Extensions for Using Data Elements from FHIR R4 in FHIR STU3
0.1.0 - STU
Extensions for Using Data Elements from FHIR R4 in FHIR STU3
0.1.0 - STU
Extensions for Using Data Elements from FHIR R4 in FHIR STU3 - Downloaded Version null See the Directory of published versions
| Page standards status: Trial-use | Maturity Level: 0 |
Definitions for the ext-R4-CoverageEligibilityRequest.item extension.
Guidance on how to interpret the contents of this table can be foundhere
| 0. Extension | |
| Definition | R4: Optional Extension Element - found in all resources. |
| Short | R4: Item to be evaluated for eligibiity (new)Optional Extensions Element |
| Comments | Element |
| Control | 0..* This element is affected by the following invariants: ele-1 |
| Is Modifier | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() | (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists())ele-1: All FHIR elements must have a @value or children (hasValue() | (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
| 2. Extension.extension | |
| Definition | An Extension 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. |
| Short | ExtensionAdditional Content defined by implementations |
| Comments | 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. |
| Control | 0..* |
| Type | Extension |
| Alternate Names | extensions, user content |
| Slicing | This element introduces a set of slices on Extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 4. Extension.extension:supportingInfoSequence | |
| Slice Name | supportingInfoSequence |
| Definition | R4: |
| Short | R4: Applicable exception or supporting information (new)Additional Content defined by implementations |
| Comments | Element |
| Control | 0..* |
| Type | Extension |
| Requirements | Needed to support or inform the consideration for eligibility. Element |
| 6. Extension.extension:supportingInfoSequence.url | |
| Definition | Source of the definition for the extension code - a logical name or a URL. |
| Short | identifies the meaning of the extension |
| Comments | 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. |
| Control | 1..1 |
| Type | uri |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | supportingInfoSequence |
| 8. Extension.extension:supportingInfoSequence.value[x] | |
| Definition | Exceptions, special conditions and supporting information applicable for this service or product line. Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list). |
| Short | Applicable exception or supporting informationValue of extension |
| Control | 0..1 |
| Type | positiveInt, date, dateTime, Meta, code, string, Address, Attachment, integer, oid, Count, instant, ContactPoint, HumanName, Money, Identifier, Coding, markdown, SampledData, Ratio, id, Age, Distance, Reference, Period, Quantity, Duration, Range, uri, Annotation, boolean, base64Binary, Signature, unsignedInt, time, Timing, decimal, CodeableConcept |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 10. Extension.extension:category | |
| Slice Name | category |
| Definition | R4: |
| Short | R4: Benefit classification (new)Additional Content defined by implementations |
| Comments | Element |
| Control | 0..1* |
| Type | Extension |
| Requirements | Needed to convey the category of service or product for which eligibility is sought. Element |
| 12. Extension.extension:category.url | |
| Definition | Source of the definition for the extension code - a logical name or a URL. |
| Short | identifies the meaning of the extension |
| Comments | 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. |
| Control | 1..1 |
| Type | uri |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | category |
| 14. Extension.extension:category.value[x] | |
| Definition | Code to identify the general type of benefits under which products and services are provided. Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list). |
| Short | Benefit classificationValue of extension |
| Comments | Examples include Medical Care, Periodontics, Renal Dialysis, Vision Coverage. |
| Control | 0..1 |
| Binding | For example codes, see For codes, see R4ExBenefitcategoryForR3 (0.1.0) (example to http://hl7.org/fhir/uv/xver/ValueSet/R4-ex-benefitcategory-for-R3|0.1.0)Benefit categories such as: oral, medical, vision etc. |
| Type | CodeableConcept, date, dateTime, Meta, code, string, Address, Attachment, integer, oid, Count, instant, ContactPoint, HumanName, Money, Identifier, Coding, markdown, SampledData, Ratio, id, positiveInt, Age, Distance, Reference, Period, Quantity, Duration, Range, uri, Annotation, boolean, base64Binary, Signature, unsignedInt, time, Timing, decimal |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| 16. Extension.extension:productOrService | |
| Slice Name | productOrService |
| Definition | R4: |
| Short | R4: Billing, service, product, or drug code (new)Additional Content defined by implementations |
| Comments | Element |
| Control | 0..1* |
| Type | Extension |
| Requirements | Needed to convey the actual service or product for which eligibility is sought. Element |
| 18. Extension.extension:productOrService.url | |
| Definition | Source of the definition for the extension code - a logical name or a URL. |
| Short | identifies the meaning of the extension |
| Comments | 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. |
| Control | 1..1 |
| Type | uri |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | productOrService |
| 20. Extension.extension:productOrService.value[x] | |
| Definition | This contains the product, service, drug or other billing code for the item. Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list). |
| Short | Billing, service, product, or drug codeValue of extension |
| Comments | Code to indicate the Professional Service or Product supplied (e.g. CTP, HCPCS, USCLS, ICD10, NCPDP, DIN, RxNorm, ACHI, CCI). |
| Control | 0..1 |
| Binding | For example codes, see For codes, see USCLS Codes (example to http://hl7.org/fhir/ValueSet/service-uscls|3.0.2)Allowable service and product codes. |
