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
encounter 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

CareEvolution FHIR
Claim.AlternateIdentifier identifier
Claim.BillClass
Domain: BillClass
type
Claim.CaregiverRelationships.CaregiverID careTeam.provider Excludes CaregiverRelationships with RelationshipType equal to ClaimProvider or PayToProvider
Claim.CaregiverRelationships.RelationshipType
Domain: CaregiverRelationshipType
careTeam.role
Bindings:  valueset-claim-careteamrole
Excludes CaregiverRelationships with RelationshipType equal to ClaimProvider or PayToProvider
Claim.ClaimSupportingInformation.EndDate information.timing
Claim.ClaimSupportingInformation.Reason
Domain: SupportingInformationReason
information.reason
Bindings:  http://hl7.org/fhir/sid/cvx  http://snomed.info/sct  http://hl7.org/fhir/sid/icd-10-cm
Claim.ClaimSupportingInformation.Sequence information.sequence
Claim.ClaimSupportingInformation.StartDate information.timing
Claim.ClaimSupportingInformation.Term
Domain: SupportingInformationCode
information.code
Bindings:  http://hl7.org/fhir/sid/cvx  http://snomed.info/sct  http://hl7.org/fhir/sid/icd-10-cm
Claim.ClaimSupportingInformation.Type
Domain: SupportingInformationType
information.category
Bindings:  valueset-claim-informationcategory
Claim.ClaimSupportingInformation.Value information.value
Claim.ClaimType
Domain: ClaimType
type
Bindings:  valueset-claim-type
Claim.Comment text
Claim.EndDate billablePeriod
Claim.Identifier identifier
Claim.InsuranceID insurance.coverage
Claim.InsuranceIdentifier insurance.coverage
Claim.NonPaymentReason
Domain: NonPaymentReason
extension('https://bluebutton.cms.gov/assets/ig/StructureDefinition-bluebutton-hha-clm-mdcr-non-pmt-rsn-cd-extension.html')
extension('https://bluebutton.cms.gov/assets/ig/StructureDefinition-bluebutton-snf-clm-mdcr-non-pmt-rsn-cd-extension.html')
extension('https://bluebutton.cms.gov/assets/ig/StructureDefinition-bluebutton-inpatient-clm-mdcr-non-pmt-rsn-cd-extension.html')
extension('https://bluebutton.cms.gov/assets/ig/StructureDefinition-bluebutton-outpatient-clm-mdcr-non-pmt-rsn-cd-extension.html')
Claim.PatientID patient
Claim.Problems.Date diagnosis.extension('http://careevolution.com/fhirextensions#claim-problemDate')
Claim.Problems.OnAdmission
Domain: DiagnosisStatusOnAdmission
diagnosis.extension('https://bluebutton.cms.gov/assets/ig/StructureDefinition-bluebutton-inpatient-clm-poa-ind-sw1-extension.html')
Claim.Problems.Sequence diagnosis.sequence
Claim.Problems.Term
Domain: DiagnosisCode
diagnosis.diagnosis
Bindings:  http://hl7.org/fhir/sid/icd-10-cm  http://hl7.org/fhir/sid/icd-9-cm  http://snomed.info/sct  http://hl7.org/fhir/sid/cvx
Claim.Problems.Type
Domain: DiagnosisType
diagnosis.type
Bindings:  http://hl7.org/fhir/sid/cvx  http://snomed.info/sct  http://hl7.org/fhir/sid/icd-10-cm
Claim.Procedures.Date procedure.date
Claim.Procedures.Sequence procedure.sequence
Claim.Procedures.Term
Domain: ProcedureCode
procedure.procedure
Bindings:  http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets  http://www.cms.gov/Medicare/Coding/ICD10  http://hl7.org/fhir/sid/icd-9-cm  http://snomed.info/sct  http://hl7.org/fhir/sid/cvx  http://hl7.org/fhir/sid/icd-10-cm
Claim.Procedures.Type
Domain: ProcedureType
procedure.extension('http://careevolution.com/fhirextensions#claim-procedureType')
Bindings:  http://hl7.org/fhir/sid/cvx  http://snomed.info/sct  http://hl7.org/fhir/sid/icd-10-cm
Claim.Properties extension('http://careevolution.com/fhirextensions#properties')
Claim.Property('FacilityNpi') facility.identifier
Claim.Property('FHIRExplanationOfBenefitDisposition') disposition
