profile-CoverageEligibilityResponse-for-EligibilityResponse
type: StructureDefinition
node role: treeRoot
id:
  v: profile-CoverageEligibilityResponse-for-EligibilityResponse
text:
  status:
    v: extensions
  div:
    v: Generated Narrative: StructureDefinition profile-CoverageEligibilityResponse-for-EligibilityResponse Name Flags Card. Type Description & Constraints<img src="[binary]" alt="doco" style="background-color: inherit"/> EligibilityResponse 0..* EligibilityResponse EligibilityResponse resource #xD; Slices for extension 2..* Extension Extension Slice: Unordered, Open by value:url #xD; extension:purpose 1..* code R4: auth-requirements | benefits | discovery | validation (new) URL: http://hl7.org/fhir/4.0/StructureDefinition/extension-CoverageEligibilityResponse.purpose Binding: R4EligibilityresponsePurposeForR3 (0.1.0) (required): A code specifying the types of information being requested. #xD; extension:patient 1..1 Reference(Cross-version Profile for R4.Patient for use in FHIR STU3(0.1.0) | Patient) R4: Intended recipient of products and services (new) URL: http://hl7.org/fhir/4.0/StructureDefinition/extension-CoverageEligibilityResponse.patient #xD; extension:serviced 0..1 date, Period R4: Estimated date or dates of service (new) URL: http://hl7.org/fhir/4.0/StructureDefinition/extension-CoverageEligibilityResponse.serviced #xD; extension:requestor 0..1 ?gen-e1? [CanonicalType[http://hl7.org/fhir/StructureDefinition/alternate-reference]] R4: Party responsible for the request URL: http://hl7.org/fhir/StructureDefinition/alternate-reference #xD; extension:preAuthRef 0..1 string R4: Preauthorization reference (new) URL: http://hl7.org/fhir/4.0/StructureDefinition/extension-CoverageEligibilityResponse.preAuthRef #xD; outcome #xD; Slices for extension 1..* Extension Extension Slice: Unordered, Open by value:url #xD; extension:outcome 1..1 code R4: queued | complete | error | partial URL: http://hl7.org/fhir/4.0/StructureDefinition/extension-CoverageEligibilityResponse.outcome Binding: R4RemittanceOutcomeForR3 (0.1.0) (required): The outcome of the processing. #xD; insurance #xD; Slices for extension 0..* Extension Extension Slice: Unordered, Open by value:url #xD; extension:b…
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-wg
    l: structuredefinition-wg
  value: Code
    v: fhir
extension:
  extension:
    url:
      v: packageId
      l: packageId
    value: Id
      v: hl7.fhir.uv.xver-r4.r3
  extension:
    url:
      v: version
      l: version
    value: String
      v: 0.1.0
  url:
    v: http://hl7.org/fhir/StructureDefinition/package-source
    l: package-source
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm
    l: structuredefinition-fmm
  value: Integer
    v: 0
    extension:
      url:
        v: http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom
        l: structuredefinition-conformance-derivedFrom
      value: Uri
        v: http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r4.r3
        l: hl7.fhir.uv.xver-r4.r3
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status
    l: structuredefinition-standards-status
  value: Code
    v: trial-use
    extension:
      url:
        v: http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom
        l: structuredefinition-conformance-derivedFrom
      value: Uri
        v: http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r4.r3