| Type | CodeableConcept, date, dateTime, Meta, code, string, Address, Attachment, integer, oid, Count, instant, ContactPoint, HumanName, Money, Identifier, Coding, markdown, SampledData, Ratio, id, positiveInt, Age, Distance, Reference, Period, Quantity, Duration, Range, uri, Annotation, boolean, base64Binary, Signature, unsignedInt, time, Timing, decimal |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| 22. Extension.extension:modifier | |
| Slice Name | modifier |
| Definition | R4: |
| Short | R4: Product or service billing modifiers (new)Additional Content defined by implementations |
| Comments | Element |
| Control | 0..* |
| Type | Extension |
| Requirements | To support provision of the item or to charge an elevated fee. Element |
| 24. Extension.extension:modifier.url | |
| Definition | Source of the definition for the extension code - a logical name or a URL. |
| Short | identifies the meaning of the extension |
| Comments | 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. |
| Control | 1..1 |
| Type | uri |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | modifier |
| 26. Extension.extension:modifier.value[x] | |
| Definition | Item typification or modifiers codes to convey additional context for the product or service. Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list). |
| Short | Product or service billing modifiersValue of extension |
| Comments | 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. |
| Control | 0..1 |
| Binding | For example codes, see For codes, see Modifier type Codes (example to http://hl7.org/fhir/ValueSet/claim-modifiers|3.0.2)Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen. |
| Type | CodeableConcept, date, dateTime, Meta, code, string, Address, Attachment, integer, oid, Count, instant, ContactPoint, HumanName, Money, Identifier, Coding, markdown, SampledData, Ratio, id, positiveInt, Age, Distance, Reference, Period, Quantity, Duration, Range, uri, Annotation, boolean, base64Binary, Signature, unsignedInt, time, Timing, decimal |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| 28. Extension.extension:provider | |
| Slice Name | provider |
| Definition | R4: |
| Short | R4: Perfoming practitioner (new)Additional Content defined by implementations |
| Comments | Element |
| Control | 0..1* |
| Type | Extension |
| Requirements | Needed to support the evaluation of the eligibility. Element |
| 30. Extension.extension:provider.url | |
| Definition | Source of the definition for the extension code - a logical name or a URL. |
| Short | identifies the meaning of the extension |
| Comments | 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. |
| Control | 1..1 |
| Type | uri |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | provider |
| 32. Extension.extension:provider.value[x] | |
| Definition | The practitioner who is responsible for the product or service to be rendered to the patient. Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list). |
| Short | Perfoming practitionerValue of extension |
| Control | 0..1 |
| Type | Reference(Cross-version Profile for R4.Practitioner for use in FHIR STU3, Practitioner, Cross-version Profile for R4.PractitionerRole for use in FHIR STU3, PractitionerRole), date, dateTime, Meta, code, string, Address, Attachment, integer, oid, Count, instant, ContactPoint, HumanName, Money, Identifier, Coding, markdown, SampledData, Ratio, id, positiveInt, Age, Distance, Period, Quantity, Duration, Range, uri, Annotation, boolean, base64Binary, Signature, unsignedInt, time, Timing, decimal, CodeableConcept |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| 34. Extension.extension:quantity | |
| Slice Name | quantity |
| Definition | R4: |
| Short | R4: Count of products or services (new)Additional Content defined by implementations |
| Comments | Element |
| Control | 0..1* |
| Type | Extension |
| Requirements | Required when the product or service code does not convey the quantity provided. Element |
| 36. Extension.extension:quantity.url | |
| Definition | Source of the definition for the extension code - a logical name or a URL. |
| Short | identifies the meaning of the extension |
| Comments | 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. |
| Control | 1..1 |
| Type | uri |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | quantity |
| 38. Extension.extension:quantity.value[x] | |
| Definition | The number of repetitions of a service or product. Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list). |
| Short | Count of products or servicesValue of extension |
| Control | 0..1 |
| Type | Quantity(SimpleQuantity), date, dateTime, Meta, code, string, Address, Attachment, integer, oid, Count, instant, ContactPoint, HumanName, Money, Identifier, Coding, markdown, SampledData, Ratio, id, positiveInt, Age, Distance, Reference, Period, Duration, Range, uri, Annotation, boolean, base64Binary, Signature, unsignedInt, time, Timing, decimal, CodeableConcept |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| 40. Extension.extension:unitPrice | |
| Slice Name | unitPrice |
| Definition | R4: |
| Short | R4: Fee, charge or cost per item (new)Additional Content defined by implementations |
| Comments | Element |
| Control | 0..1* |
| Type | Extension |
| Requirements | Needed to support the evaluation of the eligibility. Element |
| 42. Extension.extension:unitPrice.url | |
| Definition | Source of the definition for the extension code - a logical name or a URL. |
| Short | identifies the meaning of the extension |
| Comments | 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. |
| Control | 1..1 |
| Type | uri |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | unitPrice |
| 44. Extension.extension:unitPrice.value[x] | |
| Definition | The amount charged to the patient by the provider for a single unit. Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list). |
| Short | Fee, charge or cost per itemValue of extension |
| Control | 0..1 |
| Type | Money, date, dateTime, Meta, code, string, Address, Attachment, integer, oid, Count, instant, ContactPoint, HumanName, Identifier, Coding, markdown, SampledData, Ratio, id, positiveInt, Age, Distance, Reference, Period, Quantity, Duration, Range, uri, Annotation, boolean, base64Binary, Signature, unsignedInt, time, Timing, decimal, CodeableConcept |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| 46. Extension.extension:facility | |
