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

Resource ExplanationOfBenefit (R4)

Maps CareEvolution Claim and contained Medication concepts

• Supported interactions
• Search parameters
• Sorts
• Includes
• Operations
• Default to FHIR mappings
• Default from FHIR mappings
• Inpatient profile to FHIR mappings
• Inpatient profile from FHIR mappings
• Outpatient profile to FHIR mappings
• Outpatient profile from FHIR mappings
• Pharmacy profile to FHIR mappings
• Pharmacy profile from FHIR mappings
• Professional profile to FHIR mappings
• Professional profile from FHIR mappings
• Oral profile to FHIR mappings
• Oral profile from FHIR mappings

Supported interactions

• read
• search
• create
• update
• delete

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

• _id
• identifier

Supports multiple sorts

Includes

• care-team
• coverage
• encounter
• patient
• provenance-agent
• provider
• Condition:explanation-of-benefit
• Immunization:explanation-of-benefit
• MedicationDispense:explanation-of-benefit
• Procedure:explanation-of-benefit
• Provenance:target

Operations

• validate - Validate a resource

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.DataSource	extension('http://careevolution.com/fhirextensions#dataSource')
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.EncounterID	item.encounter
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.DataSource	extension('http://careevolution.com/fhirextensions#dataSource')
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.EncounterID	item.encounter
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
DataSource	extension('http://careevolution.com/fhirextensions#dataSource')
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
DataSource	extension('http://careevolution.com/fhirextensions#dataSource')
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
DataSource	extension('http://careevolution.com/fhirextensions#dataSource')
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
DataSource	extension('http://careevolution.com/fhirextensions#dataSource')
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.DataSource	extension('http://careevolution.com/fhirextensions#dataSource')
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.EncounterID	item.encounter
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.DataSource	extension('http://careevolution.com/fhirextensions#dataSource')
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.EncounterID	item.encounter
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
DataSource	extension('http://careevolution.com/fhirextensions#dataSource')
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
DataSource	extension('http://careevolution.com/fhirextensions#dataSource')
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
DataSource	extension('http://careevolution.com/fhirextensions#dataSource')
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
DataSource	extension('http://careevolution.com/fhirextensions#dataSource')
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

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