Cross-Version Extension for ExplanationOfBenefit.addItem in R3
| URL | http://hl7.org/fhir/3.0/StructureDefinition/extension-ExplanationOfBenefit.addItem |
| Version | |
| Status | active |
| Description | Cross-Version Extension for ExplanationOfBenefit.addItem. Valid in versions R2 This is a valid cross-version extension because it's counted as a new element |
Context of Use
This extension may be used in the following contexts:
- element ExplanationOfBenefit (For version R2)
- extension http://hl7.org/fhir/1.0/StructureDefinition/extension-ExplanationOfBenefit
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  Extension | 0..* | Extension | Insurer added line items | |
  extension:adjudicationR3 | ?gen-e1? [CanonicalType[http://hl7.org/fhir/3.0/StructureDefinition/extension-ExplanationOfBenefit.addItem.adjudication]] | URL: http://hl7.org/fhir/3.0/StructureDefinition/extension-ExplanationOfBenefit.addItem.adjudication | ||
| extension:categoryR3 | ?gen-e1? [CanonicalType[http://hl7.org/fhir/3.0/StructureDefinition/extension-ExplanationOfBenefit.addItem.category]] | URL: http://hl7.org/fhir/3.0/StructureDefinition/extension-ExplanationOfBenefit.addItem.category | ||
| extension:detailR3 | ?gen-e1? [CanonicalType[http://hl7.org/fhir/3.0/StructureDefinition/extension-ExplanationOfBenefit.addItem.detail]] | URL: http://hl7.org/fhir/3.0/StructureDefinition/extension-ExplanationOfBenefit.addItem.detail | ||
| extension:feeR3 | ?gen-e1? [CanonicalType[http://hl7.org/fhir/3.0/StructureDefinition/extension-ExplanationOfBenefit.addItem.fee]] | URL: http://hl7.org/fhir/3.0/StructureDefinition/extension-ExplanationOfBenefit.addItem.fee | ||
| extension:modifierR3 | ?gen-e1? [CanonicalType[http://hl7.org/fhir/3.0/StructureDefinition/extension-ExplanationOfBenefit.addItem.modifier]] | URL: http://hl7.org/fhir/3.0/StructureDefinition/extension-ExplanationOfBenefit.addItem.modifier | ||
| extension:noteNumberR3 | ?gen-e1? [CanonicalType[http://hl7.org/fhir/3.0/StructureDefinition/extension-ExplanationOfBenefit.addItem.noteNumber]] | URL: http://hl7.org/fhir/3.0/StructureDefinition/extension-ExplanationOfBenefit.addItem.noteNumber | ||
| extension:revenueR3 | ?gen-e1? [CanonicalType[http://hl7.org/fhir/3.0/StructureDefinition/extension-ExplanationOfBenefit.addItem.revenue]] | URL: http://hl7.org/fhir/3.0/StructureDefinition/extension-ExplanationOfBenefit.addItem.revenue | ||
| extension:sequenceLinkIdR3 | ?gen-e1? [CanonicalType[http://hl7.org/fhir/3.0/StructureDefinition/extension-ExplanationOfBenefit.addItem.sequenceLinkId]] | URL: http://hl7.org/fhir/3.0/StructureDefinition/extension-ExplanationOfBenefit.addItem.sequenceLinkId | ||
| extension:serviceR3 | ?gen-e1? [CanonicalType[http://hl7.org/fhir/3.0/StructureDefinition/extension-ExplanationOfBenefit.addItem.service]] | URL: http://hl7.org/fhir/3.0/StructureDefinition/extension-ExplanationOfBenefit.addItem.service | ||
| extension:bodySiteR4 | ?gen-e1? [CanonicalType[http://hl7.org/fhir/4.0/StructureDefinition/extension-ExplanationOfBenefit.addItem.bodySite]] | URL: http://hl7.org/fhir/4.0/StructureDefinition/extension-ExplanationOfBenefit.addItem.bodySite | ||
