This is the Continuous Integration Build of FHIR (will be incorrect/inconsistent at times).
See the Directory of published versions
13.10.9 Resource ExplanationOfBenefit - Mappings
Mappings for the explanationofbenefit resource (see Mappings to Other Standards for further information & status).
ExplanationOfBenefit |
financial.other |
identifier |
FiveWs.identifier |
status |
FiveWs.status |
type |
FiveWs.class |
subType |
FiveWs.class |
use |
FiveWs.class |
patient |
FiveWs.subject[x] |
billablePeriod |
FiveWs.done[x] |
created |
FiveWs.recorded |
enterer |
FiveWs.author |
insurer |
FiveWs.author |
provider |
FiveWs.source |
referral |
FiveWs.cause |
facility |
FiveWs.where[x] |
claim |
FiveWs.why[x] |
provider |
FiveWs.actor |
serviced[x] |
FiveWs.done[x] |
location[x] |
FiveWs.where[x] |
provider |
FiveWs.source |
serviced[x] |
FiveWs.done[x] |
location[x] |
FiveWs.where[x] |
ExplanationOfBenefit |
Event |
identifier |
Event.identifier |
status |
Event.status |
type |
Event.code |
patient |
Event.subject |
created |
Event.occurrence[x] |
enterer |
Event.performer.agent |
insurer |
Event.performer.agent |
facility |
Event.performer.location |
ExplanationOfBenefit |
|
identifier |
|
traceNumber |
|
status |
|
type |
|
subType |
|
use |
|
patient |
|
billablePeriod |
|
created |
|
enterer |
|
insurer |
|
provider |
|
priority |
Request.priority |
fundsReserveRequested |
|
fundsReserve |
|
related |
|
claim |
|
relationship |
|
reference |
|
prescription |
|
originalPrescription |
|
event |
|
type |
|
when[x] |
|
payee |
|
type |
|
party |
|
referral |
|
encounter |
|
facility |
|
claim |
|
claimResponse |
|
outcome |
|
decision |
|
disposition |
|
preAuthRef |
|
preAuthRefPeriod |
|
diagnosisRelatedGroup |
|
careTeam |
|
sequence |
|
provider |
|
responsible |
|
role |
|
specialty |
|
supportingInfo |
|
sequence |
|
category |
|
code |
|
timing[x] |
|
value[x] |
|
reason |
|
diagnosis |
|
sequence |
|
diagnosis[x] |
|
type |
|
onAdmission |
|
procedure |
|
sequence |
|
type |
|
date |
|
procedure[x] |
|
udi |
|
precedence |
|
insurance |
Coverage |
focal |
|
coverage |
|
preAuthRef |
|
accident |
|
date |
|
type |
|
location[x] |
|
patientPaid |
|
item |
|
sequence |
|
careTeamSequence |
|
diagnosisSequence |
|
procedureSequence |
|
informationSequence |
|
traceNumber |
|
revenue |
|
category |
|
productOrService |
|
productOrServiceEnd |
|
request |
|
modifier |
|
programCode |
|
serviced[x] |
|
location[x] |
|
patientPaid |
|
quantity |
|
unitPrice |
|
factor |
|
tax |
|
net |
|
udi |
|
bodySite |
|
site |
|
subSite |
|
encounter |
|
noteNumber |
|
reviewOutcome |
|
decision |
|
reason |
|
preAuthRef |
|
preAuthPeriod |
|
adjudication |
|
category |
|
reason |
|
amount |
|
quantity |
|
detail |
|
sequence |
|
traceNumber |
|
revenue |
|
category |
|
productOrService |
|
productOrServiceEnd |
|
modifier |
|
programCode |
|
patientPaid |
|
quantity |
|
unitPrice |
|
factor |
|
tax |
|
net |
|
udi |
|
noteNumber |
|
reviewOutcome |
|
adjudication |
|
subDetail |
|
sequence |
|
traceNumber |
|
revenue |
|
category |
|
productOrService |
|
productOrServiceEnd |
|
modifier |
|
programCode |
|
patientPaid |
|
quantity |
|
unitPrice |
|
factor |
|
tax |
|
net |
|
udi |
|
noteNumber |
|
reviewOutcome |
|
adjudication |
|
addItem |
|
itemSequence |
|
detailSequence |
|
subDetailSequence |
|
traceNumber |
|
provider |
|
revenue |
|
productOrService |
|
productOrServiceEnd |
|
request |
|
modifier |
|
programCode |
|
serviced[x] |
|
location[x] |
|
patientPaid |
|
quantity |
|
unitPrice |
|
factor |
|
tax |
|
net |
|
bodySite |
|
site |
|
subSite |
|
noteNumber |
|
reviewOutcome |
|
adjudication |
|
detail |
|
traceNumber |
|
revenue |
|
productOrService |
|
productOrServiceEnd |
|
modifier |
|
patientPaid |
|
quantity |
|
unitPrice |
|
factor |
|
tax |
|
net |
|
noteNumber |
|
reviewOutcome |
|
adjudication |
|
subDetail |
|
traceNumber |
|
revenue |
|
productOrService |
|
productOrServiceEnd |
|
modifier |
|
patientPaid |
|
quantity |
|
unitPrice |
|
factor |
|
tax |
|
net |
|
noteNumber |
|
reviewOutcome |
|
adjudication |
|
adjudication |
|
total |
|
category |
|
amount |
|
payment |
|
type |
|
adjustment |
|
adjustmentReason |
|
date |
|
amount |
|
identifier |
|
formCode |
|
form |
|
processNote |
|
number |
|
type |
|
text |
|
language |
|
benefitPeriod |
|
benefitBalance |
|
category |
|
excluded |
|
name |
|
description |
|
network |
|
unit |
|
term |
|
financial |
|
type |
|
allowed[x] |
|
used[x] |
|