| Slice Name | facility |
| Definition | R4: |
| Short | R4: Servicing facility (new)Additional Content defined by implementations |
| Comments | Element |
| Control | 0..1* |
| Type | Extension |
| Requirements | Needed to support the evaluation of the eligibility. Element |
| 48. Extension.extension:facility.url | |
| Definition | Source of the definition for the extension code - a logical name or a URL. |
| Short | identifies the meaning of the extension |
| Comments | 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. |
| Control | 1..1 |
| Type | uri |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | facility |
| 50. Extension.extension:facility.value[x] | |
| Definition | Facility where the services will be provided. Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list). |
| Short | Servicing facilityValue of extension |
| Control | 0..1 |
| Type | Reference(Cross-version Profile for R4.Location for use in FHIR STU3, Location, Cross-version Profile for R4.Organization for use in FHIR STU3, Organization), date, dateTime, Meta, code, string, Address, Attachment, integer, oid, Count, instant, ContactPoint, HumanName, Money, Identifier, Coding, markdown, SampledData, Ratio, id, positiveInt, Age, Distance, Period, Quantity, Duration, Range, uri, Annotation, boolean, base64Binary, Signature, unsignedInt, time, Timing, decimal, CodeableConcept |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| 52. Extension.extension:diagnosis | |
| Slice Name | diagnosis |
| Definition | R4: |
| Short | R4: Applicable diagnosis (new)Additional Content defined by implementations |
| Comments | Element |
| Control | 0..* |
| Type | Extension |
| Requirements | Needed to support the evaluation of the eligibility. Element |
| 54. Extension.extension:diagnosis.extension | |
| Definition | An Extension 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. |
| Short | ExtensionAdditional Content defined by implementations |
| Comments | 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. |
| Control | 0..* |
| Type | Extension |
| Alternate Names | extensions, user content |
| Slicing | This element introduces a set of slices on Extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 56. Extension.extension:diagnosis.extension:diagnosis | |
| Slice Name | diagnosis |
| Definition | R4: |
| Short | R4: Nature of illness or problem (new)Additional Content defined by implementations |
| Comments | Element |
| Control | 0..1* |
| Type | Extension |
| Requirements | Provides health context for the evaluation of the products and/or services. Element |
| 58. Extension.extension:diagnosis.extension:diagnosis.url | |
| Definition | Source of the definition for the extension code - a logical name or a URL. |
| Short | identifies the meaning of the extension |
| Comments | 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. |
| Control | 1..1 |
| Type | uri |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | diagnosis |
| 60. Extension.extension:diagnosis.extension:diagnosis.value[x] | |
| Definition | The nature of illness or problem in a coded form or as a reference to an external defined Condition. Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list). |
| Short | Nature of illness or problemValue of extension |
| Control | 0..1 |
| Binding | For example codes, see For codes, see ICD-10 Codes (example to http://hl7.org/fhir/ValueSet/icd-10|3.0.2)ICD10 Diagnostic codes. |
| Type | Choice of: CodeableConcept, Reference(Cross-version Profile for R4.Condition for use in FHIR STU3, Condition), date, dateTime, Meta, code, string, Address, Attachment, integer, oid, Count, instant, ContactPoint, HumanName, Money, Identifier, Coding, markdown, SampledData, Ratio, id, positiveInt, Age, Distance, Period, Quantity, Duration, Range, uri, Annotation, boolean, base64Binary, Signature, unsignedInt, time, Timing, decimal |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| 62. Extension.extension:diagnosis.url | |
| Definition | Source of the definition for the extension code - a logical name or a URL. |
| Short | identifies the meaning of the extension |
| Comments | 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. |
| Control | 1..1 |
| Type | uri |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | diagnosis |
| 64. Extension.extension:diagnosis.value[x] | |
| Definition | Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list). |
| Short | Value of extension |
| Control | 0..01 |
| Type | Choice of: base64Binary, boolean, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, Meta |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 66. Extension.extension:detail | |
| Slice Name | detail |
| Definition | R4: |
| Short | R4: Product or service details (new)Additional Content defined by implementations |
| Comments | Element |
| Control | 0..* |
| Type | Extension |
| Requirements | Needed to provide complex service proposal such as a Device or a plan. Element |
| 68. Extension.extension:detail.url | |
| Definition | Source of the definition for the extension code - a logical name or a URL. |
| Short | identifies the meaning of the extension |
| Comments | 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. |
| Control | 1..1 |
| Type | uri |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | detail |
| 70. Extension.extension:detail.value[x] | |
| Definition | The plan/proposal/order describing the proposed service in detail. Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list). |
| Short | Product or service detailsValue of extension |
| Control | 0..1 |
| Type | Reference(Cross-version Profile for R4.Resource for use in FHIR STU3, Resource), date, dateTime, Meta, code, string, Address, Attachment, integer, oid, Count, instant, ContactPoint, HumanName, Money, Identifier, Coding, markdown, SampledData, Ratio, id, positiveInt, Age, Distance, Period, Quantity, Duration, Range, uri, Annotation, boolean, base64Binary, Signature, unsignedInt, time, Timing, decimal, CodeableConcept |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| 72. Extension.url | |