| extension:detailSequenceR4 | ?gen-e1? [CanonicalType[http://hl7.org/fhir/4.0/StructureDefinition/extension-ExplanationOfBenefit.addItem.detailSequence]] | URL: http://hl7.org/fhir/4.0/StructureDefinition/extension-ExplanationOfBenefit.addItem.detailSequence | ||
| extension:factorR4 | ?gen-e1? [CanonicalType[http://hl7.org/fhir/4.0/StructureDefinition/extension-ExplanationOfBenefit.addItem.factor]] | URL: http://hl7.org/fhir/4.0/StructureDefinition/extension-ExplanationOfBenefit.addItem.factor | ||
| extension:location[x]R4 | ?gen-e1? [CanonicalType[http://hl7.org/fhir/4.0/StructureDefinition/extension-ExplanationOfBenefit.addItem.location[x]]] | URL: http://hl7.org/fhir/4.0/StructureDefinition/extension-ExplanationOfBenefit.addItem.location[x] | ||
| extension:programCodeR4 | ?gen-e1? [CanonicalType[http://hl7.org/fhir/4.0/StructureDefinition/extension-ExplanationOfBenefit.addItem.programCode]] | URL: http://hl7.org/fhir/4.0/StructureDefinition/extension-ExplanationOfBenefit.addItem.programCode | ||
| extension:providerR4 | ?gen-e1? [CanonicalType[http://hl7.org/fhir/4.0/StructureDefinition/extension-ExplanationOfBenefit.addItem.provider]] | URL: http://hl7.org/fhir/4.0/StructureDefinition/extension-ExplanationOfBenefit.addItem.provider | ||
| extension:quantityR4 | ?gen-e1? [CanonicalType[http://hl7.org/fhir/4.0/StructureDefinition/extension-ExplanationOfBenefit.addItem.quantity]] | URL: http://hl7.org/fhir/4.0/StructureDefinition/extension-ExplanationOfBenefit.addItem.quantity | ||
| extension:serviced[x]R4 | ?gen-e1? [CanonicalType[http://hl7.org/fhir/4.0/StructureDefinition/extension-ExplanationOfBenefit.addItem.serviced[x]]] | URL: http://hl7.org/fhir/4.0/StructureDefinition/extension-ExplanationOfBenefit.addItem.serviced[x] | ||
| extension:subDetailSequenceR4 | ?gen-e1? [CanonicalType[http://hl7.org/fhir/4.0/StructureDefinition/extension-ExplanationOfBenefit.addItem.subDetailSequence]] | URL: http://hl7.org/fhir/4.0/StructureDefinition/extension-ExplanationOfBenefit.addItem.subDetailSequence | ||
| extension:subSiteR4 | ?gen-e1? [CanonicalType[http://hl7.org/fhir/4.0/StructureDefinition/extension-ExplanationOfBenefit.addItem.subSite]] | URL: http://hl7.org/fhir/4.0/StructureDefinition/extension-ExplanationOfBenefit.addItem.subSite | ||
| extension:unitPriceR4 | ?gen-e1? [CanonicalType[http://hl7.org/fhir/4.0/StructureDefinition/extension-ExplanationOfBenefit.addItem.unitPrice]] | URL: http://hl7.org/fhir/4.0/StructureDefinition/extension-ExplanationOfBenefit.addItem.unitPrice | ||
| extension:bodySiteR5 | ?gen-e1? [CanonicalType[http://hl7.org/fhir/5.0/StructureDefinition/extension-ExplanationOfBenefit.addItem.bodySite]] | URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-ExplanationOfBenefit.addItem.bodySite | ||
| extension:patientPaidR5 | ?gen-e1? [CanonicalType[http://hl7.org/fhir/5.0/StructureDefinition/extension-ExplanationOfBenefit.addItem.patientPaid]] | URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-ExplanationOfBenefit.addItem.patientPaid | ||
