Name | Flags | Card. | Type | Description & Constraints![]() |
---|---|---|---|---|
TU | DomainResource | CoverageEligibilityRequest resource Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension | ||
0..* | Identifier | Business Identifier | ||
?!Σ | 0..1 | code | active | cancelled | draft | entered-in-error Financial Resource Status Codes (Required) | |
0..1 | CodeableConcept | Desired processing priority Process Priority Codes (Example) | ||
Σ | 1..* | code | auth-requirements | benefits | discovery | validation EligibilityRequestPurpose (Required) | |
0..1 | Reference(Patient) | The subject of the Products and Services | ||
0..1 | Estimated date or dates of Service | |||
date | ||||
Period | ||||
0..1 | dateTime | Creation date | ||
0..1 | Reference(Practitioner | PractitionerRole) | Author | ||
0..1 | Reference(Practitioner | PractitionerRole | Organization) | Responsible provider | ||
0..1 | Reference(Organization) | Target | ||
0..1 | Reference(Location) | Servicing Facility | ||
0..* | BackboneElement | Exceptions, special considerations, the condition, situation, prior or concurrent issues | ||
1..1 | positiveInt | Information instance identifier | ||
1..1 | Reference(Any) | Additional Data or supporting information | ||
0..1 | boolean | Applies to all items | ||
0..* | BackboneElement | Patient's Insurance or medical plan(s) | ||
0..1 | boolean | Is the focal Coverage | ||
1..1 | Reference(Coverage) | Insurance or medical plan | ||
0..1 | string | Business agreement | ||
0..* | BackboneElement | Service types, codes and supporting information | ||
0..* | positiveInt | Applicable exception and supporting information | ||
0..1 | CodeableConcept | Type of service Benefit Category Codes (Example) | ||
0..1 | CodeableConcept | Billing Code USCLS Codes (Example) | ||
0..* | CodeableConcept | Service/Product billing modifiers Modifier type Codes (Example) | ||
0..1 | Reference(Practitioner | PractitionerRole) | Perfoming practitioner | ||
0..1 | SimpleQuantity | Count of products or services | ||
0..1 | Money | Fee, charge or cost per point | ||
0..1 | Reference(Location | Organization) | Servicing Facility | ||
0..* | BackboneElement | List of Diagnosis | ||
0..1 | Patient's diagnosis ICD-10 Codes (Example) | |||
CodeableConcept | ||||
Reference(Condition) | ||||
0..* | Reference(Any) | Product or service details | ||
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