NameFlagsCard.TypeDescription & Constraintsdoco
.. CoverageEligibilityRequest TUDomainResourceCoverageEligibilityRequest resource
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
... identifier 0..*IdentifierBusiness Identifier
... status ?!Σ0..1codeactive | cancelled | draft | entered-in-error
Financial Resource Status Codes (Required)
... priority 0..1CodeableConceptDesired processing priority
Process Priority Codes (Example)
... purpose Σ1..*codeauth-requirements | benefits | discovery | validation
EligibilityRequestPurpose (Required)
... patient 0..1Reference(Patient)The subject of the Products and Services
... serviced[x] 0..1Estimated date or dates of Service
.... servicedDatedate
.... servicedPeriodPeriod
... created 0..1dateTimeCreation date
... enterer 0..1Reference(Practitioner | PractitionerRole)Author
... provider 0..1Reference(Practitioner | PractitionerRole | Organization)Responsible provider
... insurer 0..1Reference(Organization)Target
... facility 0..1Reference(Location)Servicing Facility
... supportingInformation 0..*BackboneElementExceptions, special considerations, the condition, situation, prior or concurrent issues
.... sequence 1..1positiveIntInformation instance identifier
.... information 1..1Reference(Any)Additional Data or supporting information
.... appliesToAll 0..1booleanApplies to all items
... insurance 0..*BackboneElementPatient's Insurance or medical plan(s)
.... focal 0..1booleanIs the focal Coverage
.... coverage 1..1Reference(Coverage)Insurance or medical plan
.... businessArrangement 0..1stringBusiness agreement
... item 0..*BackboneElementService types, codes and supporting information
.... supportingInformationSequence 0..*positiveIntApplicable exception and supporting information
.... category 0..1CodeableConceptType of service
Benefit Category Codes (Example)
.... billcode 0..1CodeableConceptBilling Code
USCLS Codes (Example)
.... modifier 0..*CodeableConceptService/Product billing modifiers
Modifier type Codes (Example)
.... provider 0..1Reference(Practitioner | PractitionerRole)Perfoming practitioner
.... quantity 0..1SimpleQuantityCount of products or services
.... unitPrice 0..1MoneyFee, charge or cost per point
.... facility 0..1Reference(Location | Organization)Servicing Facility
.... diagnosis 0..*BackboneElementList of Diagnosis
..... diagnosis[x] 0..1Patient's diagnosis
ICD-10 Codes (Example)
...... diagnosisCodeableConceptCodeableConcept
...... diagnosisReferenceReference(Condition)
.... detail 0..*Reference(Any)Product or service details

doco Documentation for this format