f:ExplanationOfBenefit
id: minimum cardinality of 'id' is 1
extension with URL = 'https://bluebutton.cms.gov/assets/ig/StructureDefinition-bluebutton-dme-prpayamt-extension': minimum cardinality of 'extension' is 1
extension with URL = 'https://bluebutton.cms.gov/assets/ig/StructureDefinition-bluebutton-dme-prpayamt-extension': maximum cardinality of 'extension' is 1
extension with URL = 'https://bluebutton.cms.gov/assets/ig/StructureDefinition-bluebutton-dme-carr-num-extension': minimum cardinality of 'extension' is 1
extension with URL = 'https://bluebutton.cms.gov/assets/ig/StructureDefinition-bluebutton-dme-carr-num-extension': maximum cardinality of 'extension' is 1
extension with URL = 'https://bluebutton.cms.gov/assets/ig/StructureDefinition-bluebutton-dme-asgmntcd-extension': minimum cardinality of 'extension' is 1
extension with URL = 'https://bluebutton.cms.gov/assets/ig/StructureDefinition-bluebutton-dme-asgmntcd-extension': maximum cardinality of 'extension' is 1
extension with URL = 'https://bluebutton.cms.gov/assets/ig/StructureDefinition-bluebutton-dme-carr-clm-cash-ddctbl-apld-amt-extension': minimum cardinality of 'extension' is 1
extension with URL = 'https://bluebutton.cms.gov/assets/ig/StructureDefinition-bluebutton-dme-carr-clm-cash-ddctbl-apld-amt-extension': maximum cardinality of 'extension' is 1
extension with URL = 'https://bluebutton.cms.gov/assets/ig/StructureDefinition-bluebutton-dme-carr-clm-pmt-dnl-cd-extension': minimum cardinality of 'extension' is 1
extension with URL = 'https://bluebutton.cms.gov/assets/ig/StructureDefinition-bluebutton-dme-carr-clm-pmt-dnl-cd-extension': maximum cardinality of 'extension' is 1
extension with URL = 'https://bluebutton.cms.gov/assets/ig/StructureDefinition-bluebutton-dme-nch-carr-clm-alowd-amt-extension': minimum cardinality of 'extension' is 1
extension with URL = 'https://bluebutton.cms.gov/assets/ig/StructureDefinition-bluebutton-dme-nch-carr-clm-alowd-amt-extension': maximum cardinality of 'extension' is 1
extension with URL = 'https://bluebutton.cms.gov/assets/ig/StructureDefinition-bluebutton-dme-nch-carr-clm-sbmtd-chrg-amt-extension': minimum cardinality of 'extension' is 1
extension with URL = 'https://bluebutton.cms.gov/assets/ig/StructureDefinition-bluebutton-dme-nch-carr-clm-sbmtd-chrg-amt-extension': maximum cardinality of 'extension' is 1
extension with URL = 'https://bluebutton.cms.gov/assets/ig/StructureDefinition-bluebutton-dme-nch-clm-bene-pmt-amt-extension': minimum cardinality of 'extension' is 1
extension with URL = 'https://bluebutton.cms.gov/assets/ig/StructureDefinition-bluebutton-dme-nch-clm-bene-pmt-amt-extension': maximum cardinality of 'extension' is 1
extension with URL = 'https://bluebutton.cms.gov/assets/ig/StructureDefinition-bluebutton-dme-nch-clm-prvdr-pmt-amt-extension': minimum cardinality of 'extension' is 1
extension with URL = 'https://bluebutton.cms.gov/assets/ig/StructureDefinition-bluebutton-dme-nch-clm-prvdr-pmt-amt-extension': maximum cardinality of 'extension' is 1
extension with URL = 'https://bluebutton.cms.gov/assets/ig/StructureDefinition-bluebutton-dme-clm-clncl-tril-num-extension': minimum cardinality of 'extension' is 1
extension with URL = 'https://bluebutton.cms.gov/assets/ig/StructureDefinition-bluebutton-dme-clm-clncl-tril-num-extension': maximum cardinality of 'extension' is 1
identifier: minimum cardinality of 'identifier' is 1
status: minimum cardinality of 'status' is 1
type: minimum cardinality of 'type' is 1
subType: maximum cardinality of 'subType' is 0
patient: minimum cardinality of 'patient' is 1
billablePeriod: minimum cardinality of 'billablePeriod' is 1
created: maximum cardinality of 'created' is 0
enterer: maximum cardinality of 'enterer' is 0
insurer: maximum cardinality of 'insurer' is 0
provider: maximum cardinality of 'provider' is 0
organization: maximum cardinality of 'organization' is 0
facility: maximum cardinality of 'facility' is 0
claim: maximum cardinality of 'claim' is 0
