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudicationDiscriminator|adjustmentreason).reason
Bindings:  https://x12.org/codes/remittance-advice-remark-codes  https://x12.org/codes/claim-adjustment-reason-codes
Claim.PaidDate payment.date
Claim.PatientID patient
Claim.PatientStatus
Domain: PatientStatus
supportingInfo(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType|discharge-status).code
Claim.Problems.Date diagnosis.extension('http://careevolution.com/fhirextensions#claim-problemDate')
Claim.Problems.OnAdmission
Domain: DiagnosisStatusOnAdmission
diagnosis.onAdmission
Bindings:  http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical
Claim.Problems.Sequence diagnosis.sequence
Claim.Problems.Term
Domain: DiagnosisCode
diagnosis.diagnosis
Bindings:  http://snomed.info/sct  http://hl7.org/fhir/sid/icd-10-cm  http://hl7.org/fhir/sid/icd-9-cm
Claim.Problems.Type
Domain: DiagnosisType
diagnosis.type
Bindings:  CodeSystem-C4BBClaimDiagnosisType
Claim.Procedures.Date procedure.date
Claim.Procedures.Sequence procedure.sequence
Claim.Procedures.Term
Domain: ProcedureCode
procedure.procedure
Bindings:  http://www.ada.org/cdt  http://snomed.info/sct  https://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets  http://www.cms.gov/Medicare/Coding/ICD10  http://hl7.org/fhir/sid/icd-9-cm
Claim.Procedures.Type
Domain: ProcedureType
procedure.type
Bindings:  ValueSet-C4BBClaimProcedureType
Claim.Properties extension('http://careevolution.com/fhirextensions#properties')
Claim.Property('FacilityNpi') facility.identifier
Claim.Property('FHIRExplanationOfBenefitDisposition') disposition
Claim.Property('OriginalClaimNumber') related
Claim.ReferralID extension('http://careevolution.com/fhirextensions#explanationOfBenefit-referralReference')
Claim.Revision extension('http://careevolution.com/fhirextensions#explanationOfBenefit-claimRevision')
Claim.Services.AllowedAmount item.adjudication(category=http://terminology.hl7.org/CodeSystem/adjudication|benefit).amount
Claim.Services.AmountClaimed item.adjudication(category=http://terminology.hl7.org/CodeSystem/adjudication|submitted).amount
item.net
Claim.Services.AmountPaid item.adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|paidtoprovider).amount
Claim.Services.CaregiverRelationships.CaregiverID careTeam.provider
Claim.Services.CaregiverRelationships.RelationshipType
Domain: CaregiverRelationshipType
careTeam.role
Bindings:  ValueSet-C4BBClaimInstitutionalCareTeamRole
Claim.Services.CaregiverRelationships.Responsible careTeam.responsible
Claim.Services.CoinsuranceAmount item.adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|coinsurance).amount
Claim.Services.Comment item.extension('http://careevolution.com/fhirextensions#explanationOfBenefitItem-comment')
Claim.Services.CopayAmount item.adjudication(category=http://terminology.hl7.org/CodeSystem/adjudication|copay).amount
Claim.Services.DeductibleAmount item.adjudication(category=http://terminology.hl7.org/CodeSystem/adjudication|deductible).amount
Claim.Services.EndDate item.serviced
Claim.Services.HsaPaidAmount item.adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|paidbypatienthealthaccount).amount
Claim.Services.LocationType
Domain: ServiceLocation
item.location
Bindings:  https://www.cms.gov/Medicare/Coding/place-of-service-codes/Place_of_Service_Code_Set  http://terminology.hl7.org/CodeSystem/v3-ActCode  https://rosetta.careevolution.com/UBFacilityType
Claim.Services.Modifier1
Domain: BillingModifier
item.modifier
Bindings:  https://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets  http://snomed.info/sct
Claim.Services.Modifier2
Domain: BillingModifier
item.modifier
Bindings:  https://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets  http://snomed.info/sct
Claim.Services.Modifier3
Domain: BillingModifier
item.modifier
Bindings:  https://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets  http://snomed.info/sct
Claim.Services.Modifier4
Domain: BillingModifier
item.modifier
Bindings:  https://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets  http://snomed.info/sct
Claim.Services.Modifier5
Domain: BillingModifier
item.modifier
Bindings:  https://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets  http://snomed.info/sct
Claim.Services.NonPaymentReason
Domain: NonPaymentReason
item.adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudicationDiscriminator|adjustmentreason).reason
Bindings:  https://x12.org/codes/remittance-advice-remark-codes  https://x12.org/codes/claim-adjustment-reason-codes
Claim.Services.NotCoveredAmount item.adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|noncovered).amount
Claim.Services.PatientPaid item.adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|paidbypatient).amount
Claim.Services.PatientResponsibleAmount item.adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|memberliability).amount
Claim.Services.Problem1
Domain: DiagnosisCode
item.extension('http://careevolution.com/fhirextensions#explanationOfBenefitItem-problems')
Bindings:  http://snomed.info/sct  http://hl7.org/fhir/sid/icd-10-cm  http://hl7.org/fhir/sid/icd-9-cm
Claim.Services.Problem2
Domain: DiagnosisCode
item.extension('http://careevolution.com/fhirextensions#explanationOfBenefitItem-problems')
Bindings:  http://snomed.info/sct  http://hl7.org/fhir/sid/icd-10-cm  http://hl7.org/fhir/sid/icd-9-cm
Claim.Services.Problem3
Domain: DiagnosisCode
item.extension('http://careevolution.com/fhirextensions#explanationOfBenefitItem-problems')
Bindings:  http://snomed.info/sct  http://hl7.org/fhir/sid/icd-10-cm  http://hl7.org/fhir/sid/icd-9-cm
Claim.Services.Problem4
Domain: DiagnosisCode
item.extension('http://careevolution.com/fhirextensions#explanationOfBenefitItem-problems')
Bindings:  http://snomed.info/sct  http://hl7.org/fhir/sid/icd-10-cm  http://hl7.org/fhir/sid/icd-9-cm
Claim.Services.Properties item.extension('http://careevolution.com/fhirextensions#properties')
Claim.Services.RevenueCode
Domain: RevenueCode
item.revenue
Bindings:  https://www.nubc.org/CodeSystem/RevenueCodes
Claim.Services.Sequence item.sequence
Claim.Services.ServiceCode
Domain: ServiceCode
item.productOrService
Bindings:  http://www.ada.org/cdt  http://snomed.info/sct  https://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets  http://www.cms.gov/Medicare/Coding/ICD10  http://hl7.org/fhir/sid/icd-9-cm
Claim.Services.StartDate item.serviced
Claim.Services.Status
Domain: ClaimServiceStatus
item.extension('http://careevolution.com/fhirextensions#explanationOfBenefitItem-status')
Claim.Services.Units item.quantity
Claim.StartDate billablePeriod
Claim.Status
Domain: ClaimStatus
status
Bindings:  valueset-explanationofbenefit-status
Claim.Status payment.type
Bindings:  ValueSet-C4BBPayerClaimPaymentStatusCode
Claim.TotalAllowed adjudication(category=http://terminology.hl7.org/CodeSystem/adjudication|benefit).amount
total(category=http://terminology.hl7.org/CodeSystem/adjudication|benefit).amount
Claim.TotalCharges adjudication(category=http://terminology.hl7.org/CodeSystem/adjudication|submitted).amount
total(category=http://terminology.hl7.org/CodeSystem/adjudication|submitted).amount
Claim.TotalCoinsuranceAmount adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|coinsurance).amount
total(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|coinsurance).amount
Claim.TotalCopayAmount adjudication(category=http://terminology.hl7.org/CodeSystem/adjudication|copay).amount
total(category=http://terminology.hl7.org/CodeSystem/adjudication|copay).amount
Claim.TotalDeductibleAmount adjudication(category=http://terminology.hl7.org/CodeSystem/adjudication|deductible).amount
total(category=http://terminology.hl7.org/CodeSystem/adjudication|deductible).amount
Claim.TotalHsaPaidAmount adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|paidbypatienthealthaccount).amount
total(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|paidbypatienthealthaccount).amount
Claim.TotalNotCoveredAmount adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|noncovered).amount
total(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|noncovered).amount
Claim.TotalPaid adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|paidtoprovider).amount
total(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|paidtoprovider).amount
payment.amount
Claim.TotalPatientPaid adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|paidbypatient).amount
total(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|paidbypatient).amount
Claim.TotalPatientResponsibleAmount adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|memberliability).amount
total(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|memberliability).amount
Medications.AlternateIdentifier item.extension('http://careevolution.com/fhirextensions#explanationOfBenefitItem-alternateIdentifier')
Medications.AmountBilled item.adjudication(category=http://terminology.hl7.org/CodeSystem/adjudication|submitted).amount
item.net
Medications.AmountPaid item.adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|paidtoprovider).amount
Medications.CaregiverID item.extension('http://careevolution.com/fhirextensions#explanationOfBenefitItem-caregiverReference')
Medications.Comment item.detail.productOrService.coding.display
Medications.DataSource item.extension('http://careevolution.com/fhirextensions#dataSource')
Medications.Date item.serviced
Medications.DawCode
Domain: DispenseAsWritten
supportingInfo(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType|dawcode).code
Medications.DaysSupplied supportingInfo(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType|dayssupply).value
Medications.DispenseAsWritten supportingInfo(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType|dawcode).code
Medications.Dose item.extension('http://careevolution.com/fhirextensions#explanationOfBenefitItem-dose')
Medications.DoseUnits
Domain: MedicationProfileDoseUnits
item.extension('http://careevolution.com/fhirextensions#explanationOfBenefitItem-doseUnits')
Bindings:  http://unitsofmeasure.org
Medications.FilledByID item.extension('http://careevolution.com/fhirextensions#explanationOfBenefitItem-filledBy')
Medications.Frequency
Domain: MedicationProfileFrequency
item.extension('http://careevolution.com/fhirextensions#explanationOfBenefitItem-frequency')
Medications.Identifier item.sequence
Medications.IsGeneric item.extension('http://careevolution.com/fhirextensions#explanationOfBenefitItem-isGeneric')
Medications.PrescribedDate item.extension('http://careevolution.com/fhirextensions#explanationOfBenefitItem-prescribedDate')
Medications.Properties item.extension('http://careevolution.com/fhirextensions#properties')
Medications.Quantity item.quantity
Bindings:  http://unitsofmeasure.org
Medications.ReconcileStatus
Domain: ReconcileStatus
item.extension('http://careevolution.com/fhirextensions#explanationOfBenefitItem-reconcileStatus')
Medications.RefillNumber supportingInfo(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType|refillnum).value
Medications.Refills item.extension('http://careevolution.com/fhirextensions#explanationOfBenefitItem-refills')
supportingInfo(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType|refillsauthorized).value
Medications.Sequence item.sequence
Medications.Status
Domain: MedicationStatus
item.extension('http://careevolution.com/fhirextensions#explanationOfBenefitItem-status')
Medications.Strength item.extension('http://careevolution.com/fhirextensions#explanationOfBenefitItem-strength')
Medications.Term
Domain: MedicationType
item.productOrService
Bindings:  http://hl7.org/fhir/sid/cvx  http://hl7.org/fhir/sid/ndc  http://www.nlm.nih.gov/research/umls/rxnorm  http://snomed.info/sct
item.quantity
Bindings:  http://unitsofmeasure.org
Medications.TherapeuticClass
Domain: TherapeuticClass
item.extension('http://careevolution.com/fhirextensions#explanationOfBenefitItem-therapeuticClass')
Medications.Units
Domain: MedicationUnits
item.quantity
Bindings:  http://unitsofmeasure.org