Claim.Property('https://bluebutton.cms.gov/assets/ig/StructureDefinition-bluebutton-carrier-carr-clm-pmt-dnl-cd-extension.html') extension('https://bluebutton.cms.gov/assets/ig/StructureDefinition-bluebutton-carrier-carr-clm-pmt-dnl-cd-extension.html')
Claim.Property('https://bluebutton.cms.gov/assets/ig/StructureDefinition-bluebutton-inpatient-claim-query-cd-extension.html') billablePeriod.extension('https://bluebutton.cms.gov/assets/ig/StructureDefinition-bluebutton-inpatient-claim-query-cd-extension.html')
Claim.Property('https://bluebutton.cms.gov/assets/ig/StructureDefinition-bluebutton-outpatient-claim-query-cd-extension.html') billablePeriod.extension('https://bluebutton.cms.gov/assets/ig/StructureDefinition-bluebutton-outpatient-claim-query-cd-extension.html')
Claim.Property('https://bluebutton.cms.gov/assets/ig/StructureDefinition-bluebutton-pde-phrmcy-srvc-type-cd-extension.html') facility.extension('https://bluebutton.cms.gov/assets/ig/StructureDefinition-bluebutton-pde-phrmcy-srvc-type-cd-extension.html')
Claim.Property('https://bluebutton.cms.gov/assets/ig/StructureDefinition-bluebutton-snf-claim-query-cd-extension.html') billablePeriod.extension('https://bluebutton.cms.gov/assets/ig/StructureDefinition-bluebutton-snf-claim-query-cd-extension.html')
Claim.Property('MDCR_INSTNL_TOT_CHRG_AMT') totalCost
Claim.Services.CaregiverRelationships.CaregiverID careTeam.provider
Claim.Services.CaregiverRelationships.RelationshipType
Domain: CaregiverRelationshipType
careTeam.role
Bindings:  valueset-claim-careteamrole
Claim.Services.EndDate item.serviced
Claim.Services.LocationType
Domain: ServiceLocation
item.location
Bindings:  https://www.cms.gov/Medicare/Coding/place-of-service-codes/Place_of_Service_Code_Set  http://hl7.org/fhir/sid/cvx  http://snomed.info/sct  http://hl7.org/fhir/sid/icd-10-cm
Claim.Services.Modifier1
Domain: BillingModifier
item.modifier
Bindings:  http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets  http://snomed.info/sct  http://hl7.org/fhir/sid/cvx  http://hl7.org/fhir/sid/icd-10-cm
Claim.Services.Modifier2
Domain: BillingModifier
item.modifier
Bindings:  http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets  http://snomed.info/sct  http://hl7.org/fhir/sid/cvx  http://hl7.org/fhir/sid/icd-10-cm
Claim.Services.Modifier3
Domain: BillingModifier
item.modifier
Bindings:  http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets  http://snomed.info/sct  http://hl7.org/fhir/sid/cvx  http://hl7.org/fhir/sid/icd-10-cm
Claim.Services.Modifier4
Domain: BillingModifier
item.modifier
Bindings:  http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets  http://snomed.info/sct  http://hl7.org/fhir/sid/cvx  http://hl7.org/fhir/sid/icd-10-cm
Claim.Services.Modifier5
Domain: BillingModifier
item.modifier
Bindings:  http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets  http://snomed.info/sct  http://hl7.org/fhir/sid/cvx  http://hl7.org/fhir/sid/icd-10-cm
Claim.Services.Property('FHIRDiagnosisLinkId') item.diagnosisLinkId
Claim.Services.Property('FHIRProcedureLinkId') item.procedureLinkId
Claim.Services.Property('http://hl7.org/fhir/ValueSet/v3-ActInvoiceGroupCode') item.extension('http://hl7.org/fhir/ValueSet/v3-ActInvoiceGroupCode')
Claim.Services.Property('https://bluebutton.cms.gov/resources/variables/betos_cd') item.extension('https://bluebutton.cms.gov/resources/variables/betos_cd')
Claim.Services.Property('https://bluebutton.cms.gov/resources/variables/carr_line_mtus_cd') item.extension('https://bluebutton.cms.gov/resources/variables/carr_line_mtus_cd')
Claim.Services.Property('https://bluebutton.cms.gov/resources/variables/carr_line_mtus_cnt') item.extension('https://bluebutton.cms.gov/resources/variables/carr_line_mtus_cnt')
