haau3 FHIR Implementation Guide (HFIG) - Local Development build (v1.0.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
Mappings for the haau3-explanation-of-benefit resource profile.
| Name | Workflow Pattern | FiveWs Pattern Mapping | HL7 v2 Mapping | RIM Mapping |
|---|
  ExplanationOfBenefit |
Event |
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  ExplanationOfBenefit / id |
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 ExplanationOfBenefit / meta |
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| ExplanationOfBenefit / implicitRules |
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| ExplanationOfBenefit / language |
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| ExplanationOfBenefit / text |
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|
Act.text? |
| ExplanationOfBenefit / contained |
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|
N/A |
 ExplanationOfBenefit / extension |
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|
N/A |
 ExplanationOfBenefit / modifierExtension |
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|
N/A |
| ExplanationOfBenefit / identifier |
Event.identifier |
FiveWs.identifier |
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| ExplanationOfBenefit / status |
Event.status |
FiveWs.status |
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|
| ExplanationOfBenefit / type |
Event.code |
FiveWs.class |
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| ExplanationOfBenefit / subType |
|
FiveWs.class |
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| ExplanationOfBenefit / use |
|
FiveWs.class |
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|
 ExplanationOfBenefit / patient |
Event.subject |
FiveWs.subject |
|
|
| ExplanationOfBenefit / billablePeriod |
|
FiveWs.done[x] |
|
|
| ExplanationOfBenefit / created |
Event.occurrence[x] |
FiveWs.recorded |
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| ExplanationOfBenefit / enterer |
Event.performer.agent |
FiveWs.author |
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| ExplanationOfBenefit / insurer |
Event.performer.agent |
FiveWs.author |
|
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| ExplanationOfBenefit / provider |
|
FiveWs.source |
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| ExplanationOfBenefit / priority |
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Request.priority |
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| ExplanationOfBenefit / fundsReserveRequested |
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| ExplanationOfBenefit / fundsReserve |
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 ExplanationOfBenefit / related |
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 ExplanationOfBenefit / related / id |
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n/a |
| ExplanationOfBenefit / related / extension |
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n/a |
| ExplanationOfBenefit / related / modifierExtension |
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N/A |
| ExplanationOfBenefit / related / claim |
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| ExplanationOfBenefit / related / relationship |
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 ExplanationOfBenefit / related / reference |
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| ExplanationOfBenefit / prescription |
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| ExplanationOfBenefit / originalPrescription |
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| ExplanationOfBenefit / payee |
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| ExplanationOfBenefit / payee / id |
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n/a |
| ExplanationOfBenefit / payee / extension |
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n/a |
| ExplanationOfBenefit / payee / modifierExtension |
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N/A |
| ExplanationOfBenefit / payee / type |
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| ExplanationOfBenefit / payee / party |
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| ExplanationOfBenefit / referral |
|
FiveWs.cause |
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| ExplanationOfBenefit / facility |
Event.performer.location |
FiveWs.where[x] |
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| ExplanationOfBenefit / claim |
|
FiveWs.why[x] |
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| ExplanationOfBenefit / claimResponse |
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| ExplanationOfBenefit / outcome |
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| ExplanationOfBenefit / disposition |
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| ExplanationOfBenefit / preAuthRef |
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| ExplanationOfBenefit / preAuthRefPeriod |
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| ExplanationOfBenefit / careTeam |
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| ExplanationOfBenefit / careTeam / id |
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n/a |
| ExplanationOfBenefit / careTeam / extension |
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n/a |
| ExplanationOfBenefit / careTeam / modifierExtension |
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N/A |
| ExplanationOfBenefit / careTeam / sequence |
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| ExplanationOfBenefit / careTeam / provider |
|
FiveWs.actor |
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| ExplanationOfBenefit / careTeam / responsible |
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| ExplanationOfBenefit / careTeam / role |
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| ExplanationOfBenefit / careTeam / qualification |
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| ExplanationOfBenefit / supportingInfo |
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| ExplanationOfBenefit / supportingInfo / id |
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n/a |
| ExplanationOfBenefit / supportingInfo / extension |
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n/a |
| ExplanationOfBenefit / supportingInfo / modifierExtension |
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N/A |
| ExplanationOfBenefit / supportingInfo / sequence |
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| ExplanationOfBenefit / supportingInfo / category |
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| ExplanationOfBenefit / supportingInfo / code |
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 ExplanationOfBenefit / supportingInfo / timing[x] |
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| ExplanationOfBenefit / supportingInfo / value[x] |