| extension:productOrServiceEndR5 | ?gen-e1? [CanonicalType[http://hl7.org/fhir/5.0/StructureDefinition/extension-ExplanationOfBenefit.addItem.productOrServiceEnd]] | URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-ExplanationOfBenefit.addItem.productOrServiceEnd | ||
| extension:requestR5 | ?gen-e1? [CanonicalType[http://hl7.org/fhir/5.0/StructureDefinition/extension-ExplanationOfBenefit.addItem.request]] | URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-ExplanationOfBenefit.addItem.request | ||
| extension:revenueR5 | ?gen-e1? [CanonicalType[http://hl7.org/fhir/5.0/StructureDefinition/extension-ExplanationOfBenefit.addItem.revenue]] | URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-ExplanationOfBenefit.addItem.revenue | ||
| extension:reviewOutcomeR5 | ?gen-e1? [CanonicalType[http://hl7.org/fhir/5.0/StructureDefinition/extension-ExplanationOfBenefit.addItem.reviewOutcome]] | URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-ExplanationOfBenefit.addItem.reviewOutcome | ||
| extension:taxR5 | ?gen-e1? [CanonicalType[http://hl7.org/fhir/5.0/StructureDefinition/extension-ExplanationOfBenefit.addItem.tax]] | URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-ExplanationOfBenefit.addItem.tax | ||
| extension:traceNumberR5 | ?gen-e1? [CanonicalType[http://hl7.org/fhir/5.0/StructureDefinition/extension-ExplanationOfBenefit.addItem.traceNumber]] | URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-ExplanationOfBenefit.addItem.traceNumber | ||
 extension | 1.. | |||
| value[x] | ..0 | |||
 url | "http://hl7.org/fhir/3.0/StructureDefinition/extension-ExplanationOfBenefit.addItem" | |||
| Documentation for this format | ||||
{
"resourceType" : "StructureDefinition",
"id" : "xv-r3-eob.addItem",
"url" : "http://hl7.org/fhir/3.0/StructureDefinition/extension-ExplanationOfBenefit.addItem",
"name" : "XVerExtensionExplanationOfBenefit.addItemR3",
"title" : "Cross-Version Extension for ExplanationOfBenefit.addItem in R3",
"status" : "active",
"experimental" : false,
"publisher" : "Health Level Seven International (Financial Management)",
"contact" : [{
"telecom" : [{
"system" : "url",
"value" : "http://hl7.org/fhir"
}]
},
{
"telecom" : [{
"system" : "url",
"value" : "http://www.hl7.org/Special/committees/fm/index.cfm"
}]
}],
"description" : "Cross-Version Extension for ExplanationOfBenefit.addItem. Valid in versions R2\r\n\r\nThis is a valid cross-version extension because it's counted as a new element",
"jurisdiction" : [{
"coding" : [{
"system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
"code" : "001"
}]
}],
"fhirVersion" : "5.0.0",
"kind" : "complex-type",
"abstract" : false,
"context" : [{
"extension" : [{
"extension" : [{
"url" : "startFhirVersion",
"valueCode" : "1.0"
},
{
"url" : "endFhirVersion",
"valueCode" : "1.0"
}],
"url" : "http://hl7.org/fhir/StructureDefinition/version-specific-use"
}],
"type" : "element",
"expression" : "ExplanationOfBenefit"
},
{
"type" : "extension",
"expression" : "http://hl7.org/fhir/1.0/StructureDefinition/extension-ExplanationOfBenefit"
}],
"type" : "Extension",
"baseDefinition" : "http://hl7.org/fhir/StructureDefinition/Extension",
"derivation" : "constraint",
"differential" : {
"element" : [{
"path" : "Extension",
"short" : "Insurer added line items",
