Generated Narrative: StructureDefinition ext-R4-CoverageEligibilityRequest.item Name Flags Card. Type Description & Constraints Extension 0..* Extension R4: Item to be evaluated for eligibiity (new) #xD; Slices for extension 0..* Extension Extension Slice: Unordered, Open by value:url #xD; extension:supportingInfoSequence 0..* Extension R4: Applicable exception or supporting information (new) #xD; url 1..1 uri "supportingInfoSequence" #xD; value[x] 0..1 positiveInt Applicable exception or supporting information #xD; extension:category 0..1 Extension R4: Benefit classification (new) #xD; url 1..1 uri "category" #xD; value[x] 0..1 CodeableConcept Benefit classification Binding: R4ExBenefitcategoryForR3 (0.1.0) (example): Benefit categories such as: oral, medical, vision etc. #xD; extension:productOrService 0..1 Extension R4: Billing, service, product, or drug code (new) #xD; url 1..1 uri "productOrService" #xD; value[x] 0..1 CodeableConcept Billing, service, product, or drug code Binding: USCLS Codes (example): Allowable service and product codes. #xD; extension:modifier 0..* Extension R4: Product or service billing modifiers (new) #xD; url 1..1 uri "modifier" #xD; value[x] 0..1 CodeableConcept Product 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. #xD; extension:provider 0..1 Extension R4: Perfoming practitioner (new) #xD; url 1..1 uri "provider" #xD; value[x] 0..1 Reference(Cross-version Profile for R4.Practitioner for use in FHIR STU3(0.1.0) | Practitioner | Cross-version Profile for R4.PractitionerRole for use in FHIR STU3(0.1.0) | PractitionerRole) Perfoming practitioner #xD; extension:quantity 0..1 Extension R4: Count of products or services (new) #xD; url 1..1 uri "quantity" #xD; value[x] 0..1 SimpleQuantity Count of products or services #xD; extension:unitPrice 0..1 Extension R4: Fee, charge or cost per item (new) #xD; url 1..1 uri "unitPrice" #xD; value[x] 0..1 Money Fee, charge or cost per item #xD; extension:facility 0..1 Extension R4: Servicing facility (new) #xD; url 1..1 uri "facility" #xD; value[x] 0..1 Reference(Cross-version Profile for R4.Location for use in FHIR STU3(0.1.0) | Location | Cross-version Profile for R4.Organization for use in FHIR STU3(0.1.0) | Organization) Servicing facility #xD; extension:diagnosis 0..* Extension R4: Applicable diagnosis (new) #xD; Slices for extension 0..* Extension Extension Slice: Unordered, Open by value:url #xD; extension:diagnosis 0..1 Extension R4: Nature of illness or problem (new) #xD; url 1..1 uri "diagnosis" #xD; value[x] 0..1 Nature of illness or problem Binding: ICD-10 Codes (example): ICD10 Diagnostic codes. #xD; valueCodeableConcept CodeableConcept #xD; valueReference Reference(Cross-version Profile for R4.Condition for use in FHIR STU3(0.1.0) | Condition) #xD; url 1..1 uri "diagnosis" #xD; value[x] 0..0 Value of extension #xD; extension:detail 0..* Extension R4: Product or service details (new) #xD; url 1..1 uri "detail" #xD; value[x] 0..1 Reference(Cross-version Profile for R4.Resource for use in FHIR STU3(0.1.0) | Resource) Product or service details #xD; url 1..1 uri "http://hl7.org/fhir/4.0/StructureDefinition/extension-CoverageEligibilityRequest.item" #xD; value[x] 0..0 Value of extension #xD; Documentation for this format
R4: Item to be evaluated for eligibiity (new)
R4: `CoverageEligibilityRequest.item` (new:BackboneElement)
This extension is part of the cross-version definitions generated to enable use of the element `CoverageEligibilityRequest.item` as defined in FHIR R4 in FHIR STU3. The source element is defined as: `CoverageEligibilityRequest.item` 0..* `BackboneElement` Following are the generation technical comments: Element `CoverageEligibilityRequest.item` has a context of EligibilityRequest based on following the parent source element upwards and mapping to `EligibilityRequest`. Element `CoverageEligibilityRequest.item` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).
