| Resource |
Id |
Description |
Paths (Expression) |
|
|
| Practitioner |
practitioner-active |
Whether the practitioner record is active. When the Practitioner.id = "NPI", the active flag should only be decided by NPPES |
Practitioner.active |
|
|
| Practitioner |
npi |
A type 1 National Provider Identifier |
Practitioner.identifier |
|
|
| PractitionerRole |
practitioner-role-active |
Whether the record is active. Determined by the source system. |
PractitionerRole.active |
|
|
| PractitionerRole |
primary-care-indicator |
The practitioner is considered primary care |
PractitionerRole.code(where code |
system='13 |
https://nucc.org/provider-characteristics' |
| PractitionerRole |
provider-specialty |
The provider's specialty |
PractitionerRole.specialty |
|
|
| PractitionerRole |
provider-accepts-new-patients |
Whether the provider accepts new or only existing patients |
PractitionerRole.extension.extension(where url='acceptingPatients') |
|
|
| PractitionerRole |
provider-accepts-age-ranges |
The age range of patients accepted by this provider |
PractitionerRole.extension.extension(where url='ageRange') |
|
|
| PractitionerRole |
accepted-insurance-plan |
An InsurancePlan the Practitioner and Location accept |
PractitionerRole.extension |
|
|
| PractitionerRole |
practitioner-network |
The network a practitioner belongs to |
PractitionerRole.extension |
|
|
| ExplanationOfBenefit |
claim-number |
Unique id for the claim |
ExplanationOfBenefit.identifier(where type = "Claim_Nbr") |
|
|
| ExplanationOfBenefit |
claim-diagnosis |
Diagnosis on the claim |
ExplanationOfBenefit.diagnosis |
|
|
| ExplanationOfBenefit |
claim-rendering-provider |
Rendering or servicing provider listed on the claim |
ExplanationOfBenefit.careTeam(where role = "servicing") |
|
|
| ExplanationOfBenefit |
claim-billing-provider |
Billing provider listed on the claim |
ExplanationOfBenefit.provider |
|
|