Default from FHIR mappings

CareEvolution FHIR
Claim.AdjudicationDate extension('http://careevolution.com/fhirextensions#explanationOfBenefit-adjudicationDate')
Claim.AdmitDate supportingInfo(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType|admissionperiod).timing
Claim.AdmitSource
Domain: AdmitSource
supportingInfo(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType|pointoforigin).code
Bindings:  https://www.nubc.org/CodeSystem/PointOfOrigin  https://www.nubc.org/CodeSystem/PointOfOriginNewBorn
supportingInfo(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/ClaimInformationCategory|admsrc).code
Bindings:  https://www.nubc.org/CodeSystem/PointOfOrigin  https://www.nubc.org/CodeSystem/PointOfOriginNewBorn
Claim.AdmitType
Domain: AdmissionType
supportingInfo(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType|admtype).code
Bindings:  https://www.nubc.org/CodeSystem/PriorityTypeOfAdmitOrVisit  http://terminology.hl7.org/CodeSystem/v3-ActCode  https://www.cms.gov/Medicare/Coding/place-of-service-codes/Place_of_Service_Code_Set  https://rosetta.careevolution.com/UBFacilityType
Claim.AlternateIdentifier identifier
Claim.AuthorizationNumber preAuthRef
Claim.BillClass
Domain: BillClass
supportingInfo(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType|typeofbill).code
Bindings:  https://www.nubc.org/CodeSystem/TypeOfBill
Claim.CaregiverRelationships provider Maps CaregiverRelationships with RelationshipType=ClaimProvider
payee Maps CaregiverRelationships with RelationshipType=PayToProvider
Claim.CaregiverRelationships.CaregiverID careTeam.provider
Claim.CaregiverRelationships.RelationshipType
Domain: CaregiverRelationshipType
careTeam.role
Bindings:  ValueSet-C4BBClaimInstitutionalCareTeamRole
Claim.CaregiverRelationships.Responsible careTeam.responsible
Claim.ClaimSupportingInformation.EndDate supportingInfo.timing
Claim.ClaimSupportingInformation.Reason
Domain: SupportingInformationReason
supportingInfo.reason
Claim.ClaimSupportingInformation.Sequence supportingInfo.sequence
Claim.ClaimSupportingInformation.StartDate supportingInfo.timing
Claim.ClaimSupportingInformation.Term
Domain: SupportingInformationCode
supportingInfo.code
Claim.ClaimSupportingInformation.Type
Domain: SupportingInformationType
supportingInfo.category
Bindings:  ValueSet-C4BBSupportingInfoType
Claim.ClaimSupportingInformation.Value supportingInfo.value
Claim.ClaimType
Domain: ClaimType
type
Bindings:  valueset-claim-type
Claim.Comment text
Claim.ControlNumber extension('http://careevolution.com/fhirextensions#explanationOfBenefit-controlNumber')
Claim.CreatedDate created
Claim.DischargeDate supportingInfo(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType|admissionperiod).timing
Claim.Disposition
Domain: ClaimDisposition
extension('http://careevolution.com/fhirextensions#explanationOfBenefit-disposition')
Claim.Drg
Domain: ClaimDrg
supportingInfo(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType|drg).code
Bindings:  https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/MS-DRG-Classifications-and-Software  https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/MS-DRG-Classifications-and-Software  https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/MS-DRG-Classifications-and-Software  https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/MS-DRG-Classifications-and-Software  https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/MS-DRG-Classifications-and-Software  https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/MS-DRG-Classifications-and-Software
Claim.EncounterID extension('http://careevolution.com/fhirextensions#explanationOfBenefit-encounterID')
Claim.EndDate billablePeriod
Claim.FacilityType
Domain: FacilityType
supportingInfo(category=http://careevolution.com/fhir/SupportingInfo|placeofservice).code
Bindings:  https://www.cms.gov/Medicare/Coding/place-of-service-codes/Place_of_Service_Code_Set  http://terminology.hl7.org/CodeSystem/v3-ActCode  https://rosetta.careevolution.com/UBFacilityType
Claim.Identifier identifier
id
Claim.InNetwork total.category
Bindings:  ValueSet-C4BBPayerBenefitPaymentStatus
adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudicationDiscriminator|benefitpaymentstatus).reason
Bindings:  ValueSet-C4BBPayerBenefitPaymentStatus
Claim.InsuranceID insurance.coverage
insurer
Claim.InsuranceIdentifier insurance.coverage
insurer
Claim.Mrn extension('http://careevolution.com/fhirextensions#explanationOfBenefit-mrn')
Claim.NonPaymentReason
Domain: NonPaymentReason
adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudicationDiscriminator|adjustmentreason).reason
Bindings:  https://x12.org/codes/remittance-advice-remark-codes  https://x12.org/codes/claim-adjustment-reason-codes
Claim.PaidDate payment.date
Claim.PatientID patient
Claim.PatientStatus
Domain: PatientStatus
supportingInfo(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType|discharge-status).code
Claim.Problems.Date diagnosis.extension('http://careevolution.com/fhirextensions#claim-problemDate')
Claim.Problems.OnAdmission
Domain: DiagnosisStatusOnAdmission
diagnosis.onAdmission
Bindings:  http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical
Claim.Problems.Sequence diagnosis.sequence
Claim.Problems.Term
Domain: DiagnosisCode
diagnosis.diagnosis
Bindings:  http://snomed.info/sct  http://hl7.org/fhir/sid/icd-10-cm  http://hl7.org/fhir/sid/icd-9-cm
Claim.Problems.Type
Domain: DiagnosisType
diagnosis.type
Bindings:  CodeSystem-C4BBClaimDiagnosisType
Claim.Procedures.Date procedure.date
Claim.Procedures.Sequence procedure.sequence
Claim.Procedures.Term
Domain: ProcedureCode
procedure.procedure
Bindings:  http://www.ada.org/cdt  http://snomed.info/sct  https://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets  http://www.cms.gov/Medicare/Coding/ICD10  http://hl7.org/fhir/sid/icd-9-cm
Claim.Procedures.Type
Domain: ProcedureType
procedure.type
Bindings:  ValueSet-C4BBClaimProcedureType
Claim.Properties extension('http://careevolution.com/fhirextensions#properties')
extension
benefitBalance.financial.used
Claim.Property('FacilityNpi') facility.identifier
Claim.Property('FHIRExplanationOfBenefitDisposition') disposition
Claim.Property('OriginalClaimNumber') related
Claim.ReferralID extension('http://careevolution.com/fhirextensions#explanationOfBenefit-referralReference')
Claim.Revision extension('http://careevolution.com/fhirextensions#explanationOfBenefit-claimRevision')
Claim.Services.AllowedAmount item.adjudication(category=http://terminology.hl7.org/CodeSystem/adjudication|benefit).amount
Claim.Services.AmountClaimed item.adjudication(category=http://terminology.hl7.org/CodeSystem/adjudication|submitted).amount
item.net
Claim.Services.AmountPaid item.adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|paidtoprovider).amount
Claim.Services.CaregiverRelationships.CaregiverID careTeam.provider
Claim.Services.CaregiverRelationships.RelationshipType
Domain: CaregiverRelationshipType
careTeam.role
Bindings:  ValueSet-C4BBClaimInstitutionalCareTeamRole
Claim.Services.CaregiverRelationships.Responsible careTeam.responsible
Claim.Services.CoinsuranceAmount item.adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|coinsurance).amount
Claim.Services.Comment item.extension('http://careevolution.com/fhirextensions#explanationOfBenefitItem-comment')
Claim.Services.CopayAmount item.adjudication(category=http://terminology.hl7.org/CodeSystem/adjudication|copay).amount
Claim.Services.DeductibleAmount item.adjudication(category=http://terminology.hl7.org/CodeSystem/adjudication|deductible).amount
Claim.Services.EndDate item.serviced
Claim.Services.HsaPaidAmount item.adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|paidbypatienthealthaccount).amount
Claim.Services.LocationType
Domain: ServiceLocation
item.location
Bindings:  https://www.cms.gov/Medicare/Coding/place-of-service-codes/Place_of_Service_Code_Set  http://terminology.hl7.org/CodeSystem/v3-ActCode  https://rosetta.careevolution.com/UBFacilityType
Claim.Services.Modifier1
Domain: BillingModifier
item.modifier
Bindings:  https://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets  http://snomed.info/sct
Claim.Services.Modifier2
Domain: BillingModifier
item.modifier
Bindings:  https://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets  http://snomed.info/sct
Claim.Services.Modifier3
Domain: BillingModifier
item.modifier
Bindings:  https://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets  http://snomed.info/sct
Claim.Services.Modifier4
Domain: BillingModifier
item.modifier
Bindings:  https://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets  http://snomed.info/sct
Claim.Services.Modifier5
Domain: BillingModifier
item.modifier
Bindings:  https://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets  http://snomed.info/sct
Claim.Services.NonPaymentReason
Domain: NonPaymentReason
item.adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudicationDiscriminator|adjustmentreason).reason
Bindings:  https://x12.org/codes/remittance-advice-remark-codes  https://x12.org/codes/claim-adjustment-reason-codes
Claim.Services.NotCoveredAmount item.adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|noncovered).amount
Claim.Services.PatientPaid item.adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|paidbypatient).amount
Claim.Services.PatientResponsibleAmount item.adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|memberliability).amount
Claim.Services.Problem1
Domain: DiagnosisCode
item.extension('http://careevolution.com/fhirextensions#explanationOfBenefitItem-problems')
Bindings:  http://snomed.info/sct  http://hl7.org/fhir/sid/icd-10-cm  http://hl7.org/fhir/sid/icd-9-cm
Claim.Services.Problem2
Domain: DiagnosisCode
item.extension('http://careevolution.com/fhirextensions#explanationOfBenefitItem-problems')
Bindings:  http://snomed.info/sct  http://hl7.org/fhir/sid/icd-10-cm  http://hl7.org/fhir/sid/icd-9-cm
Claim.Services.Problem3
Domain: DiagnosisCode
item.extension('http://careevolution.com/fhirextensions#explanationOfBenefitItem-problems')
Bindings:  http://snomed.info/sct  http://hl7.org/fhir/sid/icd-10-cm  http://hl7.org/fhir/sid/icd-9-cm
Claim.Services.Problem4
Domain: DiagnosisCode
item.extension('http://careevolution.com/fhirextensions#explanationOfBenefitItem-problems')
Bindings:  http://snomed.info/sct  http://hl7.org/fhir/sid/icd-10-cm  http://hl7.org/fhir/sid/icd-9-cm
Claim.Services.Properties item.extension
item.extension('http://careevolution.com/fhirextensions#properties')
Claim.Services.RevenueCode
Domain: RevenueCode
item.revenue
Bindings:  https://www.nubc.org/CodeSystem/RevenueCodes
Claim.Services.Sequence item.sequence
Claim.Services.ServiceCode
Domain: ServiceCode
item.productOrService
Bindings:  http://www.ada.org/cdt  http://snomed.info/sct  https://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets  http://www.cms.gov/Medicare/Coding/ICD10  http://hl7.org/fhir/sid/icd-9-cm
Claim.Services.StartDate item.serviced
Claim.Services.Status
Domain: ClaimServiceStatus
item.extension('http://careevolution.com/fhirextensions#explanationOfBenefitItem-status')
Claim.Services.Units item.quantity
Claim.StartDate billablePeriod
Claim.Status
Domain: ClaimStatus
status
Bindings:  valueset-explanationofbenefit-status
Claim.TotalAllowed adjudication(category=http://terminology.hl7.org/CodeSystem/adjudication|benefit).amount
total(category=http://terminology.hl7.org/CodeSystem/adjudication|benefit).amount
Claim.TotalCharges adjudication(category=http://terminology.hl7.org/CodeSystem/adjudication|submitted).amount
total(category=http://terminology.hl7.org/CodeSystem/adjudication|submitted).amount
Claim.TotalCoinsuranceAmount adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|coinsurance).amount
total(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|coinsurance).amount
Claim.TotalCopayAmount adjudication(category=http://terminology.hl7.org/CodeSystem/adjudication|copay).amount
total(category=http://terminology.hl7.org/CodeSystem/adjudication|copay).amount
Claim.TotalDeductibleAmount adjudication(category=http://terminology.hl7.org/CodeSystem/adjudication|deductible).amount
total(category=http://terminology.hl7.org/CodeSystem/adjudication|deductible).amount
Claim.TotalHsaPaidAmount adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|paidbypatienthealthaccount).amount
total(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|paidbypatienthealthaccount).amount
Claim.TotalNotCoveredAmount adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|noncovered).amount
total(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|noncovered).amount
Claim.TotalPaid adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|paidtoprovider).amount
total(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|paidtoprovider).amount
payment.amount
Claim.TotalPatientPaid adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|paidbypatient).amount
total(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|paidbypatient).amount
Claim.TotalPatientResponsibleAmount adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|memberliability).amount
total(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|memberliability).amount
Medications.AlternateIdentifier item.extension('http://careevolution.com/fhirextensions#explanationOfBenefitItem-alternateIdentifier')
Medications.AmountBilled item.adjudication(category=http://terminology.hl7.org/CodeSystem/adjudication|submitted).amount
item.net
Medications.AmountPaid item.adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|paidtoprovider).amount
Medications.CaregiverID item.extension('http://careevolution.com/fhirextensions#explanationOfBenefitItem-caregiverReference')
Medications.Comment item.detail.productOrService.coding.display
Medications.DataSource item.extension('http://careevolution.com/fhirextensions#dataSource')
Medications.Date item.serviced
Medications.DawCode
Domain: DispenseAsWritten
supportingInfo(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType|dawcode).code
Medications.DaysSupplied supportingInfo(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType|dayssupply).value
Medications.DispenseAsWritten supportingInfo(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType|dawcode).code
Medications.Dose item.extension('http://careevolution.com/fhirextensions#explanationOfBenefitItem-dose')
Medications.DoseUnits
Domain: MedicationProfileDoseUnits
item.extension('http://careevolution.com/fhirextensions#explanationOfBenefitItem-doseUnits')
Bindings:  http://unitsofmeasure.org
Medications.FilledByID item.extension('http://careevolution.com/fhirextensions#explanationOfBenefitItem-filledBy')
Medications.Frequency
Domain: MedicationProfileFrequency
item.extension('http://careevolution.com/fhirextensions#explanationOfBenefitItem-frequency')
Medications.Identifier item.sequence
Medications.IsGeneric item.extension('http://careevolution.com/fhirextensions#explanationOfBenefitItem-isGeneric')
Medications.PrescribedDate item.extension('http://careevolution.com/fhirextensions#explanationOfBenefitItem-prescribedDate')
Medications.Properties item.extension('http://careevolution.com/fhirextensions#properties')
Medications.Quantity item.quantity
Bindings:  http://unitsofmeasure.org
Medications.ReconcileStatus
Domain: ReconcileStatus
item.extension('http://careevolution.com/fhirextensions#explanationOfBenefitItem-reconcileStatus')
Medications.RefillNumber supportingInfo(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType|refillnum).value
Medications.Refills item.extension('http://careevolution.com/fhirextensions#explanationOfBenefitItem-refills')
supportingInfo(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType|refillsauthorized).value
Medications.Sequence item.sequence
Medications.Status
Domain: MedicationStatus
item.extension('http://careevolution.com/fhirextensions#explanationOfBenefitItem-status')
Medications.Strength item.extension('http://careevolution.com/fhirextensions#explanationOfBenefitItem-strength')
Medications.Term
Domain: MedicationType
item.productOrService
Bindings:  http://hl7.org/fhir/sid/cvx  http://hl7.org/fhir/sid/ndc  http://www.nlm.nih.gov/research/umls/rxnorm  http://snomed.info/sct
Medications.TherapeuticClass
Domain: TherapeuticClass
item.extension('http://careevolution.com/fhirextensions#explanationOfBenefitItem-therapeuticClass')
Medications.Units
Domain: MedicationUnits
item.quantity
Bindings:  http://unitsofmeasure.org

Inpatient profile to FHIR mappings

CareEvolution FHIR
AdjudicationDate extension('http://careevolution.com/fhirextensions#explanationOfBenefit-adjudicationDate')
created
AdmitDate supportingInfo(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType|admissionperiod).timing
AdmitSource
Domain: AdmitSource
supportingInfo(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType|pointoforigin).code
Bindings:  https://www.nubc.org/CodeSystem/PointOfOrigin  https://www.nubc.org/CodeSystem/PointOfOriginNewBorn
supportingInfo(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/ClaimInformationCategory|admsrc).code
Bindings:  https://www.nubc.org/CodeSystem/PointOfOrigin  https://www.nubc.org/CodeSystem/PointOfOriginNewBorn
AdmitType
Domain: AdmissionType
supportingInfo(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType|admtype).code
Bindings:  https://www.nubc.org/CodeSystem/PriorityTypeOfAdmitOrVisit  http://terminology.hl7.org/CodeSystem/v3-ActCode  https://www.cms.gov/Medicare/Coding/place-of-service-codes/Place_of_Service_Code_Set  https://rosetta.careevolution.com/UBFacilityType
AlternateIdentifier identifier
AuthorizationNumber preAuthRef
BillClass
Domain: BillClass
subType
Bindings:  ValueSet-C4BBInstitutionalClaimSubType
supportingInfo(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType|typeofbill).code
Bindings:  https://www.nubc.org/CodeSystem/TypeOfBill
CaregiverRelationships provider Maps CaregiverRelationships with RelationshipType=ClaimProvider
payee Maps CaregiverRelationships with RelationshipType=PayToProvider
CaregiverRelationships.CaregiverID careTeam.provider Excludes CaregiverRelationships with RelationshipType equal to ClaimProvider or PayToProvider
CaregiverRelationships.RelationshipType
Domain: CaregiverRelationshipType
careTeam.role
Bindings:  ValueSet-C4BBClaimInstitutionalCareTeamRole
Excludes CaregiverRelationships with RelationshipType equal to ClaimProvider or PayToProvider
CaregiverRelationships.Responsible careTeam.responsible Excludes CaregiverRelationships with RelationshipType equal to ClaimProvider or PayToProvider
ClaimSupportingInformation.EndDate supportingInfo.timing
ClaimSupportingInformation.Reason
Domain: SupportingInformationReason
supportingInfo.reason
ClaimSupportingInformation.Sequence supportingInfo.sequence
ClaimSupportingInformation.StartDate supportingInfo.timing
ClaimSupportingInformation.Term
Domain: SupportingInformationCode
supportingInfo.code
ClaimSupportingInformation.Type
Domain: SupportingInformationType
supportingInfo.category
Bindings:  ValueSet-C4BBSupportingInfoType
ClaimSupportingInformation.Value supportingInfo.value
ClaimType
Domain: ClaimType
type
Bindings:  valueset-claim-type
subType
Bindings:  ValueSet-C4BBInstitutionalClaimSubType
Comment text
ControlNumber extension('http://careevolution.com/fhirextensions#explanationOfBenefit-controlNumber')
CreatedDate created
DischargeDate supportingInfo(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType|admissionperiod).timing
Disposition
Domain: ClaimDisposition
extension('http://careevolution.com/fhirextensions#explanationOfBenefit-disposition')
Drg
Domain: ClaimDrg
supportingInfo(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType|drg).code
Bindings:  https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/MS-DRG-Classifications-and-Software  https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/MS-DRG-Classifications-and-Software  https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/MS-DRG-Classifications-and-Software  https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/MS-DRG-Classifications-and-Software  https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/MS-DRG-Classifications-and-Software  https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/MS-DRG-Classifications-and-Software
EncounterID extension('http://careevolution.com/fhirextensions#explanationOfBenefit-encounterID')
EndDate billablePeriod
FacilityType
Domain: FacilityType
supportingInfo(category=http://careevolution.com/fhir/SupportingInfo|placeofservice).code
Bindings:  https://www.cms.gov/Medicare/Coding/place-of-service-codes/Place_of_Service_Code_Set  http://terminology.hl7.org/CodeSystem/v3-ActCode  https://rosetta.careevolution.com/UBFacilityType
Identifier identifier
InNetwork total.category
Bindings:  ValueSet-C4BBPayerBenefitPaymentStatus
adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudicationDiscriminator|benefitpaymentstatus).reason
Bindings:  ValueSet-C4BBPayerBenefitPaymentStatus
InsuranceID insurance.coverage
insurer
InsuranceIdentifier insurance.coverage
insurer
Mrn extension('http://careevolution.com/fhirextensions#explanationOfBenefit-mrn')
NonPaymentReason
Domain: NonPaymentReason
adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudicationDiscriminator|adjustmentreason).reason
Bindings:  https://x12.org/codes/remittance-advice-remark-codes  https://x12.org/codes/claim-adjustment-reason-codes
PaidDate payment.date
PatientID patient
PatientStatus
Domain: PatientStatus
supportingInfo(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType|discharge-status).code
Problems.Date diagnosis.extension('http://careevolution.com/fhirextensions#claim-problemDate')
Problems.OnAdmission
Domain: DiagnosisStatusOnAdmission
diagnosis.onAdmission
Bindings:  http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical
Problems.Sequence diagnosis.sequence
Problems.Term
Domain: DiagnosisCode
diagnosis.diagnosis
Bindings:  http://snomed.info/sct  http://hl7.org/fhir/sid/icd-10-cm  http://hl7.org/fhir/sid/icd-9-cm
Problems.Type
Domain: DiagnosisType
diagnosis.type
Bindings:  CodeSystem-C4BBClaimDiagnosisType
Procedures.Date procedure.date
Procedures.Sequence procedure.sequence
Procedures.Term
Domain: ProcedureCode
procedure.procedure
Bindings:  http://www.ada.org/cdt  http://snomed.info/sct  https://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets  http://www.cms.gov/Medicare/Coding/ICD10  http://hl7.org/fhir/sid/icd-9-cm
Procedures.Type
Domain: ProcedureType
procedure.type
Bindings:  ValueSet-C4BBClaimProcedureType
Properties extension('http://careevolution.com/fhirextensions#properties')
Property('FacilityNpi') facility.identifier
Property('FHIRExplanationOfBenefitDisposition') disposition
Property('OriginalClaimNumber') related
ReferralID extension('http://careevolution.com/fhirextensions#explanationOfBenefit-referralReference')
Revision extension('http://careevolution.com/fhirextensions#explanationOfBenefit-claimRevision')
Services.AllowedAmount item.adjudication(category=http://terminology.hl7.org/CodeSystem/adjudication|benefit).amount
Services.AmountClaimed item.adjudication(category=http://terminology.hl7.org/CodeSystem/adjudication|submitted).amount
item.net
Services.AmountPaid item.adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|paidtoprovider).amount
Services.CaregiverRelationships.CaregiverID careTeam.provider
Services.CaregiverRelationships.RelationshipType
Domain: CaregiverRelationshipType
careTeam.role
Bindings:  ValueSet-C4BBClaimInstitutionalCareTeamRole
Services.CaregiverRelationships.Responsible careTeam.responsible
Services.CoinsuranceAmount item.adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|coinsurance).amount
Services.Comment item.extension('http://careevolution.com/fhirextensions#explanationOfBenefitItem-comment')
Services.CopayAmount item.adjudication(category=http://terminology.hl7.org/CodeSystem/adjudication|copay).amount
Services.DeductibleAmount item.adjudication(category=http://terminology.hl7.org/CodeSystem/adjudication|deductible).amount
Services.EndDate item.serviced
Services.HsaPaidAmount item.adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|paidbypatienthealthaccount).amount
Services.LocationType
Domain: ServiceLocation
item.location
Bindings:  https://www.cms.gov/Medicare/Coding/place-of-service-codes/Place_of_Service_Code_Set  http://terminology.hl7.org/CodeSystem/v3-ActCode  https://rosetta.careevolution.com/UBFacilityType
Services.Modifier1
Domain: BillingModifier
item.modifier
Bindings:  https://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets  http://snomed.info/sct
Services.Modifier2
Domain: BillingModifier
item.modifier
Bindings:  https://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets  http://snomed.info/sct
Services.Modifier3
Domain: BillingModifier
item.modifier
Bindings:  https://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets  http://snomed.info/sct
Services.Modifier4
Domain: BillingModifier
item.modifier
Bindings:  https://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets  http://snomed.info/sct
Services.Modifier5
Domain: BillingModifier
item.modifier
Bindings:  https://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets  http://snomed.info/sct
Services.NonPaymentReason
Domain: NonPaymentReason
item.adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudicationDiscriminator|adjustmentreason).reason
Bindings:  https://x12.org/codes/remittance-advice-remark-codes  https://x12.org/codes/claim-adjustment-reason-codes
Services.NotCoveredAmount item.adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|noncovered).amount
Services.PatientPaid item.adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|paidbypatient).amount
Services.PatientResponsibleAmount item.adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|memberliability).amount
Services.Problem1
Domain: DiagnosisCode
item.extension('http://careevolution.com/fhirextensions#explanationOfBenefitItem-problems')
Bindings:  http://snomed.info/sct  http://hl7.org/fhir/sid/icd-10-cm  http://hl7.org/fhir/sid/icd-9-cm
Services.Problem2
Domain: DiagnosisCode
item.extension('http://careevolution.com/fhirextensions#explanationOfBenefitItem-problems')
Bindings:  http://snomed.info/sct  http://hl7.org/fhir/sid/icd-10-cm  http://hl7.org/fhir/sid/icd-9-cm
Services.Problem3
Domain: DiagnosisCode
item.extension('http://careevolution.com/fhirextensions#explanationOfBenefitItem-problems')
Bindings:  http://snomed.info/sct  http://hl7.org/fhir/sid/icd-10-cm  http://hl7.org/fhir/sid/icd-9-cm
Services.Problem4
Domain: DiagnosisCode
item.extension('http://careevolution.com/fhirextensions#explanationOfBenefitItem-problems')
Bindings:  http://snomed.info/sct  http://hl7.org/fhir/sid/icd-10-cm  http://hl7.org/fhir/sid/icd-9-cm
Services.Properties item.extension('http://careevolution.com/fhirextensions#properties')
Services.RevenueCode
Domain: RevenueCode
item.revenue
Bindings:  https://www.nubc.org/CodeSystem/RevenueCodes
Services.Sequence item.sequence
Services.ServiceCode
Domain: ServiceCode
item.productOrService
Bindings:  http://www.ada.org/cdt  http://snomed.info/sct  https://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets  http://www.cms.gov/Medicare/Coding/ICD10  http://hl7.org/fhir/sid/icd-9-cm
Services.StartDate item.serviced
Services.Status
Domain: ClaimServiceStatus
item.extension('http://careevolution.com/fhirextensions#explanationOfBenefitItem-status')
Services.Units item.quantity
StartDate billablePeriod
Status
Domain: ClaimStatus
status
Bindings:  valueset-explanationofbenefit-status
Status payment.type
Bindings:  ValueSet-C4BBPayerClaimPaymentStatusCode
TotalAllowed adjudication(category=http://terminology.hl7.org/CodeSystem/adjudication|benefit).amount
total(category=http://terminology.hl7.org/CodeSystem/adjudication|benefit).amount
TotalCharges adjudication(category=http://terminology.hl7.org/CodeSystem/adjudication|submitted).amount
total(category=http://terminology.hl7.org/CodeSystem/adjudication|submitted).amount
TotalCoinsuranceAmount adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|coinsurance).amount
total(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|coinsurance).amount
TotalCopayAmount adjudication(category=http://terminology.hl7.org/CodeSystem/adjudication|copay).amount
total(category=http://terminology.hl7.org/CodeSystem/adjudication|copay).amount
TotalDeductibleAmount adjudication(category=http://terminology.hl7.org/CodeSystem/adjudication|deductible).amount
total(category=http://terminology.hl7.org/CodeSystem/adjudication|deductible).amount
TotalHsaPaidAmount adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|paidbypatienthealthaccount).amount
total(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|paidbypatienthealthaccount).amount
TotalNotCoveredAmount adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|noncovered).amount
total(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|noncovered).amount
TotalPaid adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|paidtoprovider).amount
total(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|paidtoprovider).amount
payment.amount
TotalPatientPaid adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|paidbypatient).amount
total(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|paidbypatient).amount
TotalPatientResponsibleAmount adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|memberliability).amount
total(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|memberliability).amount