Element `CoverageEligibilityRequest.item` has a context of EligibilityRequest based on following the parent source element upwards and mapping to `EligibilityRequest`. Element `CoverageEligibilityRequest.item` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).
All FHIR elements must have a @value or children
hasValue() | (children().count() > id.count())
Must have either extensions or value[x], not both
exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])
unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Extensions are always sliced by (at least) url
R4: Applicable exception or supporting information (new)
R4: `CoverageEligibilityRequest.item.supportingInfoSequence` (new:positiveInt)
Element `CoverageEligibilityRequest.item.supportingInfoSequence` is part of an existing definition because parent element `CoverageEligibilityRequest.item` requires a cross-version extension. Element `CoverageEligibilityRequest.item.supportingInfoSequence` has a context of EligibilityRequest based on following the parent source element upwards and mapping to `EligibilityRequest`. Element `CoverageEligibilityRequest.item.supportingInfoSequence` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).
Needed to support or inform the consideration for eligibility. Element `CoverageEligibilityRequest.item.supportingInfoSequence` is part of an existing definition because parent element `CoverageEligibilityRequest.item` requires a cross-version extension. Element `CoverageEligibilityRequest.item.supportingInfoSequence` has a context of EligibilityRequest based on following the parent source element upwards and mapping to `EligibilityRequest`. Element `CoverageEligibilityRequest.item.supportingInfoSequence` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).
Additional Content defined by implementations
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.
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.
Source of the definition for the extension code - a logical name or a URL.
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.
Applicable exception or supporting information
Exceptions, special conditions and supporting information applicable for this service or product line.
R4: `CoverageEligibilityRequest.item.category` (new:CodeableConcept)
Element `CoverageEligibilityRequest.item.category` is part of an existing definition because parent element `CoverageEligibilityRequest.item` requires a cross-version extension. Element `CoverageEligibilityRequest.item.category` has a context of EligibilityRequest based on following the parent source element upwards and mapping to `EligibilityRequest`. Element `CoverageEligibilityRequest.item.category` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). Examples include Medical Care, Periodontics, Renal Dialysis, Vision Coverage.
Needed to convey the category of service or product for which eligibility is sought. Element `CoverageEligibilityRequest.item.category` is part of an existing definition because parent element `CoverageEligibilityRequest.item` requires a cross-version extension. Element `CoverageEligibilityRequest.item.category` has a context of EligibilityRequest based on following the parent source element upwards and mapping to `EligibilityRequest`. Element `CoverageEligibilityRequest.item.category` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).
Code to identify the general type of benefits under which products and services are provided.
Examples include Medical Care, Periodontics, Renal Dialysis, Vision Coverage.
Benefit categories such as: oral, medical, vision etc.
R4: Billing, service, product, or drug code (new)
R4: `CoverageEligibilityRequest.item.productOrService` (new:CodeableConcept)
Element `CoverageEligibilityRequest.item.productOrService` is part of an existing definition because parent element `CoverageEligibilityRequest.item` requires a cross-version extension. Element `CoverageEligibilityRequest.item.productOrService` has a context of EligibilityRequest based on following the parent source element upwards and mapping to `EligibilityRequest`. Element `CoverageEligibilityRequest.item.productOrService` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). Code to indicate the Professional Service or Product supplied (e.g. CTP, HCPCS, USCLS, ICD10, NCPDP, DIN, RxNorm, ACHI, CCI).
Needed to convey the actual service or product for which eligibility is sought. Element `CoverageEligibilityRequest.item.productOrService` is part of an existing definition because parent element `CoverageEligibilityRequest.item` requires a cross-version extension. Element `CoverageEligibilityRequest.item.productOrService` has a context of EligibilityRequest based on following the parent source element upwards and mapping to `EligibilityRequest`. Element `CoverageEligibilityRequest.item.productOrService` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).
