CARIN Consumer Directed Payer Data Exchange (CARIN IG for Blue Button®), published by HL7 International / Financial Management. This guide is not an authorized publication; it is the continuous build for version 2.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/carin-bb/ and changes regularly. See the Directory of published versions
Mappings for the C4BB-ExplanationOfBenefit-Professional-NonClinician-Basis resource profile.
| C4BBExplanationOfBenefitProfessionalNonClinicianBasis |
| ExplanationOfBenefit | |
| identifier | |
| use | N/A |
| type | CX.5 |
| system | CX.4 / EI-2-4 |
| value | CX.1 / EI.1 |
| period | CX.7 + CX.8 |
| assigner | CX.4 / (CX.4,CX.9,CX.10) |
| identifier (uniqueclaimid) | |
| use | N/A |
| type | CX.5 |
| system | CX.4 / EI-2-4 |
| value | CX.1 / EI.1 |
| period | CX.7 + CX.8 |
| assigner | CX.4 / (CX.4,CX.9,CX.10) |
| billablePeriod | |
| start | DR.1 |
| end | DR.2 |
| priority | Request.priority |
| supportingInfo | |
| value[x] | |
| supportingInfo (clmrecvddate) | |
| value[x] | |
| supportingInfo (servicefacility) | |
| value[x] | |
| value[x] (valueReference) | |
| supportingInfo (medicalrecordnumber) | |
| value[x] | |
| value[x] (valueString) | |
| supportingInfo (patientaccountnumber) | |
| value[x] | |
| value[x] (valueString) | |
| supportingInfo (patientweight) | |
| value[x] | |
| value | SN.2 / CQ - N/A |
| comparator | SN.1 / CQ.1 |
| unit | (see OBX.6 etc.) / CQ.2 |
| system | (see OBX.6 etc.) / CQ.2 |
| code | (see OBX.6 etc.) / CQ.2 |
| supportingInfo (ambulancetransportreason) | |
| value[x] | |
| supportingInfo (transportationdistance) | |
| value[x] | |
| value | SN.2 / CQ - N/A |
| comparator | SN.1 / CQ.1 |
| unit | (see OBX.6 etc.) / CQ.2 |
| system | (see OBX.6 etc.) / CQ.2 |
| code | (see OBX.6 etc.) / CQ.2 |
| insurance | Coverage |
| C4BBExplanationOfBenefitProfessionalNonClinicianBasis |
| ExplanationOfBenefit | Entity. Role, or Act |
| meta | |
| id | n/a |
| extension | n/a |
| text | Act.text? |
| contained | N/A |
| extension | N/A |
| modifierExtension | N/A |
| identifier | |
| id | n/a |
| extension | n/a |
| use | Role.code or implied by context |
| type | Role.code or implied by context |
| system | II.root or Role.id.root |
| value | II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root) |
| period | Role.effectiveTime or implied by context |
| assigner | II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper |
| identifier (uniqueclaimid) | |
| id | n/a |
| extension | n/a |
| use | Role.code or implied by context |
| type | Role.code or implied by context |
| system | II.root or Role.id.root |
| value | II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root) |
| period | Role.effectiveTime or implied by context |
| assigner | II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper |
| billablePeriod | |
| id | n/a |
| extension | n/a |
| start | ./low |
| end | ./high |
| related | |
| id | n/a |
| extension | n/a |
| modifierExtension | N/A |
| payee | |
| id | n/a |
| extension | n/a |
| modifierExtension | N/A |
| careTeam | |
| id | n/a |
| extension | n/a |
| modifierExtension | N/A |
| supportingInfo | |
| id | n/a |
| extension | n/a |
| modifierExtension | N/A |
| value[x] | |
| supportingInfo (clmrecvddate) | |
| id | n/a |
| extension | n/a |
| modifierExtension | N/A |
| value[x] | |
| supportingInfo (servicefacility) | |
| id | n/a |
| extension | n/a |
| modifierExtension | N/A |