Inpatient profile from FHIR mappings

CareEvolution FHIR
AdjudicationDate extension('http://careevolution.com/fhirextensions#explanationOfBenefit-adjudicationDate')
AdmitDate supportingInfo(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType|admissionperiod).timing
AdmitSource
Domain: AdmitSource
supportingInfo(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType|pointoforigin).code
Bindings:  https://www.nubc.org/CodeSystem/PointOfOrigin  https://www.nubc.org/CodeSystem/PointOfOriginNewBorn
supportingInfo(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/ClaimInformationCategory|admsrc).code
Bindings:  https://www.nubc.org/CodeSystem/PointOfOrigin  https://www.nubc.org/CodeSystem/PointOfOriginNewBorn
AdmitType
Domain: AdmissionType
supportingInfo(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType|admtype).code
Bindings:  https://www.nubc.org/CodeSystem/PriorityTypeOfAdmitOrVisit  http://terminology.hl7.org/CodeSystem/v3-ActCode  https://www.cms.gov/Medicare/Coding/place-of-service-codes/Place_of_Service_Code_Set  https://rosetta.careevolution.com/UBFacilityType
AlternateIdentifier identifier
AuthorizationNumber preAuthRef
BillClass
Domain: BillClass
supportingInfo(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType|typeofbill).code
Bindings:  https://www.nubc.org/CodeSystem/TypeOfBill
CaregiverRelationships provider Maps CaregiverRelationships with RelationshipType=ClaimProvider
payee Maps CaregiverRelationships with RelationshipType=PayToProvider
CaregiverRelationships.CaregiverID careTeam.provider
CaregiverRelationships.RelationshipType
Domain: CaregiverRelationshipType
careTeam.role
Bindings:  ValueSet-C4BBClaimInstitutionalCareTeamRole
CaregiverRelationships.Responsible careTeam.responsible
ClaimSupportingInformation.EndDate supportingInfo.timing
ClaimSupportingInformation.Reason
Domain: SupportingInformationReason
supportingInfo.reason
ClaimSupportingInformation.Sequence supportingInfo.sequence
ClaimSupportingInformation.StartDate supportingInfo.timing
ClaimSupportingInformation.Term
Domain: SupportingInformationCode
supportingInfo.code
ClaimSupportingInformation.Type
Domain: SupportingInformationType
supportingInfo.category
Bindings:  ValueSet-C4BBSupportingInfoType
ClaimSupportingInformation.Value supportingInfo.value
ClaimType
Domain: ClaimType
type
Bindings:  valueset-claim-type
Comment text
ControlNumber extension('http://careevolution.com/fhirextensions#explanationOfBenefit-controlNumber')
CreatedDate created
DischargeDate supportingInfo(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType|admissionperiod).timing
Disposition
Domain: ClaimDisposition
extension('http://careevolution.com/fhirextensions#explanationOfBenefit-disposition')
Drg
Domain: ClaimDrg
supportingInfo(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType|drg).code
Bindings:  https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/MS-DRG-Classifications-and-Software  https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/MS-DRG-Classifications-and-Software  https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/MS-DRG-Classifications-and-Software  https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/MS-DRG-Classifications-and-Software  https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/MS-DRG-Classifications-and-Software  https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/MS-DRG-Classifications-and-Software
EncounterID extension('http://careevolution.com/fhirextensions#explanationOfBenefit-encounterID')
EndDate billablePeriod
FacilityType
Domain: FacilityType
supportingInfo(category=http://careevolution.com/fhir/SupportingInfo|placeofservice).code
Bindings:  https://www.cms.gov/Medicare/Coding/place-of-service-codes/Place_of_Service_Code_Set  http://terminology.hl7.org/CodeSystem/v3-ActCode  https://rosetta.careevolution.com/UBFacilityType
Identifier identifier
id
InNetwork total.category
Bindings:  ValueSet-C4BBPayerBenefitPaymentStatus
adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudicationDiscriminator|benefitpaymentstatus).reason
Bindings:  ValueSet-C4BBPayerBenefitPaymentStatus
InsuranceID insurance.coverage
insurer
InsuranceIdentifier insurance.coverage
insurer
Mrn extension('http://careevolution.com/fhirextensions#explanationOfBenefit-mrn')
NonPaymentReason
Domain: NonPaymentReason
adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudicationDiscriminator|adjustmentreason).reason
Bindings:  https://x12.org/codes/remittance-advice-remark-codes  https://x12.org/codes/claim-adjustment-reason-codes
PaidDate payment.date
PatientID patient
PatientStatus
Domain: PatientStatus
supportingInfo(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType|discharge-status).code
Problems.Date diagnosis.extension('http://careevolution.com/fhirextensions#claim-problemDate')
Problems.OnAdmission
Domain: DiagnosisStatusOnAdmission
diagnosis.onAdmission
Bindings:  http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical
Problems.Sequence diagnosis.sequence
Problems.Term
Domain: DiagnosisCode
diagnosis.diagnosis
Bindings:  http://snomed.info/sct  http://hl7.org/fhir/sid/icd-10-cm  http://hl7.org/fhir/sid/icd-9-cm
Problems.Type
Domain: DiagnosisType
diagnosis.type
Bindings:  CodeSystem-C4BBClaimDiagnosisType
Procedures.Date procedure.date
Procedures.Sequence procedure.sequence
Procedures.Term
Domain: ProcedureCode
procedure.procedure
Bindings:  http://www.ada.org/cdt  http://snomed.info/sct  https://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets  http://www.cms.gov/Medicare/Coding/ICD10  http://hl7.org/fhir/sid/icd-9-cm
Procedures.Type
Domain: ProcedureType
procedure.type
Bindings:  ValueSet-C4BBClaimProcedureType
Properties extension('http://careevolution.com/fhirextensions#properties')
extension
benefitBalance.financial.used
Property('FacilityNpi') facility.identifier
Property('FHIRExplanationOfBenefitDisposition') disposition
Property('OriginalClaimNumber') related
ReferralID extension('http://careevolution.com/fhirextensions#explanationOfBenefit-referralReference')
Revision extension('http://careevolution.com/fhirextensions#explanationOfBenefit-claimRevision')
Services.AllowedAmount item.adjudication(category=http://terminology.hl7.org/CodeSystem/adjudication|benefit).amount
Services.AmountClaimed item.adjudication(category=http://terminology.hl7.org/CodeSystem/adjudication|submitted).amount
item.net
Services.AmountPaid item.adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|paidtoprovider).amount
Services.CaregiverRelationships.CaregiverID careTeam.provider
Services.CaregiverRelationships.RelationshipType
Domain: CaregiverRelationshipType
careTeam.role
Bindings:  ValueSet-C4BBClaimInstitutionalCareTeamRole
Services.CaregiverRelationships.Responsible careTeam.responsible
Services.CoinsuranceAmount item.adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|coinsurance).amount
Services.Comment item.extension('http://careevolution.com/fhirextensions#explanationOfBenefitItem-comment')
Services.CopayAmount item.adjudication(category=http://terminology.hl7.org/CodeSystem/adjudication|copay).amount
Services.DeductibleAmount item.adjudication(category=http://terminology.hl7.org/CodeSystem/adjudication|deductible).amount
Services.EndDate item.serviced
Services.HsaPaidAmount item.adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|paidbypatienthealthaccount).amount
Services.LocationType
Domain: ServiceLocation
item.location
Bindings:  https://www.cms.gov/Medicare/Coding/place-of-service-codes/Place_of_Service_Code_Set  http://terminology.hl7.org/CodeSystem/v3-ActCode  https://rosetta.careevolution.com/UBFacilityType
Services.Modifier1
Domain: BillingModifier
item.modifier
Bindings:  https://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets  http://snomed.info/sct
Services.Modifier2
Domain: BillingModifier
item.modifier
Bindings:  https://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets  http://snomed.info/sct
Services.Modifier3
Domain: BillingModifier
item.modifier
Bindings:  https://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets  http://snomed.info/sct
Services.Modifier4
Domain: BillingModifier
item.modifier
Bindings:  https://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets  http://snomed.info/sct
Services.Modifier5
Domain: BillingModifier
item.modifier
Bindings:  https://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets  http://snomed.info/sct
Services.NonPaymentReason
Domain: NonPaymentReason
item.adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudicationDiscriminator|adjustmentreason).reason
Bindings:  https://x12.org/codes/remittance-advice-remark-codes  https://x12.org/codes/claim-adjustment-reason-codes
Services.NotCoveredAmount item.adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|noncovered).amount
Services.PatientPaid item.adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|paidbypatient).amount
Services.PatientResponsibleAmount item.adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|memberliability).amount
Services.Problem1
Domain: DiagnosisCode
item.extension('http://careevolution.com/fhirextensions#explanationOfBenefitItem-problems')
Bindings:  http://snomed.info/sct  http://hl7.org/fhir/sid/icd-10-cm  http://hl7.org/fhir/sid/icd-9-cm
Services.Problem2
Domain: DiagnosisCode
item.extension('http://careevolution.com/fhirextensions#explanationOfBenefitItem-problems')
Bindings:  http://snomed.info/sct  http://hl7.org/fhir/sid/icd-10-cm  http://hl7.org/fhir/sid/icd-9-cm
Services.Problem3
Domain: DiagnosisCode
item.extension('http://careevolution.com/fhirextensions#explanationOfBenefitItem-problems')
Bindings:  http://snomed.info/sct  http://hl7.org/fhir/sid/icd-10-cm  http://hl7.org/fhir/sid/icd-9-cm
Services.Problem4
Domain: DiagnosisCode
item.extension('http://careevolution.com/fhirextensions#explanationOfBenefitItem-problems')
Bindings:  http://snomed.info/sct  http://hl7.org/fhir/sid/icd-10-cm  http://hl7.org/fhir/sid/icd-9-cm
Services.Properties item.extension
item.extension('http://careevolution.com/fhirextensions#properties')
Services.RevenueCode
Domain: RevenueCode
item.revenue
Bindings:  https://www.nubc.org/CodeSystem/RevenueCodes
Services.Sequence item.sequence
Services.ServiceCode
Domain: ServiceCode
item.productOrService
Bindings:  http://www.ada.org/cdt  http://snomed.info/sct  https://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets  http://www.cms.gov/Medicare/Coding/ICD10  http://hl7.org/fhir/sid/icd-9-cm
Services.StartDate item.serviced
Services.Status
Domain: ClaimServiceStatus
item.extension('http://careevolution.com/fhirextensions#explanationOfBenefitItem-status')
Services.Units item.quantity
StartDate billablePeriod
Status
Domain: ClaimStatus
status
Bindings:  valueset-explanationofbenefit-status
TotalAllowed adjudication(category=http://terminology.hl7.org/CodeSystem/adjudication|benefit).amount
total(category=http://terminology.hl7.org/CodeSystem/adjudication|benefit).amount
TotalCharges adjudication(category=http://terminology.hl7.org/CodeSystem/adjudication|submitted).amount
total(category=http://terminology.hl7.org/CodeSystem/adjudication|submitted).amount
TotalCoinsuranceAmount adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|coinsurance).amount
total(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|coinsurance).amount
TotalCopayAmount adjudication(category=http://terminology.hl7.org/CodeSystem/adjudication|copay).amount
total(category=http://terminology.hl7.org/CodeSystem/adjudication|copay).amount
TotalDeductibleAmount adjudication(category=http://terminology.hl7.org/CodeSystem/adjudication|deductible).amount
total(category=http://terminology.hl7.org/CodeSystem/adjudication|deductible).amount
TotalHsaPaidAmount adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|paidbypatienthealthaccount).amount
total(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|paidbypatienthealthaccount).amount
TotalNotCoveredAmount adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|noncovered).amount
total(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|noncovered).amount
TotalPaid adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|paidtoprovider).amount
total(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|paidtoprovider).amount
payment.amount
TotalPatientPaid adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|paidbypatient).amount
total(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|paidbypatient).amount
TotalPatientResponsibleAmount adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|memberliability).amount
total(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|memberliability).amount