This contains the product, service, drug or other billing code for the item.
Code to indicate the Professional Service or Product supplied (e.g. CTP, HCPCS, USCLS, ICD10, NCPDP, DIN, RxNorm, ACHI, CCI).
R4: Product or service billing modifiers (new)
R4: `CoverageEligibilityRequest.item.modifier` (new:CodeableConcept)
Element `CoverageEligibilityRequest.item.modifier` is part of an existing definition because parent element `CoverageEligibilityRequest.item` requires a cross-version extension. Element `CoverageEligibilityRequest.item.modifier` has a context of EligibilityRequest based on following the parent source element upwards and mapping to `EligibilityRequest`. Element `CoverageEligibilityRequest.item.modifier` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). 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.
To support provision of the item or to charge an elevated fee. Element `CoverageEligibilityRequest.item.modifier` is part of an existing definition because parent element `CoverageEligibilityRequest.item` requires a cross-version extension. Element `CoverageEligibilityRequest.item.modifier` has a context of EligibilityRequest based on following the parent source element upwards and mapping to `EligibilityRequest`. Element `CoverageEligibilityRequest.item.modifier` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).
Item typification or modifiers codes to convey additional context for the product or service.
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.
Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
R4: `CoverageEligibilityRequest.item.provider` (new:Reference(Practitioner,PractitionerRole))
Element `CoverageEligibilityRequest.item.provider` is part of an existing definition because parent element `CoverageEligibilityRequest.item` requires a cross-version extension. Element `CoverageEligibilityRequest.item.provider` has a context of EligibilityRequest based on following the parent source element upwards and mapping to `EligibilityRequest`. Element `CoverageEligibilityRequest.item.provider` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).
Needed to support the evaluation of the eligibility. Element `CoverageEligibilityRequest.item.provider` is part of an existing definition because parent element `CoverageEligibilityRequest.item` requires a cross-version extension. Element `CoverageEligibilityRequest.item.provider` has a context of EligibilityRequest based on following the parent source element upwards and mapping to `EligibilityRequest`. Element `CoverageEligibilityRequest.item.provider` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).
The practitioner who is responsible for the product or service to be rendered to the patient.
R4: `CoverageEligibilityRequest.item.quantity` (new:Quantity[SimpleQuantity])
Element `CoverageEligibilityRequest.item.quantity` is part of an existing definition because parent element `CoverageEligibilityRequest.item` requires a cross-version extension. Element `CoverageEligibilityRequest.item.quantity` has a context of EligibilityRequest based on following the parent source element upwards and mapping to `EligibilityRequest`. Element `CoverageEligibilityRequest.item.quantity` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).
Required when the product or service code does not convey the quantity provided. Element `CoverageEligibilityRequest.item.quantity` is part of an existing definition because parent element `CoverageEligibilityRequest.item` requires a cross-version extension. Element `CoverageEligibilityRequest.item.quantity` has a context of EligibilityRequest based on following the parent source element upwards and mapping to `EligibilityRequest`. Element `CoverageEligibilityRequest.item.quantity` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).
The number of repetitions of a service or product.
R4: `CoverageEligibilityRequest.item.unitPrice` (new:Money)
Element `CoverageEligibilityRequest.item.unitPrice` is part of an existing definition because parent element `CoverageEligibilityRequest.item` requires a cross-version extension. Element `CoverageEligibilityRequest.item.unitPrice` has a context of EligibilityRequest based on following the parent source element upwards and mapping to `EligibilityRequest`. Element `CoverageEligibilityRequest.item.unitPrice` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).
Needed to support the evaluation of the eligibility. Element `CoverageEligibilityRequest.item.unitPrice` is part of an existing definition because parent element `CoverageEligibilityRequest.item` requires a cross-version extension. Element `CoverageEligibilityRequest.item.unitPrice` has a context of EligibilityRequest based on following the parent source element upwards and mapping to `EligibilityRequest`. Element `CoverageEligibilityRequest.item.unitPrice` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).