"definition" : "The first tier service adjudications for payor added services.",
"min" : 0,
"max" : "*",
"isModifier" : false
},
{
"path" : "Extension.extension",
"sliceName" : "adjudicationR3",
"type" : [{
"code" : "Extension",
"profile" : ["http://hl7.org/fhir/3.0/StructureDefinition/extension-ExplanationOfBenefit.addItem.adjudication"]
}]
},
{
"path" : "Extension.extension",
"sliceName" : "categoryR3",
"type" : [{
"code" : "Extension",
"profile" : ["http://hl7.org/fhir/3.0/StructureDefinition/extension-ExplanationOfBenefit.addItem.category"]
}]
},
{
"path" : "Extension.extension",
"sliceName" : "detailR3",
"type" : [{
"code" : "Extension",
"profile" : ["http://hl7.org/fhir/3.0/StructureDefinition/extension-ExplanationOfBenefit.addItem.detail"]
}]
},
{
"path" : "Extension.extension",
"sliceName" : "feeR3",
"type" : [{
"code" : "Extension",
"profile" : ["http://hl7.org/fhir/3.0/StructureDefinition/extension-ExplanationOfBenefit.addItem.fee"]
}]
},
{
"path" : "Extension.extension",
"sliceName" : "modifierR3",
"type" : [{
"code" : "Extension",
"profile" : ["http://hl7.org/fhir/3.0/StructureDefinition/extension-ExplanationOfBenefit.addItem.modifier"]
}]
},
{
"path" : "Extension.extension",
"sliceName" : "noteNumberR3",
"type" : [{
"code" : "Extension",
"profile" : ["http://hl7.org/fhir/3.0/StructureDefinition/extension-ExplanationOfBenefit.addItem.noteNumber"]
}]
},
{
"path" : "Extension.extension",
"sliceName" : "revenueR3",
"type" : [{
"code" : "Extension",
"profile" : ["http://hl7.org/fhir/3.0/StructureDefinition/extension-ExplanationOfBenefit.addItem.revenue"]
}]
},
{
"path" : "Extension.extension",
"sliceName" : "sequenceLinkIdR3",
"type" : [{
"code" : "Extension",
"profile" : ["http://hl7.org/fhir/3.0/StructureDefinition/extension-ExplanationOfBenefit.addItem.sequenceLinkId"]
}]
},
{
"path" : "Extension.extension",
"sliceName" : "serviceR3",
"type" : [{
"code" : "Extension",
"profile" : ["http://hl7.org/fhir/3.0/StructureDefinition/extension-ExplanationOfBenefit.addItem.service"]
}]
},
{
"path" : "Extension.extension",
"sliceName" : "bodySiteR4",
"type" : [{
"code" : "Extension",
"profile" : ["http://hl7.org/fhir/4.0/StructureDefinition/extension-ExplanationOfBenefit.addItem.bodySite"]
}]
},
{
"path" : "Extension.extension",
"sliceName" : "detailSequenceR4",
"type" : [{
"code" : "Extension",
"profile" : ["http://hl7.org/fhir/4.0/StructureDefinition/extension-ExplanationOfBenefit.addItem.detailSequence"]
}]
},
{
"path" : "Extension.extension",
"sliceName" : "factorR4",
"type" : [{
"code" : "Extension",
"profile" : ["http://hl7.org/fhir/4.0/StructureDefinition/extension-ExplanationOfBenefit.addItem.factor"]
}]
},
{
"path" : "Extension.extension",
"sliceName" : "location[x]R4",
"type" : [{
"code" : "Extension",
"profile" : ["http://hl7.org/fhir/4.0/StructureDefinition/extension-ExplanationOfBenefit.addItem.location[x]"]
}]
},
{
"path" : "Extension.extension",
"sliceName" : "programCodeR4",
"type" : [{
"code" : "Extension",
"profile" : ["http://hl7.org/fhir/4.0/StructureDefinition/extension-ExplanationOfBenefit.addItem.programCode"]
}]
},
{
"path" : "Extension.extension",
"sliceName" : "providerR4",