| Definition | Source of the definition for the extension code - a logical name or a URL. |
| Short | identifies the meaning of the extension |
| Comments | 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. |
| Control | 1..1 |
| Type | uri |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | http://hl7.org/fhir/4.0/StructureDefinition/extension-CoverageEligibilityRequest.item |
| 74. Extension.value[x] | |
| Definition | Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list). |
| Short | Value of extension |
| Control | 0..01 |
| Type | Choice of: base64Binary, boolean, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, Meta |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Guidance on how to interpret the contents of this table can be foundhere
| 0. Extension | |
| Definition | R4: |
| Short | R4: Item to be evaluated for eligibiity (new) |
| Comments | Element |
| Control | 0..* |
| Is Modifier | false |
| 2. Extension.extension | |
| Control | 0..* |
| Slicing | This element introduces a set of slices on Extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 4. Extension.extension:supportingInfoSequence | |
| Slice Name | supportingInfoSequence |
| Definition | R4: |
| Short | R4: Applicable exception or supporting information (new) |
| Comments | Element |
| Control | 0..* |
| Requirements | Needed to support or inform the consideration for eligibility. Element |
| 6. Extension.extension:supportingInfoSequence.url | |
| Control | 1..1 |
| Fixed Value | supportingInfoSequence |
| 8. Extension.extension:supportingInfoSequence.value[x] | |
| Definition | Exceptions, special conditions and supporting information applicable for this service or product line. |
| Short | Applicable exception or supporting information |
| Control | 0..1 |
| Type | positiveInt |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 10. Extension.extension:category | |
| Slice Name | category |
| Definition | R4: |
| Short | R4: Benefit classification (new) |
| Comments | Element |
| Control | 0..1 |
| Requirements | Needed to convey the category of service or product for which eligibility is sought. Element |
| 12. Extension.extension:category.url | |
| Control | 1..1 |
| Fixed Value | category |
| 14. Extension.extension:category.value[x] | |
| Definition | Code to identify the general type of benefits under which products and services are provided. |
| Short | Benefit classification |
| Comments | Examples include Medical Care, Periodontics, Renal Dialysis, Vision Coverage. |
| Control | 0..1 |
| Binding | For example codes, see R4ExBenefitcategoryForR3 (0.1.0) (example to http://hl7.org/fhir/uv/xver/ValueSet/R4-ex-benefitcategory-for-R3|0.1.0)Benefit categories such as: oral, medical, vision etc. |
| Type | CodeableConcept |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| 16. Extension.extension:productOrService | |
| Slice Name | productOrService |
| Definition | R4: |
| Short | R4: Billing, service, product, or drug code (new) |
| Comments | Element |
| Control | 0..1 |
| Requirements | Needed to convey the actual service or product for which eligibility is sought. Element |
| 18. Extension.extension:productOrService.url | |
| Control | 1..1 |
| Fixed Value | productOrService |
| 20. Extension.extension:productOrService.value[x] | |
| Definition | This contains the product, service, drug or other billing code for the item. |
| Short | Billing, service, product, or drug code |
| Comments | Code to indicate the Professional Service or Product supplied (e.g. CTP, HCPCS, USCLS, ICD10, NCPDP, DIN, RxNorm, ACHI, CCI). |
| Control | 0..1 |
| Binding | For example codes, see USCLS Codes (example to http://hl7.org/fhir/ValueSet/service-uscls|3.0.2)Allowable service and product codes. |
| Type | CodeableConcept |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| 22. Extension.extension:modifier | |
| Slice Name | modifier |
| Definition | R4: |
| Short | R4: Product or service billing modifiers (new) |
| Comments | Element |
| Control | 0..* |
| Requirements | To support provision of the item or to charge an elevated fee. Element |
| 24. Extension.extension:modifier.url | |
| Control | 1..1 |
| Fixed Value | modifier |
| 26. Extension.extension:modifier.value[x] | |
| Definition | Item typification or modifiers codes to convey additional context for the product or service. |
| Short | Product or service billing modifiers |
| Comments | 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. |
| Control | 0..1 |
| Binding | For example codes, see Modifier type Codes (example to http://hl7.org/fhir/ValueSet/claim-modifiers|3.0.2)Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen. |
| Type | CodeableConcept |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| 28. Extension.extension:provider | |
| Slice Name | provider |
| Definition | R4: |
| Short | R4: Perfoming practitioner (new) |
| Comments | Element |
| Control | 0..1 |
| Requirements | Needed to support the evaluation of the eligibility. Element |
| 30. Extension.extension:provider.url | |
| Control | 1..1 |
| Fixed Value | provider |
| 32. Extension.extension:provider.value[x] | |
| Definition | The practitioner who is responsible for the product or service to be rendered to the patient. |
| Short | Perfoming practitioner |
| Control | 0..1 |
| Type | Reference(Cross-version Profile for R4.Practitioner for use in FHIR STU3, Practitioner, Cross-version Profile for R4.PractitionerRole for use in FHIR STU3, PractitionerRole) |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| 34. Extension.extension:quantity | |
| Slice Name | quantity |
| Definition | R4: |
| Short | R4: Count of products or services (new) |
| Comments | Element |
| Control | 0..1 |
| Requirements | Required when the product or service code does not convey the quantity provided. Element |
| 36. Extension.extension:quantity.url | |
| Control | 1..1 |
| Fixed Value | quantity |
| 38. Extension.extension:quantity.value[x] | |
| Definition | The number of repetitions of a service or product. |
| Short | Count of products or services |
| Control | 0..1 |
| Type | Quantity(SimpleQuantity) |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| 40. Extension.extension:unitPrice | |