claimResponse: maximum cardinality of 'claimResponse' is 0
outcome: maximum cardinality of 'outcome' is 0
disposition: maximum cardinality of 'disposition' is 0
related: maximum cardinality of 'related' is 0
prescription: maximum cardinality of 'prescription' is 0
originalPrescription: maximum cardinality of 'originalPrescription' is 0
payee: maximum cardinality of 'payee' is 0
information: maximum cardinality of 'information' is 0
procedure: maximum cardinality of 'procedure' is 0
precedence: maximum cardinality of 'precedence' is 0
insurance: minimum cardinality of 'insurance' is 1
accident: maximum cardinality of 'accident' is 0
employmentImpacted: maximum cardinality of 'employmentImpacted' is 0
hospitalization: maximum cardinality of 'hospitalization' is 0
item: minimum cardinality of 'item' is 1
addItem: maximum cardinality of 'addItem' is 0
totalCost: maximum cardinality of 'totalCost' is 0
unallocdeductible: maximum cardinality of 'unallocdeductible' is 0
totalBenefit: maximum cardinality of 'totalBenefit' is 0
payment: minimum cardinality of 'payment' is 1
form: maximum cardinality of 'form' is 0
processNote: maximum cardinality of 'processNote' is 0
benefitBalance: maximum cardinality of 'benefitBalance' is 0
f:ExplanationOfBenefit/f:identifier
id: maximum cardinality of 'id' is 0
use: maximum cardinality of 'use' is 0
type: maximum cardinality of 'type' is 0
system: minimum cardinality of 'system' is 1
system: maximum cardinality of 'system' is 1
value: minimum cardinality of 'value' is 1
value: maximum cardinality of 'value' is 1
period: maximum cardinality of 'period' is 0
assigner: maximum cardinality of 'assigner' is 0
f:ExplanationOfBenefit/f:type
id: maximum cardinality of 'id' is 0
coding: minimum cardinality of 'coding' is 1
text: maximum cardinality of 'text' is 1
f:ExplanationOfBenefit/f:type/f:coding
id: maximum cardinality of 'id' is 0
system: minimum cardinality of 'system' is 1
system: maximum cardinality of 'system' is 1
version: maximum cardinality of 'version' is 0
code: minimum cardinality of 'code' is 1
code: maximum cardinality of 'code' is 1
display: minimum cardinality of 'display' is 1
display: maximum cardinality of 'display' is 1
userSelected: maximum cardinality of 'userSelected' is 0
f:ExplanationOfBenefit/f:patient
id: maximum cardinality of 'id' is 0
reference: minimum cardinality of 'reference' is 1
reference: maximum cardinality of 'reference' is 1
identifier: maximum cardinality of 'identifier' is 0
display: maximum cardinality of 'display' is 0
f:ExplanationOfBenefit/f:billablePeriod
id: maximum cardinality of 'id' is 0
start: minimum cardinality of 'start' is 1
start: maximum cardinality of 'start' is 1
end: minimum cardinality of 'end' is 1
end: maximum cardinality of 'end' is 1
f:ExplanationOfBenefit/f:referral
id: maximum cardinality of 'id' is 0
reference: minimum cardinality of 'reference' is 1
reference: maximum cardinality of 'reference' is 1
identifier: maximum cardinality of 'identifier' is 0
display: maximum cardinality of 'display' is 0
f:ExplanationOfBenefit/f:careTeam
id: maximum cardinality of 'id' is 0
extension with URL = 'https://bluebutton.cms.gov/assets/ig/StructureDefinition-bluebutton-dme-prtcptng-ind-cd-extension': minimum cardinality of 'extension' is 1
extension with URL = 'https://bluebutton.cms.gov/assets/ig/StructureDefinition-bluebutton-dme-prtcptng-ind-cd-extension': maximum cardinality of 'extension' is 1
responsible: maximum cardinality of 'responsible' is 0
role: minimum cardinality of 'role' is 1
qualification: minimum cardinality of 'qualification' is 1
f:ExplanationOfBenefit/f:careTeam/f:provider
id: maximum cardinality of 'id' is 0
reference: maximum cardinality of 'reference' is 0
identifier: minimum cardinality of 'identifier' is 1
identifier: maximum cardinality of 'identifier' is 1
display: maximum cardinality of 'display' is 0
f:ExplanationOfBenefit/f:careTeam/f:role
id: maximum cardinality of 'id' is 0