Outpatient profile to FHIR mappings

CareEvolution FHIR
AdjudicationDate extension('http://careevolution.com/fhirextensions#explanationOfBenefit-adjudicationDate')
created
AdmitDate supportingInfo(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType|admissionperiod).timing
AdmitSource
Domain: AdmitSource
supportingInfo(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType|pointoforigin).code
Bindings:  https://www.nubc.org/CodeSystem/PointOfOrigin  https://www.nubc.org/CodeSystem/PointOfOriginNewBorn
supportingInfo(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/ClaimInformationCategory|admsrc).code
Bindings:  https://www.nubc.org/CodeSystem/PointOfOrigin  https://www.nubc.org/CodeSystem/PointOfOriginNewBorn
AdmitType
Domain: AdmissionType
supportingInfo(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType|admtype).code
Bindings:  https://www.nubc.org/CodeSystem/PriorityTypeOfAdmitOrVisit  http://terminology.hl7.org/CodeSystem/v3-ActCode  https://www.cms.gov/Medicare/Coding/place-of-service-codes/Place_of_Service_Code_Set  https://rosetta.careevolution.com/UBFacilityType
AlternateIdentifier identifier
AuthorizationNumber preAuthRef
BillClass
Domain: BillClass
subType
Bindings:  ValueSet-C4BBInstitutionalClaimSubType
supportingInfo(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType|typeofbill).code
Bindings:  https://www.nubc.org/CodeSystem/TypeOfBill
CaregiverRelationships provider Maps CaregiverRelationships with RelationshipType=ClaimProvider
payee Maps CaregiverRelationships with RelationshipType=PayToProvider
CaregiverRelationships.CaregiverID careTeam.provider Excludes CaregiverRelationships with RelationshipType equal to ClaimProvider or PayToProvider
CaregiverRelationships.RelationshipType
Domain: CaregiverRelationshipType
careTeam.role
Bindings:  ValueSet-C4BBClaimInstitutionalCareTeamRole
Excludes CaregiverRelationships with RelationshipType equal to ClaimProvider or PayToProvider
CaregiverRelationships.Responsible careTeam.responsible Excludes CaregiverRelationships with RelationshipType equal to ClaimProvider or PayToProvider
ClaimSupportingInformation.EndDate supportingInfo.timing
ClaimSupportingInformation.Reason
Domain: SupportingInformationReason
supportingInfo.reason
ClaimSupportingInformation.Sequence supportingInfo.sequence
ClaimSupportingInformation.StartDate supportingInfo.timing
ClaimSupportingInformation.Term
Domain: SupportingInformationCode
supportingInfo.code
ClaimSupportingInformation.Type
Domain: SupportingInformationType
supportingInfo.category
Bindings:  ValueSet-C4BBSupportingInfoType
ClaimSupportingInformation.Value supportingInfo.value
ClaimType
Domain: ClaimType
type
Bindings:  valueset-claim-type
subType
Bindings:  ValueSet-C4BBInstitutionalClaimSubType
Comment text
ControlNumber extension('http://careevolution.com/fhirextensions#explanationOfBenefit-controlNumber')
CreatedDate created
DischargeDate supportingInfo(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType|admissionperiod).timing
Disposition
Domain: ClaimDisposition
extension('http://careevolution.com/fhirextensions#explanationOfBenefit-disposition')
Drg
Domain: ClaimDrg
supportingInfo(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType|drg).code
Bindings:  https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/MS-DRG-Classifications-and-Software  https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/MS-DRG-Classifications-and-Software  https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/MS-DRG-Classifications-and-Software  https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/MS-DRG-Classifications-and-Software  https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/MS-DRG-Classifications-and-Software  https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/MS-DRG-Classifications-and-Software
EncounterID extension('http://careevolution.com/fhirextensions#explanationOfBenefit-encounterID')
EndDate billablePeriod
FacilityType
Domain: FacilityType
supportingInfo(category=http://careevolution.com/fhir/SupportingInfo|placeofservice).code
Bindings:  https://www.cms.gov/Medicare/Coding/place-of-service-codes/Place_of_Service_Code_Set  http://terminology.hl7.org/CodeSystem/v3-ActCode  https://rosetta.careevolution.com/UBFacilityType
Identifier identifier
InNetwork total.category
Bindings:  ValueSet-C4BBPayerBenefitPaymentStatus
adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudicationDiscriminator|benefitpaymentstatus).reason
Bindings:  ValueSet-C4BBPayerBenefitPaymentStatus
InsuranceID insurance.coverage
insurer
InsuranceIdentifier insurance.coverage
insurer
Mrn extension('http://careevolution.com/fhirextensions#explanationOfBenefit-mrn')
NonPaymentReason
Domain: NonPaymentReason
adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudicationDiscriminator|adjustmentreason).reason
Bindings:  https://x12.org/codes/remittance-advice-remark-codes  https://x12.org/codes/claim-adjustment-reason-codes
PaidDate payment.date
PatientID patient
PatientStatus
Domain: PatientStatus
supportingInfo(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType|discharge-status).code
Problems.Date diagnosis.extension('http://careevolution.com/fhirextensions#claim-problemDate')
Problems.OnAdmission
Domain: DiagnosisStatusOnAdmission
diagnosis.onAdmission
Bindings:  http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical
Problems.Sequence diagnosis.sequence
Problems.Term
Domain: DiagnosisCode
diagnosis.diagnosis
Bindings:  http://snomed.info/sct  http://hl7.org/fhir/sid/icd-10-cm  http://hl7.org/fhir/sid/icd-9-cm
Problems.Type
Domain: DiagnosisType
diagnosis.type
Bindings:  CodeSystem-C4BBClaimDiagnosisType
Procedures.Date procedure.date
Procedures.Sequence procedure.sequence
Procedures.Term
Domain: ProcedureCode
procedure.procedure
Bindings:  http://www.ada.org/cdt  http://snomed.info/sct  https://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets  http://www.cms.gov/Medicare/Coding/ICD10  http://hl7.org/fhir/sid/icd-9-cm
Procedures.Type
Domain: ProcedureType
procedure.type
Bindings:  ValueSet-C4BBClaimProcedureType
Properties extension('http://careevolution.com/fhirextensions#properties')
Property('FacilityNpi') facility.identifier
Property('FHIRExplanationOfBenefitDisposition') disposition
Property('OriginalClaimNumber') related
ReferralID extension('http://careevolution.com/fhirextensions#explanationOfBenefit-referralReference')
Revision extension('http://careevolution.com/fhirextensions#explanationOfBenefit-claimRevision')
Services.AllowedAmount item.adjudication(category=http://terminology.hl7.org/CodeSystem/adjudication|benefit).amount
Services.AmountClaimed item.adjudication(category=http://terminology.hl7.org/CodeSystem/adjudication|submitted).amount
item.net
Services.AmountPaid item.adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|paidtoprovider).amount
Services.CaregiverRelationships.CaregiverID careTeam.provider
Services.CaregiverRelationships.RelationshipType
Domain: CaregiverRelationshipType
careTeam.role
Bindings:  ValueSet-C4BBClaimInstitutionalCareTeamRole
Services.CaregiverRelationships.Responsible careTeam.responsible
Services.CoinsuranceAmount item.adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|coinsurance).amount
Services.Comment item.extension('http://careevolution.com/fhirextensions#explanationOfBenefitItem-comment')
Services.CopayAmount item.adjudication(category=http://terminology.hl7.org/CodeSystem/adjudication|copay).amount
Services.DeductibleAmount item.adjudication(category=http://terminology.hl7.org/CodeSystem/adjudication|deductible).amount
Services.EndDate item.serviced
Services.HsaPaidAmount item.adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|paidbypatienthealthaccount).amount
Services.LocationType
Domain: ServiceLocation
item.location
Bindings:  https://www.cms.gov/Medicare/Coding/place-of-service-codes/Place_of_Service_Code_Set  http://terminology.hl7.org/CodeSystem/v3-ActCode  https://rosetta.careevolution.com/UBFacilityType
Services.Modifier1
Domain: BillingModifier
item.modifier
Bindings:  https://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets  http://snomed.info/sct
Services.Modifier2
Domain: BillingModifier
item.modifier
Bindings:  https://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets  http://snomed.info/sct
Services.Modifier3
Domain: BillingModifier
item.modifier
Bindings:  https://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets  http://snomed.info/sct
Services.Modifier4
Domain: BillingModifier
item.modifier
Bindings:  https://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets  http://snomed.info/sct
Services.Modifier5
Domain: BillingModifier
item.modifier
Bindings:  https://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets  http://snomed.info/sct
Services.NonPaymentReason
Domain: NonPaymentReason
item.adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudicationDiscriminator|adjustmentreason).reason
Bindings:  https://x12.org/codes/remittance-advice-remark-codes  https://x12.org/codes/claim-adjustment-reason-codes
Services.NotCoveredAmount item.adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|noncovered).amount
Services.PatientPaid item.adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|paidbypatient).amount
Services.PatientResponsibleAmount item.adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|memberliability).amount
Services.Problem1
Domain: DiagnosisCode
item.extension('http://careevolution.com/fhirextensions#explanationOfBenefitItem-problems')
Bindings:  http://snomed.info/sct  http://hl7.org/fhir/sid/icd-10-cm  http://hl7.org/fhir/sid/icd-9-cm
Services.Problem2
Domain: DiagnosisCode
item.extension('http://careevolution.com/fhirextensions#explanationOfBenefitItem-problems')
Bindings:  http://snomed.info/sct  http://hl7.org/fhir/sid/icd-10-cm  http://hl7.org/fhir/sid/icd-9-cm
Services.Problem3
Domain: DiagnosisCode
item.extension('http://careevolution.com/fhirextensions#explanationOfBenefitItem-problems')
Bindings:  http://snomed.info/sct  http://hl7.org/fhir/sid/icd-10-cm  http://hl7.org/fhir/sid/icd-9-cm
Services.Problem4
Domain: DiagnosisCode
item.extension('http://careevolution.com/fhirextensions#explanationOfBenefitItem-problems')
Bindings:  http://snomed.info/sct  http://hl7.org/fhir/sid/icd-10-cm  http://hl7.org/fhir/sid/icd-9-cm
Services.Properties item.extension('http://careevolution.com/fhirextensions#properties')
Services.RevenueCode
Domain: RevenueCode
item.revenue
Bindings:  https://www.nubc.org/CodeSystem/RevenueCodes
Services.Sequence item.sequence
Services.ServiceCode
Domain: ServiceCode
item.productOrService
Bindings:  http://www.ada.org/cdt  http://snomed.info/sct  https://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets  http://www.cms.gov/Medicare/Coding/ICD10  http://hl7.org/fhir/sid/icd-9-cm
Services.StartDate item.serviced
Services.Status
Domain: ClaimServiceStatus
item.extension('http://careevolution.com/fhirextensions#explanationOfBenefitItem-status')
Services.Units item.quantity
StartDate billablePeriod
Status
Domain: ClaimStatus
status
Bindings:  valueset-explanationofbenefit-status
Status payment.type
Bindings:  ValueSet-C4BBPayerClaimPaymentStatusCode
TotalAllowed adjudication(category=http://terminology.hl7.org/CodeSystem/adjudication|benefit).amount
total(category=http://terminology.hl7.org/CodeSystem/adjudication|benefit).amount
TotalCharges adjudication(category=http://terminology.hl7.org/CodeSystem/adjudication|submitted).amount
total(category=http://terminology.hl7.org/CodeSystem/adjudication|submitted).amount
TotalCoinsuranceAmount adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|coinsurance).amount
total(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|coinsurance).amount
TotalCopayAmount adjudication(category=http://terminology.hl7.org/CodeSystem/adjudication|copay).amount
total(category=http://terminology.hl7.org/CodeSystem/adjudication|copay).amount
TotalDeductibleAmount adjudication(category=http://terminology.hl7.org/CodeSystem/adjudication|deductible).amount
total(category=http://terminology.hl7.org/CodeSystem/adjudication|deductible).amount
TotalHsaPaidAmount adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|paidbypatienthealthaccount).amount
total(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|paidbypatienthealthaccount).amount
TotalNotCoveredAmount adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|noncovered).amount
total(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|noncovered).amount
TotalPaid adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|paidtoprovider).amount
total(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|paidtoprovider).amount
payment.amount
TotalPatientPaid adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|paidbypatient).amount
total(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|paidbypatient).amount
TotalPatientResponsibleAmount adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|memberliability).amount
total(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|memberliability).amount

Outpatient profile from FHIR mappings

CareEvolution FHIR
AdjudicationDate extension('http://careevolution.com/fhirextensions#explanationOfBenefit-adjudicationDate')
AdmitDate supportingInfo(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType|admissionperiod).timing
AdmitSource
Domain: AdmitSource
supportingInfo(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType|pointoforigin).code
Bindings:  https://www.nubc.org/CodeSystem/PointOfOrigin  https://www.nubc.org/CodeSystem/PointOfOriginNewBorn
supportingInfo(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/ClaimInformationCategory|admsrc).code
Bindings:  https://www.nubc.org/CodeSystem/PointOfOrigin  https://www.nubc.org/CodeSystem/PointOfOriginNewBorn
AdmitType
Domain: AdmissionType
supportingInfo(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType|admtype).code
Bindings:  https://www.nubc.org/CodeSystem/PriorityTypeOfAdmitOrVisit  http://terminology.hl7.org/CodeSystem/v3-ActCode  https://www.cms.gov/Medicare/Coding/place-of-service-codes/Place_of_Service_Code_Set  https://rosetta.careevolution.com/UBFacilityType
AlternateIdentifier identifier
AuthorizationNumber preAuthRef
BillClass
Domain: BillClass
supportingInfo(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType|typeofbill).code
Bindings:  https://www.nubc.org/CodeSystem/TypeOfBill
CaregiverRelationships provider Maps CaregiverRelationships with RelationshipType=ClaimProvider
payee Maps CaregiverRelationships with RelationshipType=PayToProvider
CaregiverRelationships.CaregiverID careTeam.provider
CaregiverRelationships.RelationshipType
Domain: CaregiverRelationshipType
careTeam.role
Bindings:  ValueSet-C4BBClaimInstitutionalCareTeamRole
CaregiverRelationships.Responsible careTeam.responsible
ClaimSupportingInformation.EndDate supportingInfo.timing
ClaimSupportingInformation.Reason
Domain: SupportingInformationReason
supportingInfo.reason
ClaimSupportingInformation.Sequence supportingInfo.sequence
ClaimSupportingInformation.StartDate supportingInfo.timing
ClaimSupportingInformation.Term
Domain: SupportingInformationCode
supportingInfo.code
ClaimSupportingInformation.Type
Domain: SupportingInformationType
supportingInfo.category
Bindings:  ValueSet-C4BBSupportingInfoType
ClaimSupportingInformation.Value supportingInfo.value
ClaimType
Domain: ClaimType
type
Bindings:  valueset-claim-type
Comment text
ControlNumber extension('http://careevolution.com/fhirextensions#explanationOfBenefit-controlNumber')
CreatedDate created
DischargeDate supportingInfo(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType|admissionperiod).timing
Disposition
Domain: ClaimDisposition
extension('http://careevolution.com/fhirextensions#explanationOfBenefit-disposition')
Drg
Domain: ClaimDrg
supportingInfo(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType|drg).code
Bindings:  https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/MS-DRG-Classifications-and-Software  https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/MS-DRG-Classifications-and-Software  https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/MS-DRG-Classifications-and-Software  https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/MS-DRG-Classifications-and-Software  https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/MS-DRG-Classifications-and-Software  https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/MS-DRG-Classifications-and-Software
EncounterID extension('http://careevolution.com/fhirextensions#explanationOfBenefit-encounterID')
EndDate billablePeriod
FacilityType
Domain: FacilityType
supportingInfo(category=http://careevolution.com/fhir/SupportingInfo|placeofservice).code
Bindings:  https://www.cms.gov/Medicare/Coding/place-of-service-codes/Place_of_Service_Code_Set  http://terminology.hl7.org/CodeSystem/v3-ActCode  https://rosetta.careevolution.com/UBFacilityType
Identifier identifier
id
InNetwork total.category
Bindings:  ValueSet-C4BBPayerBenefitPaymentStatus
adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudicationDiscriminator|benefitpaymentstatus).reason
Bindings:  ValueSet-C4BBPayerBenefitPaymentStatus
InsuranceID insurance.coverage
insurer
InsuranceIdentifier insurance.coverage
insurer
Mrn extension('http://careevolution.com/fhirextensions#explanationOfBenefit-mrn')
NonPaymentReason
Domain: NonPaymentReason
adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudicationDiscriminator|adjustmentreason).reason
Bindings:  https://x12.org/codes/remittance-advice-remark-codes  https://x12.org/codes/claim-adjustment-reason-codes
PaidDate payment.date
PatientID patient
PatientStatus
Domain: PatientStatus
supportingInfo(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType|discharge-status).code
Problems.Date diagnosis.extension('http://careevolution.com/fhirextensions#claim-problemDate')
Problems.OnAdmission
Domain: DiagnosisStatusOnAdmission
diagnosis.onAdmission
Bindings:  http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical
Problems.Sequence diagnosis.sequence
Problems.Term
Domain: DiagnosisCode
diagnosis.diagnosis
Bindings:  http://snomed.info/sct  http://hl7.org/fhir/sid/icd-10-cm  http://hl7.org/fhir/sid/icd-9-cm
Problems.Type
Domain: DiagnosisType
diagnosis.type
Bindings:  CodeSystem-C4BBClaimDiagnosisType
Procedures.Date procedure.date
Procedures.Sequence procedure.sequence
Procedures.Term
Domain: ProcedureCode
procedure.procedure
Bindings:  http://www.ada.org/cdt  http://snomed.info/sct  https://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets  http://www.cms.gov/Medicare/Coding/ICD10  http://hl7.org/fhir/sid/icd-9-cm
Procedures.Type
Domain: ProcedureType
procedure.type
Bindings:  ValueSet-C4BBClaimProcedureType
Properties extension('http://careevolution.com/fhirextensions#properties')
extension
benefitBalance.financial.used
Property('FacilityNpi') facility.identifier
Property('FHIRExplanationOfBenefitDisposition') disposition
Property('OriginalClaimNumber') related
ReferralID extension('http://careevolution.com/fhirextensions#explanationOfBenefit-referralReference')
Revision extension('http://careevolution.com/fhirextensions#explanationOfBenefit-claimRevision')
Services.AllowedAmount item.adjudication(category=http://terminology.hl7.org/CodeSystem/adjudication|benefit).amount
Services.AmountClaimed item.adjudication(category=http://terminology.hl7.org/CodeSystem/adjudication|submitted).amount
item.net
Services.AmountPaid item.adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|paidtoprovider).amount
Services.CaregiverRelationships.CaregiverID careTeam.provider
Services.CaregiverRelationships.RelationshipType
Domain: CaregiverRelationshipType
careTeam.role
Bindings:  ValueSet-C4BBClaimInstitutionalCareTeamRole
Services.CaregiverRelationships.Responsible careTeam.responsible
Services.CoinsuranceAmount item.adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|coinsurance).amount
Services.Comment item.extension('http://careevolution.com/fhirextensions#explanationOfBenefitItem-comment')
Services.CopayAmount item.adjudication(category=http://terminology.hl7.org/CodeSystem/adjudication|copay).amount
Services.DeductibleAmount item.adjudication(category=http://terminology.hl7.org/CodeSystem/adjudication|deductible).amount
Services.EndDate item.serviced
Services.HsaPaidAmount item.adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|paidbypatienthealthaccount).amount
Services.LocationType
Domain: ServiceLocation
item.location
Bindings:  https://www.cms.gov/Medicare/Coding/place-of-service-codes/Place_of_Service_Code_Set  http://terminology.hl7.org/CodeSystem/v3-ActCode  https://rosetta.careevolution.com/UBFacilityType
Services.Modifier1
Domain: BillingModifier
item.modifier
Bindings:  https://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets  http://snomed.info/sct
Services.Modifier2
Domain: BillingModifier
item.modifier
Bindings:  https://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets  http://snomed.info/sct
Services.Modifier3
Domain: BillingModifier
item.modifier
Bindings:  https://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets  http://snomed.info/sct
Services.Modifier4
Domain: BillingModifier
item.modifier
Bindings:  https://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets  http://snomed.info/sct
Services.Modifier5
Domain: BillingModifier
item.modifier
Bindings:  https://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets  http://snomed.info/sct
Services.NonPaymentReason
Domain: NonPaymentReason
item.adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudicationDiscriminator|adjustmentreason).reason
Bindings:  https://x12.org/codes/remittance-advice-remark-codes  https://x12.org/codes/claim-adjustment-reason-codes
Services.NotCoveredAmount item.adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|noncovered).amount
Services.PatientPaid item.adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|paidbypatient).amount
Services.PatientResponsibleAmount item.adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|memberliability).amount
Services.Problem1
Domain: DiagnosisCode
item.extension('http://careevolution.com/fhirextensions#explanationOfBenefitItem-problems')
Bindings:  http://snomed.info/sct  http://hl7.org/fhir/sid/icd-10-cm  http://hl7.org/fhir/sid/icd-9-cm
Services.Problem2
Domain: DiagnosisCode
item.extension('http://careevolution.com/fhirextensions#explanationOfBenefitItem-problems')
Bindings:  http://snomed.info/sct  http://hl7.org/fhir/sid/icd-10-cm  http://hl7.org/fhir/sid/icd-9-cm
Services.Problem3
Domain: DiagnosisCode
item.extension('http://careevolution.com/fhirextensions#explanationOfBenefitItem-problems')
Bindings:  http://snomed.info/sct  http://hl7.org/fhir/sid/icd-10-cm  http://hl7.org/fhir/sid/icd-9-cm
Services.Problem4
Domain: DiagnosisCode
item.extension('http://careevolution.com/fhirextensions#explanationOfBenefitItem-problems')
Bindings:  http://snomed.info/sct  http://hl7.org/fhir/sid/icd-10-cm  http://hl7.org/fhir/sid/icd-9-cm
Services.Properties item.extension
item.extension('http://careevolution.com/fhirextensions#properties')
Services.RevenueCode
Domain: RevenueCode
item.revenue
Bindings:  https://www.nubc.org/CodeSystem/RevenueCodes
Services.Sequence item.sequence
Services.ServiceCode
Domain: ServiceCode
item.productOrService
Bindings:  http://www.ada.org/cdt  http://snomed.info/sct  https://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets  http://www.cms.gov/Medicare/Coding/ICD10  http://hl7.org/fhir/sid/icd-9-cm
Services.StartDate item.serviced
Services.Status
Domain: ClaimServiceStatus
item.extension('http://careevolution.com/fhirextensions#explanationOfBenefitItem-status')
Services.Units item.quantity
StartDate billablePeriod
Status
Domain: ClaimStatus
status
Bindings:  valueset-explanationofbenefit-status
TotalAllowed adjudication(category=http://terminology.hl7.org/CodeSystem/adjudication|benefit).amount
total(category=http://terminology.hl7.org/CodeSystem/adjudication|benefit).amount
TotalCharges adjudication(category=http://terminology.hl7.org/CodeSystem/adjudication|submitted).amount
total(category=http://terminology.hl7.org/CodeSystem/adjudication|submitted).amount
TotalCoinsuranceAmount adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|coinsurance).amount
total(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|coinsurance).amount
TotalCopayAmount adjudication(category=http://terminology.hl7.org/CodeSystem/adjudication|copay).amount
total(category=http://terminology.hl7.org/CodeSystem/adjudication|copay).amount
TotalDeductibleAmount adjudication(category=http://terminology.hl7.org/CodeSystem/adjudication|deductible).amount
total(category=http://terminology.hl7.org/CodeSystem/adjudication|deductible).amount
TotalHsaPaidAmount adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|paidbypatienthealthaccount).amount
total(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|paidbypatienthealthaccount).amount
TotalNotCoveredAmount adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|noncovered).amount
total(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|noncovered).amount
TotalPaid adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|paidtoprovider).amount
total(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|paidtoprovider).amount
payment.amount
TotalPatientPaid adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|paidbypatient).amount
total(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|paidbypatient).amount
TotalPatientResponsibleAmount adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|memberliability).amount
total(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|memberliability).amount

