### ----------------------------------------------------
### -- FHIR
### -- Licenses: Artistic-2.0
### -- Authors: Hugh Simpson
### -- File: t/resources/structureDefinition/ExplanationOfBenefit.json
### ----------------------------------------------------
### -- Chunk 50 of 54
Period"
      }],
      "isSummary" : true,
      "mapping" : [{
        "identity" : "w5",
        "map" : "FiveWs.done[x]"
      }]
    },
    {
      "id" : "ExplanationOfBenefit.created",
      "path" : "ExplanationOfBenefit.created",
      "short" : "Response creation date",
      "definition" : "The date this resource was created.",
      "comment" : "This field is independent of the date of creation of the resource as it may reflect the creation date of a source document prior to digitization. Typically for claims all services must be completed as of this date.",
      "requirements" : "Need to record a timestamp for use by both the recipient and the issuer.",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "dateTime"
      }],
      "isSummary" : true,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.occurrence[x]"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.recorded"
      }]
    },
    {
      "id" : "ExplanationOfBenefit.enterer",
      "path" : "ExplanationOfBenefit.enterer",
      "short" : "Author of the claim",
      "definition" : "Individual who created the claim, predetermination or preauthorization.",
      "requirements" : "Some jurisdictions require the contact information for personnel completing claims.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
        "http://hl7.org/fhir/StructureDefinition/PractitionerRole"]
      }],
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.performer.agent"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.author"
      }]
    },
    {
      "id" : "ExplanationOfBenefit.insurer",
      "path" : "ExplanationOfBenefit.insurer",
      "short" : "Party responsible for reimbursement",
      "definition" : "The party responsible for authorization, adjudication and reimbursement.",
      "requirements" : "To be a valid claim, preauthorization or predetermination there must be a party who is responsible for adjudicating the contents against a policy which provides benefits for the patient.",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"]
      }],
      "isSummary" : true,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.performer.agent"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.author"
      }]
    },
    {
      "id" : "ExplanationOfBenefit.provider",
      "path" : "ExplanationOfBenefit.provider",
      "short" : "Party responsible for the claim",
      "definition" : "The provider which is responsible for the claim, predetermination or preauthorization.",
      "comment" : "Typically this field would be 1..1 where this party is responsible for the claim but not necessarily professionally responsible for the provision of the individual products and services listed below.",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
        "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
        "http://hl7.org/fhir/StructureDefinition/Organization"]
      }],
      "isSummary" : true,
      "mapping" : [{
        "identity" : "w5",
        "map" : "FiveWs.source"
      }]
    },
    {
      "id" : "ExplanationOfBenefit.priority",
      "path" : "ExplanationOfBenefit.priority",
      "short" : "Desired processing urgency",
      "definition" : "The provider-required urgency of processing the request. Typical values include: stat, routine deferred.",
      "comment" : "If a claim processor is unable to complete the processing as per the priority then they should generate and error and not process the request.",
      "requirements" : "The provider may need to indicate their processing requirements so that the processor can indicate if they are unable to comply.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "ProcessPriority"
        }],
        "strength" : "example",
        "description" : "The timeliness with which processing is required: stat, normal, deferred.",
        "valueSet" : "http://terminology.hl7.org/CodeSystem/processpriority"
      },
      "mapping" : [{
        "identity" : "v2",
        "map" : "Request.priority"
      }]
    },
    {
      "id" : "ExplanationOfBenefit.fundsReserveRequested",
      "path" : "ExplanationOfBenefit.fundsReserveRequested",
      "short" : "For whom to reserve funds",
      "definition" : "A code to indicate whether and for whom funds are to be reserved for future claims.",
      "comment" : "This field is only used for preauthorizations.",
      "requirements" : "In the case of a Pre-Determination/Pre-Authorization the provider may request that funds in the amount of the expected Benefit be reserved ('Patient' or 'Provider') to pay for the Benefits determined on the subsequent claim(s). 'None' explicitly indicates no funds reserving is requested.",
      "alias" : ["Fund pre-allocation"],
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "FundsReserve"
        },
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
          "valueBoolean" : true
        }],
        "strength" : "example",
        "description" : "For whom funds are to be reserved: (Patient, Provider, None).",
        "valueSet" : "http://hl7.org/fhir/ValueSet/fundsreserve"
      }
    },
    {
      "id" : "ExplanationOfBenefit.fundsReserve",
      "path" : "ExplanationOfBenefit.fundsReserve",
      "short" : "Funds reserved status",
      "definition" : "A code, used only on a response to a preauthorization, to indicate whether the benefits payable have been reserved and for whom.",