| value[x] | |
| value[x] (valueReference) | |
| supportingInfo (medicalrecordnumber) | |
| id | n/a |
| extension | n/a |
| modifierExtension | N/A |
| value[x] | |
| value[x] (valueString) | |
| supportingInfo (patientaccountnumber) | |
| id | n/a |
| extension | n/a |
| modifierExtension | N/A |
| value[x] | |
| value[x] (valueString) | |
| supportingInfo (patientweight) | |
| id | n/a |
| extension | n/a |
| modifierExtension | N/A |
| value[x] | |
| id | n/a |
| extension | n/a |
| value | PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value |
| comparator | IVL properties |
| unit | PQ.unit |
| system | CO.codeSystem, PQ.translation.codeSystem |
| code | PQ.code, MO.currency, PQ.translation.code |
| supportingInfo (ambulancetransportreason) | |
| id | n/a |
| extension | n/a |
| modifierExtension | N/A |
| value[x] | |
| supportingInfo (transportationdistance) | |
| id | n/a |
| extension | n/a |
| modifierExtension | N/A |
| value[x] | |
| id | n/a |
| extension | n/a |
| value | PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value |
| comparator | IVL properties |
| unit | PQ.unit |
| system | CO.codeSystem, PQ.translation.codeSystem |
| code | PQ.code, MO.currency, PQ.translation.code |
| supportingInfo (roudtrippurpose) | |
| id | n/a |
| extension | n/a |
| modifierExtension | N/A |
| supportingInfo (stretcherpurpose) | |
| id | n/a |
| extension | n/a |
| modifierExtension | N/A |
| supportingInfo (pickuplocation) | |
| id | n/a |
| extension | n/a |
| modifierExtension | N/A |
| supportingInfo (dropofflocation) | |
| id | n/a |
| extension | n/a |
| modifierExtension | N/A |
| diagnosis | |
| id | n/a |
| extension | n/a |
| modifierExtension | N/A |
| procedure | |
| id | n/a |
| extension | n/a |
| modifierExtension | N/A |
| insurance | |
| id | n/a |
| extension | n/a |
| modifierExtension | N/A |
| accident | |
| id | n/a |
| extension | n/a |
| modifierExtension | N/A |
| item | |
| id | n/a |
| extension | n/a |
| modifierExtension | N/A |
| adjudication | |
| id | n/a |
| extension | n/a |
| modifierExtension | N/A |
| adjudication (adjustmentreason) | |
| id | n/a |
| extension | n/a |
| modifierExtension | N/A |
| adjudication (benefitpaymentstatus) | |
| id | n/a |
| extension | n/a |
| modifierExtension | N/A |
| adjudication (allowedunits) | |
| id | n/a |
| extension | n/a |
| modifierExtension | N/A |
| detail | |
| id | n/a |
| extension | n/a |
| modifierExtension | N/A |
| subDetail | |
| id | n/a |
| extension | n/a |
| modifierExtension | N/A |
| addItem | |
| id | n/a |
| extension | n/a |
| modifierExtension | N/A |
| detail | |
| id | n/a |
| extension | n/a |
| modifierExtension | N/A |
| subDetail | |
| id | n/a |
| extension | n/a |
| modifierExtension | N/A |
| adjudication | |
| id | n/a |
| extension | n/a |
| modifierExtension | N/A |
| adjudication (billingnetworkstatus) | |
| id | n/a |
| extension | n/a |
| modifierExtension | N/A |
| adjudication (renderingnetworkstatus) | |
| id | n/a |
| extension | n/a |
| modifierExtension | N/A |
| total | |
| id | n/a |
| extension | n/a |
| modifierExtension | N/A |
| payment | |
| id | n/a |
| extension | n/a |
| modifierExtension | N/A |
| processNote | |
| id | n/a |
| extension | n/a |
| modifierExtension | N/A |
| benefitBalance | |
| id | n/a |
| extension | n/a |
| modifierExtension | N/A |
| financial | |
| id | n/a |
| extension | n/a |
| modifierExtension | N/A |