{ "resourceType" : "StructureDefinition", "id" : "ext-R4-CER.ins.ite.modifier", "text" : { "status" : "extensions", "div" : "

Generated Narrative: StructureDefinition ext-R4-CER.ins.ite.modifier

\r\n\r\n\r\n
NameFlagsCard.TypeDescription & Constraints\"doco\"
\".\"\".\" Extension 0..*ExtensionR4: Product or service billing modifiers (new)
\".\"\".\"\".\" url 1..1uri"http://hl7.org/fhir/4.0/StructureDefinition/extension-CoverageEligibilityResponse.insurance.item.modifier"
\".\"\".\"\".\" value[x] 0..1CodeableConceptProduct or service billing modifiers
Binding: Modifier type Codes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.

\"doco\" Documentation for this format
" }, "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg", "valueCode" : "fhir" }, { "extension" : [{ "url" : "packageId", "valueId" : "hl7.fhir.uv.xver-r4.r3" }, { "url" : "version", "valueString" : "0.1.0" }, { "url" : "uri", "valueUri" : "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r4.r3" }], "url" : "http://hl7.org/fhir/StructureDefinition/package-source" }, { "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm", "valueInteger" : 0, "_valueInteger" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom", "valueUri" : "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r4.r3" }] } }, { "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status", "valueCode" : "trial-use", "_valueCode" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom", "valueUri" : "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r4.r3" }] } }], "url" : "http://hl7.org/fhir/4.0/StructureDefinition/extension-CoverageEligibilityResponse.insurance.item.modifier", "version" : "0.1.0", "name" : "ExtensionCoverageEligibilityResponse_Insurance_Item_Modifier", "title" : "R4: Product or service billing modifiers (new)", "status" : "active", "experimental" : false, "date" : "2026-03-17T21:02:03.8104715+00:00", "publisher" : "FHIR Infrastructure", "contact" : [{ "name" : "FHIR Infrastructure", "telecom" : [{ "system" : "url", "value" : "http://www.hl7.org/Special/committees/fiwg" }] }], "description" : "R4: `CoverageEligibilityResponse.insurance.item.modifier` (new:CodeableConcept)", "jurisdiction" : [{ "coding" : [{ "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm", "code" : "001", "display" : "World" }] }], "purpose" : "This extension is part of the cross-version definitions generated to enable use of the\r\nelement `CoverageEligibilityResponse.insurance.item.modifier` as defined in FHIR R4\r\nin FHIR STU3.\r\n\r\nThe source element is defined as:\r\n`CoverageEligibilityResponse.insurance.item.modifier` 0..* `CodeableConcept`\r\n\r\nFollowing are the generation technical comments:\r\nElement `CoverageEligibilityResponse.insurance.item.modifier` has a context of EligibilityResponse.insurance.benefitBalance based on following the parent source element upwards and mapping to `EligibilityResponse`.\nElement `CoverageEligibilityResponse.insurance.item.modifier` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).", "fhirVersion" : "3.0.2", "mapping" : [{ "identity" : "rim", "uri" : "http://hl7.org/v3", "name" : "RIM Mapping" }], "kind" : "complex-type", "abstract" : false, "contextType" : "resource", "context" : ["EligibilityResponse.insurance.benefitBalance"], "type" : "Extension", "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/Extension", "derivation" : "constraint", "snapshot" : { "element" : [{ "id" : "Extension", "path" : "Extension", "short" : "R4: Product or service billing modifiers (new)", "definition" : "R4: `CoverageEligibilityResponse.insurance.item.modifier` (new:CodeableConcept)", "comment" : "Element `CoverageEligibilityResponse.insurance.item.modifier` has a context of EligibilityResponse.insurance.benefitBalance based on following the parent source element upwards and mapping to `EligibilityResponse`.\nElement `CoverageEligibilityResponse.insurance.item.modifier` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).\nFor example in 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.", "min" : 0, "max" : "*", "base" : { "path" : "Extension", "min" : 0, "max" : "*" }, "condition" : ["ele-1"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() | (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : false }, { "id" : "Extension.id", "path" : "Extension.id", "representation" : ["xmlAttr"], "short" : "xml:id (or equivalent in JSON)", "definition" : "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Extension.extension", "path" : "Extension.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional Content defined by implementations", "definition" : "May be used to represent additional information that is not part of the basic definition of the element. In order 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.", "comment" : "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.", "alias" : ["extensions", "user content"], "min" : 0, "max" : "*", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "Extension.url", "path" : "Extension.url", "representation" : ["xmlAttr"], "short" : "identifies the meaning of the extension", "definition" : "Source of the definition for the extension code - a logical name or a URL.", "comment" : "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.", "min" : 1, "max" : "1", "base" : { "path" : "Extension.url", "min" : 1, "max" : "1" }, "type" : [{ "code" : "uri" }], "fixedUri" : "http://hl7.org/fhir/4.0/StructureDefinition/extension-CoverageEligibilityResponse.insurance.item.modifier", "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "Extension.value[x]", "path" : "Extension.value[x]", "short" : "Product or service billing modifiers", "definition" : "Item typification or modifiers codes to convey additional context for the product or service.", "comment" : "For example in 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.", "min" : 0, "max" : "1", "base" : { "path" : "Extension.value[x]", "min" : 0, "max" : "1" }, "type" : [{ "code" : "CodeableConcept" }], "binding" : { "strength" : "example", "description" : "Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.", "valueSetUri" : "http://hl7.org/fhir/ValueSet/claim-modifiers|3.0.2" }, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }] }, "differential" : { "element" : [{ "id" : "Extension", "path" : "Extension", "short" : "R4: Product or service billing modifiers (new)", "definition" : "R4: `CoverageEligibilityResponse.insurance.item.modifier` (new:CodeableConcept)", "comment" : "Element `CoverageEligibilityResponse.insurance.item.modifier` has a context of EligibilityResponse.insurance.benefitBalance based on following the parent source element upwards and mapping to `EligibilityResponse`.\nElement `CoverageEligibilityResponse.insurance.item.modifier` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).\nFor example in 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.", "min" : 0, "max" : "*", "base" : { "path" : "Extension", "min" : 0, "max" : "*" }, "isModifier" : false }, { "id" : "Extension.url", "path" : "Extension.url", "min" : 1, "max" : "1", "base" : { "path" : "Extension.url", "min" : 1, "max" : "1" }, "fixedUri" : "http://hl7.org/fhir/4.0/StructureDefinition/extension-CoverageEligibilityResponse.insurance.item.modifier" }, { "id" : "Extension.value[x]", "path" : "Extension.value[x]", "short" : "Product or service billing modifiers", "definition" : "Item typification or modifiers codes to convey additional context for the product or service.", "comment" : "For example in 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.", "min" : 0, "max" : "1", "base" : { "path" : "Extension.value[x]", "min" : 0, "max" : "1" }, "type" : [{ "code" : "CodeableConcept" }], "binding" : { "strength" : "example", "description" : "Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.", "valueSetUri" : "http://hl7.org/fhir/ValueSet/claim-modifiers|3.0.2" } }] } }