Claim.Services.Property('https://bluebutton.cms.gov/resources/variables/line_service_deductible') item.extension('https://bluebutton.cms.gov/resources/variables/line_service_deductible')
Claim.Services.Property('IsFromFhirCategoryProperty') item.category
item.revenue
Claim.Services.RevenueCode
Domain: RevenueCode
item.category
item.revenue
Claim.Services.Sequence item.sequence
Claim.Services.ServiceCode
Domain: ServiceCode
item.service
Bindings:  http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets  http://www.cms.gov/Medicare/Coding/ICD10  http://hl7.org/fhir/sid/icd-9-cm  http://snomed.info/sct  http://hl7.org/fhir/sid/cvx  http://hl7.org/fhir/sid/icd-10-cm
Claim.Services.StartDate item.serviced
Claim.Services.Units item.quantity
Claim.StartDate billablePeriod
Claim.Status
Domain: ClaimStatus
status
Bindings:  valueset-explanationofbenefit-status
Claim.TotalAllowed totalBenefit
Claim.TotalPaid payment.amount
Medications.Comment item.detail.type.coding.display
Medications.Date item.serviced
Medications.DaysSupplied item.quantity.extension('https://bluebutton.cms.gov/resources/variables/days_suply_num')
Medications.Identifier item.sequence
Medications.Properties item.extension('http://careevolution.com/fhirextensions#properties')
Medications.Quantity item.quantity
Bindings:  http://unitsofmeasure.org  http://hl7.org/fhir/sid/cvx  http://snomed.info/sct  http://hl7.org/fhir/sid/icd-10-cm
Medications.RefillNumber item.quantity.extension('https://bluebutton.cms.gov/resources/variables/fill_num')
Medications.Term
Domain: MedicationType
item.service
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  http://hl7.org/fhir/sid/icd-10-cm
item.quantity
Bindings:  http://unitsofmeasure.org  http://hl7.org/fhir/sid/cvx  http://snomed.info/sct  http://hl7.org/fhir/sid/icd-10-cm
Medications.Units
Domain: MedicationUnits
item.quantity
Bindings:  http://unitsofmeasure.org  http://hl7.org/fhir/sid/cvx  http://snomed.info/sct  http://hl7.org/fhir/sid/icd-10-cm

From FHIR mappings

CareEvolution FHIR
Claim.AlternateIdentifier identifier
Claim.BillClass
Domain: BillClass
type
Claim.CaregiverRelationships.CaregiverID careTeam.provider
Claim.CaregiverRelationships.RelationshipType
Domain: CaregiverRelationshipType
careTeam.role
Bindings:  valueset-claim-careteamrole
Claim.ClaimSupportingInformation.EndDate information.timing
Claim.ClaimSupportingInformation.Reason
Domain: SupportingInformationReason
information.reason
Bindings:  http://hl7.org/fhir/sid/cvx  http://snomed.info/sct  http://hl7.org/fhir/sid/icd-10-cm
Claim.ClaimSupportingInformation.Sequence information.sequence
Claim.ClaimSupportingInformation.StartDate information.timing
Claim.ClaimSupportingInformation.Term
Domain: SupportingInformationCode
information.code
Bindings:  http://hl7.org/fhir/sid/cvx  http://snomed.info/sct  http://hl7.org/fhir/sid/icd-10-cm
Claim.ClaimSupportingInformation.Type
Domain: SupportingInformationType
information.category
Bindings:  valueset-claim-informationcategory
Claim.ClaimSupportingInformation.Value information.value
Claim.ClaimType
Domain: ClaimType
type
Bindings:  valueset-claim-type
Claim.Comment text
Claim.EndDate billablePeriod
Claim.Identifier identifier
id
Claim.InsuranceID insurance.coverage
Claim.InsuranceIdentifier insurance.coverage
Claim.NonPaymentReason
Domain: NonPaymentReason
extension('https://bluebutton.cms.gov/assets/ig/StructureDefinition-bluebutton-hha-clm-mdcr-non-pmt-rsn-cd-extension.html')
extension('https://bluebutton.cms.gov/assets/ig/StructureDefinition-bluebutton-snf-clm-mdcr-non-pmt-rsn-cd-extension.html')
extension('https://bluebutton.cms.gov/assets/ig/StructureDefinition-bluebutton-inpatient-clm-mdcr-non-pmt-rsn-cd-extension.html')
extension('https://bluebutton.cms.gov/assets/ig/StructureDefinition-bluebutton-outpatient-clm-mdcr-non-pmt-rsn-cd-extension.html')