        l: hl7.fhir.uv.xver-r4.r3
url:
  v: http://hl7.org/fhir/4.0/StructureDefinition/profile-CoverageEligibilityResponse-for-EligibilityResponse
  l: profile-CoverageEligibilityResponse-for-EligibilityResponse
version:
  v: 0.1.0
name:
  v: Profile_R4_CoverageEligibilityResponse_R3_EligibilityResponse
title:
  v: Cross-version Profile for R4.CoverageEligibilityResponse for use in FHIR STU3
status:
  v: active
experimental:
  v: false
date:
  v: 2026-03-17T16:03:29.6515476-05:00
publisher:
  v: FHIR Infrastructure
contact:
  name:
    v: FHIR Infrastructure
  telecom:
    system:
      v: url
    value:
      v: http://www.hl7.org/Special/committees/fiwg
description:
  v: This cross-version profile allows R4 CoverageEligibilityResponse content to be represented via FHIR STU3 EligibilityResponse resources.
jurisdiction:
  coding:
    system:
      v: http://unstats.un.org/unsd/methods/m49/m49.htm
      l: m49.htm
    code:
      v: 001
    display:
      v: World
fhir version:
  v: 3.0.2
mapping:
  identity:
    v: workflow
  uri:
    v: http://hl7.org/fhir/workflow
    l: workflow
  name:
    v: Workflow Mapping
mapping:
  identity:
    v: w5
  uri:
    v: http://hl7.org/fhir/w5
    l: w5
  name:
    v: W5 Mapping
mapping:
  identity:
    v: cdanetv4
  uri:
    v: http://www.cda-adc.ca/en/services/cdanet/
    l: cdanet
  name:
    v: Canadian Dental Association eclaims standard
mapping:
  identity:
    v: rim
  uri:
    v: http://hl7.org/v3
    l: v3
  name:
    v: RIM Mapping
kind:
  v: resource
abstract:
  v: false
type:
  v: EligibilityResponse
base definition:
  v: http://hl7.org/fhir/StructureDefinition/EligibilityResponse
  l: EligibilityResponse
derivation:
  v: constraint
snapshot:
  element:
    id:
      v: EligibilityResponse
    path:
      v: EligibilityResponse
    short:
      v: EligibilityResponse resource
    definition:
      v: This resource provides eligibility and plan details from the processing of an Eligibility resource.
    min:
      v: 0
    max:
      v: *
    base:
      path:
        v: EligibilityResponse
      min:
        v: 0
      max:
        v: *
    constraint:
      key:
        v: dom-2
      severity:
        v: error
      human:
        v: If the resource is contained in another resource, it SHALL NOT contain nested Resources
      expression:
        v: contained.contained.empty()
      xpath:
        v: not(parent::f:contained and f:contained)
      source:
        v: http://hl7.org/fhir/StructureDefinition/DomainResource
        l: DomainResource
    constraint:
      key:
        v: dom-1
      severity:
        v: error
      human:
        v: If the resource is contained in another resource, it SHALL NOT contain any narrative
      expression:
        v: contained.text.empty()
      xpath:
        v: not(parent::f:contained and f:text)
      source:
        v: http://hl7.org/fhir/StructureDefinition/DomainResource
        l: DomainResource
    constraint:
      key:
        v: dom-4
      severity:
        v: error
      human:
        v: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
      expression:
        v: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
      xpath:
        v: not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))
      source:
        v: http://hl7.org/fhir/StructureDefinition/DomainResource
        l: DomainResource
    constraint:
      key:
        v: dom-3