| Slice Name | unitPrice |
| Definition | R4: |
| Short | R4: Fee, charge or cost per item (new) |
| Comments | Element |
| Control | 0..1 |
| Requirements | Needed to support the evaluation of the eligibility. Element |
| 42. Extension.extension:unitPrice.url | |
| Control | 1..1 |
| Fixed Value | unitPrice |
| 44. Extension.extension:unitPrice.value[x] | |
| Definition | The amount charged to the patient by the provider for a single unit. |
| Short | Fee, charge or cost per item |
| Control | 0..1 |
| Type | Money |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| 46. Extension.extension:facility | |
| Slice Name | facility |
| Definition | R4: |
| Short | R4: Servicing facility (new) |
| Comments | Element |
| Control | 0..1 |
| Requirements | Needed to support the evaluation of the eligibility. Element |
| 48. Extension.extension:facility.url | |
| Control | 1..1 |
| Fixed Value | facility |
| 50. Extension.extension:facility.value[x] | |
| Definition | Facility where the services will be provided. |
| Short | Servicing facility |
| Control | 0..1 |
| Type | Reference(Cross-version Profile for R4.Location for use in FHIR STU3, Location, Cross-version Profile for R4.Organization for use in FHIR STU3, Organization) |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| 52. Extension.extension:diagnosis | |
| Slice Name | diagnosis |
| Definition | R4: |
| Short | R4: Applicable diagnosis (new) |
| Comments | Element |
| Control | 0..* |
| Requirements | Needed to support the evaluation of the eligibility. Element |
| 54. Extension.extension:diagnosis.extension | |
| Control | 0..* |
| Slicing | This element introduces a set of slices on Extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 56. Extension.extension:diagnosis.extension:diagnosis | |
| Slice Name | diagnosis |
| Definition | R4: |
| Short | R4: Nature of illness or problem (new) |
| Comments | Element |
| Control | 0..1 |
| Requirements | Provides health context for the evaluation of the products and/or services. Element |
| 58. Extension.extension:diagnosis.extension:diagnosis.url | |
| Control | 1..1 |
| Fixed Value | diagnosis |
| 60. Extension.extension:diagnosis.extension:diagnosis.value[x] | |
| Definition | The nature of illness or problem in a coded form or as a reference to an external defined Condition. |
| Short | Nature of illness or problem |
| Control | 0..1 |
| Binding | For example codes, see ICD-10 Codes (example to http://hl7.org/fhir/ValueSet/icd-10|3.0.2)ICD10 Diagnostic codes. |
| Type | Choice of: CodeableConcept, Reference(Cross-version Profile for R4.Condition for use in FHIR STU3, Condition) |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| 62. Extension.extension:diagnosis.url | |
| Control | 1..1 |
| Fixed Value | diagnosis |
| 64. Extension.extension:diagnosis.value[x] | |
| Control | 0..0 |
| 66. Extension.extension:detail | |
| Slice Name | detail |
| Definition | R4: |
| Short | R4: Product or service details (new) |
| Comments | Element |
| Control | 0..* |
| Requirements | Needed to provide complex service proposal such as a Device or a plan. Element |
| 68. Extension.extension:detail.url | |
| Control | 1..1 |
| Fixed Value | detail |
| 70. Extension.extension:detail.value[x] | |
| Definition | The plan/proposal/order describing the proposed service in detail. |
| Short | Product or service details |
| Control | 0..1 |
| Type | Reference(Cross-version Profile for R4.Resource for use in FHIR STU3, Resource) |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| 72. Extension.url | |
| Control | 1..1 |
| Fixed Value | http://hl7.org/fhir/4.0/StructureDefinition/extension-CoverageEligibilityRequest.item |
| 74. Extension.value[x] | |
| Control | 0..0 |
Guidance on how to interpret the contents of this table can be foundhere
| 0. Extension | |
| Definition | R4: |
| Short | R4: Item to be evaluated for eligibiity (new) |
| Comments | Element |
| Control | 0..* This element is affected by the following invariants: ele-1 |
| Is Modifier | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() | (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) |
| 2. Extension.id | |
| Definition | unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
| Short | xml:id (or equivalent in JSON) |
| Control | 0..1 |
| Type | string |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| 4. Extension.extension | |
| Definition | An Extension |
| Short | Extension |
| Control | 0..* |
| Type | Extension |
| Slicing | This element introduces a set of slices on Extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 6. Extension.extension:supportingInfoSequence | |
| Slice Name | supportingInfoSequence |
| Definition | R4: |
| Short | R4: Applicable exception or supporting information (new) |
| Comments | Element |
| Control | 0..* |
| Type | Extension |
| Requirements | Needed to support or inform the consideration for eligibility. Element |
| 8. Extension.extension:supportingInfoSequence.id | |
| Definition | unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
| Short | xml:id (or equivalent in JSON) |
| Control | 0..1 |
| Type | string |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| 10. Extension.extension:supportingInfoSequence.extension | |
| 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. |
| Short | Additional Content defined by implementations |
| Comments | 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. |
| Control | 0..* |
| Type | Extension |
| Alternate Names | extensions, user content |
| Slicing | This element introduces a set of slices on Extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 12. Extension.extension:supportingInfoSequence.url | |
| Definition | Source of the definition for the extension code - a logical name or a URL. |
| Short | identifies the meaning of the extension |
| Comments | 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. |
| Control | 1..1 |
| Type | uri |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | supportingInfoSequence |
| 14. Extension.extension:supportingInfoSequence.value[x] | |
| Definition | Exceptions, special conditions and supporting information applicable for this service or product line. |