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| ExplanationOfBenefit / supportingInfo / reason |
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| ExplanationOfBenefit / diagnosis |
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| ExplanationOfBenefit / diagnosis / id |
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n/a |
| ExplanationOfBenefit / diagnosis / extension |
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n/a |
| ExplanationOfBenefit / diagnosis / modifierExtension |
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N/A |
| ExplanationOfBenefit / diagnosis / sequence |
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| ExplanationOfBenefit / diagnosis / diagnosis[x] |
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| ExplanationOfBenefit / diagnosis / type |
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| ExplanationOfBenefit / diagnosis / onAdmission |
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| ExplanationOfBenefit / diagnosis / packageCode |
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| ExplanationOfBenefit / procedure |
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| ExplanationOfBenefit / procedure / id |
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n/a |
| ExplanationOfBenefit / procedure / extension |
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n/a |
| ExplanationOfBenefit / procedure / modifierExtension |
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N/A |
| ExplanationOfBenefit / procedure / sequence |
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| ExplanationOfBenefit / procedure / type |
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| ExplanationOfBenefit / procedure / date |
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| ExplanationOfBenefit / procedure / procedure[x] |
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| ExplanationOfBenefit / procedure / udi |
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| ExplanationOfBenefit / precedence |
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| ExplanationOfBenefit / insurance |
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|
Coverage |
|
| ExplanationOfBenefit / insurance / id |
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|
n/a |
| ExplanationOfBenefit / insurance / extension |
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|
n/a |
| ExplanationOfBenefit / insurance / modifierExtension |
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N/A |
| ExplanationOfBenefit / insurance / focal |
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| ExplanationOfBenefit / insurance / coverage |
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| ExplanationOfBenefit / insurance / preAuthRef |
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| ExplanationOfBenefit / accident |
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| ExplanationOfBenefit / accident / id |
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n/a |
| ExplanationOfBenefit / accident / extension |
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n/a |
| ExplanationOfBenefit / accident / modifierExtension |
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N/A |
| ExplanationOfBenefit / accident / date |
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| ExplanationOfBenefit / accident / type |
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| ExplanationOfBenefit / accident / location[x] |
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| ExplanationOfBenefit / item |
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| ExplanationOfBenefit / item / id |
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n/a |
| ExplanationOfBenefit / item / extension |
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n/a |
| ExplanationOfBenefit / item / modifierExtension |
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N/A |
| ExplanationOfBenefit / item / sequence |
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| ExplanationOfBenefit / item / careTeamSequence |
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| ExplanationOfBenefit / item / diagnosisSequence |
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| ExplanationOfBenefit / item / procedureSequence |
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| ExplanationOfBenefit / item / informationSequence |
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| ExplanationOfBenefit / item / revenue |
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| ExplanationOfBenefit / item / category |
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| ExplanationOfBenefit / item / productOrService |
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| ExplanationOfBenefit / item / modifier |
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| ExplanationOfBenefit / item / programCode |
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| ExplanationOfBenefit / item / serviced[x] |
|
FiveWs.done[x] |
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| ExplanationOfBenefit / item / location[x] |
|
FiveWs.where[x] |
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| ExplanationOfBenefit / item / quantity |
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| ExplanationOfBenefit / item / unitPrice |
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| ExplanationOfBenefit / item / factor |
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| ExplanationOfBenefit / item / net |
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| ExplanationOfBenefit / item / udi |
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| ExplanationOfBenefit / item / bodySite |
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| ExplanationOfBenefit / item / subSite |
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| ExplanationOfBenefit / item / encounter |
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| ExplanationOfBenefit / item / noteNumber |
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| ExplanationOfBenefit / item / adjudication |
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| ExplanationOfBenefit / item / adjudication / id |
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n/a |
| ExplanationOfBenefit / item / adjudication / extension |
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n/a |
| ExplanationOfBenefit / item / adjudication / modifierExtension |
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N/A |
| ExplanationOfBenefit / item / adjudication / category |
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| ExplanationOfBenefit / item / adjudication / reason |
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| ExplanationOfBenefit / item / adjudication / amount |
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| ExplanationOfBenefit / item / adjudication / value |
