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13.10.33 Resource ExplanationOfBenefit - Maturity Dependency View

Responsible Owner: Financial Management icon Work Group Normative 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
... statusReason 0..1 string
... type 1..1 CodeableConcept
... subType 0..1 CodeableConcept
... use 1..1 code
... 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
... 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
.... 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
.... 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