Pharmacy profile to FHIR mappings

CareEvolution FHIR
Claim.AdjudicationDate extension('http://careevolution.com/fhirextensions#explanationOfBenefit-adjudicationDate')
created
Claim.AdmitDate supportingInfo(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType|admissionperiod).timing
Claim.AdmitSource
Domain: AdmitSource
supportingInfo(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType|pointoforigin).code
Bindings:  https://www.nubc.org/CodeSystem/PointOfOrigin  https://www.nubc.org/CodeSystem/PointOfOriginNewBorn
supportingInfo(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/ClaimInformationCategory|admsrc).code
Bindings:  https://www.nubc.org/CodeSystem/PointOfOrigin  https://www.nubc.org/CodeSystem/PointOfOriginNewBorn
Claim.AdmitType
Domain: AdmissionType
supportingInfo(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType|admtype).code
Bindings:  https://www.nubc.org/CodeSystem/PriorityTypeOfAdmitOrVisit  http://terminology.hl7.org/CodeSystem/v3-ActCode  https://www.cms.gov/Medicare/Coding/place-of-service-codes/Place_of_Service_Code_Set  https://rosetta.careevolution.com/UBFacilityType
Claim.AlternateIdentifier identifier
Claim.AuthorizationNumber preAuthRef
Claim.BillClass
Domain: BillClass
supportingInfo(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType|typeofbill).code
Bindings:  https://www.nubc.org/CodeSystem/TypeOfBill
Claim.CaregiverRelationships provider Maps CaregiverRelationships with RelationshipType=ClaimProvider
payee Maps CaregiverRelationships with RelationshipType=PayToProvider
Claim.CaregiverRelationships.CaregiverID careTeam.provider Excludes CaregiverRelationships with RelationshipType equal to ClaimProvider or PayToProvider
Claim.CaregiverRelationships.RelationshipType
Domain: CaregiverRelationshipType
careTeam.role
Bindings:  ValueSet-C4BBClaimInstitutionalCareTeamRole
Excludes CaregiverRelationships with RelationshipType equal to ClaimProvider or PayToProvider
Claim.CaregiverRelationships.Responsible careTeam.responsible Excludes CaregiverRelationships with RelationshipType equal to ClaimProvider or PayToProvider
Claim.ClaimSupportingInformation.EndDate supportingInfo.timing
Claim.ClaimSupportingInformation.Reason
Domain: SupportingInformationReason
supportingInfo.reason
Claim.ClaimSupportingInformation.Sequence supportingInfo.sequence
Claim.ClaimSupportingInformation.StartDate supportingInfo.timing
Claim.ClaimSupportingInformation.Term
Domain: SupportingInformationCode
supportingInfo.code
Claim.ClaimSupportingInformation.Type
Domain: SupportingInformationType
supportingInfo.category
Bindings:  ValueSet-C4BBSupportingInfoType
Claim.ClaimSupportingInformation.Value supportingInfo.value
Claim.ClaimType
Domain: ClaimType
type
Bindings:  valueset-claim-type
Claim.Comment text
Claim.ControlNumber extension('http://careevolution.com/fhirextensions#explanationOfBenefit-controlNumber')
Claim.CreatedDate created
Claim.DischargeDate supportingInfo(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType|admissionperiod).timing
Claim.Disposition
Domain: ClaimDisposition
extension('http://careevolution.com/fhirextensions#explanationOfBenefit-disposition')
Claim.Drg
Domain: ClaimDrg
supportingInfo(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType|drg).code
Bindings:  https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/MS-DRG-Classifications-and-Software  https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/MS-DRG-Classifications-and-Software  https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/MS-DRG-Classifications-and-Software  https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/MS-DRG-Classifications-and-Software  https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/MS-DRG-Classifications-and-Software  https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/MS-DRG-Classifications-and-Software
Claim.EncounterID extension('http://careevolution.com/fhirextensions#explanationOfBenefit-encounterID')
Claim.EndDate billablePeriod
Claim.FacilityType
Domain: FacilityType
supportingInfo(category=http://careevolution.com/fhir/SupportingInfo|placeofservice).code
Bindings:  https://www.cms.gov/Medicare/Coding/place-of-service-codes/Place_of_Service_Code_Set  http://terminology.hl7.org/CodeSystem/v3-ActCode  https://rosetta.careevolution.com/UBFacilityType
Claim.Identifier identifier
Claim.InNetwork total.category
Bindings:  ValueSet-C4BBPayerBenefitPaymentStatus
adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudicationDiscriminator|benefitpaymentstatus).reason
Bindings:  ValueSet-C4BBPayerBenefitPaymentStatus
Claim.InsuranceID insurance.coverage
insurer
Claim.InsuranceIdentifier insurance.coverage
insurer
Claim.Mrn extension('http://careevolution.com/fhirextensions#explanationOfBenefit-mrn')
Claim.NonPaymentReason
Domain: NonPaymentReason
adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudicationDiscriminator|denialreason).reason
Bindings:  https://x12.org/codes/remittance-advice-remark-codes  https://x12.org/codes/claim-adjustment-reason-codes
Claim.PaidDate payment.date
Claim.PatientID patient
Claim.PatientStatus
Domain: PatientStatus
supportingInfo(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType|discharge-status).code
Claim.Problems.Date diagnosis.extension('http://careevolution.com/fhirextensions#claim-problemDate')
Claim.Problems.OnAdmission
Domain: DiagnosisStatusOnAdmission
diagnosis.onAdmission
Bindings:  http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical
Claim.Problems.Sequence diagnosis.sequence
Claim.Problems.Term
Domain: DiagnosisCode
diagnosis.diagnosis
Bindings:  http://snomed.info/sct  http://hl7.org/fhir/sid/icd-10-cm  http://hl7.org/fhir/sid/icd-9-cm
Claim.Problems.Type
Domain: DiagnosisType
diagnosis.type
Bindings:  CodeSystem-C4BBClaimDiagnosisType
Claim.Procedures.Date procedure.date
Claim.Procedures.Sequence procedure.sequence
Claim.Procedures.Term
Domain: ProcedureCode
procedure.procedure
Bindings:  http://www.ada.org/cdt  http://snomed.info/sct  https://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets  http://www.cms.gov/Medicare/Coding/ICD10  http://hl7.org/fhir/sid/icd-9-cm
Claim.Procedures.Type
Domain: ProcedureType
procedure.type
Bindings:  ValueSet-C4BBClaimProcedureType
Claim.Properties extension('http://careevolution.com/fhirextensions#properties')
Claim.Property('FacilityNpi') facility.identifier
Claim.Property('FHIRExplanationOfBenefitDisposition') disposition
Claim.Property('OriginalClaimNumber') related
Claim.ReferralID extension('http://careevolution.com/fhirextensions#explanationOfBenefit-referralReference')
Claim.Revision extension('http://careevolution.com/fhirextensions#explanationOfBenefit-claimRevision')
Claim.Services.CaregiverRelationships.CaregiverID careTeam.provider
Claim.Services.CaregiverRelationships.RelationshipType
Domain: CaregiverRelationshipType
careTeam.role
Bindings:  ValueSet-C4BBClaimInstitutionalCareTeamRole
Claim.Services.CaregiverRelationships.Responsible careTeam.responsible
Claim.StartDate billablePeriod
Claim.Status
Domain: ClaimStatus
status
Bindings:  valueset-explanationofbenefit-status
Claim.Status payment.type
Bindings:  ValueSet-C4BBPayerClaimPaymentStatusCode
Claim.TotalAllowed adjudication(category=http://terminology.hl7.org/CodeSystem/adjudication|benefit).amount
total(category=http://terminology.hl7.org/CodeSystem/adjudication|benefit).amount
Claim.TotalCharges adjudication(category=http://terminology.hl7.org/CodeSystem/adjudication|submitted).amount
total(category=http://terminology.hl7.org/CodeSystem/adjudication|submitted).amount
Claim.TotalCoinsuranceAmount adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|coinsurance).amount
total(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|coinsurance).amount
Claim.TotalCopayAmount adjudication(category=http://terminology.hl7.org/CodeSystem/adjudication|copay).amount
total(category=http://terminology.hl7.org/CodeSystem/adjudication|copay).amount
Claim.TotalDeductibleAmount adjudication(category=http://terminology.hl7.org/CodeSystem/adjudication|deductible).amount
total(category=http://terminology.hl7.org/CodeSystem/adjudication|deductible).amount
Claim.TotalHsaPaidAmount adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|paidbypatienthealthaccount).amount
total(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|paidbypatienthealthaccount).amount
Claim.TotalNotCoveredAmount adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|noncovered).amount
total(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|noncovered).amount
Claim.TotalPaid adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|paidtoprovider).amount
total(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|paidtoprovider).amount
payment.amount
Claim.TotalPatientPaid adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|paidbypatient).amount
total(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|paidbypatient).amount
Claim.TotalPatientResponsibleAmount adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|memberliability).amount
total(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|memberliability).amount
Medications.AlternateIdentifier item.extension('http://careevolution.com/fhirextensions#explanationOfBenefitItem-alternateIdentifier')
Medications.AmountBilled item.adjudication(category=http://terminology.hl7.org/CodeSystem/adjudication|submitted).amount
item.net
Medications.AmountPaid item.adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|paidtoprovider).amount
Medications.CaregiverID item.extension('http://careevolution.com/fhirextensions#explanationOfBenefitItem-caregiverReference')
Medications.Comment item.detail.productOrService.coding.display
Medications.DataSource item.extension('http://careevolution.com/fhirextensions#dataSource')
Medications.Date item.serviced
Medications.DawCode
Domain: DispenseAsWritten
supportingInfo(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType|dawcode).code
Medications.DaysSupplied supportingInfo(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType|dayssupply).value
Medications.DispenseAsWritten supportingInfo(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType|dawcode).code
Medications.Dose item.extension('http://careevolution.com/fhirextensions#explanationOfBenefitItem-dose')
Medications.DoseUnits
Domain: MedicationProfileDoseUnits
item.extension('http://careevolution.com/fhirextensions#explanationOfBenefitItem-doseUnits')
Bindings:  http://unitsofmeasure.org
Medications.FilledByID item.extension('http://careevolution.com/fhirextensions#explanationOfBenefitItem-filledBy')
Medications.Frequency
Domain: MedicationProfileFrequency
item.extension('http://careevolution.com/fhirextensions#explanationOfBenefitItem-frequency')
Medications.Identifier item.sequence
Medications.IsGeneric item.extension('http://careevolution.com/fhirextensions#explanationOfBenefitItem-isGeneric')
Medications.PrescribedDate item.extension('http://careevolution.com/fhirextensions#explanationOfBenefitItem-prescribedDate')
Medications.Properties item.extension('http://careevolution.com/fhirextensions#properties')
Medications.Quantity item.quantity
Bindings:  http://unitsofmeasure.org
Medications.ReconcileStatus
Domain: ReconcileStatus
item.extension('http://careevolution.com/fhirextensions#explanationOfBenefitItem-reconcileStatus')
Medications.RefillNumber supportingInfo(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType|refillnum).value
Medications.Refills item.extension('http://careevolution.com/fhirextensions#explanationOfBenefitItem-refills')
supportingInfo(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType|refillsauthorized).value
Medications.Sequence item.sequence
Medications.Status
Domain: MedicationStatus
item.extension('http://careevolution.com/fhirextensions#explanationOfBenefitItem-status')
Medications.Strength item.extension('http://careevolution.com/fhirextensions#explanationOfBenefitItem-strength')
Medications.Term
Domain: MedicationType
item.productOrService
Bindings:  http://hl7.org/fhir/sid/cvx  http://hl7.org/fhir/sid/ndc  http://www.nlm.nih.gov/research/umls/rxnorm  http://snomed.info/sct
item.quantity
Bindings:  http://unitsofmeasure.org
Medications.TherapeuticClass
Domain: TherapeuticClass
item.extension('http://careevolution.com/fhirextensions#explanationOfBenefitItem-therapeuticClass')
Medications.Units
Domain: MedicationUnits
item.quantity
Bindings:  http://unitsofmeasure.org

Pharmacy profile from FHIR mappings

CareEvolution FHIR
Claim.AdjudicationDate extension('http://careevolution.com/fhirextensions#explanationOfBenefit-adjudicationDate')
Claim.AdmitDate supportingInfo(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType|admissionperiod).timing
Claim.AdmitSource
Domain: AdmitSource
supportingInfo(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType|pointoforigin).code
Bindings:  https://www.nubc.org/CodeSystem/PointOfOrigin  https://www.nubc.org/CodeSystem/PointOfOriginNewBorn
supportingInfo(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/ClaimInformationCategory|admsrc).code
Bindings:  https://www.nubc.org/CodeSystem/PointOfOrigin  https://www.nubc.org/CodeSystem/PointOfOriginNewBorn
Claim.AdmitType
Domain: AdmissionType
supportingInfo(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType|admtype).code
Bindings:  https://www.nubc.org/CodeSystem/PriorityTypeOfAdmitOrVisit  http://terminology.hl7.org/CodeSystem/v3-ActCode  https://www.cms.gov/Medicare/Coding/place-of-service-codes/Place_of_Service_Code_Set  https://rosetta.careevolution.com/UBFacilityType
Claim.AlternateIdentifier identifier
Claim.AuthorizationNumber preAuthRef
Claim.BillClass
Domain: BillClass
supportingInfo(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType|typeofbill).code
Bindings:  https://www.nubc.org/CodeSystem/TypeOfBill
Claim.CaregiverRelationships provider Maps CaregiverRelationships with RelationshipType=ClaimProvider
payee Maps CaregiverRelationships with RelationshipType=PayToProvider
Claim.CaregiverRelationships.CaregiverID careTeam.provider
Claim.CaregiverRelationships.RelationshipType
Domain: CaregiverRelationshipType
careTeam.role
Bindings:  ValueSet-C4BBClaimInstitutionalCareTeamRole
Claim.CaregiverRelationships.Responsible careTeam.responsible
Claim.ClaimSupportingInformation.EndDate supportingInfo.timing
Claim.ClaimSupportingInformation.Reason
Domain: SupportingInformationReason
supportingInfo.reason
Claim.ClaimSupportingInformation.Sequence supportingInfo.sequence
Claim.ClaimSupportingInformation.StartDate supportingInfo.timing
Claim.ClaimSupportingInformation.Term
Domain: SupportingInformationCode
supportingInfo.code
Claim.ClaimSupportingInformation.Type
Domain: SupportingInformationType
supportingInfo.category
Bindings:  ValueSet-C4BBSupportingInfoType
Claim.ClaimSupportingInformation.Value supportingInfo.value
Claim.ClaimType
Domain: ClaimType
type
Bindings:  valueset-claim-type
Claim.Comment text
Claim.ControlNumber extension('http://careevolution.com/fhirextensions#explanationOfBenefit-controlNumber')
Claim.CreatedDate created
Claim.DischargeDate supportingInfo(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType|admissionperiod).timing
Claim.Disposition
Domain: ClaimDisposition
extension('http://careevolution.com/fhirextensions#explanationOfBenefit-disposition')
Claim.Drg
Domain: ClaimDrg
supportingInfo(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType|drg).code
Bindings:  https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/MS-DRG-Classifications-and-Software  https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/MS-DRG-Classifications-and-Software  https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/MS-DRG-Classifications-and-Software  https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/MS-DRG-Classifications-and-Software  https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/MS-DRG-Classifications-and-Software  https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/MS-DRG-Classifications-and-Software
Claim.EncounterID extension('http://careevolution.com/fhirextensions#explanationOfBenefit-encounterID')
Claim.EndDate billablePeriod
Claim.FacilityType
Domain: FacilityType
supportingInfo(category=http://careevolution.com/fhir/SupportingInfo|placeofservice).code
Bindings:  https://www.cms.gov/Medicare/Coding/place-of-service-codes/Place_of_Service_Code_Set  http://terminology.hl7.org/CodeSystem/v3-ActCode  https://rosetta.careevolution.com/UBFacilityType
Claim.Identifier identifier
id
Claim.InNetwork total.category
Bindings:  ValueSet-C4BBPayerBenefitPaymentStatus
adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudicationDiscriminator|benefitpaymentstatus).reason
Bindings:  ValueSet-C4BBPayerBenefitPaymentStatus
Claim.InsuranceID insurance.coverage
insurer
Claim.InsuranceIdentifier insurance.coverage
insurer
Claim.Mrn extension('http://careevolution.com/fhirextensions#explanationOfBenefit-mrn')
Claim.NonPaymentReason
Domain: NonPaymentReason
adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudicationDiscriminator|denialreason).reason
Bindings:  https://x12.org/codes/remittance-advice-remark-codes  https://x12.org/codes/claim-adjustment-reason-codes
Claim.PaidDate payment.date
Claim.PatientID patient
Claim.PatientStatus
Domain: PatientStatus
supportingInfo(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType|discharge-status).code
Claim.Problems.Date diagnosis.extension('http://careevolution.com/fhirextensions#claim-problemDate')
Claim.Problems.OnAdmission
Domain: DiagnosisStatusOnAdmission
diagnosis.onAdmission
Bindings:  http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical
Claim.Problems.Sequence diagnosis.sequence
Claim.Problems.Term
Domain: DiagnosisCode
diagnosis.diagnosis
Bindings:  http://snomed.info/sct  http://hl7.org/fhir/sid/icd-10-cm  http://hl7.org/fhir/sid/icd-9-cm
Claim.Problems.Type
Domain: DiagnosisType
diagnosis.type
Bindings:  CodeSystem-C4BBClaimDiagnosisType
Claim.Procedures.Date procedure.date
Claim.Procedures.Sequence procedure.sequence
Claim.Procedures.Term
Domain: ProcedureCode
procedure.procedure
Bindings:  http://www.ada.org/cdt  http://snomed.info/sct  https://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets  http://www.cms.gov/Medicare/Coding/ICD10  http://hl7.org/fhir/sid/icd-9-cm
Claim.Procedures.Type
Domain: ProcedureType
procedure.type
Bindings:  ValueSet-C4BBClaimProcedureType
Claim.Properties extension('http://careevolution.com/fhirextensions#properties')
extension
benefitBalance.financial.used
Claim.Property('FacilityNpi') facility.identifier
Claim.Property('FHIRExplanationOfBenefitDisposition') disposition
Claim.Property('OriginalClaimNumber') related
Claim.ReferralID extension('http://careevolution.com/fhirextensions#explanationOfBenefit-referralReference')
Claim.Revision extension('http://careevolution.com/fhirextensions#explanationOfBenefit-claimRevision')
Claim.Services.CaregiverRelationships.CaregiverID careTeam.provider
Claim.Services.CaregiverRelationships.RelationshipType
Domain: CaregiverRelationshipType
careTeam.role
Bindings:  ValueSet-C4BBClaimInstitutionalCareTeamRole
Claim.Services.CaregiverRelationships.Responsible careTeam.responsible
Claim.StartDate billablePeriod
Claim.Status
Domain: ClaimStatus
status
Bindings:  valueset-explanationofbenefit-status
Claim.TotalAllowed adjudication(category=http://terminology.hl7.org/CodeSystem/adjudication|benefit).amount
total(category=http://terminology.hl7.org/CodeSystem/adjudication|benefit).amount
Claim.TotalCharges adjudication(category=http://terminology.hl7.org/CodeSystem/adjudication|submitted).amount
total(category=http://terminology.hl7.org/CodeSystem/adjudication|submitted).amount
Claim.TotalCoinsuranceAmount adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|coinsurance).amount
total(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|coinsurance).amount
Claim.TotalCopayAmount adjudication(category=http://terminology.hl7.org/CodeSystem/adjudication|copay).amount
total(category=http://terminology.hl7.org/CodeSystem/adjudication|copay).amount
Claim.TotalDeductibleAmount adjudication(category=http://terminology.hl7.org/CodeSystem/adjudication|deductible).amount
total(category=http://terminology.hl7.org/CodeSystem/adjudication|deductible).amount
Claim.TotalHsaPaidAmount adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|paidbypatienthealthaccount).amount
total(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|paidbypatienthealthaccount).amount
Claim.TotalNotCoveredAmount adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|noncovered).amount
total(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|noncovered).amount
Claim.TotalPaid adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|paidtoprovider).amount
total(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|paidtoprovider).amount
payment.amount
Claim.TotalPatientPaid adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|paidbypatient).amount
total(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|paidbypatient).amount
Claim.TotalPatientResponsibleAmount adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|memberliability).amount
total(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|memberliability).amount
Medications.AlternateIdentifier item.extension('http://careevolution.com/fhirextensions#explanationOfBenefitItem-alternateIdentifier')
Medications.AmountBilled item.adjudication(category=http://terminology.hl7.org/CodeSystem/adjudication|submitted).amount
item.net
Medications.AmountPaid item.adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|paidtoprovider).amount
Medications.CaregiverID item.extension('http://careevolution.com/fhirextensions#explanationOfBenefitItem-caregiverReference')
Medications.Comment item.detail.productOrService.coding.display
Medications.DataSource item.extension('http://careevolution.com/fhirextensions#dataSource')
Medications.Date item.serviced
Medications.DawCode
Domain: DispenseAsWritten
supportingInfo(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType|dawcode).code
Medications.DaysSupplied supportingInfo(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType|dayssupply).value
Medications.DispenseAsWritten supportingInfo(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType|dawcode).code
Medications.Dose item.extension('http://careevolution.com/fhirextensions#explanationOfBenefitItem-dose')
Medications.DoseUnits
Domain: MedicationProfileDoseUnits
item.extension('http://careevolution.com/fhirextensions#explanationOfBenefitItem-doseUnits')
Bindings:  http://unitsofmeasure.org
Medications.FilledByID item.extension('http://careevolution.com/fhirextensions#explanationOfBenefitItem-filledBy')
Medications.Frequency
Domain: MedicationProfileFrequency
item.extension('http://careevolution.com/fhirextensions#explanationOfBenefitItem-frequency')
Medications.Identifier item.sequence
Medications.IsGeneric item.extension('http://careevolution.com/fhirextensions#explanationOfBenefitItem-isGeneric')
Medications.PrescribedDate item.extension('http://careevolution.com/fhirextensions#explanationOfBenefitItem-prescribedDate')
Medications.Properties item.extension('http://careevolution.com/fhirextensions#properties')
Medications.Quantity item.quantity
Bindings:  http://unitsofmeasure.org
Medications.ReconcileStatus
Domain: ReconcileStatus
item.extension('http://careevolution.com/fhirextensions#explanationOfBenefitItem-reconcileStatus')
Medications.RefillNumber supportingInfo(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType|refillnum).value
Medications.Refills item.extension('http://careevolution.com/fhirextensions#explanationOfBenefitItem-refills')
supportingInfo(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType|refillsauthorized).value
Medications.Sequence item.sequence
Medications.Status
Domain: MedicationStatus
item.extension('http://careevolution.com/fhirextensions#explanationOfBenefitItem-status')
Medications.Strength item.extension('http://careevolution.com/fhirextensions#explanationOfBenefitItem-strength')
Medications.Term
Domain: MedicationType
item.productOrService
Bindings:  http://hl7.org/fhir/sid/cvx  http://hl7.org/fhir/sid/ndc  http://www.nlm.nih.gov/research/umls/rxnorm  http://snomed.info/sct
Medications.TherapeuticClass
Domain: TherapeuticClass
item.extension('http://careevolution.com/fhirextensions#explanationOfBenefitItem-therapeuticClass')
Medications.Units
Domain: MedicationUnits
item.quantity
Bindings:  http://unitsofmeasure.org

