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

Resource ExplanationOfBenefit (STU3)

Maps CareEvolution Claim and contained Medication concepts

Supported interactions

Search parameters

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

Sorts

Supports multiple sorts

Includes

Operations

To FHIR mappings

FHIR CareEvolution
billablePeriod Claim.StartDate
Claim.EndDate
billablePeriod.extension('https://bluebutton.cms.gov/assets/ig/StructureDefinition-bluebutton-inpatient-claim-query-cd-extension.html') Claim.Property('https://bluebutton.cms.gov/assets/ig/StructureDefinition-bluebutton-inpatient-claim-query-cd-extension.html')
billablePeriod.extension('https://bluebutton.cms.gov/assets/ig/StructureDefinition-bluebutton-outpatient-claim-query-cd-extension.html') Claim.Property('https://bluebutton.cms.gov/assets/ig/StructureDefinition-bluebutton-outpatient-claim-query-cd-extension.html')
billablePeriod.extension('https://bluebutton.cms.gov/assets/ig/StructureDefinition-bluebutton-snf-claim-query-cd-extension.html') Claim.Property('https://bluebutton.cms.gov/assets/ig/StructureDefinition-bluebutton-snf-claim-query-cd-extension.html')
careTeam.provider Claim.CaregiverRelationships.CaregiverID
Claim.Services.CaregiverRelationships.CaregiverID
careTeam.role Claim.CaregiverRelationships.RelationshipType
Claim.Services.CaregiverRelationships.RelationshipType
diagnosis.diagnosis Claim.Problems.Term
diagnosis.extension('http://careevolution.com/fhirextensions#claim-problemDate') Claim.Problems.Date
diagnosis.extension('https://bluebutton.cms.gov/assets/ig/StructureDefinition-bluebutton-inpatient-clm-poa-ind-sw1-extension.html') Claim.Problems.OnAdmission
diagnosis.sequence Claim.Problems.Sequence
diagnosis.type Claim.Problems.Type
disposition Claim.Property('FHIRExplanationOfBenefitDisposition')
extension('http://careevolution.com/fhirextensions#properties') Claim.Properties
extension('https://bluebutton.cms.gov/assets/ig/StructureDefinition-bluebutton-carrier-carr-clm-pmt-dnl-cd-extension.html') Claim.Property('https://bluebutton.cms.gov/assets/ig/StructureDefinition-bluebutton-carrier-carr-clm-pmt-dnl-cd-extension.html')
extension('https://bluebutton.cms.gov/assets/ig/StructureDefinition-bluebutton-hha-clm-mdcr-non-pmt-rsn-cd-extension.html') Claim.NonPaymentReason
extension('https://bluebutton.cms.gov/assets/ig/StructureDefinition-bluebutton-inpatient-clm-mdcr-non-pmt-rsn-cd-extension.html') Claim.NonPaymentReason
extension('https://bluebutton.cms.gov/assets/ig/StructureDefinition-bluebutton-outpatient-clm-mdcr-non-pmt-rsn-cd-extension.html') Claim.NonPaymentReason
extension('https://bluebutton.cms.gov/assets/ig/StructureDefinition-bluebutton-snf-clm-mdcr-non-pmt-rsn-cd-extension.html') Claim.NonPaymentReason
facility.extension('https://bluebutton.cms.gov/assets/ig/StructureDefinition-bluebutton-pde-phrmcy-srvc-type-cd-extension.html') Claim.Property('https://bluebutton.cms.gov/assets/ig/StructureDefinition-bluebutton-pde-phrmcy-srvc-type-cd-extension.html')
facility.identifier Claim.Property('FacilityNpi')
identifier Claim.Identifier
Claim.AlternateIdentifier
information.category Claim.ClaimSupportingInformation.Type
information.code Claim.ClaimSupportingInformation.Term
information.reason Claim.ClaimSupportingInformation.Reason
information.sequence Claim.ClaimSupportingInformation.Sequence
information.timing Claim.ClaimSupportingInformation.StartDate
Claim.ClaimSupportingInformation.EndDate
information.value Claim.ClaimSupportingInformation.Value
insurance.coverage.identifier Claim.InsuranceIdentifier
insurance.coverage.reference Claim.InsuranceID
item.category Claim.Services.RevenueCode
Claim.Services.Property('IsFromFhirCategoryProperty')
item.detail.type.coding.display Medications.Comment
item.diagnosisLinkId Claim.Services.Property('FHIRDiagnosisLinkId')
item.extension('http://careevolution.com/fhirextensions#properties') Medications.Properties
item.extension('http://hl7.org/fhir/ValueSet/v3-ActInvoiceGroupCode') Claim.Services.Property('http://hl7.org/fhir/ValueSet/v3-ActInvoiceGroupCode')
item.extension('https://bluebutton.cms.gov/resources/variables/betos_cd') Claim.Services.Property('https://bluebutton.cms.gov/resources/variables/betos_cd')
item.extension('https://bluebutton.cms.gov/resources/variables/carr_line_mtus_cd') Claim.Services.Property('https://bluebutton.cms.gov/resources/variables/carr_line_mtus_cd')
item.extension('https://bluebutton.cms.gov/resources/variables/carr_line_mtus_cnt') Claim.Services.Property('https://bluebutton.cms.gov/resources/variables/carr_line_mtus_cnt')
item.extension('https://bluebutton.cms.gov/resources/variables/line_service_deductible') Claim.Services.Property('https://bluebutton.cms.gov/resources/variables/line_service_deductible')
item.location Claim.Services.LocationType
item.modifier Claim.Services.Modifier1
Claim.Services.Modifier2
Claim.Services.Modifier3
Claim.Services.Modifier4
Claim.Services.Modifier5
item.procedureLinkId Claim.Services.Property('FHIRProcedureLinkId')
item.quantity Medications.Quantity
Medications.Units
Medications.Term
Claim.Services.Units
item.quantity.extension('https://bluebutton.cms.gov/resources/variables/days_suply_num') Medications.DaysSupplied
item.quantity.extension('https://bluebutton.cms.gov/resources/variables/fill_num') Medications.RefillNumber
item.revenue Claim.Services.RevenueCode
Claim.Services.Property('IsFromFhirCategoryProperty')
item.sequence Medications.Identifier
Claim.Services.Sequence
item.service Medications.Term
Claim.Services.ServiceCode
item.serviced Medications.Date
Claim.Services.StartDate
Claim.Services.EndDate
patient Claim.PatientID
payment.amount Claim.TotalPaid
procedure.date Claim.Procedures.Date
procedure.extension('http://careevolution.com/fhirextensions#claim-procedureType') Claim.Procedures.Type
procedure.procedure Claim.Procedures.Term
procedure.sequence Claim.Procedures.Sequence
status Claim.Status
text Claim.Comment
totalBenefit Claim.TotalAllowed
totalCost Claim.Property('MDCR_INSTNL_TOT_CHRG_AMT')
type Claim.ClaimType
Claim.BillClass