v: error

v: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource

v: contained.where(('#'+id in %resource.descendants().reference).not()).empty()

v: not(exists(for $id in f:contained/*/@id return $id[not(ancestor::f:contained/parent::*/descendant::f:reference/@value=concat('#', $id))]))

identity:
  v: rim
map:
  v: Entity. Role, or Act

identity:
  v: workflow
map:
  v: Event

identity:
  v: w5
map:
  v: financial.support

id:
  v: EligibilityResponse.id
path:
  v: EligibilityResponse.id
short:
  v: Logical id of this artifact
definition:
  v: The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
comment:
  v: The only time that a resource does not have an id is when it is being submitted to the server using a create operation.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Resource.id
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: id
    l: id
is summary:
  v: true

id:
  v: EligibilityResponse.meta
path:
  v: EligibilityResponse.meta
short:
  v: Metadata about the resource
definition:
  v: The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Resource.meta
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Meta
    l: Meta
is summary:
  v: true

id:
  v: EligibilityResponse.implicitRules
path:
  v: EligibilityResponse.implicitRules
short:
  v: A set of rules under which this content was created
definition:
  v: A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content.
comment:
  v: Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. This element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Resource.implicitRules
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: uri
    l: uri
is modifier:
  v: true
is summary:
  v: true

id:
  v: EligibilityResponse.language
path:
  v: EligibilityResponse.language
short:
  v: Language of the resource content
definition:
  v: The base language in which the resource is written.
comment:
  v: Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Resource.language
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: code
    l: code
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet
      l: elementdefinition-maxValueSet
    value: Reference
      l: 3.0
      l: .2
      reference:
        v: http://hl7.org/fhir/ValueSet/all-languages|3.0.2
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: Language
  strength:
    v: extensible
  description:
    v: A human language.
  value set: Reference
    l: 3.0
    l: .2
    reference:
      v: http://hl7.org/fhir/ValueSet/languages|3.0.2

id:
  v: EligibilityResponse.text
path:
  v: EligibilityResponse.text
short:
  v: Text summary of the resource, for human interpretation
definition:
  v: A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.
comment:
  v: Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded in formation is added later.
alias:
  v: narrative
alias:
  v: html
alias:
  v: xhtml
alias:
  v: display
min:
  v: 0
max:
  v: 1
base:
  path:
    v: DomainResource.text
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Narrative
    l: Narrative
condition:
  v: dom-1
mapping:
  identity:
    v: rim
  map:
    v: Act.text?

id:
  v: EligibilityResponse.contained
path:
  v: EligibilityResponse.contained
short:
  v: Contained, inline Resources
definition:
  v: These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.
comment:
  v: This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again.
alias:
  v: inline resources
alias:
  v: anonymous resources
alias:
  v: contained resources
min:
  v: 0
max:
  v: *
base:
  path:
    v: DomainResource.contained
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Resource
    l: Resource
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: EligibilityResponse.extension
path:
  v: EligibilityResponse.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  ordered:
    v: false
  rules:
    v: open
short:
  v: Extension
definition:
  v: An Extension
min:
  v: 2
max:
  v: *
base:
  path:
    v: DomainResource.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension

id:
  v: EligibilityResponse.extension:purpose
path:
  v: EligibilityResponse.extension
slice name:
  v: purpose
short:
  v: R4: auth-requirements | benefits | discovery | validation (new)
definition:
  v: R4: `CoverageEligibilityResponse.purpose` (new:code)
comment:
  v: Element `CoverageEligibilityResponse.purpose` has a context of EligibilityResponse based on following the parent source element upwards and mapping to `EligibilityResponse`. Element `CoverageEligibilityResponse.purpose` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).
min:
  v: 1
max:
  v: *
base:
  path:
    v: DomainResource.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
  profile:
    v: http://hl7.org/fhir/4.0/StructureDefinition/extension-CoverageEligibilityResponse.purpose|0.1.0
    l: http://hl7.org/fhir/4.0/StructureDefinition/extension-CoverageEligibilityResponse.purpose
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() | (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: false

id:
  v: EligibilityResponse.extension:patient
path:
  v: EligibilityResponse.extension
slice name:
  v: patient
short:
  v: R4: Intended recipient of products and services (new)
definition:
  v: R4: `CoverageEligibilityResponse.patient` (new:Reference(Patient))
comment:
  v: Element `CoverageEligibilityResponse.patient` has a context of EligibilityResponse based on following the parent source element upwards and mapping to `EligibilityResponse`. Element `CoverageEligibilityResponse.patient` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).
min:
  v: 1
max:
  v: 1
base:
  path:
    v: DomainResource.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
  profile:
    v: http://hl7.org/fhir/4.0/StructureDefinition/extension-CoverageEligibilityResponse.patient|0.1.0
    l: http://hl7.org/fhir/4.0/StructureDefinition/extension-CoverageEligibilityResponse.patient
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() | (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: false