text: maximum cardinality of 'text' is 0
f:ExplanationOfBenefit/f:careTeam/f:role/f:coding
id: maximum cardinality of 'id' is 0
system: minimum cardinality of 'system' is 1
system: maximum cardinality of 'system' is 1
version: maximum cardinality of 'version' is 0
code: minimum cardinality of 'code' is 1
code: maximum cardinality of 'code' is 1
display: minimum cardinality of 'display' is 1
display: maximum cardinality of 'display' is 1
userSelected: maximum cardinality of 'userSelected' is 0
f:ExplanationOfBenefit/f:careTeam/f:qualification
id: maximum cardinality of 'id' is 0
text: maximum cardinality of 'text' is 0
f:ExplanationOfBenefit/f:careTeam/f:qualification/f:coding
id: maximum cardinality of 'id' is 0
system: minimum cardinality of 'system' is 1
system: maximum cardinality of 'system' is 1
version: maximum cardinality of 'version' is 0
code: minimum cardinality of 'code' is 1
code: maximum cardinality of 'code' is 1
display: minimum cardinality of 'display' is 1
display: maximum cardinality of 'display' is 1
userSelected: maximum cardinality of 'userSelected' is 0
f:ExplanationOfBenefit/f:diagnosis
id: maximum cardinality of 'id' is 0
type: maximum cardinality of 'type' is 1
packageCode: maximum cardinality of 'packageCode' is 0
f:ExplanationOfBenefit/f:diagnosis/f:type
id: maximum cardinality of 'id' is 0
text: maximum cardinality of 'text' is 0
f:ExplanationOfBenefit/f:diagnosis/f:type/f:coding
id: maximum cardinality of 'id' is 0
system: maximum cardinality of 'system' is 1
version: maximum cardinality of 'version' is 0
code: maximum cardinality of 'code' is 1
display: maximum cardinality of 'display' is 0
userSelected: maximum cardinality of 'userSelected' is 0
f:ExplanationOfBenefit/f:insurance
id: maximum cardinality of 'id' is 0
coverage: minimum cardinality of 'coverage' is 1
preAuthRef: maximum cardinality of 'preAuthRef' is 0
f:ExplanationOfBenefit/f:insurance/f:coverage
id: maximum cardinality of 'id' is 0
reference: minimum cardinality of 'reference' is 1
reference: maximum cardinality of 'reference' is 1
identifier: maximum cardinality of 'identifier' is 0
display: maximum cardinality of 'display' is 0
f:ExplanationOfBenefit/f:item
id: maximum cardinality of 'id' is 0
extension with URL = 'https://bluebutton.cms.gov/assets/ig/StructureDefinition-bluebutton-dme-dmerc-line-mtus-cnt-extension': minimum cardinality of 'extension' is 1
extension with URL = 'https://bluebutton.cms.gov/assets/ig/StructureDefinition-bluebutton-dme-dmerc-line-mtus-cnt-extension': maximum cardinality of 'extension' is 1
extension with URL = 'https://bluebutton.cms.gov/assets/ig/StructureDefinition-bluebutton-dme-betos-cd-extension': minimum cardinality of 'extension' is 1
extension with URL = 'https://bluebutton.cms.gov/assets/ig/StructureDefinition-bluebutton-dme-betos-cd-extension': maximum cardinality of 'extension' is 1
extension with URL = 'https://bluebutton.cms.gov/assets/ig/StructureDefinition-bluebutton-dme-line-bene-prmry-pyr-cd-extension': minimum cardinality of 'extension' is 1
extension with URL = 'https://bluebutton.cms.gov/assets/ig/StructureDefinition-bluebutton-dme-line-bene-prmry-pyr-cd-extension': maximum cardinality of 'extension' is 1
extension with URL = 'https://bluebutton.cms.gov/assets/ig/StructureDefinition-bluebutton-dme-line-service-deductible-extension': minimum cardinality of 'extension' is 1
extension with URL = 'https://bluebutton.cms.gov/assets/ig/StructureDefinition-bluebutton-dme-line-service-deductible-extension': maximum cardinality of 'extension' is 1
extension with URL = 'https://bluebutton.cms.gov/assets/ig/StructureDefinition-bluebutton-dme-line-hct-hgb-rslt-num-extension': minimum cardinality of 'extension' is 1
extension with URL = 'https://bluebutton.cms.gov/assets/ig/StructureDefinition-bluebutton-dme-line-hct-hgb-rslt-num-extension': maximum cardinality of 'extension' is 1
extension with URL = 'https://bluebutton.cms.gov/assets/ig/StructureDefinition-bluebutton-dme-ndc-extension': minimum cardinality of 'extension' is 1