From FHIR mappings

FHIR CareEvolution
benefitBalance.financial.used Claim.Properties
billablePeriod Claim.StartDate
Claim.EndDate
billablePeriod.extension('https://bluebutton.cms.gov/assets/ig/StructureDefinition-bluebutton-inpatient-claim-query-cd-extension.html') Claim.Property('https://bluebutton.cms.gov/assets/ig/StructureDefinition-bluebutton-inpatient-claim-query-cd-extension.html')
billablePeriod.extension('https://bluebutton.cms.gov/assets/ig/StructureDefinition-bluebutton-outpatient-claim-query-cd-extension.html') Claim.Property('https://bluebutton.cms.gov/assets/ig/StructureDefinition-bluebutton-outpatient-claim-query-cd-extension.html')
billablePeriod.extension('https://bluebutton.cms.gov/assets/ig/StructureDefinition-bluebutton-snf-claim-query-cd-extension.html') Claim.Property('https://bluebutton.cms.gov/assets/ig/StructureDefinition-bluebutton-snf-claim-query-cd-extension.html')
careTeam.provider Claim.CaregiverRelationships.CaregiverID
Claim.Services.CaregiverRelationships.CaregiverID
careTeam.role Claim.CaregiverRelationships.RelationshipType
Claim.Services.CaregiverRelationships.RelationshipType
diagnosis.diagnosis Claim.Problems.Term
diagnosis.extension('http://careevolution.com/fhirextensions#claim-problemDate') Claim.Problems.Date
diagnosis.extension('https://bluebutton.cms.gov/assets/ig/StructureDefinition-bluebutton-inpatient-clm-poa-ind-sw1-extension.html') Claim.Problems.OnAdmission
diagnosis.packageCode Claim.Properties
diagnosis.sequence Claim.Problems.Sequence
diagnosis.type Claim.Problems.Type
disposition Claim.Property('FHIRExplanationOfBenefitDisposition')
extension Claim.Properties
extension('http://careevolution.com/fhirextensions#properties') Claim.Properties
extension('https://bluebutton.cms.gov/assets/ig/StructureDefinition-bluebutton-carrier-carr-clm-pmt-dnl-cd-extension.html') Claim.Property('https://bluebutton.cms.gov/assets/ig/StructureDefinition-bluebutton-carrier-carr-clm-pmt-dnl-cd-extension.html')
extension('https://bluebutton.cms.gov/assets/ig/StructureDefinition-bluebutton-hha-clm-mdcr-non-pmt-rsn-cd-extension.html') Claim.NonPaymentReason
extension('https://bluebutton.cms.gov/assets/ig/StructureDefinition-bluebutton-inpatient-clm-mdcr-non-pmt-rsn-cd-extension.html') Claim.NonPaymentReason
extension('https://bluebutton.cms.gov/assets/ig/StructureDefinition-bluebutton-outpatient-clm-mdcr-non-pmt-rsn-cd-extension.html') Claim.NonPaymentReason
extension('https://bluebutton.cms.gov/assets/ig/StructureDefinition-bluebutton-snf-clm-mdcr-non-pmt-rsn-cd-extension.html') Claim.NonPaymentReason
facility.extension Claim.Properties
facility.extension('https://bluebutton.cms.gov/assets/ig/StructureDefinition-bluebutton-pde-phrmcy-srvc-type-cd-extension.html') Claim.Property('https://bluebutton.cms.gov/assets/ig/StructureDefinition-bluebutton-pde-phrmcy-srvc-type-cd-extension.html')
facility.identifier Claim.Property('FacilityNpi')
id Claim.Identifier
identifier Claim.Identifier
Claim.AlternateIdentifier
information.category Claim.ClaimSupportingInformation.Type