id:
  v: EligibilityResponse.extension:serviced
path:
  v: EligibilityResponse.extension
slice name:
  v: serviced
short:
  v: R4: Estimated date or dates of service (new)
definition:
  v: R4: `CoverageEligibilityResponse.serviced[x]` (new:date, Period)
comment:
  v: Element `CoverageEligibilityResponse.serviced[x]` has a context of EligibilityResponse based on following the parent source element upwards and mapping to `EligibilityResponse`. Element `CoverageEligibilityResponse.serviced[x]` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).
min:
  v: 0
max:
  v: 1
base:
  path:
    v: DomainResource.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
  profile:
    v: http://hl7.org/fhir/4.0/StructureDefinition/extension-CoverageEligibilityResponse.serviced|0.1.0
    l: http://hl7.org/fhir/4.0/StructureDefinition/extension-CoverageEligibilityResponse.serviced
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() | (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: false

id:
  v: EligibilityResponse.extension:requestor
path:
  v: EligibilityResponse.extension
slice name:
  v: requestor
short:
  v: R4: Party responsible for the request
definition:
  v: R4: `CoverageEligibilityResponse.requestor`
comment:
  v: Element `CoverageEligibilityResponse.requestor` is mapped to FHIR STU3 element `EligibilityResponse.requestProvider` as `SourceIsBroaderThanTarget`. Element `CoverageEligibilityResponse.requestor` is mapped to FHIR STU3 element `EligibilityResponse.requestOrganization` as `SourceIsBroaderThanTarget`. The standard extension `alternate-reference` has been mapped as the representation of FHIR R4 element `CoverageEligibilityResponse.requestor` with unmapped reference targets: PractitionerRole. Typically this field would be 1..1 where this party is responsible for the claim but not necessarily professionally responsible for the provision of the individual products and services listed below.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: DomainResource.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
  profile:
    v: http://hl7.org/fhir/StructureDefinition/alternate-reference
    l: alternate-reference

id:
  v: EligibilityResponse.extension:preAuthRef
path:
  v: EligibilityResponse.extension
slice name:
  v: preAuthRef
short:
  v: R4: Preauthorization reference (new)
definition:
  v: R4: `CoverageEligibilityResponse.preAuthRef` (new:string)
comment:
  v: Element `CoverageEligibilityResponse.preAuthRef` has a context of EligibilityResponse based on following the parent source element upwards and mapping to `EligibilityResponse`. Element `CoverageEligibilityResponse.preAuthRef` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).
min:
  v: 0
max:
  v: 1
base:
  path:
    v: DomainResource.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
  profile:
    v: http://hl7.org/fhir/4.0/StructureDefinition/extension-CoverageEligibilityResponse.preAuthRef|0.1.0
    l: http://hl7.org/fhir/4.0/StructureDefinition/extension-CoverageEligibilityResponse.preAuthRef
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() | (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: false

id:
  v: EligibilityResponse.modifierExtension
path:
  v: EligibilityResponse.modifierExtension
short:
  v: Extensions that cannot be ignored
definition:
  v: May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. 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. Applications processing a resource are required to check for modifier extensions.
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: DomainResource.modifierExtension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
is modifier:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: EligibilityResponse.identifier
path:
  v: EligibilityResponse.identifier
short:
  v: Business Identifier
definition:
  v: The Response business identifier.
min:
  v: 0
max:
  v: *
base:
  path:
    v: EligibilityResponse.identifier
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Identifier
    l: Identifier
mapping:
  identity:
    v: workflow
  map:
    v: Event.identifier
mapping:
  identity:
    v: w5
  map:
    v: id

id:
  v: EligibilityResponse.status
path:
  v: EligibilityResponse.status
short:
  v: active | cancelled | draft | entered-in-error
definition:
  v: The status of the resource instance.
comment:
  v: This element is labeled as a modifier because the status contains codes that mark the response as not currently valid.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EligibilityResponse.status
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: code
    l: code
is modifier:
  v: true
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: EligibilityResponseStatus
  strength:
    v: required
  description:
    v: A code specifying the state of the resource instance.
  value set: Reference
    l: 3.0
    l: .2
    reference:
      v: http://hl7.org/fhir/ValueSet/fm-status|3.0.2
mapping:
  identity:
    v: workflow
  map:
    v: Event.status
mapping:
  identity:
    v: w5
  map:
    v: status