| Short | Applicable exception or supporting information |
| Control | 0..1 |
| Type | positiveInt |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 16. Extension.extension:category | |
| Slice Name | category |
| Definition | R4: |
| Short | R4: Benefit classification (new) |
| Comments | Element |
| Control | 0..1 |
| Type | Extension |
| Requirements | Needed to convey the category of service or product for which eligibility is sought. Element |
| 18. Extension.extension:category.id | |
| Definition | unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
| Short | xml:id (or equivalent in JSON) |
| Control | 0..1 |
| Type | string |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| 20. Extension.extension:category.extension | |
| 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. |
| Short | Additional Content defined by implementations |
| Comments | 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. |
| Control | 0..* |
| Type | Extension |
| Alternate Names | extensions, user content |
| Slicing | This element introduces a set of slices on Extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 22. Extension.extension:category.url | |
| Definition | Source of the definition for the extension code - a logical name or a URL. |
| Short | identifies the meaning of the extension |
| Comments | 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. |
| Control | 1..1 |
| Type | uri |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | category |
| 24. Extension.extension:category.value[x] | |
| Definition | Code to identify the general type of benefits under which products and services are provided. |
| Short | Benefit classification |
| Comments | Examples include Medical Care, Periodontics, Renal Dialysis, Vision Coverage. |
| Control | 0..1 |
| Binding | For example codes, see R4ExBenefitcategoryForR3 (0.1.0) (example to http://hl7.org/fhir/uv/xver/ValueSet/R4-ex-benefitcategory-for-R3|0.1.0)Benefit categories such as: oral, medical, vision etc. |
| Type | CodeableConcept |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| 26. Extension.extension:productOrService | |
| Slice Name | productOrService |
| Definition | R4: |
| Short | R4: Billing, service, product, or drug code (new) |
| Comments | Element |
| Control | 0..1 |
| Type | Extension |
| Requirements | Needed to convey the actual service or product for which eligibility is sought. Element |
| 28. Extension.extension:productOrService.id | |
| Definition | unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
| Short | xml:id (or equivalent in JSON) |
| Control | 0..1 |
| Type | string |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| 30. Extension.extension:productOrService.extension | |
| 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. |
| Short | Additional Content defined by implementations |
| Comments | 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. |
| Control | 0..* |
| Type | Extension |
| Alternate Names | extensions, user content |
| Slicing | This element introduces a set of slices on Extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 32. Extension.extension:productOrService.url | |
| Definition | Source of the definition for the extension code - a logical name or a URL. |
| Short | identifies the meaning of the extension |
| Comments | 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. |
| Control | 1..1 |
| Type | uri |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | productOrService |
| 34. Extension.extension:productOrService.value[x] | |
| Definition | This contains the product, service, drug or other billing code for the item. |
| Short | Billing, service, product, or drug code |
| Comments | Code to indicate the Professional Service or Product supplied (e.g. CTP, HCPCS, USCLS, ICD10, NCPDP, DIN, RxNorm, ACHI, CCI). |
| Control | 0..1 |
| Binding | For example codes, see USCLS Codes (example to http://hl7.org/fhir/ValueSet/service-uscls|3.0.2)Allowable service and product codes. |
| Type | CodeableConcept |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| 36. Extension.extension:modifier | |
| Slice Name | modifier |
| Definition | R4: |
| Short | R4: Product or service billing modifiers (new) |
| Comments | Element |
| Control | 0..* |
| Type | Extension |
| Requirements | To support provision of the item or to charge an elevated fee. Element |
| 38. Extension.extension:modifier.id | |
| Definition | unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
| Short | xml:id (or equivalent in JSON) |
| Control | 0..1 |
| Type | string |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| 40. Extension.extension:modifier.extension | |
| 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. |
| Short | Additional Content defined by implementations |
| Comments | 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. |
| Control | 0..* |
| Type | Extension |
| Alternate Names | extensions, user content |
| Slicing | This element introduces a set of slices on Extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 42. Extension.extension:modifier.url | |
| Definition | Source of the definition for the extension code - a logical name or a URL. |
| Short | identifies the meaning of the extension |
| Comments | 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. |
| Control | 1..1 |
| Type | uri |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | modifier |
| 44. Extension.extension:modifier.value[x] | |
| Definition | Item typification or modifiers codes to convey additional context for the product or service. |
| Short | Product or service billing modifiers |
| Comments | 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. |
| Control | 0..1 |
| Binding | For example codes, see Modifier type Codes (example to http://hl7.org/fhir/ValueSet/claim-modifiers|3.0.2)Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen. |
| Type | CodeableConcept |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| 46. Extension.extension:provider | |
| Slice Name | provider |
| Definition | R4: |
| Short | R4: Perfoming practitioner (new) |
| Comments | Element |
| Control | 0..1 |
| Type | Extension |