Professional profile to FHIR mappings

CareEvolution FHIR
AdjudicationDate extension('http://careevolution.com/fhirextensions#explanationOfBenefit-adjudicationDate')
created
AdmitDate supportingInfo(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType|admissionperiod).timing
AdmitSource
Domain: AdmitSource
supportingInfo(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType|pointoforigin).code
Bindings:  https://www.nubc.org/CodeSystem/PointOfOrigin  https://www.nubc.org/CodeSystem/PointOfOriginNewBorn
supportingInfo(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/ClaimInformationCategory|admsrc).code
Bindings:  https://www.nubc.org/CodeSystem/PointOfOrigin  https://www.nubc.org/CodeSystem/PointOfOriginNewBorn
AdmitType
Domain: AdmissionType
supportingInfo(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType|admtype).code
Bindings:  https://www.nubc.org/CodeSystem/PriorityTypeOfAdmitOrVisit  http://terminology.hl7.org/CodeSystem/v3-ActCode  https://www.cms.gov/Medicare/Coding/place-of-service-codes/Place_of_Service_Code_Set  https://rosetta.careevolution.com/UBFacilityType
AlternateIdentifier identifier
AuthorizationNumber preAuthRef
BillClass
Domain: BillClass
supportingInfo(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType|typeofbill).code
Bindings:  https://www.nubc.org/CodeSystem/TypeOfBill
CaregiverRelationships provider Maps CaregiverRelationships with RelationshipType=ClaimProvider
payee Maps CaregiverRelationships with RelationshipType=PayToProvider
CaregiverRelationships.CaregiverID careTeam.provider Excludes CaregiverRelationships with RelationshipType equal to ClaimProvider or PayToProvider
CaregiverRelationships.RelationshipType
Domain: CaregiverRelationshipType
careTeam.role
Bindings:  ValueSet-C4BBClaimInstitutionalCareTeamRole
Excludes CaregiverRelationships with RelationshipType equal to ClaimProvider or PayToProvider
CaregiverRelationships.Responsible careTeam.responsible Excludes CaregiverRelationships with RelationshipType equal to ClaimProvider or PayToProvider
ClaimSupportingInformation.EndDate supportingInfo.timing
ClaimSupportingInformation.Reason
Domain: SupportingInformationReason
supportingInfo.reason
ClaimSupportingInformation.Sequence supportingInfo.sequence
ClaimSupportingInformation.StartDate supportingInfo.timing
ClaimSupportingInformation.Term
Domain: SupportingInformationCode
supportingInfo.code
ClaimSupportingInformation.Type
Domain: SupportingInformationType
supportingInfo.category
Bindings:  ValueSet-C4BBSupportingInfoType
ClaimSupportingInformation.Value supportingInfo.value
ClaimType
Domain: ClaimType
type
Bindings:  valueset-claim-type
Comment text
ControlNumber extension('http://careevolution.com/fhirextensions#explanationOfBenefit-controlNumber')
CreatedDate created
DischargeDate supportingInfo(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType|admissionperiod).timing
Disposition
Domain: ClaimDisposition
extension('http://careevolution.com/fhirextensions#explanationOfBenefit-disposition')
Drg
Domain: ClaimDrg
supportingInfo(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType|drg).code
Bindings:  https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/MS-DRG-Classifications-and-Software  https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/MS-DRG-Classifications-and-Software  https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/MS-DRG-Classifications-and-Software  https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/MS-DRG-Classifications-and-Software  https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/MS-DRG-Classifications-and-Software  https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/MS-DRG-Classifications-and-Software
EncounterID extension('http://careevolution.com/fhirextensions#explanationOfBenefit-encounterID')
EndDate billablePeriod
FacilityType
Domain: FacilityType
supportingInfo(category=http://careevolution.com/fhir/SupportingInfo|placeofservice).code
Bindings:  https://www.cms.gov/Medicare/Coding/place-of-service-codes/Place_of_Service_Code_Set  http://terminology.hl7.org/CodeSystem/v3-ActCode  https://rosetta.careevolution.com/UBFacilityType
Identifier identifier
InNetwork total.category
Bindings:  ValueSet-C4BBPayerBenefitPaymentStatus
adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudicationDiscriminator|benefitpaymentstatus).reason
Bindings:  ValueSet-C4BBPayerBenefitPaymentStatus
InsuranceID insurance.coverage
insurer
InsuranceIdentifier insurance.coverage
insurer
Mrn extension('http://careevolution.com/fhirextensions#explanationOfBenefit-mrn')
NonPaymentReason
Domain: NonPaymentReason
adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudicationDiscriminator|denialreason).reason
Bindings:  https://x12.org/codes/remittance-advice-remark-codes  https://x12.org/codes/claim-adjustment-reason-codes
PaidDate payment.date
PatientID patient
PatientStatus
Domain: PatientStatus
supportingInfo(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType|discharge-status).code
Problems.Date diagnosis.extension('http://careevolution.com/fhirextensions#claim-problemDate')
Problems.OnAdmission
Domain: DiagnosisStatusOnAdmission
diagnosis.onAdmission
Bindings:  http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical
Problems.Sequence diagnosis.sequence
Problems.Term
Domain: DiagnosisCode
diagnosis.diagnosis
Bindings:  http://snomed.info/sct  http://hl7.org/fhir/sid/icd-10-cm  http://hl7.org/fhir/sid/icd-9-cm
Problems.Type
Domain: DiagnosisType
diagnosis.type
Bindings:  CodeSystem-C4BBClaimDiagnosisType
Procedures.Date procedure.date
Procedures.Sequence procedure.sequence
Procedures.Term
Domain: ProcedureCode
procedure.procedure
Bindings:  http://www.ada.org/cdt  http://snomed.info/sct  https://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets  http://www.cms.gov/Medicare/Coding/ICD10  http://hl7.org/fhir/sid/icd-9-cm
Procedures.Type
Domain: ProcedureType
procedure.type
Bindings:  ValueSet-C4BBClaimProcedureType
Properties extension('http://careevolution.com/fhirextensions#properties')
Property('FacilityNpi') facility.identifier
Property('FHIRExplanationOfBenefitDisposition') disposition
Property('OriginalClaimNumber') related
ReferralID extension('http://careevolution.com/fhirextensions#explanationOfBenefit-referralReference')
Revision extension('http://careevolution.com/fhirextensions#explanationOfBenefit-claimRevision')
Services.AllowedAmount item.adjudication(category=http://terminology.hl7.org/CodeSystem/adjudication|benefit).amount
Services.AmountClaimed item.adjudication(category=http://terminology.hl7.org/CodeSystem/adjudication|submitted).amount
item.net
Services.AmountPaid item.adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|paidtoprovider).amount
Services.CaregiverRelationships.CaregiverID careTeam.provider
Services.CaregiverRelationships.RelationshipType
Domain: CaregiverRelationshipType
careTeam.role
Bindings:  ValueSet-C4BBClaimInstitutionalCareTeamRole
Services.CaregiverRelationships.Responsible careTeam.responsible
Services.CoinsuranceAmount item.adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|coinsurance).amount
Services.Comment item.extension('http://careevolution.com/fhirextensions#explanationOfBenefitItem-comment')
Services.CopayAmount item.adjudication(category=http://terminology.hl7.org/CodeSystem/adjudication|copay).amount
Services.DeductibleAmount item.adjudication(category=http://terminology.hl7.org/CodeSystem/adjudication|deductible).amount
Services.EndDate item.serviced
Services.HsaPaidAmount item.adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|paidbypatienthealthaccount).amount
Services.LocationType
Domain: ServiceLocation
item.location
Bindings:  https://www.cms.gov/Medicare/Coding/place-of-service-codes/Place_of_Service_Code_Set  http://terminology.hl7.org/CodeSystem/v3-ActCode  https://rosetta.careevolution.com/UBFacilityType
Services.Modifier1
Domain: BillingModifier
item.modifier
Bindings:  https://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets  http://snomed.info/sct
Services.Modifier2
Domain: BillingModifier
item.modifier
Bindings:  https://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets  http://snomed.info/sct
Services.Modifier3
Domain: BillingModifier
item.modifier
Bindings:  https://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets  http://snomed.info/sct
Services.Modifier4
Domain: BillingModifier
item.modifier
Bindings:  https://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets  http://snomed.info/sct
Services.Modifier5
Domain: BillingModifier
item.modifier
Bindings:  https://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets  http://snomed.info/sct
Services.NonPaymentReason
Domain: NonPaymentReason
item.adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudicationDiscriminator|adjustmentreason).reason
Bindings:  https://x12.org/codes/remittance-advice-remark-codes  https://x12.org/codes/claim-adjustment-reason-codes
Services.NotCoveredAmount item.adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|noncovered).amount
Services.PatientPaid item.adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|paidbypatient).amount
Services.PatientResponsibleAmount item.adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|memberliability).amount
Services.Problem1
Domain: DiagnosisCode
item.extension('http://careevolution.com/fhirextensions#explanationOfBenefitItem-problems')
Bindings:  http://snomed.info/sct  http://hl7.org/fhir/sid/icd-10-cm  http://hl7.org/fhir/sid/icd-9-cm
Services.Problem2
Domain: DiagnosisCode
item.extension('http://careevolution.com/fhirextensions#explanationOfBenefitItem-problems')
Bindings:  http://snomed.info/sct  http://hl7.org/fhir/sid/icd-10-cm  http://hl7.org/fhir/sid/icd-9-cm
Services.Problem3
Domain: DiagnosisCode
item.extension('http://careevolution.com/fhirextensions#explanationOfBenefitItem-problems')
Bindings:  http://snomed.info/sct  http://hl7.org/fhir/sid/icd-10-cm  http://hl7.org/fhir/sid/icd-9-cm
Services.Problem4
Domain: DiagnosisCode
item.extension('http://careevolution.com/fhirextensions#explanationOfBenefitItem-problems')
Bindings:  http://snomed.info/sct  http://hl7.org/fhir/sid/icd-10-cm  http://hl7.org/fhir/sid/icd-9-cm
Services.Properties item.extension('http://careevolution.com/fhirextensions#properties')
Services.Property('AmbulanceTransportReason') supportingInfo(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType|ambulancetransportreason).reason
Services.Property('AmbulanceTransportReason_SystemUri') supportingInfo(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType|ambulancetransportreason).reason
Services.Property('benefitpaymentstatus') item.adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudicationDiscriminator|benefitpaymentstatus).reason
Bindings:  ValueSet-C4BBPayerBenefitPaymentStatus
Services.Property('DropOffLocation') supportingInfo(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType|dropofflocation).value
Services.Property('PickupLocation') supportingInfo(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType|pickuplocation).value
Services.Property('RoundTripPurpose') supportingInfo(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType|roudtrippurpose).value
Services.Property('StretcherPurpose') supportingInfo(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType|stretcherpurpose).value
Services.Property('TransportDistance') supportingInfo(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType|transportationdistance).value
Services.Property('TransportDistance_Unit') supportingInfo(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType|transportationdistance).value
Services.Property('TransportPatientWeight') supportingInfo(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType|patientweight).value
Services.Property('TransportPatientWeight_Unit') supportingInfo(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType|patientweight).value
Services.RevenueCode
Domain: RevenueCode
item.revenue
Bindings:  https://www.nubc.org/CodeSystem/RevenueCodes
Services.Sequence item.sequence
Services.ServiceCode
Domain: ServiceCode
item.productOrService
Bindings:  http://www.ada.org/cdt  http://snomed.info/sct  https://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets  http://www.cms.gov/Medicare/Coding/ICD10  http://hl7.org/fhir/sid/icd-9-cm
Services.StartDate item.serviced
Services.Status
Domain: ClaimServiceStatus
item.extension('http://careevolution.com/fhirextensions#explanationOfBenefitItem-status')
Services.Units item.quantity
StartDate billablePeriod
Status
Domain: ClaimStatus
status
Bindings:  valueset-explanationofbenefit-status
Status payment.type
Bindings:  ValueSet-C4BBPayerClaimPaymentStatusCode
TotalAllowed adjudication(category=http://terminology.hl7.org/CodeSystem/adjudication|benefit).amount
total(category=http://terminology.hl7.org/CodeSystem/adjudication|benefit).amount
TotalCharges adjudication(category=http://terminology.hl7.org/CodeSystem/adjudication|submitted).amount
total(category=http://terminology.hl7.org/CodeSystem/adjudication|submitted).amount
TotalCoinsuranceAmount adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|coinsurance).amount
total(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|coinsurance).amount
TotalCopayAmount adjudication(category=http://terminology.hl7.org/CodeSystem/adjudication|copay).amount
total(category=http://terminology.hl7.org/CodeSystem/adjudication|copay).amount
TotalDeductibleAmount adjudication(category=http://terminology.hl7.org/CodeSystem/adjudication|deductible).amount
total(category=http://terminology.hl7.org/CodeSystem/adjudication|deductible).amount
TotalHsaPaidAmount adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|paidbypatienthealthaccount).amount
total(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|paidbypatienthealthaccount).amount
TotalNotCoveredAmount adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|noncovered).amount
total(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|noncovered).amount
TotalPaid adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|paidtoprovider).amount
total(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|paidtoprovider).amount
payment.amount
TotalPatientPaid adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|paidbypatient).amount
total(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|paidbypatient).amount
TotalPatientResponsibleAmount adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|memberliability).amount
total(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|memberliability).amount