      "comment" : "Fund would be release by a future claim quoting the preAuthRef of this response. Examples of values include: provider, patient, none.",
      "requirements" : "Needed to advise the submitting provider on whether the rquest for reservation of funds has been honored.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "FundsReserve"
        },
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
          "valueBoolean" : true
        }],
        "strength" : "example",
        "description" : "For whom funds are to be reserved: (Patient, Provider, None).",
        "valueSet" : "http://hl7.org/fhir/ValueSet/fundsreserve"
      }
    },
    {
      "id" : "ExplanationOfBenefit.related",
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
        "valueString" : "RelatedClaim"
      }],
      "path" : "ExplanationOfBenefit.related",
      "short" : "Prior or corollary claims",
      "definition" : "Other claims which are related to this claim such as prior submissions or claims for related services or for the same event.",
      "comment" : "For example,  for the original treatment and follow-up exams.",
      "requirements" : "For workplace or other accidents it is common to relate separate claims arising from the same event.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "BackboneElement"
      }]
    },
    {
      "id" : "ExplanationOfBenefit.related.claim",
      "path" : "ExplanationOfBenefit.related.claim",
      "short" : "Reference to the related claim",
      "definition" : "Reference to a related claim.",
      "requirements" : "For workplace or other accidents it is common to relate separate claims arising from the same event.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Claim"]
      }]
    },
    {
      "id" : "ExplanationOfBenefit.related.relationship",
      "path" : "ExplanationOfBenefit.related.relationship",
      "short" : "How the reference claim is related",
      "definition" : "A code to convey how the claims are related.",
      "comment" : "For example, prior claim or umbrella.",
      "requirements" : "Some insurers need a declaration of the type of relationship.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "RelatedClaimRelationship"
        }],
        "strength" : "example",
        "description" : "Relationship of this claim to a related Claim.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/related-claim-relationship"
      }
    },
    {
      "id" : "ExplanationOfBenefit.related.reference",
      "path" : "ExplanationOfBenefit.related.reference",
      "short" : "File or case reference",
      "definition" : "An alternate organizational reference to the case or file to which this particular claim pertains.",
      "comment" : "For example, Property/Casualty insurer claim number or Workers Compensation case number.",
      "requirements" : "In cases where an event-triggered claim is being submitted to an insurer which requires a reference number to be specified on all exchanges.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Identifier"
      }]
    },
    {
      "id" : "ExplanationOfBenefit.prescription",
      "path" : "ExplanationOfBenefit.prescription",
      "short" : "Prescription authorizing services or products",
      "definition" : "Prescription to support the dispensing of pharmacy, device or vision products.",
      "requirements" : "Required to authorize the dispensing of controlled substances and devices.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/MedicationRequest",
        "http://hl7.org/fhir/StructureDefinition/VisionPrescription"]
      }]
    },
    {
      "id" : "ExplanationOfBenefit.originalPrescription",
      "path" : "ExplanationOfBenefit.originalPrescription",
      "short" : "Original prescription if superceded by fulfiller",
      "definition" : "Original prescription which has been superseded by this prescription to support the dispensing of pharmacy services, medications or products.",
      "comment" : "For example, a physician may prescribe a medication which the pharmacy determines is contraindicated, or for which the patient has an intolerance, and therefor issues a new prescription for an alternate medication which has the same therapeutic intent. The prescription from the pharmacy becomes the 'prescription' and that from the physician becomes the 'original prescription'.",
      "requirements" : "Often required when a fulfiller varies what is fulfilled from that authorized on the original prescription.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/MedicationRequest"]
      }]
    },
    {
      "id" : "ExplanationOfBenefit.payee",
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
        "valueString" : "Payee"
      }],
      "path" : "ExplanationOfBenefit.payee",
      "short" : "Recipient of benefits payable",
      "definition" : "The party to be reimbursed for cost of the products and services according to the terms of the policy.",
      "comment" : "Often providers agree to receive the benefits payable to reduce the near-term costs to the patient. The insurer may decline to pay the provider and may choose to pay the subscriber instead.",
      "requirements" : "The provider needs to specify who they wish to be reimbursed and the claims processor needs express who they will reimburse.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "BackboneElement"
      }]
    },
    {
      "id" : "ExplanationOfBenefit.payee.type",
      "path" : "ExplanationOfBenefit.payee.type",
      "short" : "Category of recipient",
      "definition" : "Type of Party to be reimbursed: Subscriber, provider, other.",