| Requirements | Needed to support the evaluation of the eligibility. Element |
| 48. Extension.extension:provider.id | |
| Definition | unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
| Short | xml:id (or equivalent in JSON) |
| Control | 0..1 |
| Type | string |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| 50. Extension.extension:provider.extension | |
| 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. |
| Short | Additional Content defined by implementations |
| Comments | 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. |
| Control | 0..* |
| Type | Extension |
| Alternate Names | extensions, user content |
| Slicing | This element introduces a set of slices on Extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 52. Extension.extension:provider.url | |
| Definition | Source of the definition for the extension code - a logical name or a URL. |
| Short | identifies the meaning of the extension |
| Comments | 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. |
| Control | 1..1 |
| Type | uri |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | provider |
| 54. Extension.extension:provider.value[x] | |
| Definition | The practitioner who is responsible for the product or service to be rendered to the patient. |
| Short | Perfoming practitioner |
| Control | 0..1 |
| Type | Reference(Cross-version Profile for R4.Practitioner for use in FHIR STU3, Practitioner, Cross-version Profile for R4.PractitionerRole for use in FHIR STU3, PractitionerRole) |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| 56. Extension.extension:quantity | |
| Slice Name | quantity |
| Definition | R4: |
| Short | R4: Count of products or services (new) |
| Comments | Element |
| Control | 0..1 |
| Type | Extension |
| Requirements | Required when the product or service code does not convey the quantity provided. Element |
| 58. Extension.extension:quantity.id | |
| Definition | unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
| Short | xml:id (or equivalent in JSON) |
| Control | 0..1 |
| Type | string |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| 60. Extension.extension:quantity.extension | |
| 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. |
| Short | Additional Content defined by implementations |
| Comments | 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. |
| Control | 0..* |
| Type | Extension |
| Alternate Names | extensions, user content |
| Slicing | This element introduces a set of slices on Extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 62. Extension.extension:quantity.url | |
| Definition | Source of the definition for the extension code - a logical name or a URL. |
| Short | identifies the meaning of the extension |
| Comments | 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. |
| Control | 1..1 |
| Type | uri |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | quantity |
| 64. Extension.extension:quantity.value[x] | |
| Definition | The number of repetitions of a service or product. |
| Short | Count of products or services |
| Control | 0..1 |
| Type | Quantity(SimpleQuantity) |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| 66. Extension.extension:unitPrice | |
| Slice Name | unitPrice |
| Definition | R4: |
| Short | R4: Fee, charge or cost per item (new) |
| Comments | Element |
| Control | 0..1 |
| Type | Extension |
| Requirements | Needed to support the evaluation of the eligibility. Element |
| 68. Extension.extension:unitPrice.id | |
| Definition | unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
| Short | xml:id (or equivalent in JSON) |
| Control | 0..1 |
| Type | string |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| 70. Extension.extension:unitPrice.extension | |
| 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. |
| Short | Additional Content defined by implementations |
| Comments | 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. |
| Control | 0..* |
| Type | Extension |
| Alternate Names | extensions, user content |
| Slicing | This element introduces a set of slices on Extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 72. Extension.extension:unitPrice.url | |
| Definition | Source of the definition for the extension code - a logical name or a URL. |
| Short | identifies the meaning of the extension |
| Comments | 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. |
| Control | 1..1 |
| Type | uri |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | unitPrice |
| 74. Extension.extension:unitPrice.value[x] | |
| Definition | The amount charged to the patient by the provider for a single unit. |
| Short | Fee, charge or cost per item |
| Control | 0..1 |
| Type | Money |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| 76. Extension.extension:facility | |
| Slice Name | facility |
| Definition | R4: |
| Short | R4: Servicing facility (new) |
| Comments | Element |
| Control | 0..1 |
| Type | Extension |
| Requirements | Needed to support the evaluation of the eligibility. Element |
| 78. Extension.extension:facility.id | |
| Definition | unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
| Short | xml:id (or equivalent in JSON) |
| Control | 0..1 |
| Type | string |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| 80. Extension.extension:facility.extension | |
| 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. |
| Short | Additional Content defined by implementations |
| Comments | 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. |
| Control | 0..* |
| Type | Extension |
| Alternate Names | extensions, user content |
| Slicing | This element introduces a set of slices on Extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 82. Extension.extension:facility.url | |
| Definition | Source of the definition for the extension code - a logical name or a URL. |
| Short | identifies the meaning of the extension |
| Comments | 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. |
| Control | 1..1 |
| Type | uri |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | facility |
| 84. Extension.extension:facility.value[x] | |
| Definition | Facility where the services will be provided. |
| Short | Servicing facility |
| Control | 0..1 |