Professional profile from FHIR mappings

CareEvolution FHIR
AdjudicationDate extension('http://careevolution.com/fhirextensions#explanationOfBenefit-adjudicationDate')
AdmitDate supportingInfo(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType|admissionperiod).timing
AdmitSource
Domain: AdmitSource
supportingInfo(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType|pointoforigin).code
Bindings:  https://www.nubc.org/CodeSystem/PointOfOrigin  https://www.nubc.org/CodeSystem/PointOfOriginNewBorn
supportingInfo(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/ClaimInformationCategory|admsrc).code
Bindings:  https://www.nubc.org/CodeSystem/PointOfOrigin  https://www.nubc.org/CodeSystem/PointOfOriginNewBorn
AdmitType
Domain: AdmissionType
supportingInfo(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType|admtype).code
Bindings:  https://www.nubc.org/CodeSystem/PriorityTypeOfAdmitOrVisit  http://terminology.hl7.org/CodeSystem/v3-ActCode  https://www.cms.gov/Medicare/Coding/place-of-service-codes/Place_of_Service_Code_Set  https://rosetta.careevolution.com/UBFacilityType
AlternateIdentifier identifier
AuthorizationNumber preAuthRef
BillClass
Domain: BillClass
supportingInfo(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType|typeofbill).code
Bindings:  https://www.nubc.org/CodeSystem/TypeOfBill
CaregiverRelationships provider Maps CaregiverRelationships with RelationshipType=ClaimProvider
payee Maps CaregiverRelationships with RelationshipType=PayToProvider
CaregiverRelationships.CaregiverID careTeam.provider
CaregiverRelationships.RelationshipType
Domain: CaregiverRelationshipType
careTeam.role
Bindings:  ValueSet-C4BBClaimInstitutionalCareTeamRole
CaregiverRelationships.Responsible careTeam.responsible
ClaimSupportingInformation.EndDate supportingInfo.timing
ClaimSupportingInformation.Reason
Domain: SupportingInformationReason
supportingInfo.reason
ClaimSupportingInformation.Sequence supportingInfo.sequence
ClaimSupportingInformation.StartDate supportingInfo.timing
ClaimSupportingInformation.Term
Domain: SupportingInformationCode
supportingInfo.code
ClaimSupportingInformation.Type
Domain: SupportingInformationType
supportingInfo.category
Bindings:  ValueSet-C4BBSupportingInfoType
ClaimSupportingInformation.Value supportingInfo.value
ClaimType
Domain: ClaimType
type
Bindings:  valueset-claim-type
Comment text
ControlNumber extension('http://careevolution.com/fhirextensions#explanationOfBenefit-controlNumber')
CreatedDate created
DischargeDate supportingInfo(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType|admissionperiod).timing
Disposition
Domain: ClaimDisposition
extension('http://careevolution.com/fhirextensions#explanationOfBenefit-disposition')
Drg
Domain: ClaimDrg
supportingInfo(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType|drg).code
Bindings:  https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/MS-DRG-Classifications-and-Software  https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/MS-DRG-Classifications-and-Software  https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/MS-DRG-Classifications-and-Software  https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/MS-DRG-Classifications-and-Software  https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/MS-DRG-Classifications-and-Software  https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/MS-DRG-Classifications-and-Software
EncounterID extension('http://careevolution.com/fhirextensions#explanationOfBenefit-encounterID')
EndDate billablePeriod
FacilityType
Domain: FacilityType
supportingInfo(category=http://careevolution.com/fhir/SupportingInfo|placeofservice).code
Bindings:  https://www.cms.gov/Medicare/Coding/place-of-service-codes/Place_of_Service_Code_Set  http://terminology.hl7.org/CodeSystem/v3-ActCode  https://rosetta.careevolution.com/UBFacilityType
Identifier identifier
id
InNetwork total.category
Bindings:  ValueSet-C4BBPayerBenefitPaymentStatus
adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudicationDiscriminator|benefitpaymentstatus).reason
Bindings:  ValueSet-C4BBPayerBenefitPaymentStatus
InsuranceID insurance.coverage
insurer
InsuranceIdentifier insurance.coverage
insurer
Mrn extension('http://careevolution.com/fhirextensions#explanationOfBenefit-mrn')
NonPaymentReason
Domain: NonPaymentReason
adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudicationDiscriminator|denialreason).reason
Bindings:  https://x12.org/codes/remittance-advice-remark-codes  https://x12.org/codes/claim-adjustment-reason-codes
PaidDate payment.date
PatientID patient
PatientStatus
Domain: PatientStatus
supportingInfo(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType|discharge-status).code
Problems.Date diagnosis.extension('http://careevolution.com/fhirextensions#claim-problemDate')
Problems.OnAdmission
Domain: DiagnosisStatusOnAdmission
diagnosis.onAdmission
Bindings:  http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical
Problems.Sequence diagnosis.sequence
Problems.Term
Domain: DiagnosisCode
diagnosis.diagnosis
Bindings:  http://snomed.info/sct  http://hl7.org/fhir/sid/icd-10-cm  http://hl7.org/fhir/sid/icd-9-cm
Problems.Type
Domain: DiagnosisType
diagnosis.type
Bindings:  CodeSystem-C4BBClaimDiagnosisType
Procedures.Date procedure.date
Procedures.Sequence procedure.sequence
Procedures.Term
Domain: ProcedureCode
procedure.procedure
Bindings:  http://www.ada.org/cdt  http://snomed.info/sct  https://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets  http://www.cms.gov/Medicare/Coding/ICD10  http://hl7.org/fhir/sid/icd-9-cm
Procedures.Type
Domain: ProcedureType
procedure.type
Bindings:  ValueSet-C4BBClaimProcedureType
Properties extension('http://careevolution.com/fhirextensions#properties')
extension
benefitBalance.financial.used
Property('FacilityNpi') facility.identifier
Property('FHIRExplanationOfBenefitDisposition') disposition
Property('OriginalClaimNumber') related
ReferralID extension('http://careevolution.com/fhirextensions#explanationOfBenefit-referralReference')
Revision extension('http://careevolution.com/fhirextensions#explanationOfBenefit-claimRevision')
Services.AllowedAmount item.adjudication(category=http://terminology.hl7.org/CodeSystem/adjudication|benefit).amount
Services.AmountClaimed item.adjudication(category=http://terminology.hl7.org/CodeSystem/adjudication|submitted).amount
item.net
Services.AmountPaid item.adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|paidtoprovider).amount
Services.CaregiverRelationships.CaregiverID careTeam.provider
Services.CaregiverRelationships.RelationshipType
Domain: CaregiverRelationshipType
careTeam.role
Bindings:  ValueSet-C4BBClaimInstitutionalCareTeamRole
Services.CaregiverRelationships.Responsible careTeam.responsible
Services.CoinsuranceAmount item.adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|coinsurance).amount
Services.Comment item.extension('http://careevolution.com/fhirextensions#explanationOfBenefitItem-comment')
Services.CopayAmount item.adjudication(category=http://terminology.hl7.org/CodeSystem/adjudication|copay).amount
Services.DeductibleAmount item.adjudication(category=http://terminology.hl7.org/CodeSystem/adjudication|deductible).amount
Services.EndDate item.serviced
Services.HsaPaidAmount item.adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|paidbypatienthealthaccount).amount
Services.LocationType
Domain: ServiceLocation
item.location
Bindings:  https://www.cms.gov/Medicare/Coding/place-of-service-codes/Place_of_Service_Code_Set  http://terminology.hl7.org/CodeSystem/v3-ActCode  https://rosetta.careevolution.com/UBFacilityType
Services.Modifier1
Domain: BillingModifier
item.modifier
Bindings:  https://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets  http://snomed.info/sct
Services.Modifier2
Domain: BillingModifier
item.modifier
Bindings:  https://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets  http://snomed.info/sct
Services.Modifier3
Domain: BillingModifier
item.modifier
Bindings:  https://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets  http://snomed.info/sct
Services.Modifier4
Domain: BillingModifier
item.modifier
Bindings:  https://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets  http://snomed.info/sct
Services.Modifier5
Domain: BillingModifier
item.modifier
Bindings:  https://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets  http://snomed.info/sct
Services.NonPaymentReason
Domain: NonPaymentReason
item.adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudicationDiscriminator|adjustmentreason).reason
Bindings:  https://x12.org/codes/remittance-advice-remark-codes  https://x12.org/codes/claim-adjustment-reason-codes
Services.NotCoveredAmount item.adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|noncovered).amount
Services.PatientPaid item.adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|paidbypatient).amount
Services.PatientResponsibleAmount item.adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|memberliability).amount
Services.Problem1
Domain: DiagnosisCode
item.extension('http://careevolution.com/fhirextensions#explanationOfBenefitItem-problems')
Bindings:  http://snomed.info/sct  http://hl7.org/fhir/sid/icd-10-cm  http://hl7.org/fhir/sid/icd-9-cm
Services.Problem2
Domain: DiagnosisCode
item.extension('http://careevolution.com/fhirextensions#explanationOfBenefitItem-problems')
Bindings:  http://snomed.info/sct  http://hl7.org/fhir/sid/icd-10-cm  http://hl7.org/fhir/sid/icd-9-cm
Services.Problem3
Domain: DiagnosisCode
item.extension('http://careevolution.com/fhirextensions#explanationOfBenefitItem-problems')
Bindings:  http://snomed.info/sct  http://hl7.org/fhir/sid/icd-10-cm  http://hl7.org/fhir/sid/icd-9-cm
Services.Problem4
Domain: DiagnosisCode
item.extension('http://careevolution.com/fhirextensions#explanationOfBenefitItem-problems')
Bindings:  http://snomed.info/sct  http://hl7.org/fhir/sid/icd-10-cm  http://hl7.org/fhir/sid/icd-9-cm
Services.Properties item.extension
item.extension('http://careevolution.com/fhirextensions#properties')
Services.Property('AmbulanceTransportReason') supportingInfo(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType|ambulancetransportreason).reason
Services.Property('AmbulanceTransportReason_SystemUri') supportingInfo(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType|ambulancetransportreason).reason
Services.Property('benefitpaymentstatus') item.adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudicationDiscriminator|benefitpaymentstatus).reason
Bindings:  ValueSet-C4BBPayerBenefitPaymentStatus
Services.Property('DropOffLocation') supportingInfo(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType|dropofflocation).value
Services.Property('PickupLocation') supportingInfo(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType|pickuplocation).value
Services.Property('RoundTripPurpose') supportingInfo(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType|roudtrippurpose).value
Services.Property('StretcherPurpose') supportingInfo(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType|stretcherpurpose).value
Services.Property('TransportDistance') supportingInfo(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType|transportationdistance).value
Services.Property('TransportDistance_Unit') supportingInfo(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType|transportationdistance).value
Services.Property('TransportPatientWeight') supportingInfo(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType|patientweight).value
Services.Property('TransportPatientWeight_Unit') supportingInfo(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType|patientweight).value
Services.RevenueCode
Domain: RevenueCode
item.revenue
Bindings:  https://www.nubc.org/CodeSystem/RevenueCodes
Services.Sequence item.sequence
Services.ServiceCode
Domain: ServiceCode
item.productOrService
Bindings:  http://www.ada.org/cdt  http://snomed.info/sct  https://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets  http://www.cms.gov/Medicare/Coding/ICD10  http://hl7.org/fhir/sid/icd-9-cm
Services.StartDate item.serviced
Services.Status
Domain: ClaimServiceStatus
item.extension('http://careevolution.com/fhirextensions#explanationOfBenefitItem-status')
Services.Units item.quantity
StartDate billablePeriod
Status
Domain: ClaimStatus
status
Bindings:  valueset-explanationofbenefit-status
TotalAllowed adjudication(category=http://terminology.hl7.org/CodeSystem/adjudication|benefit).amount
total(category=http://terminology.hl7.org/CodeSystem/adjudication|benefit).amount
TotalCharges adjudication(category=http://terminology.hl7.org/CodeSystem/adjudication|submitted).amount
total(category=http://terminology.hl7.org/CodeSystem/adjudication|submitted).amount
TotalCoinsuranceAmount adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|coinsurance).amount
total(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|coinsurance).amount
TotalCopayAmount adjudication(category=http://terminology.hl7.org/CodeSystem/adjudication|copay).amount
total(category=http://terminology.hl7.org/CodeSystem/adjudication|copay).amount
TotalDeductibleAmount adjudication(category=http://terminology.hl7.org/CodeSystem/adjudication|deductible).amount
total(category=http://terminology.hl7.org/CodeSystem/adjudication|deductible).amount
TotalHsaPaidAmount adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|paidbypatienthealthaccount).amount
total(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|paidbypatienthealthaccount).amount
TotalNotCoveredAmount adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|noncovered).amount
total(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|noncovered).amount
TotalPaid adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|paidtoprovider).amount
total(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|paidtoprovider).amount
payment.amount
TotalPatientPaid adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|paidbypatient).amount
total(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|paidbypatient).amount
TotalPatientResponsibleAmount adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|memberliability).amount
total(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|memberliability).amount

Oral profile to FHIR mappings

CareEvolution FHIR
AdjudicationDate extension('http://careevolution.com/fhirextensions#explanationOfBenefit-adjudicationDate')
created
AdmitDate supportingInfo(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType|admissionperiod).timing
AdmitSource
Domain: AdmitSource
supportingInfo(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType|pointoforigin).code
Bindings:  https://www.nubc.org/CodeSystem/PointOfOrigin  https://www.nubc.org/CodeSystem/PointOfOriginNewBorn
supportingInfo(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/ClaimInformationCategory|admsrc).code
Bindings:  https://www.nubc.org/CodeSystem/PointOfOrigin  https://www.nubc.org/CodeSystem/PointOfOriginNewBorn
AdmitType
Domain: AdmissionType
supportingInfo(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType|admtype).code
Bindings:  https://www.nubc.org/CodeSystem/PriorityTypeOfAdmitOrVisit  http://terminology.hl7.org/CodeSystem/v3-ActCode  https://www.cms.gov/Medicare/Coding/place-of-service-codes/Place_of_Service_Code_Set  https://rosetta.careevolution.com/UBFacilityType
AlternateIdentifier identifier
AuthorizationNumber preAuthRef
BillClass
Domain: BillClass
supportingInfo(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType|typeofbill).code
Bindings:  https://www.nubc.org/CodeSystem/TypeOfBill
CaregiverRelationships provider Maps CaregiverRelationships with RelationshipType=ClaimProvider
payee Maps CaregiverRelationships with RelationshipType=PayToProvider
CaregiverRelationships.CaregiverID careTeam.provider Excludes CaregiverRelationships with RelationshipType equal to ClaimProvider or PayToProvider
CaregiverRelationships.RelationshipType
Domain: CaregiverRelationshipType
careTeam.role
Bindings:  ValueSet-C4BBClaimInstitutionalCareTeamRole
Excludes CaregiverRelationships with RelationshipType equal to ClaimProvider or PayToProvider
CaregiverRelationships.Responsible careTeam.responsible Excludes CaregiverRelationships with RelationshipType equal to ClaimProvider or PayToProvider
ClaimSupportingInformation.EndDate supportingInfo.timing
ClaimSupportingInformation.Reason
Domain: SupportingInformationReason
supportingInfo.reason
ClaimSupportingInformation.Sequence supportingInfo.sequence
ClaimSupportingInformation.StartDate supportingInfo.timing
ClaimSupportingInformation.Term
Domain: SupportingInformationCode
supportingInfo.code
ClaimSupportingInformation.Type
Domain: SupportingInformationType
supportingInfo.category
Bindings:  ValueSet-C4BBSupportingInfoType
ClaimSupportingInformation.Value supportingInfo.value
ClaimType
Domain: ClaimType
type
Bindings:  valueset-claim-type
Comment text
ControlNumber extension('http://careevolution.com/fhirextensions#explanationOfBenefit-controlNumber')
CreatedDate created
DischargeDate supportingInfo(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType|admissionperiod).timing
Disposition
Domain: ClaimDisposition
extension('http://careevolution.com/fhirextensions#explanationOfBenefit-disposition')
Drg
Domain: ClaimDrg
supportingInfo(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType|drg).code
Bindings:  https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/MS-DRG-Classifications-and-Software  https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/MS-DRG-Classifications-and-Software  https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/MS-DRG-Classifications-and-Software  https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/MS-DRG-Classifications-and-Software  https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/MS-DRG-Classifications-and-Software  https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/MS-DRG-Classifications-and-Software
EncounterID extension('http://careevolution.com/fhirextensions#explanationOfBenefit-encounterID')
EndDate billablePeriod
FacilityType
Domain: FacilityType
supportingInfo(category=http://careevolution.com/fhir/SupportingInfo|placeofservice).code
Bindings:  https://www.cms.gov/Medicare/Coding/place-of-service-codes/Place_of_Service_Code_Set  http://terminology.hl7.org/CodeSystem/v3-ActCode  https://rosetta.careevolution.com/UBFacilityType
Identifier identifier
InNetwork total.category
Bindings:  ValueSet-C4BBPayerBenefitPaymentStatus
adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudicationDiscriminator|benefitpaymentstatus).reason
Bindings:  ValueSet-C4BBPayerBenefitPaymentStatus
InsuranceID insurance.coverage
insurer
InsuranceIdentifier insurance.coverage
insurer
Mrn extension('http://careevolution.com/fhirextensions#explanationOfBenefit-mrn')
NonPaymentReason
Domain: NonPaymentReason
adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudicationDiscriminator|denialreason).reason
Bindings:  https://x12.org/codes/remittance-advice-remark-codes  https://x12.org/codes/claim-adjustment-reason-codes
PaidDate payment.date
PatientID patient
PatientStatus
Domain: PatientStatus
supportingInfo(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType|discharge-status).code
Problems.Date diagnosis.extension('http://careevolution.com/fhirextensions#claim-problemDate')
Problems.OnAdmission
Domain: DiagnosisStatusOnAdmission
diagnosis.onAdmission
Bindings:  http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical
Problems.Sequence diagnosis.sequence
Problems.Term
Domain: DiagnosisCode
diagnosis.diagnosis
Bindings:  http://snomed.info/sct  http://hl7.org/fhir/sid/icd-10-cm  http://hl7.org/fhir/sid/icd-9-cm
Problems.Type
Domain: DiagnosisType
diagnosis.type
Bindings:  CodeSystem-C4BBClaimDiagnosisType
Procedures.Date procedure.date
Procedures.Sequence procedure.sequence
Procedures.Term
Domain: ProcedureCode
procedure.procedure
Bindings:  http://www.ada.org/cdt  http://snomed.info/sct  https://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets  http://www.cms.gov/Medicare/Coding/ICD10  http://hl7.org/fhir/sid/icd-9-cm
Procedures.Type
Domain: ProcedureType
procedure.type
Bindings:  ValueSet-C4BBClaimProcedureType
Properties extension('http://careevolution.com/fhirextensions#properties')
Property('FacilityNpi') facility.identifier
Property('FHIRExplanationOfBenefitDisposition') disposition
Property('OriginalClaimNumber') related
Property('renderingnetworkstatus') adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudicationDiscriminator|renderingnetworkstatus).reason
Bindings:  ValueSet-C4BBPayerProviderNetworkStatus
ReferralID extension('http://careevolution.com/fhirextensions#explanationOfBenefit-referralReference')
Revision extension('http://careevolution.com/fhirextensions#explanationOfBenefit-claimRevision')
Services.AllowedAmount item.adjudication(category=http://terminology.hl7.org/CodeSystem/adjudication|benefit).amount
Services.AmountClaimed item.adjudication(category=http://terminology.hl7.org/CodeSystem/adjudication|submitted).amount
item.net
Services.AmountPaid item.adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|paidtoprovider).amount
Services.CaregiverRelationships.CaregiverID careTeam.provider
Services.CaregiverRelationships.RelationshipType
Domain: CaregiverRelationshipType
careTeam.role
Bindings:  ValueSet-C4BBClaimInstitutionalCareTeamRole
Services.CaregiverRelationships.Responsible careTeam.responsible
Services.CoinsuranceAmount item.adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|coinsurance).amount
Services.Comment item.extension('http://careevolution.com/fhirextensions#explanationOfBenefitItem-comment')
Services.CopayAmount item.adjudication(category=http://terminology.hl7.org/CodeSystem/adjudication|copay).amount
Services.DeductibleAmount item.adjudication(category=http://terminology.hl7.org/CodeSystem/adjudication|deductible).amount
Services.EndDate item.serviced
Services.HsaPaidAmount item.adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|paidbypatienthealthaccount).amount
Services.LocationType
Domain: ServiceLocation
item.location
Bindings:  https://www.cms.gov/Medicare/Coding/place-of-service-codes/Place_of_Service_Code_Set  http://terminology.hl7.org/CodeSystem/v3-ActCode  https://rosetta.careevolution.com/UBFacilityType
Services.Modifier1
Domain: BillingModifier
item.modifier
Bindings:  https://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets  http://snomed.info/sct
Services.Modifier2
Domain: BillingModifier
item.modifier
Bindings:  https://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets  http://snomed.info/sct
Services.Modifier3
Domain: BillingModifier
item.modifier
Bindings:  https://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets  http://snomed.info/sct
Services.Modifier4
Domain: BillingModifier
item.modifier
Bindings:  https://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets  http://snomed.info/sct
Services.Modifier5
Domain: BillingModifier
item.modifier
Bindings:  https://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets  http://snomed.info/sct
Services.NonPaymentReason
Domain: NonPaymentReason
item.adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudicationDiscriminator|adjustmentreason).reason
Bindings:  https://x12.org/codes/remittance-advice-remark-codes  https://x12.org/codes/claim-adjustment-reason-codes
Services.NotCoveredAmount item.adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|noncovered).amount
Services.PatientPaid item.adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|paidbypatient).amount
Services.PatientResponsibleAmount item.adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|memberliability).amount
Services.Problem1
Domain: DiagnosisCode
item.extension('http://careevolution.com/fhirextensions#explanationOfBenefitItem-problems')
Bindings:  http://snomed.info/sct  http://hl7.org/fhir/sid/icd-10-cm  http://hl7.org/fhir/sid/icd-9-cm
Services.Problem2
Domain: DiagnosisCode
item.extension('http://careevolution.com/fhirextensions#explanationOfBenefitItem-problems')
Bindings:  http://snomed.info/sct  http://hl7.org/fhir/sid/icd-10-cm  http://hl7.org/fhir/sid/icd-9-cm
Services.Problem3
Domain: DiagnosisCode
item.extension('http://careevolution.com/fhirextensions#explanationOfBenefitItem-problems')
Bindings:  http://snomed.info/sct  http://hl7.org/fhir/sid/icd-10-cm  http://hl7.org/fhir/sid/icd-9-cm
Services.Problem4
Domain: DiagnosisCode
item.extension('http://careevolution.com/fhirextensions#explanationOfBenefitItem-problems')
Bindings:  http://snomed.info/sct  http://hl7.org/fhir/sid/icd-10-cm  http://hl7.org/fhir/sid/icd-9-cm
Services.Properties item.extension('http://careevolution.com/fhirextensions#properties')
Services.Property('benefitpaymentstatus') item.adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudicationDiscriminator|benefitpaymentstatus).reason
Bindings:  ValueSet-C4BBPayerBenefitPaymentStatus
Services.Property('MissingToothNumber') supportingInfo(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType|missingtoothnumber).code
Bindings:  ValueSet-ADAUniversalNumberingSystem
Services.Property('OralCavityDesignation') item.bodySite
Bindings:  ValueSet-OralBodySite
Services.Property('ToothNumber') item.bodySite
Bindings:  ValueSet-ADAUniversalNumberingSystem
supportingInfo(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType|additionalbodysite).code
Bindings:  ValueSet-ADAUniversalNumberingSystem
Services.RevenueCode
Domain: RevenueCode
item.revenue
Bindings:  https://www.nubc.org/CodeSystem/RevenueCodes
Services.Sequence item.sequence
Services.ServiceCode
Domain: ServiceCode
item.productOrService
Bindings:  http://www.ada.org/cdt  http://snomed.info/sct  https://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets  http://www.cms.gov/Medicare/Coding/ICD10  http://hl7.org/fhir/sid/icd-9-cm
Services.StartDate item.serviced
Services.Status
Domain: ClaimServiceStatus
item.extension('http://careevolution.com/fhirextensions#explanationOfBenefitItem-status')
Services.Units item.quantity
StartDate billablePeriod
Status
Domain: ClaimStatus
status
Bindings:  valueset-explanationofbenefit-status
Status payment.type
Bindings:  ValueSet-C4BBPayerClaimPaymentStatusCode
TotalAllowed adjudication(category=http://terminology.hl7.org/CodeSystem/adjudication|benefit).amount
total(category=http://terminology.hl7.org/CodeSystem/adjudication|benefit).amount
TotalCharges adjudication(category=http://terminology.hl7.org/CodeSystem/adjudication|submitted).amount
total(category=http://terminology.hl7.org/CodeSystem/adjudication|submitted).amount
TotalCoinsuranceAmount adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|coinsurance).amount
total(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|coinsurance).amount
TotalCopayAmount adjudication(category=http://terminology.hl7.org/CodeSystem/adjudication|copay).amount
total(category=http://terminology.hl7.org/CodeSystem/adjudication|copay).amount
TotalDeductibleAmount adjudication(category=http://terminology.hl7.org/CodeSystem/adjudication|deductible).amount
total(category=http://terminology.hl7.org/CodeSystem/adjudication|deductible).amount
TotalHsaPaidAmount adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|paidbypatienthealthaccount).amount
total(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|paidbypatienthealthaccount).amount
TotalNotCoveredAmount adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|noncovered).amount
total(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|noncovered).amount
TotalPaid adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|paidtoprovider).amount
total(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|paidtoprovider).amount
payment.amount
TotalPatientPaid adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|paidbypatient).amount
total(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|paidbypatient).amount
TotalPatientResponsibleAmount adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|memberliability).amount
total(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|memberliability).amount