      "requirements" : "Need to know who should receive payment with the most common situations being the Provider (assignment of benefits) or the Subscriber.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "PayeeType"
        },
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
          "valueBoolean" : true
        }],
        "strength" : "example",
        "description" : "A code for the party to be reimbursed.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/payeetype"
      }
    },
    {
      "id" : "ExplanationOfBenefit.payee.party",
      "path" : "ExplanationOfBenefit.payee.party",
      "short" : "Recipient reference",
      "definition" : "Reference to the individual or organization to whom any payment will be made.",
      "comment" : "Not required if the payee is 'subscriber' or 'provider'.",
      "requirements" : "Need to provide demographics if the payee is not 'subscriber' nor 'provider'.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
        "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
        "http://hl7.org/fhir/StructureDefinition/Organization",
        "http://hl7.org/fhir/StructureDefinition/Patient",
        "http://hl7.org/fhir/StructureDefinition/RelatedPerson"]
      }]
    },
    {
      "id" : "ExplanationOfBenefit.referral",
      "path" : "ExplanationOfBenefit.referral",
      "short" : "Treatment Referral",
      "definition" : "A reference to a referral resource.",
      "comment" : "The referral resource which lists the date, practitioner, reason and other supporting information.",
      "requirements" : "Some insurers require proof of referral to pay for services or to pay specialist rates for services.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ServiceRequest"]
      }],
      "mapping" : [{
        "identity" : "w5",
        "map" : "FiveWs.cause"
      }]
    },
    {
      "id" : "ExplanationOfBenefit.facility",
      "path" : "ExplanationOfBenefit.facility",
      "short" : "Servicing Facility",
      "definition" : "Facility where the services were provided.",
      "requirements" : "Insurance adjudication can be dependant on where services were delivered.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Location"]
      }],
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.performer.location"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.where[x]"
      }]
    },
    {
      "id" : "ExplanationOfBenefit.claim",
      "path" : "ExplanationOfBenefit.claim",
      "short" : "Claim reference",
      "definition" : "The business identifier for the instance of the adjudication request: claim predetermination or preauthorization.",
      "requirements" : "To provide a link to the original adjudication request.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Claim"]
      }],
      "mapping" : [{
        "identity" : "w5",
        "map" : "FiveWs.why[x]"
      }]
    },
    {
      "id" : "ExplanationOfBenefit.claimResponse",
      "path" : "ExplanationOfBenefit.claimResponse",
      "short" : "Claim response reference",
      "definition" : "The business identifier for the instance of the adjudication response: claim, predetermination or preauthorization response.",
      "requirements" : "To provide a link to the original adjudication response.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ClaimResponse"]
      }]
    },
    {
      "id" : "ExplanationOfBenefit.outcome",
      "path" : "ExplanationOfBenefit.outcome",
      "short" : "queued | complete | error | partial",
      "definition" : "The outcome of the claim, predetermination, or preauthorization processing.",
      "comment" : "The resource may be used to indicate that: the request has been held (queued) for processing; that it has been processed and errors found (error); that no errors were found and that some of the adjudication has been undertaken (partial) or that all of the adjudication has been undertaken (complete).",
      "requirements" : "To advise the requestor of an overall processing outcome.",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "code"
      }],
      "isSummary" : true,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "RemittanceOutcome"
        }],
        "strength" : "required",
        "description" : "The result of the claim processing.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/remittance-outcome|4.0.0"
      }
    },
    {
      "id" : "ExplanationOfBenefit.disposition",
      "path" : "ExplanationOfBenefit.disposition",
      "short" : "Disposition Message",
      "definition" : "A human readable description of the status of the adjudication.",
      "requirements" : "Provided for user display.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "string"
      }]
    },
    {
      "id" : "ExplanationOfBenefit.preAuthRef",
      "path" : "ExplanationOfBenefit.preAuthRef",
      "short" : "Preauthorization reference",
      "definition" : "Reference from the Insurer which is used in later communications which refers to this adjudication.",
      "comment" : "This value is only present on preauthorization adjudications.",
      "requirements" : "On subsequent claims, the insurer may require the provider to quote this value.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "string"
      }]
    },
    {
      "id" : "ExplanationOfBenefit.preAuthRefPeriod",
      "path" : "ExplanationOfBenefit.preAuthRefPeriod",
      "short" : "Preauthorization in-effect period",
      "definition" : "The timeframe during which the supplied preauthorization reference may be quoted on claims to obtain the adjudication as provided.",
      "comment" : "This value is only present on preauthorization adjudications.",
