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13.10.33 Resource ExplanationOfBenefit - Maturity Dependency View

Responsible Owner: Financial Management icon Work Group Trial Use Compartments: Device, Encounter, Group, Patient, Practitioner, RelatedPerson

Dependency Graph for ExplanationOfBenefit FMM level 2

NameCard.TypeDependency Analysis
.. ExplanationOfBenefit DomainResource
... identifier 0..* Identifier
... traceNumber 0..* Identifier
... status 1..1 code Binding Error: (ValueSet = FMM2-Trial Use vs. Element = FMM2-Normative)
... statusReason 0..1 string
... type 1..1 CodeableConcept Binding Error: (ValueSet = FMM2-Trial Use vs. Element = FMM2-Normative)
... subType 0..1 CodeableConcept
... use 1..1 code Binding Error: (ValueSet = FMM2-Trial Use vs. Element = FMM2-Normative)
... subject 1..1 Reference(Patient | Group)
... billablePeriod 0..1 Period
... created 1..1 dateTime
... enterer 0..1 Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)
... insurer 0..1 Reference(Organization)
... provider 0..1 Reference(Practitioner | PractitionerRole | Organization)
... priority 0..1 CodeableConcept
... fundsReserveRequested 0..1 CodeableConcept
... fundsReserve 0..1 CodeableConcept
... related 0..* BackboneElement
.... claim 0..1 Reference(Claim | ExplanationOfBenefit)
.... relationship 0..1 CodeableConcept
.... reference 0..1 Identifier
... prescription 0..1 Reference(DeviceRequest | MedicationRequest | ServiceRequest | VisionPrescription)
... originalPrescription 0..1 Reference(DeviceRequest | MedicationRequest | ServiceRequest | VisionPrescription)
... event 0..* BackboneElement
.... type 1..1 CodeableConcept
.... when[x] 1..1
..... whenDateTime dateTime
..... whenPeriod Period
... payee 0..1 BackboneElement
.... type 0..1 CodeableConcept
.... party 0..1 Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson)
... referral 0..1 Reference(ServiceRequest)
... encounter 0..* Reference(Encounter)
... facility 0..1 Reference(Location | Organization)
... claim 0..1 Reference(Claim)
... claimResponse 0..1 Reference(ClaimResponse)
... outcome 1..1 code Binding Error: (ValueSet = FMM2-Trial Use vs. Element = FMM2-Normative)
... decision 0..1 CodeableConcept
... disposition 0..1 string
... preAuthRef 0..* string
... preAuthRefPeriod 0..* Period
... diagnosisRelatedGroup 0..1 CodeableConcept
... careTeam 0..* BackboneElement
.... sequence 1..1 positiveInt
.... provider 1..1 Reference(Practitioner | PractitionerRole | Organization)
.... role 0..1 CodeableConcept
.... specialty 0..1 CodeableConcept
... supportingInfo 0..* BackboneElement
.... sequence 1..1 positiveInt
.... category 1..1 CodeableConcept
.... code 0..1 CodeableConcept
.... timing[x] 0..1
..... timingDateTime dateTime
..... timingPeriod Period
..... timingTiming Timing
.... value[x] 0..1 *
.... reason 0..1 Coding
... diagnosis 0..* BackboneElement
.... sequence 1..1 positiveInt
.... diagnosis[x] 1..1
..... diagnosisCodeableConcept CodeableConcept
..... diagnosisReference Reference(Condition
.... type 0..* CodeableConcept
.... onAdmission 0..1 CodeableConcept
... procedure 0..* BackboneElement
.... sequence 1..1 positiveInt
.... type 0..* CodeableConcept
.... date 0..1 dateTime
.... procedure[x] 1..1
..... procedureCodeableConcept CodeableConcept
..... procedureReference Reference(Procedure
.... udi 0..* Reference(Device)
... precedence 0..1 positiveInt
... insurance 0..* BackboneElement