information.code Claim.ClaimSupportingInformation.Term
information.reason Claim.ClaimSupportingInformation.Reason
information.sequence Claim.ClaimSupportingInformation.Sequence
information.timing Claim.ClaimSupportingInformation.StartDate
Claim.ClaimSupportingInformation.EndDate
information.value Claim.ClaimSupportingInformation.Value
insurance.coverage.identifier Claim.InsuranceIdentifier
insurance.coverage.reference Claim.InsuranceID
item.adjudication Medications.AmountPaid
Medications.AmountBilled
Claim.Services.AmountPaid
Claim.Services.AmountClaimed
Claim.Services.Status
item.category Claim.Services.RevenueCode
Claim.Services.Property('IsFromFhirCategoryProperty')
item.detail.type.coding.display Medications.Comment
item.diagnosisLinkId Claim.Services.Property('FHIRDiagnosisLinkId')
item.extension Claim.Services.Properties
item.extension('http://careevolution.com/fhirextensions#properties') Medications.Properties
item.extension('http://hl7.org/fhir/ValueSet/v3-ActInvoiceGroupCode') Claim.Services.Property('http://hl7.org/fhir/ValueSet/v3-ActInvoiceGroupCode')
item.extension('https://bluebutton.cms.gov/resources/variables/betos_cd') Claim.Services.Property('https://bluebutton.cms.gov/resources/variables/betos_cd')
item.extension('https://bluebutton.cms.gov/resources/variables/carr_line_mtus_cd') Claim.Services.Property('https://bluebutton.cms.gov/resources/variables/carr_line_mtus_cd')
item.extension('https://bluebutton.cms.gov/resources/variables/carr_line_mtus_cnt') Claim.Services.Property('https://bluebutton.cms.gov/resources/variables/carr_line_mtus_cnt')
item.extension('https://bluebutton.cms.gov/resources/variables/line_service_deductible') Claim.Services.Property('https://bluebutton.cms.gov/resources/variables/line_service_deductible')
item.location Claim.Services.LocationType
item.modifier Claim.Services.Modifier1
Claim.Services.Modifier2
Claim.Services.Modifier3
Claim.Services.Modifier4
Claim.Services.Modifier5
item.procedureLinkId Claim.Services.Property('FHIRProcedureLinkId')
item.quantity Medications.Quantity
Medications.Units
Claim.Services.Units
item.quantity.extension('https://bluebutton.cms.gov/resources/variables/days_suply_num') Medications.DaysSupplied
item.quantity.extension('https://bluebutton.cms.gov/resources/variables/fill_num') Medications.RefillNumber
item.revenue Claim.Services.RevenueCode
Claim.Services.Property('IsFromFhirCategoryProperty')
item.sequence Medications.Identifier
Claim.Services.Sequence
item.service Medications.Term
Claim.Services.ServiceCode
item.serviced Medications.Date
Claim.Services.StartDate
Claim.Services.EndDate
patient Claim.PatientID
payment.amount Claim.TotalPaid
procedure.date Claim.Procedures.Date
procedure.extension('http://careevolution.com/fhirextensions#claim-procedureType') Claim.Procedures.Type
procedure.procedure Claim.Procedures.Term
procedure.sequence Claim.Procedures.Sequence
status Claim.Status
text Claim.Comment
totalBenefit Claim.TotalAllowed
totalCost Claim.Property('MDCR_INSTNL_TOT_CHRG_AMT')
type Claim.ClaimType
Claim.BillClass