Oral profile from FHIR mappings

CareEvolution FHIR
AdjudicationDate extension('http://careevolution.com/fhirextensions#explanationOfBenefit-adjudicationDate')
AdmitDate supportingInfo(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType|admissionperiod).timing
AdmitSource
Domain: AdmitSource
supportingInfo(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType|pointoforigin).code
Bindings:  https://www.nubc.org/CodeSystem/PointOfOrigin  https://www.nubc.org/CodeSystem/PointOfOriginNewBorn
supportingInfo(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/ClaimInformationCategory|admsrc).code
Bindings:  https://www.nubc.org/CodeSystem/PointOfOrigin  https://www.nubc.org/CodeSystem/PointOfOriginNewBorn
AdmitType
Domain: AdmissionType
supportingInfo(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType|admtype).code
Bindings:  https://www.nubc.org/CodeSystem/PriorityTypeOfAdmitOrVisit  http://terminology.hl7.org/CodeSystem/v3-ActCode  https://www.cms.gov/Medicare/Coding/place-of-service-codes/Place_of_Service_Code_Set  https://rosetta.careevolution.com/UBFacilityType
AlternateIdentifier identifier
AuthorizationNumber preAuthRef
BillClass
Domain: BillClass
supportingInfo(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType|typeofbill).code
Bindings:  https://www.nubc.org/CodeSystem/TypeOfBill
CaregiverRelationships provider Maps CaregiverRelationships with RelationshipType=ClaimProvider
payee Maps CaregiverRelationships with RelationshipType=PayToProvider
CaregiverRelationships.CaregiverID careTeam.provider
CaregiverRelationships.RelationshipType
Domain: CaregiverRelationshipType
careTeam.role
Bindings:  ValueSet-C4BBClaimInstitutionalCareTeamRole
CaregiverRelationships.Responsible careTeam.responsible
ClaimSupportingInformation.EndDate supportingInfo.timing
ClaimSupportingInformation.Reason
Domain: SupportingInformationReason
supportingInfo.reason
ClaimSupportingInformation.Sequence supportingInfo.sequence
ClaimSupportingInformation.StartDate supportingInfo.timing
ClaimSupportingInformation.Term
Domain: SupportingInformationCode
supportingInfo.code
ClaimSupportingInformation.Type
Domain: SupportingInformationType
supportingInfo.category
Bindings:  ValueSet-C4BBSupportingInfoType
ClaimSupportingInformation.Value supportingInfo.value
ClaimType
Domain: ClaimType
type
Bindings:  valueset-claim-type
Comment text
ControlNumber extension('http://careevolution.com/fhirextensions#explanationOfBenefit-controlNumber')
CreatedDate created
DischargeDate supportingInfo(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType|admissionperiod).timing
Disposition
Domain: ClaimDisposition
extension('http://careevolution.com/fhirextensions#explanationOfBenefit-disposition')
Drg
Domain: ClaimDrg
supportingInfo(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType|drg).code
Bindings:  https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/MS-DRG-Classifications-and-Software  https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/MS-DRG-Classifications-and-Software  https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/MS-DRG-Classifications-and-Software  https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/MS-DRG-Classifications-and-Software  https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/MS-DRG-Classifications-and-Software  https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/MS-DRG-Classifications-and-Software
EncounterID extension('http://careevolution.com/fhirextensions#explanationOfBenefit-encounterID')
EndDate billablePeriod
FacilityType
Domain: FacilityType
supportingInfo(category=http://careevolution.com/fhir/SupportingInfo|placeofservice).code
Bindings:  https://www.cms.gov/Medicare/Coding/place-of-service-codes/Place_of_Service_Code_Set  http://terminology.hl7.org/CodeSystem/v3-ActCode  https://rosetta.careevolution.com/UBFacilityType
Identifier identifier
id
InNetwork total.category
Bindings:  ValueSet-C4BBPayerBenefitPaymentStatus
adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudicationDiscriminator|benefitpaymentstatus).reason
Bindings:  ValueSet-C4BBPayerBenefitPaymentStatus
InsuranceID insurance.coverage
insurer
InsuranceIdentifier insurance.coverage
insurer
Mrn extension('http://careevolution.com/fhirextensions#explanationOfBenefit-mrn')
NonPaymentReason
Domain: NonPaymentReason
adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudicationDiscriminator|denialreason).reason
Bindings:  https://x12.org/codes/remittance-advice-remark-codes  https://x12.org/codes/claim-adjustment-reason-codes
PaidDate payment.date
PatientID patient
PatientStatus
Domain: PatientStatus
supportingInfo(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType|discharge-status).code
Problems.Date diagnosis.extension('http://careevolution.com/fhirextensions#claim-problemDate')
Problems.OnAdmission
Domain: DiagnosisStatusOnAdmission
diagnosis.onAdmission
Bindings:  http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical
Problems.Sequence diagnosis.sequence
Problems.Term
Domain: DiagnosisCode
diagnosis.diagnosis
Bindings:  http://snomed.info/sct  http://hl7.org/fhir/sid/icd-10-cm  http://hl7.org/fhir/sid/icd-9-cm
Problems.Type
Domain: DiagnosisType
diagnosis.type
Bindings:  CodeSystem-C4BBClaimDiagnosisType
Procedures.Date procedure.date
Procedures.Sequence procedure.sequence
Procedures.Term
Domain: ProcedureCode
procedure.procedure
Bindings:  http://www.ada.org/cdt  http://snomed.info/sct  https://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets  http://www.cms.gov/Medicare/Coding/ICD10  http://hl7.org/fhir/sid/icd-9-cm
Procedures.Type
Domain: ProcedureType
procedure.type
Bindings:  ValueSet-C4BBClaimProcedureType
Properties extension('http://careevolution.com/fhirextensions#properties')
extension
benefitBalance.financial.used
Property('FacilityNpi') facility.identifier
Property('FHIRExplanationOfBenefitDisposition') disposition
Property('OriginalClaimNumber') related
Property('renderingnetworkstatus') adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudicationDiscriminator|renderingnetworkstatus).reason
Bindings:  ValueSet-C4BBPayerProviderNetworkStatus
ReferralID extension('http://careevolution.com/fhirextensions#explanationOfBenefit-referralReference')
Revision extension('http://careevolution.com/fhirextensions#explanationOfBenefit-claimRevision')
Services.AllowedAmount item.adjudication(category=http://terminology.hl7.org/CodeSystem/adjudication|benefit).amount
Services.AmountClaimed item.adjudication(category=http://terminology.hl7.org/CodeSystem/adjudication|submitted).amount
item.net
Services.AmountPaid item.adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|paidtoprovider).amount
Services.CaregiverRelationships.CaregiverID careTeam.provider
Services.CaregiverRelationships.RelationshipType
Domain: CaregiverRelationshipType
careTeam.role
Bindings:  ValueSet-C4BBClaimInstitutionalCareTeamRole
Services.CaregiverRelationships.Responsible careTeam.responsible
Services.CoinsuranceAmount item.adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|coinsurance).amount
Services.Comment item.extension('http://careevolution.com/fhirextensions#explanationOfBenefitItem-comment')
Services.CopayAmount item.adjudication(category=http://terminology.hl7.org/CodeSystem/adjudication|copay).amount
Services.DeductibleAmount item.adjudication(category=http://terminology.hl7.org/CodeSystem/adjudication|deductible).amount
Services.EndDate item.serviced
Services.HsaPaidAmount item.adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|paidbypatienthealthaccount).amount
Services.LocationType
Domain: ServiceLocation
item.location
Bindings:  https://www.cms.gov/Medicare/Coding/place-of-service-codes/Place_of_Service_Code_Set  http://terminology.hl7.org/CodeSystem/v3-ActCode  https://rosetta.careevolution.com/UBFacilityType
Services.Modifier1
Domain: BillingModifier
item.modifier
Bindings:  https://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets  http://snomed.info/sct
Services.Modifier2
Domain: BillingModifier
item.modifier
Bindings:  https://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets  http://snomed.info/sct
Services.Modifier3
Domain: BillingModifier
item.modifier
Bindings:  https://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets  http://snomed.info/sct
Services.Modifier4
Domain: BillingModifier
item.modifier
Bindings:  https://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets  http://snomed.info/sct
Services.Modifier5
Domain: BillingModifier
item.modifier
Bindings:  https://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets  http://snomed.info/sct
Services.NonPaymentReason
Domain: NonPaymentReason
item.adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudicationDiscriminator|adjustmentreason).reason
Bindings:  https://x12.org/codes/remittance-advice-remark-codes  https://x12.org/codes/claim-adjustment-reason-codes
Services.NotCoveredAmount item.adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|noncovered).amount
Services.PatientPaid item.adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|paidbypatient).amount
Services.PatientResponsibleAmount item.adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|memberliability).amount
Services.Problem1
Domain: DiagnosisCode
item.extension('http://careevolution.com/fhirextensions#explanationOfBenefitItem-problems')
Bindings:  http://snomed.info/sct  http://hl7.org/fhir/sid/icd-10-cm  http://hl7.org/fhir/sid/icd-9-cm
Services.Problem2
Domain: DiagnosisCode
item.extension('http://careevolution.com/fhirextensions#explanationOfBenefitItem-problems')
Bindings:  http://snomed.info/sct  http://hl7.org/fhir/sid/icd-10-cm  http://hl7.org/fhir/sid/icd-9-cm
Services.Problem3
Domain: DiagnosisCode
item.extension('http://careevolution.com/fhirextensions#explanationOfBenefitItem-problems')
Bindings:  http://snomed.info/sct  http://hl7.org/fhir/sid/icd-10-cm  http://hl7.org/fhir/sid/icd-9-cm
Services.Problem4
Domain: DiagnosisCode
item.extension('http://careevolution.com/fhirextensions#explanationOfBenefitItem-problems')
Bindings:  http://snomed.info/sct  http://hl7.org/fhir/sid/icd-10-cm  http://hl7.org/fhir/sid/icd-9-cm
Services.Properties item.extension
item.extension('http://careevolution.com/fhirextensions#properties')
Services.Property('benefitpaymentstatus') item.adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudicationDiscriminator|benefitpaymentstatus).reason
Bindings:  ValueSet-C4BBPayerBenefitPaymentStatus
Services.Property('MissingToothNumber') supportingInfo(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType|missingtoothnumber).code
Bindings:  ValueSet-ADAUniversalNumberingSystem
Services.Property('OralCavityDesignation') item.bodySite
Bindings:  ValueSet-OralBodySite
Services.Property('ToothNumber') item.bodySite
Bindings:  ValueSet-ADAUniversalNumberingSystem
supportingInfo(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType|additionalbodysite).code
Bindings:  ValueSet-ADAUniversalNumberingSystem
Services.RevenueCode
Domain: RevenueCode
item.revenue
Bindings:  https://www.nubc.org/CodeSystem/RevenueCodes
Services.Sequence item.sequence
Services.ServiceCode
Domain: ServiceCode
item.productOrService
Bindings:  http://www.ada.org/cdt  http://snomed.info/sct  https://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets  http://www.cms.gov/Medicare/Coding/ICD10  http://hl7.org/fhir/sid/icd-9-cm
Services.StartDate item.serviced
Services.Status
Domain: ClaimServiceStatus
item.extension('http://careevolution.com/fhirextensions#explanationOfBenefitItem-status')
Services.Units item.quantity
StartDate billablePeriod
Status
Domain: ClaimStatus
status
Bindings:  valueset-explanationofbenefit-status
TotalAllowed adjudication(category=http://terminology.hl7.org/CodeSystem/adjudication|benefit).amount
total(category=http://terminology.hl7.org/CodeSystem/adjudication|benefit).amount
TotalCharges adjudication(category=http://terminology.hl7.org/CodeSystem/adjudication|submitted).amount
total(category=http://terminology.hl7.org/CodeSystem/adjudication|submitted).amount
TotalCoinsuranceAmount adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|coinsurance).amount
total(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|coinsurance).amount
TotalCopayAmount adjudication(category=http://terminology.hl7.org/CodeSystem/adjudication|copay).amount
total(category=http://terminology.hl7.org/CodeSystem/adjudication|copay).amount
TotalDeductibleAmount adjudication(category=http://terminology.hl7.org/CodeSystem/adjudication|deductible).amount
total(category=http://terminology.hl7.org/CodeSystem/adjudication|deductible).amount
TotalHsaPaidAmount adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|paidbypatienthealthaccount).amount
total(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|paidbypatienthealthaccount).amount
TotalNotCoveredAmount adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|noncovered).amount
total(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|noncovered).amount
TotalPaid adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|paidtoprovider).amount
total(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|paidtoprovider).amount
payment.amount
TotalPatientPaid adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|paidbypatient).amount
total(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|paidbypatient).amount
TotalPatientResponsibleAmount adjudication(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|memberliability).amount
total(category=http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication|memberliability).amount