.... focal 1..1 boolean
.... coverage 1..1 Reference(Coverage)
.... preAuthRef 0..* string
... accident 0..1 BackboneElement
.... date 0..1 date
.... type 0..1 CodeableConcept Binding Error: (ValueSet = FMM2-Trial Use vs. Element = FMM2-Normative) icon
.... location[x] 0..1
..... locationAddress Address
..... locationReference Reference(Location
... patientPaid 0..1 Money
... item 0..* BackboneElement
.... sequence 1..1 positiveInt
.... careTeamSequence 0..* positiveInt
.... diagnosisSequence 0..* positiveInt
.... procedureSequence 0..* positiveInt
.... informationSequence 0..* positiveInt
.... traceNumber 0..* Identifier
.... subject 0..1 Reference(Patient | Group)
.... revenue 0..1 CodeableConcept
.... category 0..1 CodeableConcept
.... productOrService 0..1 CodeableConcept
.... productOrServiceEnd 0..1 CodeableConcept
.... request 0..* Reference(DeviceRequest | MedicationRequest | NutritionOrder | ServiceRequest | VisionPrescription)
.... modifier 0..* CodeableConcept
.... programCode 0..* CodeableConcept
.... serviced[x] 0..1
..... servicedDate date
..... servicedPeriod Period
.... location[x] 0..1
..... locationCodeableConcept CodeableConcept
..... locationAddress Address
..... locationReference Reference(Location
.... patientPaid 0..1 Money
.... quantity 0..1 SimpleQuantity
.... unitPrice 0..1 Money
.... factor 0..1 decimal
.... tax 0..1 Money
.... net 0..1 Money
.... udi 0..* Reference(Device)
.... bodySite 0..* BackboneElement
..... site 1..* CodeableReference
..... subSite 0..* CodeableConcept
.... encounter 0..* Reference(Encounter)
.... noteNumber 0..* positiveInt
.... reviewOutcome 0..1 BackboneElement
..... decision 0..1 CodeableConcept
..... reason 0..* CodeableConcept
..... preAuthRef 0..1 string
..... preAuthPeriod 0..1 Period
.... adjudication 0..* BackboneElement
..... category 1..1 CodeableConcept
..... reason 0..1 CodeableConcept
..... amount 0..1 Money
..... quantity 0..1 Quantity
..... decisionDate 0..1 dateTime
.... detail 0..* BackboneElement
..... sequence 1..1 positiveInt
..... traceNumber 0..* Identifier
..... revenue 0..1 CodeableConcept
..... category 0..1 CodeableConcept
..... productOrService 0..1 CodeableConcept
..... productOrServiceEnd 0..1 CodeableConcept
..... modifier 0..* CodeableConcept
..... programCode 0..* CodeableConcept
..... patientPaid 0..1 Money
..... quantity 0..1 SimpleQuantity
..... unitPrice 0..1 Money
..... factor 0..1 decimal
..... tax 0..1 Money
..... net 0..1 Money
..... udi 0..* Reference(Device)
..... noteNumber 0..* positiveInt
..... reviewOutcome 0..1 see reviewOutcome
..... adjudication 0..* see adjudication
..... subDetail 0..* BackboneElement
...... sequence 1..1 positiveInt
...... traceNumber 0..* Identifier
...... revenue 0..1 CodeableConcept
...... category 0..1 CodeableConcept
...... productOrService 0..1 CodeableConcept
...... productOrServiceEnd 0..1 CodeableConcept
...... modifier 0..* CodeableConcept
...... programCode 0..* CodeableConcept
...... patientPaid 0..1 Money
...... quantity 0..1 SimpleQuantity
...... unitPrice 0..1 Money
...... factor 0..1 decimal
...... tax 0..1 Money
...... net 0..1 Money
...... udi 0..* Reference(Device)
...... noteNumber 0..* positiveInt
...... reviewOutcome 0..1 see reviewOutcome
...... adjudication 0..* see adjudication
... addItem 0..* BackboneElement
.... itemSequence 0..* positiveInt
.... detailSequence 0..* positiveInt