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 ExplanationOfBenefit / item / detail |
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 ExplanationOfBenefit / item / detail / id |
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n/a |
| ExplanationOfBenefit / item / detail / extension |
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n/a |
| ExplanationOfBenefit / item / detail / modifierExtension |
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N/A |
| ExplanationOfBenefit / item / detail / sequence |
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| ExplanationOfBenefit / item / detail / revenue |
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| ExplanationOfBenefit / item / detail / category |
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| ExplanationOfBenefit / item / detail / productOrService |
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| ExplanationOfBenefit / item / detail / modifier |
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| ExplanationOfBenefit / item / detail / programCode |
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| ExplanationOfBenefit / item / detail / quantity |
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| ExplanationOfBenefit / item / detail / unitPrice |
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| ExplanationOfBenefit / item / detail / factor |
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| ExplanationOfBenefit / item / detail / net |
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| ExplanationOfBenefit / item / detail / udi |
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| ExplanationOfBenefit / item / detail / noteNumber |
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| ExplanationOfBenefit / item / detail / adjudication |
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| ExplanationOfBenefit / item / detail / subDetail |
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| ExplanationOfBenefit / item / detail / subDetail / id |
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n/a |
| ExplanationOfBenefit / item / detail / subDetail / extension |
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n/a |
| ExplanationOfBenefit / item / detail / subDetail / modifierExtension |
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N/A |
| ExplanationOfBenefit / item / detail / subDetail / sequence |
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| ExplanationOfBenefit / item / detail / subDetail / revenue |
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| ExplanationOfBenefit / item / detail / subDetail / category |
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| ExplanationOfBenefit / item / detail / subDetail / productOrService |
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| ExplanationOfBenefit / item / detail / subDetail / modifier |
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| ExplanationOfBenefit / item / detail / subDetail / programCode |
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| ExplanationOfBenefit / item / detail / subDetail / quantity |
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| ExplanationOfBenefit / item / detail / subDetail / unitPrice |
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| ExplanationOfBenefit / item / detail / subDetail / factor |
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| ExplanationOfBenefit / item / detail / subDetail / net |
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| ExplanationOfBenefit / item / detail / subDetail / udi |
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| ExplanationOfBenefit / item / detail / subDetail / noteNumber |
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| ExplanationOfBenefit / item / detail / subDetail / adjudication |
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| ExplanationOfBenefit / addItem |
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| ExplanationOfBenefit / addItem / id |
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n/a |
| ExplanationOfBenefit / addItem / extension |
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n/a |
| ExplanationOfBenefit / addItem / modifierExtension |
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N/A |
| ExplanationOfBenefit / addItem / itemSequence |
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| ExplanationOfBenefit / addItem / detailSequence |
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| ExplanationOfBenefit / addItem / subDetailSequence |
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| ExplanationOfBenefit / addItem / provider |
|
FiveWs.source |
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| ExplanationOfBenefit / addItem / productOrService |
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| ExplanationOfBenefit / addItem / modifier |
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| ExplanationOfBenefit / addItem / programCode |
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| ExplanationOfBenefit / addItem / serviced[x] |
|
FiveWs.done[x] |
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| ExplanationOfBenefit / addItem / location[x] |
|
FiveWs.where[x] |
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| ExplanationOfBenefit / addItem / quantity |
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| ExplanationOfBenefit / addItem / unitPrice |
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| ExplanationOfBenefit / addItem / factor |
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| ExplanationOfBenefit / addItem / net |
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| ExplanationOfBenefit / addItem / bodySite |
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| ExplanationOfBenefit / addItem / subSite |
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| ExplanationOfBenefit / addItem / noteNumber |
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| ExplanationOfBenefit / addItem / adjudication |
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| ExplanationOfBenefit / addItem / detail |
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| ExplanationOfBenefit / addItem / detail / id |
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n/a |
| ExplanationOfBenefit / addItem / detail / extension |
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n/a |
| ExplanationOfBenefit / addItem / detail / modifierExtension |
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N/A |
| ExplanationOfBenefit / addItem / detail / productOrService |
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| ExplanationOfBenefit / addItem / detail / modifier |
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| ExplanationOfBenefit / addItem / detail / quantity |