extension with URL = 'https://bluebutton.cms.gov/assets/ig/StructureDefinition-bluebutton-dme-ndc-extension': maximum cardinality of 'extension' is 1
extension with URL = 'https://bluebutton.cms.gov/assets/ig/StructureDefinition-bluebutton-dme-suplrnum-extension': minimum cardinality of 'extension' is 1
extension with URL = 'https://bluebutton.cms.gov/assets/ig/StructureDefinition-bluebutton-dme-suplrnum-extension': maximum cardinality of 'extension' is 1
extension with URL = 'https://bluebutton.cms.gov/assets/ig/StructureDefinition-bluebutton-dme-dmerc-line-scrn-svgs-amt-extension': minimum cardinality of 'extension' is 1
extension with URL = 'https://bluebutton.cms.gov/assets/ig/StructureDefinition-bluebutton-dme-dmerc-line-scrn-svgs-amt-extension': maximum cardinality of 'extension' is 1
procedureLinkId: maximum cardinality of 'procedureLinkId' is 0
informationLinkId: maximum cardinality of 'informationLinkId' is 0
revenue: maximum cardinality of 'revenue' is 0
modifier: maximum cardinality of 'modifier' is 1
programCode: maximum cardinality of 'programCode' is 0
unitPrice: maximum cardinality of 'unitPrice' is 0
factor: maximum cardinality of 'factor' is 0
net: maximum cardinality of 'net' is 0
udi: maximum cardinality of 'udi' is 0
bodySite: maximum cardinality of 'bodySite' is 0
subSite: maximum cardinality of 'subSite' is 0
encounter: maximum cardinality of 'encounter' is 0
noteNumber: maximum cardinality of 'noteNumber' is 0
detail: maximum cardinality of 'detail' is 0
f:ExplanationOfBenefit/f:item/f:category
id: maximum cardinality of 'id' is 0
text: maximum cardinality of 'text' is 0
f:ExplanationOfBenefit/f:item/f:category/f:coding
id: maximum cardinality of 'id' is 0
system: minimum cardinality of 'system' is 1
system: maximum cardinality of 'system' is 1
version: maximum cardinality of 'version' is 0
code: minimum cardinality of 'code' is 1
code: maximum cardinality of 'code' is 1
display: minimum cardinality of 'display' is 1
display: maximum cardinality of 'display' is 1
userSelected: maximum cardinality of 'userSelected' is 0
f:ExplanationOfBenefit/f:item/f:service
id: maximum cardinality of 'id' is 0
extension with URL = 'https://bluebutton.cms.gov/assets/ig/StructureDefinition-bluebutton-carrier-carr-line-ansthsa-unit-cnt-extension': minimum cardinality of 'extension' is 1
extension with URL = 'https://bluebutton.cms.gov/assets/ig/StructureDefinition-bluebutton-carrier-carr-line-ansthsa-unit-cnt-extension': maximum cardinality of 'extension' is 1
text: maximum cardinality of 'text' is 0
f:ExplanationOfBenefit/f:item/f:service/f:coding
id: maximum cardinality of 'id' is 0
system: minimum cardinality of 'system' is 1
system: maximum cardinality of 'system' is 1
version: minimum cardinality of 'version' is 1
version: maximum cardinality of 'version' is 1
code: minimum cardinality of 'code' is 1
code: maximum cardinality of 'code' is 1
display: maximum cardinality of 'display' is 0
userSelected: maximum cardinality of 'userSelected' is 0
f:ExplanationOfBenefit/f:item/f:modifier
id: maximum cardinality of 'id' is 0
coding: minimum cardinality of 'coding' is 1
coding: maximum cardinality of 'coding' is 1
text: maximum cardinality of 'text' is 0
f:ExplanationOfBenefit/f:item/f:modifier/f:coding
id: maximum cardinality of 'id' is 0
system: minimum cardinality of 'system' is 1
system: maximum cardinality of 'system' is 1
version: minimum cardinality of 'version' is 1
version: maximum cardinality of 'version' is 1
code: minimum cardinality of 'code' is 1
code: maximum cardinality of 'code' is 1
display: maximum cardinality of 'display' is 0
userSelected: maximum cardinality of 'userSelected' is 0
f:ExplanationOfBenefit/f:item/f:servicedPeriod
id: maximum cardinality of 'id' is 0
f:ExplanationOfBenefit/f:item/f:locationCodeableConcept
id: maximum cardinality of 'id' is 0