.... subDetailSequence 0..* positiveInt
.... traceNumber 0..* Identifier
.... subject 0..1 Reference(Patient | Group)
.... informationSequence 0..* positiveInt
.... provider 0..* Reference(Practitioner | PractitionerRole | Organization)
.... revenue 0..1 CodeableConcept
.... category 0..1 CodeableConcept
.... productOrService 0..1 CodeableConcept
.... productOrServiceEnd 0..1 CodeableConcept
.... request 0..* Reference(DeviceRequest | MedicationRequest | NutritionOrder | ServiceRequest | VisionPrescription)
.... modifier 0..* CodeableConcept
.... programCode 0..* CodeableConcept
.... serviced[x] 0..1
..... servicedDate date
..... servicedPeriod Period
.... location[x] 0..1
..... locationCodeableConcept CodeableConcept
..... locationAddress Address
..... locationReference Reference(Location
.... patientPaid 0..1 Money
.... quantity 0..1 SimpleQuantity
.... unitPrice 0..1 Money
.... factor 0..1 decimal
.... tax 0..1 Money
.... net 0..1 Money
.... bodySite 0..* BackboneElement
..... site 1..* CodeableReference
..... subSite 0..* CodeableConcept
.... noteNumber 0..* positiveInt
.... reviewOutcome 0..1 see reviewOutcome
.... adjudication 0..* see adjudication
.... detail 0..* BackboneElement
..... traceNumber 0..* Identifier
..... revenue 0..1 CodeableConcept
..... productOrService 0..1 CodeableConcept
..... productOrServiceEnd 0..1 CodeableConcept
..... modifier 0..* CodeableConcept
..... patientPaid 0..1 Money
..... quantity 0..1 SimpleQuantity
..... unitPrice 0..1 Money
..... factor 0..1 decimal
..... tax 0..1 Money
..... net 0..1 Money
..... noteNumber 0..* positiveInt
..... reviewOutcome 0..1 see reviewOutcome
..... adjudication 0..* see adjudication
..... subDetail 0..* BackboneElement
...... traceNumber 0..* Identifier
...... revenue 0..1 CodeableConcept
...... productOrService 0..1 CodeableConcept
...... productOrServiceEnd 0..1 CodeableConcept
...... modifier 0..* CodeableConcept
...... patientPaid 0..1 Money
...... quantity 0..1 SimpleQuantity
...... unitPrice 0..1 Money
...... factor 0..1 decimal
...... tax 0..1 Money
...... net 0..1 Money
...... noteNumber 0..* positiveInt
...... reviewOutcome 0..1 see reviewOutcome
...... adjudication 0..* see adjudication
... adjudication 0..* see adjudication
... total 0..* BackboneElement
.... category 1..1 CodeableConcept
.... amount 1..1 Money
... payment 0..1 BackboneElement
.... type 0..1 CodeableConcept
.... adjustment 0..1 Money
.... adjustmentReason 0..1 CodeableConcept
.... date 0..1 date
.... amount 0..1 Money
.... identifier 0..1 Identifier
... formCode 0..1 CodeableConcept
... form 0..1 Attachment
... processNote 0..* BackboneElement
.... class 0..1 CodeableConcept
.... number 0..1 positiveInt
.... type 0..1 CodeableConcept Binding Error: (ValueSet = FMM4-Trial Use vs. Element = FMM2-Normative)
.... text 0..1 markdown
.... language 0..1 CodeableConcept
... benefitPeriod 0..1 Period
... benefitBalance 0..* BackboneElement
.... category 1..1 CodeableConcept
.... excluded 0..1 boolean
.... name 0..1 string
.... description 0..1 string
.... network 0..1 CodeableConcept
.... unit 0..1 CodeableConcept
.... term 0..1 CodeableConcept
.... financial 0..* BackboneElement
..... type 1..1 CodeableConcept
..... allowed[x] 0..1
...... allowedUnsignedInt unsignedInt
...... allowedString string
...... allowedMoney Money
..... used[x] 0..1
...... usedUnsignedInt unsignedInt
...... usedMoney Money