      "requirements" : "On subsequent claims, the insurer may require the provider to quote this value.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "Period"
      }]
    },
    {
      "id" : "ExplanationOfBenefit.careTeam",
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
        "valueString" : "CareTeam"
      }],
      "path" : "ExplanationOfBenefit.careTeam",
      "short" : "Care Team members",
      "definition" : "The members of the team who provided the products and services.",
      "requirements" : "Common to identify the responsible and supporting practitioners.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "BackboneElement"
      }]
    },
    {
      "id" : "ExplanationOfBenefit.careTeam.sequence",
      "path" : "ExplanationOfBenefit.careTeam.sequence",
      "short" : "Order of care team",
      "definition" : "A number to uniquely identify care team entries.",
      "requirements" : "Necessary to maintain the order of the care team and provide a mechanism to link individuals to claim details.",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "positiveInt"
      }]
    },
    {
      "id" : "ExplanationOfBenefit.careTeam.provider",
      "path" : "ExplanationOfBenefit.careTeam.provider",
      "short" : "Practitioner or organization",
      "definition" : "Member of the team who provided the product or service.",
      "requirements" : "Often a regulatory requirement to specify the responsible provider.",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
        "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
        "http://hl7.org/fhir/StructureDefinition/Organization"]
      }],
      "mapping" : [{
        "identity" : "w5",
        "map" : "FiveWs.actor"
      }]
    },
    {
      "id" : "ExplanationOfBenefit.careTeam.responsible",
      "path" : "ExplanationOfBenefit.careTeam.responsible",
      "short" : "Indicator of the lead practitioner",
      "definition" : "The party who is billing and/or responsible for the claimed products or services.",
      "comment" : "Responsible might not be required when there is only a single provider listed.",
      "requirements" : "When multiple parties are present it is required to distinguish the lead or responsible individual.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "boolean"
      }]
    },
    {
      "id" : "ExplanationOfBenefit.careTeam.role",
      "path" : "ExplanationOfBenefit.careTeam.role",
      "short" : "Function within the team",
      "definition" : "The lead, assisting or supervising practitioner and their discipline if a multidisciplinary team.",
      "comment" : "Role might not be required when there is only a single provider listed.",
      "requirements" : "When multiple parties are present it is required to distinguish the roles performed by each member.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "CareTeamRole"
        }],
        "strength" : "example",
        "description" : "The role codes for the care team members.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/claim-careteamrole"
      }
    },
    {
      "id" : "ExplanationOfBenefit.careTeam.qualification",
      "path" : "ExplanationOfBenefit.careTeam.qualification",
      "short" : "Practitioner credential or specialization",
      "definition" : "The qualification of the practitioner which is applicable for this service.",
      "requirements" : "Need to specify which qualification a provider is delivering the product or service under.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "ProviderQualification"
        }],
        "strength" : "example",
        "description" : "Provider professional qualifications.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/provider-qualification"
      }
    },
    {
      "id" : "ExplanationOfBenefit.supportingInfo",
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
        "valueString" : "SupportingInformation"
      }],
      "path" : "ExplanationOfBenefit.supportingInfo",
      "short" : "Supporting information",
      "definition" : "Additional information codes regarding exceptions, special considerations, the condition, situation, prior or concurrent issues.",
      "comment" : "Often there are multiple jurisdiction specific valuesets which are required.",
      "requirements" : "Typically these information codes are required to support the services rendered or the adjudication of the services rendered.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "BackboneElement"
      }]
    },
    {
      "id" : "ExplanationOfBenefit.supportingInfo.sequence",
      "path" : "ExplanationOfBenefit.supportingInfo.sequence",
      "short" : "Information instance identifier",
      "definition" : "A number to uniquely identify supporting information entries.",
      "requirements" : "Necessary to maintain the order of the supporting information items and provide a mechanism to link to claim details.",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "positiveInt"
      }]
    },
    {
      "id" : "ExplanationOfBenefit.supportingInfo.category",
      "path" : "ExplanationOfBenefit.supportingInfo.category",
      "short" : "Classification of the supplied information",
      "definition" : "The general class of the information supplied: information; exception; accident, employment; onset, etc.",
      "comment" : "This may contain a category for the local bill type codes.",
      "requirements" : "Required to group or associate information items with common characteristics. For example: admission information or prior treatments.",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "InformationCategory"
        }],
        "strength" : "example",