"type" : [{
"code" : "Extension",
"profile" : ["http://hl7.org/fhir/4.0/StructureDefinition/extension-ExplanationOfBenefit.addItem.provider"]
}]
},
{
"path" : "Extension.extension",
"sliceName" : "quantityR4",
"type" : [{
"code" : "Extension",
"profile" : ["http://hl7.org/fhir/4.0/StructureDefinition/extension-ExplanationOfBenefit.addItem.quantity"]
}]
},
{
"path" : "Extension.extension",
"sliceName" : "serviced[x]R4",
"type" : [{
"code" : "Extension",
"profile" : ["http://hl7.org/fhir/4.0/StructureDefinition/extension-ExplanationOfBenefit.addItem.serviced[x]"]
}]
},
{
"path" : "Extension.extension",
"sliceName" : "subDetailSequenceR4",
"type" : [{
"code" : "Extension",
"profile" : ["http://hl7.org/fhir/4.0/StructureDefinition/extension-ExplanationOfBenefit.addItem.subDetailSequence"]
}]
},
{
"path" : "Extension.extension",
"sliceName" : "subSiteR4",
"type" : [{
"code" : "Extension",
"profile" : ["http://hl7.org/fhir/4.0/StructureDefinition/extension-ExplanationOfBenefit.addItem.subSite"]
}]
},
{
"path" : "Extension.extension",
"sliceName" : "unitPriceR4",
"type" : [{
"code" : "Extension",
"profile" : ["http://hl7.org/fhir/4.0/StructureDefinition/extension-ExplanationOfBenefit.addItem.unitPrice"]
}]
},
{
"path" : "Extension.extension",
"sliceName" : "bodySiteR5",
"type" : [{
"code" : "Extension",
"profile" : ["http://hl7.org/fhir/5.0/StructureDefinition/extension-ExplanationOfBenefit.addItem.bodySite"]
}]
},
{
"path" : "Extension.extension",
"sliceName" : "patientPaidR5",
"type" : [{
"code" : "Extension",
"profile" : ["http://hl7.org/fhir/5.0/StructureDefinition/extension-ExplanationOfBenefit.addItem.patientPaid"]
}]
},
{
"path" : "Extension.extension",
"sliceName" : "productOrServiceEndR5",
"type" : [{
"code" : "Extension",
"profile" : ["http://hl7.org/fhir/5.0/StructureDefinition/extension-ExplanationOfBenefit.addItem.productOrServiceEnd"]
}]
},
{
"path" : "Extension.extension",
"sliceName" : "requestR5",
"type" : [{
"code" : "Extension",
"profile" : ["http://hl7.org/fhir/5.0/StructureDefinition/extension-ExplanationOfBenefit.addItem.request"]
}]
},
{
"path" : "Extension.extension",
"sliceName" : "revenueR5",
"type" : [{
"code" : "Extension",
"profile" : ["http://hl7.org/fhir/5.0/StructureDefinition/extension-ExplanationOfBenefit.addItem.revenue"]
}]
},
{
"path" : "Extension.extension",
"sliceName" : "reviewOutcomeR5",
"type" : [{
"code" : "Extension",
"profile" : ["http://hl7.org/fhir/5.0/StructureDefinition/extension-ExplanationOfBenefit.addItem.reviewOutcome"]
}]
},
{
"path" : "Extension.extension",
"sliceName" : "taxR5",
"type" : [{
"code" : "Extension",
"profile" : ["http://hl7.org/fhir/5.0/StructureDefinition/extension-ExplanationOfBenefit.addItem.tax"]
}]
},
{
"path" : "Extension.extension",
"sliceName" : "traceNumberR5",
"type" : [{
"code" : "Extension",
"profile" : ["http://hl7.org/fhir/5.0/StructureDefinition/extension-ExplanationOfBenefit.addItem.traceNumber"]
}]
},
{
"path" : "Extension.extension",
"min" : 1
},
{
"path" : "Extension.value[x]",
"max" : "0"
},
{
"path" : "Extension.url",
"fixedUri" : "http://hl7.org/fhir/3.0/StructureDefinition/extension-ExplanationOfBenefit.addItem"
}]
}
}