id:
  v: EligibilityResponse.created
path:
  v: EligibilityResponse.created
short:
  v: Creation date
definition:
  v: The date when the enclosed suite of services were performed or completed.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EligibilityResponse.created
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: dateTime
    l: dateTime
mapping:
  identity:
    v: w5
  map:
    v: when.recorded

id:
  v: EligibilityResponse.requestProvider
path:
  v: EligibilityResponse.requestProvider
short:
  v: Responsible practitioner
definition:
  v: The practitioner who is responsible for the services rendered to the patient.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EligibilityResponse.requestProvider
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Practitioner
    l: Practitioner
mapping:
  identity:
    v: cdanetv4
  map:
    v: B01
mapping:
  identity:
    v: w5
  map:
    v: who.source

id:
  v: EligibilityResponse.requestOrganization
path:
  v: EligibilityResponse.requestOrganization
short:
  v: Responsible organization
definition:
  v: The organization which is responsible for the services rendered to the patient.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EligibilityResponse.requestOrganization
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Organization
    l: Organization
mapping:
  identity:
    v: workflow
  map:
    v: Event.performer.onBehalfOf
mapping:
  identity:
    v: w5
  map:
    v: who.source

id:
  v: EligibilityResponse.request
path:
  v: EligibilityResponse.request
short:
  v: Eligibility reference
definition:
  v: Original request resource reference.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EligibilityResponse.request
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/EligibilityRequest
    l: EligibilityRequest
mapping:
  identity:
    v: workflow
  map:
    v: Event.basedOn
mapping:
  identity:
    v: cdanetv4
  map:
    v: A02|G01
mapping:
  identity:
    v: w5
  map:
    v: why

id:
  v: EligibilityResponse.outcome
path:
  v: EligibilityResponse.outcome
short:
  v: complete | error | partial
definition:
  v: Transaction status: error, complete.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EligibilityResponse.outcome
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: RemittanceOutcome
  strength:
    v: required
  description:
    v: The outcome of the processing.
  value set: Reference
    l: 3.0
    l: .2
    reference:
      v: http://hl7.org/fhir/ValueSet/remittance-outcome|3.0.2

id:
  v: EligibilityResponse.outcome.id
path:
  v: EligibilityResponse.outcome.id
representation:
  v: xmlAttr
short:
  v: xml:id (or equivalent in JSON)
definition:
  v: unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: EligibilityResponse.outcome.extension
path:
  v: EligibilityResponse.outcome.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  ordered:
    v: false
  rules:
    v: open
short:
  v: Extension
definition:
  v: An Extension
min:
  v: 1
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension

id:
  v: EligibilityResponse.outcome.extension:outcome
path:
  v: EligibilityResponse.outcome.extension
slice name:
  v: outcome
short:
  v: R4: queued | complete | error | partial
definition:
  v: R4: `CoverageEligibilityResponse.outcome`
comment:
  v: Element `CoverageEligibilityResponse.outcome` is mapped to FHIR STU3 element `EligibilityResponse.outcome` as `RelatedTo`. The resource may be used to indicate that: the request has been held (queued) for processing; that it has been processed and errors found (error); that no errors were found and that some of the adjudication has been undertaken (partial) or that all of the adjudication has been undertaken (complete).
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
  profile:
    v: http://hl7.org/fhir/4.0/StructureDefinition/extension-CoverageEligibilityResponse.outcome|0.1.0
    l: http://hl7.org/fhir/4.0/StructureDefinition/extension-CoverageEligibilityResponse.outcome