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| ExplanationOfBenefit / addItem / detail / unitPrice |
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| ExplanationOfBenefit / addItem / detail / factor |
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| ExplanationOfBenefit / addItem / detail / net |
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| ExplanationOfBenefit / addItem / detail / noteNumber |
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| ExplanationOfBenefit / addItem / detail / adjudication |
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| ExplanationOfBenefit / addItem / detail / subDetail |
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| ExplanationOfBenefit / addItem / detail / subDetail / id |
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n/a |
| ExplanationOfBenefit / addItem / detail / subDetail / extension |
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|
n/a |
| ExplanationOfBenefit / addItem / detail / subDetail / modifierExtension |
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N/A |
| ExplanationOfBenefit / addItem / detail / subDetail / productOrService |
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| ExplanationOfBenefit / addItem / detail / subDetail / modifier |
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| ExplanationOfBenefit / addItem / detail / subDetail / quantity |
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| ExplanationOfBenefit / addItem / detail / subDetail / unitPrice |
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| ExplanationOfBenefit / addItem / detail / subDetail / factor |
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| ExplanationOfBenefit / addItem / detail / subDetail / net |
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| ExplanationOfBenefit / addItem / detail / subDetail / noteNumber |
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| ExplanationOfBenefit / addItem / detail / subDetail / adjudication |
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| ExplanationOfBenefit / adjudication |
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| ExplanationOfBenefit / total |
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| ExplanationOfBenefit / total / id |
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n/a |
| ExplanationOfBenefit / total / extension |
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n/a |
| ExplanationOfBenefit / total / modifierExtension |
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N/A |
| ExplanationOfBenefit / total / category |
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| ExplanationOfBenefit / total / amount |
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| ExplanationOfBenefit / payment |
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| ExplanationOfBenefit / payment / id |
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n/a |
| ExplanationOfBenefit / payment / extension |
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|
n/a |
| ExplanationOfBenefit / payment / modifierExtension |
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N/A |
| ExplanationOfBenefit / payment / type |
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| ExplanationOfBenefit / payment / adjustment |
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| ExplanationOfBenefit / payment / adjustmentReason |
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| ExplanationOfBenefit / payment / date |
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| ExplanationOfBenefit / payment / amount |
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| ExplanationOfBenefit / payment / identifier |
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| ExplanationOfBenefit / formCode |
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| ExplanationOfBenefit / form |
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| ExplanationOfBenefit / processNote |
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| ExplanationOfBenefit / processNote / id |
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n/a |
| ExplanationOfBenefit / processNote / extension |
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|
n/a |
| ExplanationOfBenefit / processNote / modifierExtension |
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N/A |
| ExplanationOfBenefit / processNote / number |
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| ExplanationOfBenefit / processNote / type |
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| ExplanationOfBenefit / processNote / text |
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| ExplanationOfBenefit / processNote / language |
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| ExplanationOfBenefit / benefitPeriod |
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| ExplanationOfBenefit / benefitBalance |
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| ExplanationOfBenefit / benefitBalance / id |
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n/a |
| ExplanationOfBenefit / benefitBalance / extension |
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n/a |
| ExplanationOfBenefit / benefitBalance / modifierExtension |
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N/A |
| ExplanationOfBenefit / benefitBalance / category |
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| ExplanationOfBenefit / benefitBalance / excluded |
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| ExplanationOfBenefit / benefitBalance / name |
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| ExplanationOfBenefit / benefitBalance / description |
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| ExplanationOfBenefit / benefitBalance / network |
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| ExplanationOfBenefit / benefitBalance / unit |
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| ExplanationOfBenefit / benefitBalance / term |
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| ExplanationOfBenefit / benefitBalance / financial |
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| ExplanationOfBenefit / benefitBalance / financial / id |
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n/a |
| ExplanationOfBenefit / benefitBalance / financial / extension |
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|
n/a |
| ExplanationOfBenefit / benefitBalance / financial / modifierExtension |
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N/A |
| ExplanationOfBenefit / benefitBalance / financial / type |
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| ExplanationOfBenefit / benefitBalance / financial / allowed[x] |
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| ExplanationOfBenefit / benefitBalance / financial / used[x] |
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Documentation for this format |