Claim.PatientID patient
Claim.Problems.Date diagnosis.extension('http://careevolution.com/fhirextensions#claim-problemDate')
Claim.Problems.OnAdmission
Domain: DiagnosisStatusOnAdmission
diagnosis.extension('https://bluebutton.cms.gov/assets/ig/StructureDefinition-bluebutton-inpatient-clm-poa-ind-sw1-extension.html')
Claim.Problems.Sequence diagnosis.sequence
Claim.Problems.Term
Domain: DiagnosisCode
diagnosis.diagnosis
Bindings:  http://hl7.org/fhir/sid/icd-10-cm  http://hl7.org/fhir/sid/icd-9-cm  http://snomed.info/sct  http://hl7.org/fhir/sid/cvx
Claim.Problems.Type
Domain: DiagnosisType
diagnosis.type
Bindings:  http://hl7.org/fhir/sid/cvx  http://snomed.info/sct  http://hl7.org/fhir/sid/icd-10-cm
Claim.Procedures.Date procedure.date
Claim.Procedures.Sequence procedure.sequence
Claim.Procedures.Term
Domain: ProcedureCode
procedure.procedure
Bindings:  http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets  http://www.cms.gov/Medicare/Coding/ICD10  http://hl7.org/fhir/sid/icd-9-cm  http://snomed.info/sct  http://hl7.org/fhir/sid/cvx  http://hl7.org/fhir/sid/icd-10-cm
Claim.Procedures.Type
Domain: ProcedureType
procedure.extension('http://careevolution.com/fhirextensions#claim-procedureType')
Bindings:  http://hl7.org/fhir/sid/cvx  http://snomed.info/sct  http://hl7.org/fhir/sid/icd-10-cm
Claim.Properties extension('http://careevolution.com/fhirextensions#properties')
facility.extension
extension
diagnosis.packageCode
benefitBalance.financial.used
Claim.Property('FacilityNpi') facility.identifier
Claim.Property('FHIRExplanationOfBenefitDisposition') disposition
Claim.Property('https://bluebutton.cms.gov/assets/ig/StructureDefinition-bluebutton-carrier-carr-clm-pmt-dnl-cd-extension.html') extension('https://bluebutton.cms.gov/assets/ig/StructureDefinition-bluebutton-carrier-carr-clm-pmt-dnl-cd-extension.html')
Claim.Property('https://bluebutton.cms.gov/assets/ig/StructureDefinition-bluebutton-inpatient-claim-query-cd-extension.html') billablePeriod.extension('https://bluebutton.cms.gov/assets/ig/StructureDefinition-bluebutton-inpatient-claim-query-cd-extension.html')
Claim.Property('https://bluebutton.cms.gov/assets/ig/StructureDefinition-bluebutton-outpatient-claim-query-cd-extension.html') billablePeriod.extension('https://bluebutton.cms.gov/assets/ig/StructureDefinition-bluebutton-outpatient-claim-query-cd-extension.html')
Claim.Property('https://bluebutton.cms.gov/assets/ig/StructureDefinition-bluebutton-pde-phrmcy-srvc-type-cd-extension.html') facility.extension('https://bluebutton.cms.gov/assets/ig/StructureDefinition-bluebutton-pde-phrmcy-srvc-type-cd-extension.html')
Claim.Property('https://bluebutton.cms.gov/assets/ig/StructureDefinition-bluebutton-snf-claim-query-cd-extension.html') billablePeriod.extension('https://bluebutton.cms.gov/assets/ig/StructureDefinition-bluebutton-snf-claim-query-cd-extension.html')
Claim.Property('MDCR_INSTNL_TOT_CHRG_AMT') totalCost
Claim.Services.AmountClaimed item.adjudication
Claim.Services.AmountPaid item.adjudication
Claim.Services.CaregiverRelationships.CaregiverID careTeam.provider
Claim.Services.CaregiverRelationships.RelationshipType
Domain: CaregiverRelationshipType
careTeam.role
Bindings:  valueset-claim-careteamrole
Claim.Services.EndDate item.serviced
Claim.Services.LocationType
Domain: ServiceLocation
item.location
Bindings:  https://www.cms.gov/Medicare/Coding/place-of-service-codes/Place_of_Service_Code_Set  http://hl7.org/fhir/sid/cvx  http://snomed.info/sct  http://hl7.org/fhir/sid/icd-10-cm
Claim.Services.Modifier1
Domain: BillingModifier
item.modifier
Bindings:  http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets  http://snomed.info/sct  http://hl7.org/fhir/sid/cvx  http://hl7.org/fhir/sid/icd-10-cm
