This page is part of the FHIR Specification (v3.5a.0: R4 Ballot 4). The current version which supercedes this version is 4.0.1. For a full list of available versions, see the Directory of published versions
Financial Management Work Group | Maturity Level: N/A | Ballot Status: Informative | Compartments: Patient, Practitioner |
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StructureDefinition for coverageeligibilityrequest
@prefix fhir: <http://hl7.org/fhir/> . @prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> . # - resource ------------------------------------------------------------------- [] a fhir:StructureDefinition; fhir:Resource.id [ fhir:value "CoverageEligibilityRequest"]; fhir:Resource.meta [ fhir:Meta.lastUpdated [ fhir:value "2018-08-19T21:48:56.559+10:00" ] ]; fhir:DomainResource.text [ fhir:Narrative.status [ fhir:value "generated" ] ]; fhir:DomainResource.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-category" ]; fhir:Extension.value [ fhir:value "Financial.Support" ] ], [ fhir:index 1; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status" ]; fhir:Extension.value [ fhir:value "Trial Use" ] ], [ fhir:index 2; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm" ]; fhir:Extension.value [ fhir:value "2" ] ], [ fhir:index 3; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg" ]; fhir:Extension.value [ fhir:value "fm" ] ]; fhir:StructureDefinition.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/CoverageEligibilityRequest"]; fhir:StructureDefinition.name [ fhir:value "CoverageEligibilityRequest"]; fhir:StructureDefinition.status [ fhir:value "draft"]; fhir:StructureDefinition.date [ fhir:value "2018-08-19T21:48:56+10:00"]; fhir:StructureDefinition.publisher [ fhir:value "Health Level Seven International (Financial Management)"]; fhir:StructureDefinition.contact [ fhir:index 0; fhir:ContactDetail.telecom [ fhir:index 0; fhir:ContactPoint.system [ fhir:value "url" ]; fhir:ContactPoint.value [ fhir:value "http://hl7.org/fhir" ] ] ], [ fhir:index 1; fhir:ContactDetail.telecom [ fhir:index 0; fhir:ContactPoint.system [ fhir:value "url" ]; fhir:ContactPoint.value [ fhir:value "http://www.hl7.org/Special/committees/fm/index.cfm" ] ] ]; fhir:StructureDefinition.description [ fhir:value "The CoverageEligibilityRequest provides patient and insurance coverage information to an insurer for them to respond, in the form of an CoverageEligibilityResponse, with information regarding whether the stated coverage is valid and in-force and optionally to provide the insurance details of the policy."]; fhir:StructureDefinition.fhirVersion [ fhir:value "3.5a.0"]; fhir:StructureDefinition.mapping [ fhir:index 0; fhir:StructureDefinition.identity [ fhir:value "workflow" ]; fhir:StructureDefinition.uri [ fhir:value "http://hl7.org/fhir/workflow" ]; fhir:StructureDefinition.name [ fhir:value "Workflow Pattern" ] ], [ fhir:index 1; fhir:StructureDefinition.identity [ fhir:value "w5" ]; fhir:StructureDefinition.uri [ fhir:value "http://hl7.org/fhir/fivews" ]; fhir:StructureDefinition.name [ fhir:value "FiveWs Pattern" ] ], [ fhir:index 2; fhir:StructureDefinition.identity [ fhir:value "v2" ]; fhir:StructureDefinition.uri [ fhir:value "http://hl7.org/v2" ]; fhir:StructureDefinition.name [ fhir:value "HL7 v2 Mapping" ] ], [ fhir:index 3; fhir:StructureDefinition.identity [ fhir:value "rim" ]; fhir:StructureDefinition.uri [ fhir:value "http://hl7.org/v3" ]; fhir:StructureDefinition.name [ fhir:value "RIM Mapping" ] ]; fhir:StructureDefinition.kind [ fhir:value "resource"]; fhir:StructureDefinition.abstract [ fhir:value "false"]; fhir:StructureDefinition.type [ fhir:value "CoverageEligibilityRequest"]; fhir:StructureDefinition.baseDefinition [ fhir:value "http://hl7.org/fhir/StructureDefinition/DomainResource"]; fhir:StructureDefinition.derivation [ fhir:value "specialization"]; fhir:StructureDefinition.snapshot [ fhir:StructureDefinition.element [ fhir:index 0; fhir:Element.id [ fhir:value "CoverageEligibilityRequest" ]; fhir:ElementDefinition.path [ fhir:value "CoverageEligibilityRequest" ]; fhir:ElementDefinition.short [ fhir:value "CoverageEligibilityRequest resource" ]; fhir:ElementDefinition.definition [ fhir:value "The CoverageEligibilityRequest provides patient and insurance coverage information to an insurer for them to respond, in the form of an CoverageEligibilityResponse, with information regarding whether the stated coverage is valid and in-force and optionally to provide the insurance details of the policy." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "CoverageEligibilityRequest" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ] ]; fhir:ElementDefinition.constraint [ fhir:index 0; fhir:ElementDefinition.key [ fhir:value "dom-2" ]; fhir:ElementDefinition.severity [ fhir:value "error" ]; fhir:ElementDefinition.human [ fhir:value "If the resource is contained in another resource, it SHALL NOT contain nested Resources" ]; fhir:ElementDefinition.expression [ fhir:value "contained.contained.empty()" ]; fhir:ElementDefinition.xpath [ fhir:value "not(parent::f:contained and f:contained)" ]; fhir:ElementDefinition.source [ fhir:value "DomainResource" ] ], [ fhir:index 1; fhir:ElementDefinition.key [ fhir:value "dom-4" ]; fhir:ElementDefinition.severity [ fhir:value "error" ]; fhir:ElementDefinition.human [ fhir:value "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated" ]; fhir:ElementDefinition.expression [ fhir:value "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()" ]; fhir:ElementDefinition.xpath [ fhir:value "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))" ]; fhir:ElementDefinition.source [ fhir:value "DomainResource" ] ], [ fhir:index 2; fhir:ElementDefinition.key [ fhir:value "dom-3" ]; fhir:ElementDefinition.severity [ fhir:value "error" ]; fhir:ElementDefinition.human [ fhir:value "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource" ]; fhir:ElementDefinition.expression [ fhir:value "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()" ]; fhir:ElementDefinition.xpath [ fhir:value "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))" ]; fhir:ElementDefinition.source [ fhir:value "DomainResource" ] ], [ fhir:index 3; fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice" ]; fhir:Extension.value [ fhir:value "true" ] ], [ fhir:index 1; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation" ]; fhir:Extension.value [ fhir:value "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a guman readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time." ] ]; fhir:ElementDefinition.key [ fhir:value "dom-6" ]; fhir:ElementDefinition.severity [ fhir:value "warning" ]; fhir:ElementDefinition.human [ fhir:value "A resource should have narrative for robust management" ]; fhir:ElementDefinition.expression [ fhir:value "text.div.exists()" ]; fhir:ElementDefinition.xpath [ fhir:value "exists(f:text/h:div)" ]; fhir:ElementDefinition.source [ fhir:value "DomainResource" ] ], [ fhir:index 4; fhir:ElementDefinition.key [ fhir:value "dom-5" ]; fhir:ElementDefinition.severity [ fhir:value "error" ]; fhir:ElementDefinition.human [ fhir:value "If a resource is contained in another resource, it SHALL NOT have a security label" ]; fhir:ElementDefinition.expression [ fhir:value "contained.meta.security.empty()" ]; fhir:ElementDefinition.xpath [ fhir:value "not(exists(f:contained/*/f:meta/f:security))" ]; fhir:ElementDefinition.source [ fhir:value "DomainResource" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "rim" ]; fhir:ElementDefinition.map [ fhir:value "Entity. Role, or Act" ] ], [ fhir:index 1; fhir:ElementDefinition.identity [ fhir:value "workflow" ]; fhir:ElementDefinition.map [ fhir:value "Request" ] ] ], [ fhir:index 1; fhir:Element.id [ fhir:value "CoverageEligibilityRequest.id" ]; fhir:ElementDefinition.path [ fhir:value "CoverageEligibilityRequest.id" ]; fhir:ElementDefinition.short [ fhir:value "Logical id of this artifact" ]; fhir:ElementDefinition.definition [ fhir:value "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes." ]; fhir:ElementDefinition.comment [ fhir:value "The only time that a resource does not have an id is when it is being submitted to the server using a create operation." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "Resource.id" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "id" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "true" ] ], [ fhir:index 2; fhir:Element.id [ fhir:value "CoverageEligibilityRequest.meta" ]; fhir:ElementDefinition.path [ fhir:value "CoverageEligibilityRequest.meta" ]; fhir:ElementDefinition.short [ fhir:value "Metadata about the resource" ]; fhir:ElementDefinition.definition [ fhir:value "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "Resource.meta" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Meta" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "true" ] ], [ fhir:index 3; fhir:Element.id [ fhir:value "CoverageEligibilityRequest.implicitRules" ]; fhir:ElementDefinition.path [ fhir:value "CoverageEligibilityRequest.implicitRules" ]; fhir:ElementDefinition.short [ fhir:value "A set of rules under which this content was created" ]; fhir:ElementDefinition.definition [ fhir:value "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc." ]; fhir:ElementDefinition.comment [ fhir:value "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "Resource.implicitRules" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "uri" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "true" ]; fhir:ElementDefinition.isModifierReason [ fhir:value "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation" ]; fhir:ElementDefinition.isSummary [ fhir:value "true" ] ], [ fhir:index 4; fhir:Element.id [ fhir:value "CoverageEligibilityRequest.language" ]; fhir:ElementDefinition.path [ fhir:value "CoverageEligibilityRequest.language" ]; fhir:ElementDefinition.short [ fhir:value "Language of the resource content" ]; fhir:ElementDefinition.definition [ fhir:value "The base language in which the resource is written." ]; fhir:ElementDefinition.comment [ fhir:value "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute)." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "Resource.language" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "code" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet" ]; fhir:Extension.value [ fhir:value "http://hl7.org/fhir/ValueSet/all-languages" ] ], [ fhir:index 1; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.value [ fhir:value "Language" ] ], [ fhir:index 2; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding" ]; fhir:Extension.value [ fhir:value "true" ] ]; fhir:ElementDefinition.strength [ fhir:value "preferred" ]; fhir:ElementDefinition.description [ fhir:value "A human language." ]; fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/languages" ] ] ], [ fhir:index 5; fhir:Element.id [ fhir:value "CoverageEligibilityRequest.text" ]; fhir:ElementDefinition.path [ fhir:value "CoverageEligibilityRequest.text" ]; fhir:ElementDefinition.short [ fhir:value "Text summary of the resource, for human interpretation" ]; fhir:ElementDefinition.definition [ fhir:value "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety." ]; fhir:ElementDefinition.comment [ fhir:value "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later." ]; fhir:ElementDefinition.alias [ fhir:value "narrative"; fhir:index 0 ], [ fhir:value "html"; fhir:index 1 ], [ fhir:value "xhtml"; fhir:index 2 ], [ fhir:value "display"; fhir:index 3 ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "DomainResource.text" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Narrative" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "rim" ]; fhir:ElementDefinition.map [ fhir:value "Act.text?" ] ] ], [ fhir:index 6; fhir:Element.id [ fhir:value "CoverageEligibilityRequest.contained" ]; fhir:ElementDefinition.path [ fhir:value "CoverageEligibilityRequest.contained" ]; fhir:ElementDefinition.short [ fhir:value "Contained, inline Resources" ]; fhir:ElementDefinition.definition [ fhir:value "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope." ]; fhir:ElementDefinition.comment [ fhir:value "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels." ]; fhir:ElementDefinition.alias [ fhir:value "inline resources"; fhir:index 0 ], [ fhir:value "anonymous resources"; fhir:index 1 ], [ fhir:value "contained resources"; fhir:index 2 ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "DomainResource.contained" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Resource" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "rim" ]; fhir:ElementDefinition.map [ fhir:value "N/A" ] ] ], [ fhir:index 7; fhir:Element.id [ fhir:value "CoverageEligibilityRequest.extension" ]; fhir:ElementDefinition.path [ fhir:value "CoverageEligibilityRequest.extension" ]; fhir:ElementDefinition.short [ fhir:value "Additional Content defined by implementations" ]; fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ]; fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ]; fhir:ElementDefinition.alias [ fhir:value "extensions"; fhir:index 0 ], [ fhir:value "user content"; fhir:index 1 ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "DomainResource.extension" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Extension" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "rim" ]; fhir:ElementDefinition.map [ fhir:value "N/A" ] ] ], [ fhir:index 8; fhir:Element.id [ fhir:value "CoverageEligibilityRequest.modifierExtension" ]; fhir:ElementDefinition.path [ fhir:value "CoverageEligibilityRequest.modifierExtension" ]; fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored" ]; fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ]; fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ]; fhir:ElementDefinition.alias [ fhir:value "extensions"; fhir:index 0 ], [ fhir:value "user content"; fhir:index 1 ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "DomainResource.modifierExtension" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Extension" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "true" ]; fhir:ElementDefinition.isModifierReason [ fhir:value "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "rim" ]; fhir:ElementDefinition.map [ fhir:value "N/A" ] ] ], [ fhir:index 9; fhir:Element.id [ fhir:value "CoverageEligibilityRequest.identifier" ]; fhir:ElementDefinition.path [ fhir:value "CoverageEligibilityRequest.identifier" ]; fhir:ElementDefinition.short [ fhir:value "Business Identifier" ]; fhir:ElementDefinition.definition [ fhir:value "The Response business identifier." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "CoverageEligibilityRequest.identifier" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Identifier" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "workflow" ]; fhir:ElementDefinition.map [ fhir:value "Request.identifier" ] ], [ fhir:index 1; fhir:ElementDefinition.identity [ fhir:value "w5" ]; fhir:ElementDefinition.map [ fhir:value "FiveWs.identifier" ] ] ], [ fhir:index 10; fhir:Element.id [ fhir:value "CoverageEligibilityRequest.status" ]; fhir:ElementDefinition.path [ fhir:value "CoverageEligibilityRequest.status" ]; fhir:ElementDefinition.short [ fhir:value "active | cancelled | draft | entered-in-error" ]; fhir:ElementDefinition.definition [ fhir:value "The status of the resource instance." ]; fhir:ElementDefinition.requirements [ fhir:value "This element is labeled as a modifier because the status contains codes that mark the request as not currently valid." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "CoverageEligibilityRequest.status" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "code" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "true" ]; fhir:ElementDefinition.isModifierReason [ fhir:value "This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid" ]; fhir:ElementDefinition.isSummary [ fhir:value "true" ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.value [ fhir:value "EligibilityRequestStatus" ] ]; fhir:ElementDefinition.strength [ fhir:value "required" ]; fhir:ElementDefinition.description [ fhir:value "A code specifying the state of the resource instance." ]; fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/fm-status" ] ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "workflow" ]; fhir:ElementDefinition.map [ fhir:value "Request.status" ] ], [ fhir:index 1; fhir:ElementDefinition.identity [ fhir:value "w5" ]; fhir:ElementDefinition.map [ fhir:value "FiveWs.status" ] ] ], [ fhir:index 11; fhir:Element.id [ fhir:value "CoverageEligibilityRequest.priority" ]; fhir:ElementDefinition.path [ fhir:value "CoverageEligibilityRequest.priority" ]; fhir:ElementDefinition.short [ fhir:value "Desired processing priority" ]; fhir:ElementDefinition.definition [ fhir:value "Immediate (STAT), best effort (NORMAL), deferred (DEFER)." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "CoverageEligibilityRequest.priority" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.value [ fhir:value "ProcessPriority" ] ]; fhir:ElementDefinition.strength [ fhir:value "example" ]; fhir:ElementDefinition.description [ fhir:value "The timeliness with which processing is required: STAT, normal, Deferred." ]; fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/process-priority" ] ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "workflow" ]; fhir:ElementDefinition.map [ fhir:value "Request.priority" ] ], [ fhir:index 1; fhir:ElementDefinition.identity [ fhir:value "w5" ]; fhir:ElementDefinition.map [ fhir:value "FiveWs.class" ] ] ], [ fhir:index 12; fhir:Element.id [ fhir:value "CoverageEligibilityRequest.purpose" ]; fhir:ElementDefinition.path [ fhir:value "CoverageEligibilityRequest.purpose" ]; fhir:ElementDefinition.short [ fhir:value "auth-requirements | benefits | discovery | validation" ]; fhir:ElementDefinition.definition [ fhir:value "Specify whether requesting: prior authorization requirements for some service categories or billing codes; benefits for coverages specified or discovered; discovery and return of coverages for th patient; and/or validation that the specified coverage is in-force at the date/period specified or 'now' if not specified." ]; fhir:ElementDefinition.min [ fhir:value "1" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "CoverageEligibilityRequest.purpose" ]; fhir:ElementDefinition.min [ fhir:value "1" ]; fhir:ElementDefinition.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "code" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "true" ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.value [ fhir:value "EligibilityRequestPurpose" ] ]; fhir:ElementDefinition.strength [ fhir:value "required" ]; fhir:ElementDefinition.description [ fhir:value "A code specifying the types of information being requested." ]; fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/eligibilityrequest-purpose" ] ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "w5" ]; fhir:ElementDefinition.map [ fhir:value "FiveWs.class" ] ] ], [ fhir:index 13; fhir:Element.id [ fhir:value "CoverageEligibilityRequest.patient" ]; fhir:ElementDefinition.path [ fhir:value "CoverageEligibilityRequest.patient" ]; fhir:ElementDefinition.short [ fhir:value "The subject of the Products and Services" ]; fhir:ElementDefinition.definition [ fhir:value "Patient Resource." ]; fhir:ElementDefinition.comment [ fhir:value "1..1." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "CoverageEligibilityRequest.patient" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Reference" ]; fhir:ElementDefinition.targetProfile [ fhir:value "http://hl7.org/fhir/StructureDefinition/Patient"; fhir:index 0 ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "workflow" ]; fhir:ElementDefinition.map [ fhir:value "Request.subject" ] ], [ fhir:index 1; fhir:ElementDefinition.identity [ fhir:value "w5" ]; fhir:ElementDefinition.map [ fhir:value "FiveWs.subject[x]" ] ], [ fhir:index 2; fhir:ElementDefinition.identity [ fhir:value "w5" ]; fhir:ElementDefinition.map [ fhir:value "FiveWs.subject" ] ] ], [ fhir:index 14; fhir:Element.id [ fhir:value "CoverageEligibilityRequest.serviced[x]" ]; fhir:ElementDefinition.path [ fhir:value "CoverageEligibilityRequest.serviced[x]" ]; fhir:ElementDefinition.short [ fhir:value "Estimated date or dates of Service" ]; fhir:ElementDefinition.definition [ fhir:value "The date or dates when the enclosed suite of services were performed or completed." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "CoverageEligibilityRequest.serviced[x]" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "date" ] ], [ fhir:index 1; fhir:ElementDefinition.code [ fhir:value "Period" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "w5" ]; fhir:ElementDefinition.map [ fhir:value "FiveWs.done[x]" ] ] ], [ fhir:index 15; fhir:Element.id [ fhir:value "CoverageEligibilityRequest.created" ]; fhir:ElementDefinition.path [ fhir:value "CoverageEligibilityRequest.created" ]; fhir:ElementDefinition.short [ fhir:value "Creation date" ]; fhir:ElementDefinition.definition [ fhir:value "The date when this resource was created." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "CoverageEligibilityRequest.created" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "dateTime" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "workflow" ]; fhir:ElementDefinition.map [ fhir:value "Request.authoredOn" ] ], [ fhir:index 1; fhir:ElementDefinition.identity [ fhir:value "w5" ]; fhir:ElementDefinition.map [ fhir:value "FiveWs.recorded" ] ] ], [ fhir:index 16; fhir:Element.id [ fhir:value "CoverageEligibilityRequest.enterer" ]; fhir:ElementDefinition.path [ fhir:value "CoverageEligibilityRequest.enterer" ]; fhir:ElementDefinition.short [ fhir:value "Author" ]; fhir:ElementDefinition.definition [ fhir:value "Person who created the invoice/claim/pre-determination or pre-authorization." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "CoverageEligibilityRequest.enterer" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Reference" ]; fhir:ElementDefinition.targetProfile [ fhir:value "http://hl7.org/fhir/StructureDefinition/Practitioner"; fhir:index 0 ], [ fhir:value "http://hl7.org/fhir/StructureDefinition/PractitionerRole"; fhir:index 1 ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "w5" ]; fhir:ElementDefinition.map [ fhir:value "FiveWs.author" ] ] ], [ fhir:index 17; fhir:Element.id [ fhir:value "CoverageEligibilityRequest.provider" ]; fhir:ElementDefinition.path [ fhir:value "CoverageEligibilityRequest.provider" ]; fhir:ElementDefinition.short [ fhir:value "Responsible provider" ]; fhir:ElementDefinition.definition [ fhir:value "The provider who is responsible for the services rendered to the patient." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "CoverageEligibilityRequest.provider" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Reference" ]; fhir:ElementDefinition.targetProfile [ fhir:value "http://hl7.org/fhir/StructureDefinition/Practitioner"; fhir:index 0 ], [ fhir:value "http://hl7.org/fhir/StructureDefinition/PractitionerRole"; fhir:index 1 ], [ fhir:value "http://hl7.org/fhir/StructureDefinition/Organization"; fhir:index 2 ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "workflow" ]; fhir:ElementDefinition.map [ fhir:value "Request.requester" ] ], [ fhir:index 1; fhir:ElementDefinition.identity [ fhir:value "w5" ]; fhir:ElementDefinition.map [ fhir:value "FiveWs.source" ] ] ], [ fhir:index 18; fhir:Element.id [ fhir:value "CoverageEligibilityRequest.insurer" ]; fhir:ElementDefinition.path [ fhir:value "CoverageEligibilityRequest.insurer" ]; fhir:ElementDefinition.short [ fhir:value "Target" ]; fhir:ElementDefinition.definition [ fhir:value "The Insurer who is target of the request." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "CoverageEligibilityRequest.insurer" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Reference" ]; fhir:ElementDefinition.targetProfile [ fhir:value "http://hl7.org/fhir/StructureDefinition/Organization"; fhir:index 0 ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "workflow" ]; fhir:ElementDefinition.map [ fhir:value "Request.performer" ] ], [ fhir:index 1; fhir:ElementDefinition.identity [ fhir:value "w5" ]; fhir:ElementDefinition.map [ fhir:value "FiveWs.who" ] ] ], [ fhir:index 19; fhir:Element.id [ fhir:value "CoverageEligibilityRequest.facility" ]; fhir:ElementDefinition.path [ fhir:value "CoverageEligibilityRequest.facility" ]; fhir:ElementDefinition.short [ fhir:value "Servicing Facility" ]; fhir:ElementDefinition.definition [ fhir:value "Facility where the services were provided." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "CoverageEligibilityRequest.facility" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Reference" ]; fhir:ElementDefinition.targetProfile [ fhir:value "http://hl7.org/fhir/StructureDefinition/Location"; fhir:index 0 ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "w5" ]; fhir:ElementDefinition.map [ fhir:value "FiveWs.where[x]" ] ] ], [ fhir:index 20; fhir:Element.id [ fhir:value "CoverageEligibilityRequest.supportingInformation" ]; fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ]; fhir:Extension.value [ fhir:value "Information" ] ]; fhir:ElementDefinition.path [ fhir:value "CoverageEligibilityRequest.supportingInformation" ]; fhir:ElementDefinition.short [ fhir:value "Exceptions, special considerations, the condition, situation, prior or concurrent issues" ]; fhir:ElementDefinition.definition [ fhir:value "Additional information codes regarding exceptions, special considerations, the condition, situation, prior or concurrent issues. Often there are mutiple jurisdiction specific valuesets which are required." ]; fhir:ElementDefinition.requirements [ fhir:value "Typically these information codes are required to support the services rendered or the adjudication of the services rendered." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "CoverageEligibilityRequest.supportingInformation" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "BackboneElement" ] ]; fhir:ElementDefinition.constraint [ fhir:index 0; fhir:ElementDefinition.key [ fhir:value "ele-1" ]; fhir:ElementDefinition.severity [ fhir:value "error" ]; fhir:ElementDefinition.human [ fhir:value "All FHIR elements must have a @value or children" ]; fhir:ElementDefinition.expression [ fhir:value "hasValue() or (children().count() > id.count())" ]; fhir:ElementDefinition.xpath [ fhir:value "@value|f:*|h:div" ]; fhir:ElementDefinition.source [ fhir:value "Element" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ] ], [ fhir:index 21; fhir:Element.id [ fhir:value "CoverageEligibilityRequest.supportingInformation.id" ]; fhir:ElementDefinition.path [ fhir:value "CoverageEligibilityRequest.supportingInformation.id" ]; fhir:ElementDefinition.representation [ fhir:value "xmlAttr"; fhir:index 0 ]; fhir:ElementDefinition.short [ fhir:value "xml:id (or equivalent in JSON)" ]; fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "Element.id" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "string" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "rim" ]; fhir:ElementDefinition.map [ fhir:value "n/a" ] ] ], [ fhir:index 22; fhir:Element.id [ fhir:value "CoverageEligibilityRequest.supportingInformation.extension" ]; fhir:ElementDefinition.path [ fhir:value "CoverageEligibilityRequest.supportingInformation.extension" ]; fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ]; fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ]; fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ]; fhir:ElementDefinition.alias [ fhir:value "extensions"; fhir:index 0 ], [ fhir:value "user content"; fhir:index 1 ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "Element.extension" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Extension" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "rim" ]; fhir:ElementDefinition.map [ fhir:value "n/a" ] ] ], [ fhir:index 23; fhir:Element.id [ fhir:value "CoverageEligibilityRequest.supportingInformation.modifierExtension" ]; fhir:ElementDefinition.path [ fhir:value "CoverageEligibilityRequest.supportingInformation.modifierExtension" ]; fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored if unrecognized" ]; fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ]; fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ]; fhir:ElementDefinition.alias [ fhir:value "extensions"; fhir:index 0 ], [ fhir:value "user content"; fhir:index 1 ], [ fhir:value "modifiers"; fhir:index 2 ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "BackboneElement.modifierExtension" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Extension" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "true" ]; fhir:ElementDefinition.isModifierReason [ fhir:value "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ]; fhir:ElementDefinition.isSummary [ fhir:value "true" ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "rim" ]; fhir:ElementDefinition.map [ fhir:value "N/A" ] ] ], [ fhir:index 24; fhir:Element.id [ fhir:value "CoverageEligibilityRequest.supportingInformation.sequence" ]; fhir:ElementDefinition.path [ fhir:value "CoverageEligibilityRequest.supportingInformation.sequence" ]; fhir:ElementDefinition.short [ fhir:value "Information instance identifier" ]; fhir:ElementDefinition.definition [ fhir:value "Sequence of the information element which serves to provide a link." ]; fhir:ElementDefinition.requirements [ fhir:value "To provide a reference link." ]; fhir:ElementDefinition.min [ fhir:value "1" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "CoverageEligibilityRequest.supportingInformation.sequence" ]; fhir:ElementDefinition.min [ fhir:value "1" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "positiveInt" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ] ], [ fhir:index 25; fhir:Element.id [ fhir:value "CoverageEligibilityRequest.supportingInformation.information" ]; fhir:ElementDefinition.path [ fhir:value "CoverageEligibilityRequest.supportingInformation.information" ]; fhir:ElementDefinition.short [ fhir:value "Additional Data or supporting information" ]; fhir:ElementDefinition.definition [ fhir:value "Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data." ]; fhir:ElementDefinition.min [ fhir:value "1" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "CoverageEligibilityRequest.supportingInformation.information" ]; fhir:ElementDefinition.min [ fhir:value "1" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Reference" ]; fhir:ElementDefinition.targetProfile [ fhir:value "http://hl7.org/fhir/StructureDefinition/Resource"; fhir:index 0 ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ] ], [ fhir:index 26; fhir:Element.id [ fhir:value "CoverageEligibilityRequest.supportingInformation.appliesToAll" ]; fhir:ElementDefinition.path [ fhir:value "CoverageEligibilityRequest.supportingInformation.appliesToAll" ]; fhir:ElementDefinition.short [ fhir:value "Applies to all items" ]; fhir:ElementDefinition.definition [ fhir:value "The supporting materials are applicable for all detail intens, product/servce categories and specific billing codes." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "CoverageEligibilityRequest.supportingInformation.appliesToAll" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "boolean" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ] ], [ fhir:index 27; fhir:Element.id [ fhir:value "CoverageEligibilityRequest.insurance" ]; fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ]; fhir:Extension.value [ fhir:value "Insurance" ] ]; fhir:ElementDefinition.path [ fhir:value "CoverageEligibilityRequest.insurance" ]; fhir:ElementDefinition.short [ fhir:value "Patient's Insurance or medical plan(s)" ]; fhir:ElementDefinition.definition [ fhir:value "Insurance policies which the patient has advised may be applicable for paying for health services." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "CoverageEligibilityRequest.insurance" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "BackboneElement" ] ]; fhir:ElementDefinition.constraint [ fhir:index 0; fhir:ElementDefinition.key [ fhir:value "ele-1" ]; fhir:ElementDefinition.severity [ fhir:value "error" ]; fhir:ElementDefinition.human [ fhir:value "All FHIR elements must have a @value or children" ]; fhir:ElementDefinition.expression [ fhir:value "hasValue() or (children().count() > id.count())" ]; fhir:ElementDefinition.xpath [ fhir:value "@value|f:*|h:div" ]; fhir:ElementDefinition.source [ fhir:value "Element" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ] ], [ fhir:index 28; fhir:Element.id [ fhir:value "CoverageEligibilityRequest.insurance.id" ]; fhir:ElementDefinition.path [ fhir:value "CoverageEligibilityRequest.insurance.id" ]; fhir:ElementDefinition.representation [ fhir:value "xmlAttr"; fhir:index 0 ]; fhir:ElementDefinition.short [ fhir:value "xml:id (or equivalent in JSON)" ]; fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "Element.id" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "string" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "rim" ]; fhir:ElementDefinition.map [ fhir:value "n/a" ] ] ], [ fhir:index 29; fhir:Element.id [ fhir:value "CoverageEligibilityRequest.insurance.extension" ]; fhir:ElementDefinition.path [ fhir:value "CoverageEligibilityRequest.insurance.extension" ]; fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ]; fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ]; fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ]; fhir:ElementDefinition.alias [ fhir:value "extensions"; fhir:index 0 ], [ fhir:value "user content"; fhir:index 1 ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "Element.extension" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Extension" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "rim" ]; fhir:ElementDefinition.map [ fhir:value "n/a" ] ] ], [ fhir:index 30; fhir:Element.id [ fhir:value "CoverageEligibilityRequest.insurance.modifierExtension" ]; fhir:ElementDefinition.path [ fhir:value "CoverageEligibilityRequest.insurance.modifierExtension" ]; fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored if unrecognized" ]; fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ]; fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ]; fhir:ElementDefinition.alias [ fhir:value "extensions"; fhir:index 0 ], [ fhir:value "user content"; fhir:index 1 ], [ fhir:value "modifiers"; fhir:index 2 ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "BackboneElement.modifierExtension" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Extension" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "true" ]; fhir:ElementDefinition.isModifierReason [ fhir:value "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ]; fhir:ElementDefinition.isSummary [ fhir:value "true" ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "rim" ]; fhir:ElementDefinition.map [ fhir:value "N/A" ] ] ], [ fhir:index 31; fhir:Element.id [ fhir:value "CoverageEligibilityRequest.insurance.focal" ]; fhir:ElementDefinition.path [ fhir:value "CoverageEligibilityRequest.insurance.focal" ]; fhir:ElementDefinition.short [ fhir:value "Is the focal Coverage" ]; fhir:ElementDefinition.definition [ fhir:value "A flag to indicate that this Coverage is the focus for adjudication. The Coverage against which the claim is to be adjudicated." ]; fhir:ElementDefinition.requirements [ fhir:value "To identify which coverage is being adjudicated." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "CoverageEligibilityRequest.insurance.focal" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "boolean" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ] ], [ fhir:index 32; fhir:Element.id [ fhir:value "CoverageEligibilityRequest.insurance.coverage" ]; fhir:ElementDefinition.path [ fhir:value "CoverageEligibilityRequest.insurance.coverage" ]; fhir:ElementDefinition.short [ fhir:value "Insurance or medical plan" ]; fhir:ElementDefinition.definition [ fhir:value "Financial instrument by which payment information for health care." ]; fhir:ElementDefinition.requirements [ fhir:value "Need to identify the issuer to target for processing and for coordination of benefit processing." ]; fhir:ElementDefinition.min [ fhir:value "1" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "CoverageEligibilityRequest.insurance.coverage" ]; fhir:ElementDefinition.min [ fhir:value "1" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Reference" ]; fhir:ElementDefinition.targetProfile [ fhir:value "http://hl7.org/fhir/StructureDefinition/Coverage"; fhir:index 0 ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ] ], [ fhir:index 33; fhir:Element.id [ fhir:value "CoverageEligibilityRequest.insurance.businessArrangement" ]; fhir:ElementDefinition.path [ fhir:value "CoverageEligibilityRequest.insurance.businessArrangement" ]; fhir:ElementDefinition.short [ fhir:value "Business agreement" ]; fhir:ElementDefinition.definition [ fhir:value "The contract number of a business agreement which describes the terms and conditions." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "CoverageEligibilityRequest.insurance.businessArrangement" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "string" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ] ], [ fhir:index 34; fhir:Element.id [ fhir:value "CoverageEligibilityRequest.item" ]; fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ]; fhir:Extension.value [ fhir:value "Details" ] ]; fhir:ElementDefinition.path [ fhir:value "CoverageEligibilityRequest.item" ]; fhir:ElementDefinition.short [ fhir:value "Service types, codes and supporting information" ]; fhir:ElementDefinition.definition [ fhir:value "A list of service types or billable services for which bebefit details and/or an authorization prior to service delivery may be required by the payor." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "CoverageEligibilityRequest.item" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "BackboneElement" ] ]; fhir:ElementDefinition.constraint [ fhir:index 0; fhir:ElementDefinition.key [ fhir:value "ele-1" ]; fhir:ElementDefinition.severity [ fhir:value "error" ]; fhir:ElementDefinition.human [ fhir:value "All FHIR elements must have a @value or children" ]; fhir:ElementDefinition.expression [ fhir:value "hasValue() or (children().count() > id.count())" ]; fhir:ElementDefinition.xpath [ fhir:value "@value|f:*|h:div" ]; fhir:ElementDefinition.source [ fhir:value "Element" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ] ], [ fhir:index 35; fhir:Element.id [ fhir:value "CoverageEligibilityRequest.item.id" ]; fhir:ElementDefinition.path [ fhir:value "CoverageEligibilityRequest.item.id" ]; fhir:ElementDefinition.representation [ fhir:value "xmlAttr"; fhir:index 0 ]; fhir:ElementDefinition.short [ fhir:value "xml:id (or equivalent in JSON)" ]; fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "Element.id" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "string" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "rim" ]; fhir:ElementDefinition.map [ fhir:value "n/a" ] ] ], [ fhir:index 36; fhir:Element.id [ fhir:value "CoverageEligibilityRequest.item.extension" ]; fhir:ElementDefinition.path [ fhir:value "CoverageEligibilityRequest.item.extension" ]; fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ]; fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ]; fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ]; fhir:ElementDefinition.alias [ fhir:value "extensions"; fhir:index 0 ], [ fhir:value "user content"; fhir:index 1 ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "Element.extension" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Extension" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "rim" ]; fhir:ElementDefinition.map [ fhir:value "n/a" ] ] ], [ fhir:index 37; fhir:Element.id [ fhir:value "CoverageEligibilityRequest.item.modifierExtension" ]; fhir:ElementDefinition.path [ fhir:value "CoverageEligibilityRequest.item.modifierExtension" ]; fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored if unrecognized" ]; fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ]; fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ]; fhir:ElementDefinition.alias [ fhir:value "extensions"; fhir:index 0 ], [ fhir:value "user content"; fhir:index 1 ], [ fhir:value "modifiers"; fhir:index 2 ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "BackboneElement.modifierExtension" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Extension" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "true" ]; fhir:ElementDefinition.isModifierReason [ fhir:value "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ]; fhir:ElementDefinition.isSummary [ fhir:value "true" ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "rim" ]; fhir:ElementDefinition.map [ fhir:value "N/A" ] ] ], [ fhir:index 38; fhir:Element.id [ fhir:value "CoverageEligibilityRequest.item.supportingInformationSequence" ]; fhir:ElementDefinition.path [ fhir:value "CoverageEligibilityRequest.item.supportingInformationSequence" ]; fhir:ElementDefinition.short [ fhir:value "Applicable exception and supporting information" ]; fhir:ElementDefinition.definition [ fhir:value "Exceptions, special conditions and supporting information pplicable for this service or product line." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "CoverageEligibilityRequest.item.supportingInformationSequence" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "positiveInt" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ] ], [ fhir:index 39; fhir:Element.id [ fhir:value "CoverageEligibilityRequest.item.category" ]; fhir:ElementDefinition.path [ fhir:value "CoverageEligibilityRequest.item.category" ]; fhir:ElementDefinition.short [ fhir:value "Type of service" ]; fhir:ElementDefinition.definition [ fhir:value "Dental: basic, major, ortho; Vision exam, glasses, contacts; etc." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "CoverageEligibilityRequest.item.category" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.value [ fhir:value "BenefitCategory" ] ]; fhir:ElementDefinition.strength [ fhir:value "example" ]; fhir:ElementDefinition.description [ fhir:value "Benefit categories such as: oral, medical, vision etc." ]; fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/ex-benefitcategory" ] ] ], [ fhir:index 40; fhir:Element.id [ fhir:value "CoverageEligibilityRequest.item.billcode" ]; fhir:ElementDefinition.path [ fhir:value "CoverageEligibilityRequest.item.billcode" ]; fhir:ElementDefinition.short [ fhir:value "Billing Code" ]; fhir:ElementDefinition.definition [ fhir:value "A code to indicate the Professional Service or Product supplied (e.g. CTP, HCPCS,USCLS,ICD10, NCPDP,DIN,ACHI,CCI)." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "CoverageEligibilityRequest.item.billcode" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.value [ fhir:value "ServiceProduct" ] ]; fhir:ElementDefinition.strength [ fhir:value "example" ]; fhir:ElementDefinition.description [ fhir:value "Allowable service and product codes." ]; fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/service-uscls" ] ] ], [ fhir:index 41; fhir:Element.id [ fhir:value "CoverageEligibilityRequest.item.modifier" ]; fhir:ElementDefinition.path [ fhir:value "CoverageEligibilityRequest.item.modifier" ]; fhir:ElementDefinition.short [ fhir:value "Service/Product billing modifiers" ]; fhir:ElementDefinition.definition [ fhir:value "Item typification or modifiers codes, e.g. for Oral whether the treatment is cosmetic or associated with TMJ, or for medical whether the treatment was outside the clinic or out of office hours." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "CoverageEligibilityRequest.item.modifier" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.value [ fhir:value "Modifiers" ] ]; fhir:ElementDefinition.strength [ fhir:value "example" ]; fhir:ElementDefinition.description [ fhir:value "Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen." ]; fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/claim-modifiers" ] ] ], [ fhir:index 42; fhir:Element.id [ fhir:value "CoverageEligibilityRequest.item.provider" ]; fhir:ElementDefinition.path [ fhir:value "CoverageEligibilityRequest.item.provider" ]; fhir:ElementDefinition.short [ fhir:value "Perfoming practitioner" ]; fhir:ElementDefinition.definition [ fhir:value "The practitioner who is responsible for the services rendered to the patient." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "CoverageEligibilityRequest.item.provider" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Reference" ]; fhir:ElementDefinition.targetProfile [ fhir:value "http://hl7.org/fhir/StructureDefinition/Practitioner"; fhir:index 0 ], [ fhir:value "http://hl7.org/fhir/StructureDefinition/PractitionerRole"; fhir:index 1 ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "workflow" ]; fhir:ElementDefinition.map [ fhir:value "Request.requester" ] ], [ fhir:index 1; fhir:ElementDefinition.identity [ fhir:value "w5" ]; fhir:ElementDefinition.map [ fhir:value "FiveWs.source" ] ] ], [ fhir:index 43; fhir:Element.id [ fhir:value "CoverageEligibilityRequest.item.quantity" ]; fhir:ElementDefinition.path [ fhir:value "CoverageEligibilityRequest.item.quantity" ]; fhir:ElementDefinition.short [ fhir:value "Count of products or services" ]; fhir:ElementDefinition.definition [ fhir:value "The number of repetitions of a service or product." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "CoverageEligibilityRequest.item.quantity" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Quantity" ]; fhir:ElementDefinition.profile [ fhir:value "http://hl7.org/fhir/StructureDefinition/SimpleQuantity"; fhir:index 0 ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ] ], [ fhir:index 44; fhir:Element.id [ fhir:value "CoverageEligibilityRequest.item.unitPrice" ]; fhir:ElementDefinition.path [ fhir:value "CoverageEligibilityRequest.item.unitPrice" ]; fhir:ElementDefinition.short [ fhir:value "Fee, charge or cost per point" ]; fhir:ElementDefinition.definition [ fhir:value "The fee for an additional service or product or charge." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "CoverageEligibilityRequest.item.unitPrice" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Money" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ] ], [ fhir:index 45; fhir:Element.id [ fhir:value "CoverageEligibilityRequest.item.facility" ]; fhir:ElementDefinition.path [ fhir:value "CoverageEligibilityRequest.item.facility" ]; fhir:ElementDefinition.short [ fhir:value "Servicing Facility" ]; fhir:ElementDefinition.definition [ fhir:value "Facility where the services were provided." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "CoverageEligibilityRequest.item.facility" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Reference" ]; fhir:ElementDefinition.targetProfile [ fhir:value "http://hl7.org/fhir/StructureDefinition/Location"; fhir:index 0 ], [ fhir:value "http://hl7.org/fhir/StructureDefinition/Organization"; fhir:index 1 ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ] ], [ fhir:index 46; fhir:Element.id [ fhir:value "CoverageEligibilityRequest.item.diagnosis" ]; fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ]; fhir:Extension.value [ fhir:value "Diagnosis" ] ]; fhir:ElementDefinition.path [ fhir:value "CoverageEligibilityRequest.item.diagnosis" ]; fhir:ElementDefinition.short [ fhir:value "List of Diagnosis" ]; fhir:ElementDefinition.definition [ fhir:value "List of patient diagnosis for which care is sought." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "CoverageEligibilityRequest.item.diagnosis" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "BackboneElement" ] ]; fhir:ElementDefinition.constraint [ fhir:index 0; fhir:ElementDefinition.key [ fhir:value "ele-1" ]; fhir:ElementDefinition.severity [ fhir:value "error" ]; fhir:ElementDefinition.human [ fhir:value "All FHIR elements must have a @value or children" ]; fhir:ElementDefinition.expression [ fhir:value "hasValue() or (children().count() > id.count())" ]; fhir:ElementDefinition.xpath [ fhir:value "@value|f:*|h:div" ]; fhir:ElementDefinition.source [ fhir:value "Element" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "v2" ]; fhir:ElementDefinition.map [ fhir:value "Request.reasonReference" ] ] ], [ fhir:index 47; fhir:Element.id [ fhir:value "CoverageEligibilityRequest.item.diagnosis.id" ]; fhir:ElementDefinition.path [ fhir:value "CoverageEligibilityRequest.item.diagnosis.id" ]; fhir:ElementDefinition.representation [ fhir:value "xmlAttr"; fhir:index 0 ]; fhir:ElementDefinition.short [ fhir:value "xml:id (or equivalent in JSON)" ]; fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "Element.id" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "string" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "rim" ]; fhir:ElementDefinition.map [ fhir:value "n/a" ] ] ], [ fhir:index 48; fhir:Element.id [ fhir:value "CoverageEligibilityRequest.item.diagnosis.extension" ]; fhir:ElementDefinition.path [ fhir:value "CoverageEligibilityRequest.item.diagnosis.extension" ]; fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ]; fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ]; fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ]; fhir:ElementDefinition.alias [ fhir:value "extensions"; fhir:index 0 ], [ fhir:value "user content"; fhir:index 1 ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "Element.extension" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Extension" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "rim" ]; fhir:ElementDefinition.map [ fhir:value "n/a" ] ] ], [ fhir:index 49; fhir:Element.id [ fhir:value "CoverageEligibilityRequest.item.diagnosis.modifierExtension" ]; fhir:ElementDefinition.path [ fhir:value "CoverageEligibilityRequest.item.diagnosis.modifierExtension" ]; fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored if unrecognized" ]; fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ]; fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ]; fhir:ElementDefinition.alias [ fhir:value "extensions"; fhir:index 0 ], [ fhir:value "user content"; fhir:index 1 ], [ fhir:value "modifiers"; fhir:index 2 ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "BackboneElement.modifierExtension" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Extension" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "true" ]; fhir:ElementDefinition.isModifierReason [ fhir:value "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ]; fhir:ElementDefinition.isSummary [ fhir:value "true" ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "rim" ]; fhir:ElementDefinition.map [ fhir:value "N/A" ] ] ], [ fhir:index 50; fhir:Element.id [ fhir:value "CoverageEligibilityRequest.item.diagnosis.diagnosis[x]" ]; fhir:ElementDefinition.path [ fhir:value "CoverageEligibilityRequest.item.diagnosis.diagnosis[x]" ]; fhir:ElementDefinition.short [ fhir:value "Patient's diagnosis" ]; fhir:ElementDefinition.definition [ fhir:value "The diagnosis." ]; fhir:ElementDefinition.requirements [ fhir:value "Required to adjudicate services rendered to condition presented." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "CoverageEligibilityRequest.item.diagnosis.diagnosis[x]" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ] ], [ fhir:index 1; fhir:ElementDefinition.code [ fhir:value "Reference" ]; fhir:ElementDefinition.targetProfile [ fhir:value "http://hl7.org/fhir/StructureDefinition/Condition"; fhir:index 0 ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.value [ fhir:value "ICD10" ] ]; fhir:ElementDefinition.strength [ fhir:value "example" ]; fhir:ElementDefinition.description [ fhir:value "ICD10 Diagnostic codes." ]; fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/icd-10" ] ] ], [ fhir:index 51; fhir:Element.id [ fhir:value "CoverageEligibilityRequest.item.detail" ]; fhir:ElementDefinition.path [ fhir:value "CoverageEligibilityRequest.item.detail" ]; fhir:ElementDefinition.short [ fhir:value "Product or service details" ]; fhir:ElementDefinition.definition [ fhir:value "The plan/proposal/order describing the proposed service in detail." ]; fhir:ElementDefinition.requirements [ fhir:value "Need to identify the issuer to target for processing and for coordination of benefit processing." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.base [ fhir:ElementDefinition.path [ fhir:value "CoverageEligibilityRequest.item.detail" ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ] ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Reference" ]; fhir:ElementDefinition.targetProfile [ fhir:value "http://hl7.org/fhir/StructureDefinition/Resource"; fhir:index 0 ] ]; fhir:ElementDefinition.isModifier [ fhir:value "false" ]; fhir:ElementDefinition.isSummary [ fhir:value "false" ] ] ]; fhir:StructureDefinition.differential [ fhir:StructureDefinition.element [ fhir:index 0; fhir:Element.id [ fhir:value "CoverageEligibilityRequest" ]; fhir:ElementDefinition.path [ fhir:value "CoverageEligibilityRequest" ]; fhir:ElementDefinition.short [ fhir:value "CoverageEligibilityRequest resource" ]; fhir:ElementDefinition.definition [ fhir:value "The CoverageEligibilityRequest provides patient and insurance coverage information to an insurer for them to respond, in the form of an CoverageEligibilityResponse, with information regarding whether the stated coverage is valid and in-force and optionally to provide the insurance details of the policy." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "workflow" ]; fhir:ElementDefinition.map [ fhir:value "Request" ] ] ], [ fhir:index 1; fhir:Element.id [ fhir:value "CoverageEligibilityRequest.identifier" ]; fhir:ElementDefinition.path [ fhir:value "CoverageEligibilityRequest.identifier" ]; fhir:ElementDefinition.short [ fhir:value "Business Identifier" ]; fhir:ElementDefinition.definition [ fhir:value "The Response business identifier." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Identifier" ] ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "workflow" ]; fhir:ElementDefinition.map [ fhir:value "Request.identifier" ] ], [ fhir:index 1; fhir:ElementDefinition.identity [ fhir:value "w5" ]; fhir:ElementDefinition.map [ fhir:value "FiveWs.identifier" ] ] ], [ fhir:index 2; fhir:Element.id [ fhir:value "CoverageEligibilityRequest.status" ]; fhir:ElementDefinition.path [ fhir:value "CoverageEligibilityRequest.status" ]; fhir:ElementDefinition.short [ fhir:value "active | cancelled | draft | entered-in-error" ]; fhir:ElementDefinition.definition [ fhir:value "The status of the resource instance." ]; fhir:ElementDefinition.requirements [ fhir:value "This element is labeled as a modifier because the status contains codes that mark the request as not currently valid." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "code" ] ]; fhir:ElementDefinition.isModifier [ fhir:value "true" ]; fhir:ElementDefinition.isModifierReason [ fhir:value "This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid" ]; fhir:ElementDefinition.isSummary [ fhir:value "true" ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.value [ fhir:value "EligibilityRequestStatus" ] ]; fhir:ElementDefinition.strength [ fhir:value "required" ]; fhir:ElementDefinition.description [ fhir:value "A code specifying the state of the resource instance." ]; fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/fm-status" ] ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "workflow" ]; fhir:ElementDefinition.map [ fhir:value "Request.status" ] ], [ fhir:index 1; fhir:ElementDefinition.identity [ fhir:value "w5" ]; fhir:ElementDefinition.map [ fhir:value "FiveWs.status" ] ] ], [ fhir:index 3; fhir:Element.id [ fhir:value "CoverageEligibilityRequest.priority" ]; fhir:ElementDefinition.path [ fhir:value "CoverageEligibilityRequest.priority" ]; fhir:ElementDefinition.short [ fhir:value "Desired processing priority" ]; fhir:ElementDefinition.definition [ fhir:value "Immediate (STAT), best effort (NORMAL), deferred (DEFER)." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.value [ fhir:value "ProcessPriority" ] ]; fhir:ElementDefinition.strength [ fhir:value "example" ]; fhir:ElementDefinition.description [ fhir:value "The timeliness with which processing is required: STAT, normal, Deferred." ]; fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/process-priority" ] ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "workflow" ]; fhir:ElementDefinition.map [ fhir:value "Request.priority" ] ], [ fhir:index 1; fhir:ElementDefinition.identity [ fhir:value "w5" ]; fhir:ElementDefinition.map [ fhir:value "FiveWs.class" ] ] ], [ fhir:index 4; fhir:Element.id [ fhir:value "CoverageEligibilityRequest.purpose" ]; fhir:ElementDefinition.path [ fhir:value "CoverageEligibilityRequest.purpose" ]; fhir:ElementDefinition.short [ fhir:value "auth-requirements | benefits | discovery | validation" ]; fhir:ElementDefinition.definition [ fhir:value "Specify whether requesting: prior authorization requirements for some service categories or billing codes; benefits for coverages specified or discovered; discovery and return of coverages for th patient; and/or validation that the specified coverage is in-force at the date/period specified or 'now' if not specified." ]; fhir:ElementDefinition.min [ fhir:value "1" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "code" ] ]; fhir:ElementDefinition.isSummary [ fhir:value "true" ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.value [ fhir:value "EligibilityRequestPurpose" ] ]; fhir:ElementDefinition.strength [ fhir:value "required" ]; fhir:ElementDefinition.description [ fhir:value "A code specifying the types of information being requested." ]; fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/eligibilityrequest-purpose" ] ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "w5" ]; fhir:ElementDefinition.map [ fhir:value "FiveWs.class" ] ] ], [ fhir:index 5; fhir:Element.id [ fhir:value "CoverageEligibilityRequest.patient" ]; fhir:ElementDefinition.path [ fhir:value "CoverageEligibilityRequest.patient" ]; fhir:ElementDefinition.short [ fhir:value "The subject of the Products and Services" ]; fhir:ElementDefinition.definition [ fhir:value "Patient Resource." ]; fhir:ElementDefinition.comment [ fhir:value "1..1." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Reference" ]; fhir:ElementDefinition.targetProfile [ fhir:value "http://hl7.org/fhir/StructureDefinition/Patient"; fhir:index 0 ] ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "workflow" ]; fhir:ElementDefinition.map [ fhir:value "Request.subject" ] ], [ fhir:index 1; fhir:ElementDefinition.identity [ fhir:value "w5" ]; fhir:ElementDefinition.map [ fhir:value "FiveWs.subject[x]" ] ], [ fhir:index 2; fhir:ElementDefinition.identity [ fhir:value "w5" ]; fhir:ElementDefinition.map [ fhir:value "FiveWs.subject" ] ] ], [ fhir:index 6; fhir:Element.id [ fhir:value "CoverageEligibilityRequest.serviced[x]" ]; fhir:ElementDefinition.path [ fhir:value "CoverageEligibilityRequest.serviced[x]" ]; fhir:ElementDefinition.short [ fhir:value "Estimated date or dates of Service" ]; fhir:ElementDefinition.definition [ fhir:value "The date or dates when the enclosed suite of services were performed or completed." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "date" ] ], [ fhir:index 1; fhir:ElementDefinition.code [ fhir:value "Period" ] ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "w5" ]; fhir:ElementDefinition.map [ fhir:value "FiveWs.done[x]" ] ] ], [ fhir:index 7; fhir:Element.id [ fhir:value "CoverageEligibilityRequest.created" ]; fhir:ElementDefinition.path [ fhir:value "CoverageEligibilityRequest.created" ]; fhir:ElementDefinition.short [ fhir:value "Creation date" ]; fhir:ElementDefinition.definition [ fhir:value "The date when this resource was created." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "dateTime" ] ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "workflow" ]; fhir:ElementDefinition.map [ fhir:value "Request.authoredOn" ] ], [ fhir:index 1; fhir:ElementDefinition.identity [ fhir:value "w5" ]; fhir:ElementDefinition.map [ fhir:value "FiveWs.recorded" ] ] ], [ fhir:index 8; fhir:Element.id [ fhir:value "CoverageEligibilityRequest.enterer" ]; fhir:ElementDefinition.path [ fhir:value "CoverageEligibilityRequest.enterer" ]; fhir:ElementDefinition.short [ fhir:value "Author" ]; fhir:ElementDefinition.definition [ fhir:value "Person who created the invoice/claim/pre-determination or pre-authorization." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Reference" ]; fhir:ElementDefinition.targetProfile [ fhir:value "http://hl7.org/fhir/StructureDefinition/Practitioner"; fhir:index 0 ], [ fhir:value "http://hl7.org/fhir/StructureDefinition/PractitionerRole"; fhir:index 1 ] ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "w5" ]; fhir:ElementDefinition.map [ fhir:value "FiveWs.author" ] ] ], [ fhir:index 9; fhir:Element.id [ fhir:value "CoverageEligibilityRequest.provider" ]; fhir:ElementDefinition.path [ fhir:value "CoverageEligibilityRequest.provider" ]; fhir:ElementDefinition.short [ fhir:value "Responsible provider" ]; fhir:ElementDefinition.definition [ fhir:value "The provider who is responsible for the services rendered to the patient." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Reference" ]; fhir:ElementDefinition.targetProfile [ fhir:value "http://hl7.org/fhir/StructureDefinition/Practitioner"; fhir:index 0 ], [ fhir:value "http://hl7.org/fhir/StructureDefinition/PractitionerRole"; fhir:index 1 ], [ fhir:value "http://hl7.org/fhir/StructureDefinition/Organization"; fhir:index 2 ] ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "workflow" ]; fhir:ElementDefinition.map [ fhir:value "Request.requester" ] ], [ fhir:index 1; fhir:ElementDefinition.identity [ fhir:value "w5" ]; fhir:ElementDefinition.map [ fhir:value "FiveWs.source" ] ] ], [ fhir:index 10; fhir:Element.id [ fhir:value "CoverageEligibilityRequest.insurer" ]; fhir:ElementDefinition.path [ fhir:value "CoverageEligibilityRequest.insurer" ]; fhir:ElementDefinition.short [ fhir:value "Target" ]; fhir:ElementDefinition.definition [ fhir:value "The Insurer who is target of the request." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Reference" ]; fhir:ElementDefinition.targetProfile [ fhir:value "http://hl7.org/fhir/StructureDefinition/Organization"; fhir:index 0 ] ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "workflow" ]; fhir:ElementDefinition.map [ fhir:value "Request.performer" ] ], [ fhir:index 1; fhir:ElementDefinition.identity [ fhir:value "w5" ]; fhir:ElementDefinition.map [ fhir:value "FiveWs.who" ] ] ], [ fhir:index 11; fhir:Element.id [ fhir:value "CoverageEligibilityRequest.facility" ]; fhir:ElementDefinition.path [ fhir:value "CoverageEligibilityRequest.facility" ]; fhir:ElementDefinition.short [ fhir:value "Servicing Facility" ]; fhir:ElementDefinition.definition [ fhir:value "Facility where the services were provided." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Reference" ]; fhir:ElementDefinition.targetProfile [ fhir:value "http://hl7.org/fhir/StructureDefinition/Location"; fhir:index 0 ] ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "w5" ]; fhir:ElementDefinition.map [ fhir:value "FiveWs.where[x]" ] ] ], [ fhir:index 12; fhir:Element.id [ fhir:value "CoverageEligibilityRequest.supportingInformation" ]; fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ]; fhir:Extension.value [ fhir:value "Information" ] ]; fhir:ElementDefinition.path [ fhir:value "CoverageEligibilityRequest.supportingInformation" ]; fhir:ElementDefinition.short [ fhir:value "Exceptions, special considerations, the condition, situation, prior or concurrent issues" ]; fhir:ElementDefinition.definition [ fhir:value "Additional information codes regarding exceptions, special considerations, the condition, situation, prior or concurrent issues. Often there are mutiple jurisdiction specific valuesets which are required." ]; fhir:ElementDefinition.requirements [ fhir:value "Typically these information codes are required to support the services rendered or the adjudication of the services rendered." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "BackboneElement" ] ] ], [ fhir:index 13; fhir:Element.id [ fhir:value "CoverageEligibilityRequest.supportingInformation.sequence" ]; fhir:ElementDefinition.path [ fhir:value "CoverageEligibilityRequest.supportingInformation.sequence" ]; fhir:ElementDefinition.short [ fhir:value "Information instance identifier" ]; fhir:ElementDefinition.definition [ fhir:value "Sequence of the information element which serves to provide a link." ]; fhir:ElementDefinition.requirements [ fhir:value "To provide a reference link." ]; fhir:ElementDefinition.min [ fhir:value "1" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "positiveInt" ] ] ], [ fhir:index 14; fhir:Element.id [ fhir:value "CoverageEligibilityRequest.supportingInformation.information" ]; fhir:ElementDefinition.path [ fhir:value "CoverageEligibilityRequest.supportingInformation.information" ]; fhir:ElementDefinition.short [ fhir:value "Additional Data or supporting information" ]; fhir:ElementDefinition.definition [ fhir:value "Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data." ]; fhir:ElementDefinition.min [ fhir:value "1" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Reference" ]; fhir:ElementDefinition.targetProfile [ fhir:value "http://hl7.org/fhir/StructureDefinition/Resource"; fhir:index 0 ] ] ], [ fhir:index 15; fhir:Element.id [ fhir:value "CoverageEligibilityRequest.supportingInformation.appliesToAll" ]; fhir:ElementDefinition.path [ fhir:value "CoverageEligibilityRequest.supportingInformation.appliesToAll" ]; fhir:ElementDefinition.short [ fhir:value "Applies to all items" ]; fhir:ElementDefinition.definition [ fhir:value "The supporting materials are applicable for all detail intens, product/servce categories and specific billing codes." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "boolean" ] ] ], [ fhir:index 16; fhir:Element.id [ fhir:value "CoverageEligibilityRequest.insurance" ]; fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ]; fhir:Extension.value [ fhir:value "Insurance" ] ]; fhir:ElementDefinition.path [ fhir:value "CoverageEligibilityRequest.insurance" ]; fhir:ElementDefinition.short [ fhir:value "Patient's Insurance or medical plan(s)" ]; fhir:ElementDefinition.definition [ fhir:value "Insurance policies which the patient has advised may be applicable for paying for health services." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "BackboneElement" ] ] ], [ fhir:index 17; fhir:Element.id [ fhir:value "CoverageEligibilityRequest.insurance.focal" ]; fhir:ElementDefinition.path [ fhir:value "CoverageEligibilityRequest.insurance.focal" ]; fhir:ElementDefinition.short [ fhir:value "Is the focal Coverage" ]; fhir:ElementDefinition.definition [ fhir:value "A flag to indicate that this Coverage is the focus for adjudication. The Coverage against which the claim is to be adjudicated." ]; fhir:ElementDefinition.requirements [ fhir:value "To identify which coverage is being adjudicated." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "boolean" ] ] ], [ fhir:index 18; fhir:Element.id [ fhir:value "CoverageEligibilityRequest.insurance.coverage" ]; fhir:ElementDefinition.path [ fhir:value "CoverageEligibilityRequest.insurance.coverage" ]; fhir:ElementDefinition.short [ fhir:value "Insurance or medical plan" ]; fhir:ElementDefinition.definition [ fhir:value "Financial instrument by which payment information for health care." ]; fhir:ElementDefinition.requirements [ fhir:value "Need to identify the issuer to target for processing and for coordination of benefit processing." ]; fhir:ElementDefinition.min [ fhir:value "1" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Reference" ]; fhir:ElementDefinition.targetProfile [ fhir:value "http://hl7.org/fhir/StructureDefinition/Coverage"; fhir:index 0 ] ] ], [ fhir:index 19; fhir:Element.id [ fhir:value "CoverageEligibilityRequest.insurance.businessArrangement" ]; fhir:ElementDefinition.path [ fhir:value "CoverageEligibilityRequest.insurance.businessArrangement" ]; fhir:ElementDefinition.short [ fhir:value "Business agreement" ]; fhir:ElementDefinition.definition [ fhir:value "The contract number of a business agreement which describes the terms and conditions." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "string" ] ] ], [ fhir:index 20; fhir:Element.id [ fhir:value "CoverageEligibilityRequest.item" ]; fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ]; fhir:Extension.value [ fhir:value "Details" ] ]; fhir:ElementDefinition.path [ fhir:value "CoverageEligibilityRequest.item" ]; fhir:ElementDefinition.short [ fhir:value "Service types, codes and supporting information" ]; fhir:ElementDefinition.definition [ fhir:value "A list of service types or billable services for which bebefit details and/or an authorization prior to service delivery may be required by the payor." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "BackboneElement" ] ] ], [ fhir:index 21; fhir:Element.id [ fhir:value "CoverageEligibilityRequest.item.supportingInformationSequence" ]; fhir:ElementDefinition.path [ fhir:value "CoverageEligibilityRequest.item.supportingInformationSequence" ]; fhir:ElementDefinition.short [ fhir:value "Applicable exception and supporting information" ]; fhir:ElementDefinition.definition [ fhir:value "Exceptions, special conditions and supporting information pplicable for this service or product line." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "positiveInt" ] ] ], [ fhir:index 22; fhir:Element.id [ fhir:value "CoverageEligibilityRequest.item.category" ]; fhir:ElementDefinition.path [ fhir:value "CoverageEligibilityRequest.item.category" ]; fhir:ElementDefinition.short [ fhir:value "Type of service" ]; fhir:ElementDefinition.definition [ fhir:value "Dental: basic, major, ortho; Vision exam, glasses, contacts; etc." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.value [ fhir:value "BenefitCategory" ] ]; fhir:ElementDefinition.strength [ fhir:value "example" ]; fhir:ElementDefinition.description [ fhir:value "Benefit categories such as: oral, medical, vision etc." ]; fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/ex-benefitcategory" ] ] ], [ fhir:index 23; fhir:Element.id [ fhir:value "CoverageEligibilityRequest.item.billcode" ]; fhir:ElementDefinition.path [ fhir:value "CoverageEligibilityRequest.item.billcode" ]; fhir:ElementDefinition.short [ fhir:value "Billing Code" ]; fhir:ElementDefinition.definition [ fhir:value "A code to indicate the Professional Service or Product supplied (e.g. CTP, HCPCS,USCLS,ICD10, NCPDP,DIN,ACHI,CCI)." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.value [ fhir:value "ServiceProduct" ] ]; fhir:ElementDefinition.strength [ fhir:value "example" ]; fhir:ElementDefinition.description [ fhir:value "Allowable service and product codes." ]; fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/service-uscls" ] ] ], [ fhir:index 24; fhir:Element.id [ fhir:value "CoverageEligibilityRequest.item.modifier" ]; fhir:ElementDefinition.path [ fhir:value "CoverageEligibilityRequest.item.modifier" ]; fhir:ElementDefinition.short [ fhir:value "Service/Product billing modifiers" ]; fhir:ElementDefinition.definition [ fhir:value "Item typification or modifiers codes, e.g. for Oral whether the treatment is cosmetic or associated with TMJ, or for medical whether the treatment was outside the clinic or out of office hours." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ] ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.value [ fhir:value "Modifiers" ] ]; fhir:ElementDefinition.strength [ fhir:value "example" ]; fhir:ElementDefinition.description [ fhir:value "Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen." ]; fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/claim-modifiers" ] ] ], [ fhir:index 25; fhir:Element.id [ fhir:value "CoverageEligibilityRequest.item.provider" ]; fhir:ElementDefinition.path [ fhir:value "CoverageEligibilityRequest.item.provider" ]; fhir:ElementDefinition.short [ fhir:value "Perfoming practitioner" ]; fhir:ElementDefinition.definition [ fhir:value "The practitioner who is responsible for the services rendered to the patient." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Reference" ]; fhir:ElementDefinition.targetProfile [ fhir:value "http://hl7.org/fhir/StructureDefinition/Practitioner"; fhir:index 0 ], [ fhir:value "http://hl7.org/fhir/StructureDefinition/PractitionerRole"; fhir:index 1 ] ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "workflow" ]; fhir:ElementDefinition.map [ fhir:value "Request.requester" ] ], [ fhir:index 1; fhir:ElementDefinition.identity [ fhir:value "w5" ]; fhir:ElementDefinition.map [ fhir:value "FiveWs.source" ] ] ], [ fhir:index 26; fhir:Element.id [ fhir:value "CoverageEligibilityRequest.item.quantity" ]; fhir:ElementDefinition.path [ fhir:value "CoverageEligibilityRequest.item.quantity" ]; fhir:ElementDefinition.short [ fhir:value "Count of products or services" ]; fhir:ElementDefinition.definition [ fhir:value "The number of repetitions of a service or product." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Quantity" ]; fhir:ElementDefinition.profile [ fhir:value "http://hl7.org/fhir/StructureDefinition/SimpleQuantity"; fhir:index 0 ] ] ], [ fhir:index 27; fhir:Element.id [ fhir:value "CoverageEligibilityRequest.item.unitPrice" ]; fhir:ElementDefinition.path [ fhir:value "CoverageEligibilityRequest.item.unitPrice" ]; fhir:ElementDefinition.short [ fhir:value "Fee, charge or cost per point" ]; fhir:ElementDefinition.definition [ fhir:value "The fee for an additional service or product or charge." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Money" ] ] ], [ fhir:index 28; fhir:Element.id [ fhir:value "CoverageEligibilityRequest.item.facility" ]; fhir:ElementDefinition.path [ fhir:value "CoverageEligibilityRequest.item.facility" ]; fhir:ElementDefinition.short [ fhir:value "Servicing Facility" ]; fhir:ElementDefinition.definition [ fhir:value "Facility where the services were provided." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Reference" ]; fhir:ElementDefinition.targetProfile [ fhir:value "http://hl7.org/fhir/StructureDefinition/Location"; fhir:index 0 ], [ fhir:value "http://hl7.org/fhir/StructureDefinition/Organization"; fhir:index 1 ] ] ], [ fhir:index 29; fhir:Element.id [ fhir:value "CoverageEligibilityRequest.item.diagnosis" ]; fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ]; fhir:Extension.value [ fhir:value "Diagnosis" ] ]; fhir:ElementDefinition.path [ fhir:value "CoverageEligibilityRequest.item.diagnosis" ]; fhir:ElementDefinition.short [ fhir:value "List of Diagnosis" ]; fhir:ElementDefinition.definition [ fhir:value "List of patient diagnosis for which care is sought." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "BackboneElement" ] ]; fhir:ElementDefinition.mapping [ fhir:index 0; fhir:ElementDefinition.identity [ fhir:value "v2" ]; fhir:ElementDefinition.map [ fhir:value "Request.reasonReference" ] ] ], [ fhir:index 30; fhir:Element.id [ fhir:value "CoverageEligibilityRequest.item.diagnosis.diagnosis[x]" ]; fhir:ElementDefinition.path [ fhir:value "CoverageEligibilityRequest.item.diagnosis.diagnosis[x]" ]; fhir:ElementDefinition.short [ fhir:value "Patient's diagnosis" ]; fhir:ElementDefinition.definition [ fhir:value "The diagnosis." ]; fhir:ElementDefinition.requirements [ fhir:value "Required to adjudicate services rendered to condition presented." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "1" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ] ], [ fhir:index 1; fhir:ElementDefinition.code [ fhir:value "Reference" ]; fhir:ElementDefinition.targetProfile [ fhir:value "http://hl7.org/fhir/StructureDefinition/Condition"; fhir:index 0 ] ]; fhir:ElementDefinition.binding [ fhir:Element.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ]; fhir:Extension.value [ fhir:value "ICD10" ] ]; fhir:ElementDefinition.strength [ fhir:value "example" ]; fhir:ElementDefinition.description [ fhir:value "ICD10 Diagnostic codes." ]; fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/icd-10" ] ] ], [ fhir:index 31; fhir:Element.id [ fhir:value "CoverageEligibilityRequest.item.detail" ]; fhir:ElementDefinition.path [ fhir:value "CoverageEligibilityRequest.item.detail" ]; fhir:ElementDefinition.short [ fhir:value "Product or service details" ]; fhir:ElementDefinition.definition [ fhir:value "The plan/proposal/order describing the proposed service in detail." ]; fhir:ElementDefinition.requirements [ fhir:value "Need to identify the issuer to target for processing and for coordination of benefit processing." ]; fhir:ElementDefinition.min [ fhir:value "0" ]; fhir:ElementDefinition.max [ fhir:value "*" ]; fhir:ElementDefinition.type [ fhir:index 0; fhir:ElementDefinition.code [ fhir:value "Reference" ]; fhir:ElementDefinition.targetProfile [ fhir:value "http://hl7.org/fhir/StructureDefinition/Resource"; fhir:index 0 ] ] ] ] . # -------------------------------------------------------------------------------------
Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.