| Type | Reference(Cross-version Profile for R4.Location for use in FHIR STU3, Location, Cross-version Profile for R4.Organization for use in FHIR STU3, Organization) |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| 86. Extension.extension:diagnosis | |
| Slice Name | diagnosis |
| Definition | R4: |
| Short | R4: Applicable diagnosis (new) |
| Comments | Element |
| Control | 0..* |
| Type | Extension |
| Requirements | Needed to support the evaluation of the eligibility. Element |
| 88. Extension.extension:diagnosis.id | |
| Definition | unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
| Short | xml:id (or equivalent in JSON) |
| Control | 0..1 |
| Type | string |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| 90. Extension.extension:diagnosis.extension | |
| Definition | An Extension |
| Short | Extension |
| Control | 0..* |
| Type | Extension |
| Slicing | This element introduces a set of slices on Extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 92. Extension.extension:diagnosis.extension:diagnosis | |
| Slice Name | diagnosis |
| Definition | R4: |
| Short | R4: Nature of illness or problem (new) |
| Comments | Element |
| Control | 0..1 |
| Type | Extension |
| Requirements | Provides health context for the evaluation of the products and/or services. Element |
| 94. Extension.extension:diagnosis.extension:diagnosis.id | |
| Definition | unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
| Short | xml:id (or equivalent in JSON) |
| Control | 0..1 |
| Type | string |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| 96. Extension.extension:diagnosis.extension:diagnosis.extension | |
| 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. |
| Short | Additional Content defined by implementations |
| Comments | 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. |
| Control | 0..* |
| Type | Extension |
| Alternate Names | extensions, user content |
| Slicing | This element introduces a set of slices on Extension.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 98. Extension.extension:diagnosis.extension:diagnosis.url | |
| Definition | Source of the definition for the extension code - a logical name or a URL. |
| Short | identifies the meaning of the extension |
| Comments | 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. |
| Control | 1..1 |
| Type | uri |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | diagnosis |
| 100. Extension.extension:diagnosis.extension:diagnosis.value[x] | |
| Definition | The nature of illness or problem in a coded form or as a reference to an external defined Condition. |
| Short | Nature of illness or problem |
| Control | 0..1 |
| Binding | For example codes, see ICD-10 Codes (example to http://hl7.org/fhir/ValueSet/icd-10|3.0.2)ICD10 Diagnostic codes. |
| Type | Choice of: CodeableConcept, Reference(Cross-version Profile for R4.Condition for use in FHIR STU3, Condition) |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| 102. Extension.extension:diagnosis.url | |
| Definition | Source of the definition for the extension code - a logical name or a URL. |
| Short | identifies the meaning of the extension |
| Comments | 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. |
| Control | 1..1 |
| Type | uri |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | diagnosis |
| 104. Extension.extension:diagnosis.value[x] | |
| Definition | Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list). |
| Short | Value of extension |
| Control | 0..0 |
| Type | Choice of: base64Binary, boolean, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, Meta |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 106. Extension.extension:detail | |
| Slice Name | detail |
| Definition | R4: |
| Short | R4: Product or service details (new) |
| Comments | Element |
| Control | 0..* |
| Type | Extension |
| Requirements | Needed to provide complex service proposal such as a Device or a plan. Element |
| 108. Extension.extension:detail.id | |
| Definition | unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
| Short | xml:id (or equivalent in JSON) |
| Control | 0..1 |
| Type | string |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| 110. Extension.extension:detail.extension | |
| 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. |
| Short | Additional Content defined by implementations |
| Comments | 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. |
| Control | 0..* |
| Type | Extension |
| Alternate Names | extensions, user content |
| Slicing | This element introduces a set of slices on Extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 112. Extension.extension:detail.url | |
| Definition | Source of the definition for the extension code - a logical name or a URL. |
| Short | identifies the meaning of the extension |
| Comments | 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. |
| Control | 1..1 |
| Type | uri |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | detail |
| 114. Extension.extension:detail.value[x] | |
| Definition | The plan/proposal/order describing the proposed service in detail. |
| Short | Product or service details |
| Control | 0..1 |
| Type | Reference(Cross-version Profile for R4.Resource for use in FHIR STU3, Resource) |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| 116. Extension.url | |
| Definition | Source of the definition for the extension code - a logical name or a URL. |
| Short | identifies the meaning of the extension |
| Comments | 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. |
| Control | 1..1 |
| Type | uri |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | http://hl7.org/fhir/4.0/StructureDefinition/extension-CoverageEligibilityRequest.item |
| 118. Extension.value[x] | |
| Definition | Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list). |
| Short | Value of extension |
| Control | 0..0 |
| Type | Choice of: base64Binary, boolean, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, Meta |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
IG © 2025+ FHIR Infrastructure. Package hl7.fhir.uv.xver-r4.r3#0.1.0 based on FHIR 3.0.2. Generated 2026-03-20
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