Claim.Services.Modifier2
Domain: BillingModifier
item.modifier
Bindings:  http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets  http://snomed.info/sct  http://hl7.org/fhir/sid/cvx  http://hl7.org/fhir/sid/icd-10-cm
Claim.Services.Modifier3
Domain: BillingModifier
item.modifier
Bindings:  http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets  http://snomed.info/sct  http://hl7.org/fhir/sid/cvx  http://hl7.org/fhir/sid/icd-10-cm
Claim.Services.Modifier4
Domain: BillingModifier
item.modifier
Bindings:  http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets  http://snomed.info/sct  http://hl7.org/fhir/sid/cvx  http://hl7.org/fhir/sid/icd-10-cm
Claim.Services.Modifier5
Domain: BillingModifier
item.modifier
Bindings:  http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets  http://snomed.info/sct  http://hl7.org/fhir/sid/cvx  http://hl7.org/fhir/sid/icd-10-cm
Claim.Services.Properties item.extension
Claim.Services.Property('FHIRDiagnosisLinkId') item.diagnosisLinkId
Claim.Services.Property('FHIRProcedureLinkId') item.procedureLinkId
Claim.Services.Property('http://hl7.org/fhir/ValueSet/v3-ActInvoiceGroupCode') item.extension('http://hl7.org/fhir/ValueSet/v3-ActInvoiceGroupCode')
Claim.Services.Property('https://bluebutton.cms.gov/resources/variables/betos_cd') item.extension('https://bluebutton.cms.gov/resources/variables/betos_cd')
Claim.Services.Property('https://bluebutton.cms.gov/resources/variables/carr_line_mtus_cd') item.extension('https://bluebutton.cms.gov/resources/variables/carr_line_mtus_cd')
Claim.Services.Property('https://bluebutton.cms.gov/resources/variables/carr_line_mtus_cnt') item.extension('https://bluebutton.cms.gov/resources/variables/carr_line_mtus_cnt')
Claim.Services.Property('https://bluebutton.cms.gov/resources/variables/line_service_deductible') item.extension('https://bluebutton.cms.gov/resources/variables/line_service_deductible')
Claim.Services.Property('IsFromFhirCategoryProperty') item.category
item.revenue
Claim.Services.RevenueCode
Domain: RevenueCode
item.category
item.revenue
Claim.Services.Sequence item.sequence
Claim.Services.ServiceCode
Domain: ServiceCode
item.service
Bindings:  http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets  http://www.cms.gov/Medicare/Coding/ICD10  http://hl7.org/fhir/sid/icd-9-cm  http://snomed.info/sct  http://hl7.org/fhir/sid/cvx  http://hl7.org/fhir/sid/icd-10-cm
Claim.Services.StartDate item.serviced
Claim.Services.Status
Domain: ClaimServiceStatus
item.adjudication
Claim.Services.Units item.quantity
Claim.StartDate billablePeriod
Claim.Status
Domain: ClaimStatus
status
Bindings:  valueset-explanationofbenefit-status
Claim.TotalAllowed totalBenefit
Claim.TotalPaid payment.amount
Medications.AmountBilled item.adjudication
Medications.AmountPaid item.adjudication
Medications.Comment item.detail.type.coding.display
Medications.Date item.serviced
Medications.DaysSupplied item.quantity.extension('https://bluebutton.cms.gov/resources/variables/days_suply_num')
Medications.Identifier item.sequence
Medications.Properties item.extension('http://careevolution.com/fhirextensions#properties')
Medications.Quantity item.quantity
Bindings:  http://unitsofmeasure.org  http://hl7.org/fhir/sid/cvx  http://snomed.info/sct  http://hl7.org/fhir/sid/icd-10-cm
Medications.RefillNumber item.quantity.extension('https://bluebutton.cms.gov/resources/variables/fill_num')
Medications.Term
Domain: MedicationType
item.service
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  http://hl7.org/fhir/sid/icd-10-cm
Medications.Units
Domain: MedicationUnits
item.quantity
Bindings:  http://unitsofmeasure.org  http://hl7.org/fhir/sid/cvx  http://snomed.info/sct  http://hl7.org/fhir/sid/icd-10-cm