The amount charged to the patient by the provider for a single unit.
R4: `CoverageEligibilityRequest.item.facility` (new:Reference(Location,Organization))
Element `CoverageEligibilityRequest.item.facility` is part of an existing definition because parent element `CoverageEligibilityRequest.item` requires a cross-version extension. Element `CoverageEligibilityRequest.item.facility` has a context of EligibilityRequest based on following the parent source element upwards and mapping to `EligibilityRequest`. Element `CoverageEligibilityRequest.item.facility` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).
Needed to support the evaluation of the eligibility. Element `CoverageEligibilityRequest.item.facility` is part of an existing definition because parent element `CoverageEligibilityRequest.item` requires a cross-version extension. Element `CoverageEligibilityRequest.item.facility` has a context of EligibilityRequest based on following the parent source element upwards and mapping to `EligibilityRequest`. Element `CoverageEligibilityRequest.item.facility` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).
Facility where the services will be provided.
R4: `CoverageEligibilityRequest.item.diagnosis` (new:BackboneElement)
Element `CoverageEligibilityRequest.item.diagnosis` is part of an existing definition because parent element `CoverageEligibilityRequest.item` requires a cross-version extension. Element `CoverageEligibilityRequest.item.diagnosis` has a context of EligibilityRequest based on following the parent source element upwards and mapping to `EligibilityRequest`. Element `CoverageEligibilityRequest.item.diagnosis` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).
Needed to support the evaluation of the eligibility. Element `CoverageEligibilityRequest.item.diagnosis` is part of an existing definition because parent element `CoverageEligibilityRequest.item` requires a cross-version extension. Element `CoverageEligibilityRequest.item.diagnosis` has a context of EligibilityRequest based on following the parent source element upwards and mapping to `EligibilityRequest`. Element `CoverageEligibilityRequest.item.diagnosis` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).
R4: `CoverageEligibilityRequest.item.diagnosis.diagnosis[x]` (new:CodeableConcept, Reference(Condition))
Element `CoverageEligibilityRequest.item.diagnosis.diagnosis[x]` is part of an existing definition because parent element `CoverageEligibilityRequest.item.diagnosis` requires a cross-version extension. Element `CoverageEligibilityRequest.item.diagnosis.diagnosis[x]` has a context of EligibilityRequest based on following the parent source element upwards and mapping to `EligibilityRequest`. Element `CoverageEligibilityRequest.item.diagnosis.diagnosis[x]` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).
Provides health context for the evaluation of the products and/or services. Element `CoverageEligibilityRequest.item.diagnosis.diagnosis[x]` is part of an existing definition because parent element `CoverageEligibilityRequest.item.diagnosis` requires a cross-version extension. Element `CoverageEligibilityRequest.item.diagnosis.diagnosis[x]` has a context of EligibilityRequest based on following the parent source element upwards and mapping to `EligibilityRequest`. Element `CoverageEligibilityRequest.item.diagnosis.diagnosis[x]` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).
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).
R4: `CoverageEligibilityRequest.item.detail` (new:Reference(Resource))
Element `CoverageEligibilityRequest.item.detail` is part of an existing definition because parent element `CoverageEligibilityRequest.item` requires a cross-version extension. Element `CoverageEligibilityRequest.item.detail` has a context of EligibilityRequest based on following the parent source element upwards and mapping to `EligibilityRequest`. Element `CoverageEligibilityRequest.item.detail` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).
Needed to provide complex service proposal such as a Device or a plan. Element `CoverageEligibilityRequest.item.detail` is part of an existing definition because parent element `CoverageEligibilityRequest.item` requires a cross-version extension. Element `CoverageEligibilityRequest.item.detail` has a context of EligibilityRequest based on following the parent source element upwards and mapping to `EligibilityRequest`. Element `CoverageEligibilityRequest.item.detail` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).
The plan/proposal/order describing the proposed service in detail.