extension with URL = 'https://bluebutton.cms.gov/assets/ig/StructureDefinition-bluebutton-dme-prvdr-state-cd-extension': minimum cardinality of 'extension' is 1
extension with URL = 'https://bluebutton.cms.gov/assets/ig/StructureDefinition-bluebutton-dme-dmerc-line-prcng-state-cd-extension': minimum cardinality of 'extension' is 1
extension with URL = 'https://bluebutton.cms.gov/assets/ig/StructureDefinition-bluebutton-dme-dmerc-line-supplr-type-cd-extension': minimum cardinality of 'extension' is 1
text: maximum cardinality of 'text' is 0
f:ExplanationOfBenefit/f:item/f:locationCodeableConcept/f:coding
id: maximum cardinality of 'id' is 0
system: minimum cardinality of 'system' is 1
version: maximum cardinality of 'version' is 0
code: minimum cardinality of 'code' is 1
display: minimum cardinality of 'display' is 1
userSelected: maximum cardinality of 'userSelected' is 0
f:ExplanationOfBenefit/f:item/f:quantity
id: maximum cardinality of 'id' is 0
value: maximum cardinality of 'value' is 1
comparator: maximum cardinality of 'comparator' is 0
unit: maximum cardinality of 'unit' is 0
system: maximum cardinality of 'system' is 0
code: maximum cardinality of 'code' is 0
f:ExplanationOfBenefit/f:item/f:adjudication
id: maximum cardinality of 'id' is 0
extension with URL = 'https://bluebutton.cms.gov/assets/ig/StructureDefinition-bluebutton-dme-line-pmt-80-100-cd-extension': minimum cardinality of 'extension' is 1
extension with URL = 'https://bluebutton.cms.gov/assets/ig/StructureDefinition-bluebutton-dme-line-pmt-80-100-cd-extension': maximum cardinality of 'extension' is 1
value: maximum cardinality of 'value' is 0
f:ExplanationOfBenefit/f:item/f:adjudication/f:category
id: maximum cardinality of 'id' is 0
text: maximum cardinality of 'text' is 0
f:ExplanationOfBenefit/f:item/f:adjudication/f:category/f:coding
id: maximum cardinality of 'id' is 0
system: minimum cardinality of 'system' is 1
system: maximum cardinality of 'system' is 1
version: maximum cardinality of 'version' is 0
code: minimum cardinality of 'code' is 1
code: maximum cardinality of 'code' is 1
display: minimum cardinality of 'display' is 1
display: maximum cardinality of 'display' is 1
userSelected: maximum cardinality of 'userSelected' is 0
f:ExplanationOfBenefit/f:item/f:adjudication/f:reason
id: maximum cardinality of 'id' is 0
text: maximum cardinality of 'text' is 0
f:ExplanationOfBenefit/f:item/f:adjudication/f:reason/f:coding
id: maximum cardinality of 'id' is 0
system: minimum cardinality of 'system' is 1
system: maximum cardinality of 'system' is 1
version: maximum cardinality of 'version' is 0
code: minimum cardinality of 'code' is 1
code: maximum cardinality of 'code' is 1
display: minimum cardinality of 'display' is 1
display: maximum cardinality of 'display' is 1
userSelected: maximum cardinality of 'userSelected' is 0
f:ExplanationOfBenefit/f:item/f:adjudication/f:amount
id: maximum cardinality of 'id' is 0
value: minimum cardinality of 'value' is 1
value: maximum cardinality of 'value' is 1
comparator: maximum cardinality of 'comparator' is 0
unit: maximum cardinality of 'unit' is 0
system: minimum cardinality of 'system' is 1
system: maximum cardinality of 'system' is 1
code: minimum cardinality of 'code' is 1
code: maximum cardinality of 'code' is 1
f:ExplanationOfBenefit/f:payment
id: maximum cardinality of 'id' is 0
type: maximum cardinality of 'type' is 0
adjustment: maximum cardinality of 'adjustment' is 0
adjustmentReason: maximum cardinality of 'adjustmentReason' is 0
date: maximum cardinality of 'date' is 0
amount: minimum cardinality of 'amount' is 1
identifier: maximum cardinality of 'identifier' is 0
f:ExplanationOfBenefit/f:payment/f:amount
id: maximum cardinality of 'id' is 0
value: minimum cardinality of 'value' is 1
value: maximum cardinality of 'value' is 1
comparator: maximum cardinality of 'comparator' is 0
unit: maximum cardinality of 'unit' is 0
system: minimum cardinality of 'system' is 1
system: maximum cardinality of 'system' is 1
code: maximum cardinality of 'code' is 0