description: null
package_name: iteyes.myhw.core
derivation: constraint
name: PublicExplanationOfBenefit
type: ExplanationOfBenefit
elements:
  patient:
    elements:
      reference: {index: 13}
      type: {index: 14}
      identifier: {index: 15}
      display: {index: 16}
    required: [reference]
  claimResponse: {index: 37}
  benefitBalance: {index: 89}
  facility: {index: 35}
  processNote: {index: 87}
  diagnosis:
    elements:
      sequence:
        pattern: {type: PositiveInt, value: 1}
        index: 58
      diagnosis:
        choices: [diagnosisCodeableConcept]
        index: 60
      diagnosisCodeableConcept: {type: CodeableConcept, choiceOf: diagnosis, index: 61}
      diagnosis[x]:
        elements:
          coding:
            elements:
              system: {index: 62}
              version: {index: 63}
              code: {index: 64}
              display: {index: 65}
              userSelected: {index: 66}
            required: [display, system, code]
      type: {index: 67}
      onAdmission: {index: 68}
      packageCode: {index: 69}
  preAuthRef: {index: 40}
  adjudication:
    elementReference: ['https://simplifier.net/myhw/StructureDefinition/PublicExplanationOfBenefit', elements, org/fhir/StructureDefinition/ExplanationOfBenefit#ExplanationOfBenefit, elements, item, elements, adjudication]
    index: 75
  enterer: {index: 20}
  supportingInfo:
    elements:
      category:
        elements:
          coding:
            index: 43
            elements:
              system:
                pattern: {type: Uri, value: 'http://terminology.hl7.org/CodeSystem/claiminformationcategory'}
                index: 44
              version: {index: 45}
              code: {short: hospitalized | other, index: 46}
              display: {short: hospitalized | other, index: 47}
              userSelected: {index: 48}
            required: [system, code]
        required: [coding]
      code:
        elements:
          coding: {index: 49}
      value:
        choices: [valueQuantity]
        index: 51
      valueQuantity: {type: Quantity, choiceOf: value, index: 52}
      value[x]:
        elements:
          comparator: {index: 53}
          unit: {index: 54}
          system: {index: 55}
          code: {index: 56}
      reason: {index: 57}
  use:
    pattern: {type: Code, value: claim}
    index: 12
  payment: {index: 84}
  item: {index: 73}
  type:
    elements:
      coding:
        index: 6
        elements:
          system: {index: 7}
          version: {index: 8}
          code: {short: insitutional | pharmacy, index: 9}
          userSelected: {index: 10}
        required: [system, code]
    required: [coding]
  procedure: {index: 70}
  outcome:
    pattern: {type: Code, value: complete}
    index: 38
  related: {index: 30}
  disposition: {index: 39}
  referral: {index: 34}
  preAuthRefPeriod: {index: 41}
  total:
    array: true
    min: 2
    index: 76
    elements:
      category:
        elements:
          coding:
            index: 77
            elements:
              system: {index: 78}
              version: {index: 79}
              code: {index: 80}
              userSelected: {index: 81}
            required: [system, code]
        required: [coding]
      amount:
        elements:
          value: {index: 82}
          currency:
            pattern: {type: Code, value: KRW}
            index: 83
        required: [currency, value]
  insurer: {type: Reference, index: 21}
  fundsReserve: {index: 29}
  priority: {index: 27}
  accident: {index: 72}
  status:
    pattern: {type: Code, value: active}
    index: 5
  payee: {index: 33}
  prescription: {index: 31}
  billablePeriod:
    index: 17
    elements:
      start: {index: 18}
      end: {index: 19}
    required: [start]
  identifier:
    elements:
      use: {index: 0}
      type: {index: 1}
      system:
        pattern: {type: Uri, value: TBD}
        index: 2
      period: {index: 3}
      assigner: {index: 4}
  form: {index: 86}
  subType: {index: 11}
  fundsReserveRequested: {index: 28}
  benefitPeriod: {index: 88}
  precedence: {index: 71}
  formCode: {index: 85}
  provider:
    type: Reference
    refers: ['http://hl7.org/fhir/StructureDefinition/Organization']
    index: 22
    elements:
      reference: {index: 23}
      type: {index: 24}
      identifier: {index: 25}
      display: {index: 26}
  addItem: {index: 74}
  originalPrescription: {index: 32}
  careTeam: {index: 42}
  claim: {index: 36}
package_version: 1.1.6
class: profile
kind: resource
url: https://simplifier.net/myhw/StructureDefinition/PublicExplanationOfBenefit
base: http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit
version: null
required: [billablePeriod]