        "description" : "The valuset used for additional information category codes.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/claim-informationcategory"
      }
    },
    {
      "id" : "ExplanationOfBenefit.supportingInfo.code",
      "path" : "ExplanationOfBenefit.supportingInfo.code",
      "short" : "Type of information",
      "definition" : "System and code pertaining to the specific information regarding special conditions relating to the setting, treatment or patient  for which care is sought.",
      "comment" : "This may contain the local bill type codes such as the US UB-04 bill type code.",
      "requirements" : "Required to identify the kind of additional information.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "InformationCode"
        }],
        "strength" : "example",
        "description" : "The valuset used for additional information codes.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/claim-exception"
      }
    },
    {
      "id" : "ExplanationOfBenefit.supportingInfo.timing[x]",
      "path" : "ExplanationOfBenefit.supportingInfo.timing[x]",
      "short" : "When it occurred",
      "definition" : "The date when or period to which this information refers.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "date"
      },
      {
        "code" : "Period"
      }]
    },
    {
      "id" : "ExplanationOfBenefit.supportingInfo.value[x]",
      "path" : "ExplanationOfBenefit.supportingInfo.value[x]",
      "short" : "Data to be provided",
      "definition" : "Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data.",
      "comment" : "Could be used to provide references to other resources, document. For example, could contain a PDF in an Attachment of the Police Report for an Accident.",
      "requirements" : "To convey the data content to be provided when the information is more than a simple code or period.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "boolean"
      },
      {
        "code" : "string"
      },
      {
        "code" : "Quantity"
      },
      {
        "code" : "Attachment"
      },
      {
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
      }]
    },
    {
      "id" : "ExplanationOfBenefit.supportingInfo.reason",
      "path" : "ExplanationOfBenefit.supportingInfo.reason",
      "short" : "Explanation for the information",
      "definition" : "Provides the reason in the situation where a reason code is required in addition to the content.",
      "comment" : "For example: the reason for the additional stay, or why a tooth is  missing.",
      "requirements" : "Needed when the supporting information has both a date and amount/value and requires explanation.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Coding"
      }],
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "MissingReason"
        }],
        "strength" : "example",
        "description" : "Reason codes for the missing teeth.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/missing-tooth-reason"
      }
    },
    {
      "id" : "ExplanationOfBenefit.diagnosis",
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
        "valueString" : "Diagnosis"
      }],
      "path" : "ExplanationOfBenefit.diagnosis",
      "short" : "Pertinent diagnosis information",
      "definition" : "Information about diagnoses relevant to the claim items.",
      "requirements" : "Required for the adjudication by provided context for the services and product listed.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "BackboneElement"
      }]
    },
    {
      "id" : "ExplanationOfBenefit.diagnosis.sequence",
      "path" : "ExplanationOfBenefit.diagnosis.sequence",
      "short" : "Diagnosis instance identifier",
      "definition" : "A number to uniquely identify diagnosis entries.",
      "comment" : "Diagnosis are presented in list order to their expected importance: primary, secondary, etc.",
      "requirements" : "Necessary to maintain the order of the diagnosis items and provide a mechanism to link to claim details.",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "positiveInt"
      }]
    },
    {
      "id" : "ExplanationOfBenefit.diagnosis.diagnosis[x]",
      "path" : "ExplanationOfBenefit.diagnosis.diagnosis[x]",
      "short" : "Nature of illness or problem",
      "definition" : "The nature of illness or problem in a coded form or as a reference to an external defined Condition.",
      "requirements" : "Provides health context for the evaluation of the products and/or services.",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "CodeableConcept"
      },
      {
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Condition"]
      }],
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "ICD10"
        }],
        "strength" : "example",
        "description" : "ICD10 Diagnostic codes.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/icd-10"
      }
    },
    {
      "id" : "ExplanationOfBenefit.diagnosis.type",
      "path" : "ExplanationOfBenefit.diagnosis.type",
      "short" : "Timing or nature of the diagnosis",
      "definition" : "When the condition was observed or the relative ranking.",
      "comment" : "For example: admitting, primary, secondary, discharge.",
      "requirements" : "Often required to capture a particular diagnosis, for example: primary or discharge.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "DiagnosisType"
        }],
        "strength" : "example",
        "description" : "The type of the diagnosis: admitting, principal, discharge.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/ex-diagnosistype"
      }
    },
    {
      "id" : "ExplanationOfBenefit.diagnosis.onAdmission",
      "