description: This profile is used for Explanation of Benefits (EOBs) based on claims submitted by providers of oral services including Dental, Denture and Hygiene. The ADA Dental Claim Form provides a common format for reporting dental services to a patient's dental benefit plan.\nThe profile has requirements for financial data.
package_name: hl7.fhir.us.carin
derivation: constraint
name: C4BBExplanationOfBenefitOral
type: ExplanationOfBenefit
elements:
  item:
    elements:
      adjudication:
        array: true
        min: 2
        index: 0
        slicing:
          slices:
            adjudicationamounttype:
              match: {}
              schema:
                short: Amounts
                mustSupport: true
                array: true
                min: 1
                _required: true
                index: 1
                elements:
                  category:
                    binding: {strength: required, valueSet: 'http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBAdjudication'}
                    index: 2
                  amount: {mustSupport: true, index: 3}
                required: [amount]
  total:
    mustSupport: true
    index: 4
    elements:
      category: {mustSupport: true, index: 5}
      amount: {index: 6}
    slicing:
      rules: open
      ordered: false
      description: Slice based on value
      discriminator:
      - {path: category, type: value}
      min: 1
      slices:
        adjudicationamounttype:
          match: {category: null}
          schema:
            short: Total adjudication type and amount
            mustSupport: true
            array: true
            min: 1
            _required: true
            index: 7
            elements:
              category:
                binding: {strength: required, valueSet: 'http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBAdjudication'}
                index: 8
package_version: bb-2.1.0
class: profile
kind: resource
url: http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-ExplanationOfBenefit-Oral
base: http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-ExplanationOfBenefit-Oral-Basis
version: 2.1.0
required: [total]