id:
  v: EligibilityResponse.outcome.coding
path:
  v: EligibilityResponse.outcome.coding
short:
  v: Code defined by a terminology system
definition:
  v: A reference to a code defined by a terminology system.
comment:
  v: Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
requirements:
  v: Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings.
min:
  v: 0
max:
  v: *
base:
  path:
    v: CodeableConcept.coding
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Coding
    l: Coding
is summary:
  v: true
mapping:
  identity:
    v: v2
  map:
    v: C*E.1-8, C*E.10-22
mapping:
  identity:
    v: rim
  map:
    v: union(., ./translation)
mapping:
  identity:
    v: orim
  map:
    v: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding

id:
  v: EligibilityResponse.outcome.text
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable
    l: elementdefinition-translatable
  value: Boolean
    v: true
path:
  v: EligibilityResponse.outcome.text
short:
  v: Plain text representation of the concept
definition:
  v: A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.
comment:
  v: Very often the text is the same as a displayName of one of the codings.
requirements:
  v: The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: CodeableConcept.text
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
is summary:
  v: true
mapping:
  identity:
    v: v2
  map:
    v: C*E.9. But note many systems use C*E.2 for this
mapping:
  identity:
    v: rim
  map:
    v: ./originalText[mediaType/code="text/plain"]/data
mapping:
  identity:
    v: orim
  map:
    v: fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText

id:
  v: EligibilityResponse.disposition
path:
  v: EligibilityResponse.disposition
short:
  v: Disposition Message
definition:
  v: A description of the status of the adjudication.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EligibilityResponse.disposition
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
mapping:
  identity:
    v: workflow
  map:
    v: Event.note

id:
  v: EligibilityResponse.insurer
path:
  v: EligibilityResponse.insurer
short:
  v: Insurer issuing the coverage
definition:
  v: The Insurer who produced this adjudicated response.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EligibilityResponse.insurer
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Organization
    l: Organization

id:
  v: EligibilityResponse.inforce
path:
  v: EligibilityResponse.inforce
short:
  v: Coverage inforce indicator
definition:
  v: Flag indicating if the coverage provided is inforce currently if no service date(s) specified or for the whole duration of the service dates.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EligibilityResponse.inforce
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: boolean
    l: boolean

id:
  v: EligibilityResponse.insurance
path:
  v: EligibilityResponse.insurance
short:
  v: Details by insurance coverage
definition:
  v: The insurer may provide both the details for the requested coverage as well as details for additional coverages known to the insurer.
min:
  v: 0
max:
  v: *
base:
  path:
    v: EligibilityResponse.insurance
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: BackboneElement
    l: BackboneElement
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() | (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element

id:
  v: EligibilityResponse.insurance.id
path:
  v: EligibilityResponse.insurance.id
representation:
  v: xmlAttr
short:
  v: xml:id (or equivalent in JSON)
definition:
  v: unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: EligibilityResponse.insurance.extension
path:
  v: EligibilityResponse.insurance.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  ordered:
    v: false
  rules:
    v: open
short:
  v: Extension
definition:
  v: An Extension
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension

id:
  v: EligibilityResponse.insurance.extension:benefitPeriod
path:
  v: EligibilityResponse.insurance.extension
slice name:
  v: benefitPeriod
short:
  v: R4: When the benefits are applicable (new)
definition:
  v: R4: `CoverageEligibilityResponse.insurance.benefitPeriod` (new:Period)
comment:
  v: Element `CoverageEligibilityResponse.insurance.benefitPeriod` has a context of EligibilityResponse.insurance based on following the parent source element upwards and mapping to `EligibilityResponse`. Element `CoverageEligibilityResponse.insurance.benefitPeriod` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
  profile:
    v: http://hl7.org/fhir/4.0/StructureDefinition/extension-CoverageEligibilityResponse.insurance.benefitPeriod|0.1.0
    l: http://hl7.org/fhir/4.0/StructureDefinition/extension-CoverageEligibilityResponse.insurance.benefitPeriod
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() | (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: false

id:
  v: EligibilityResponse.insurance.modifierExtension
path:
  v: EligibilityResponse.insurance.modifierExtension
short:
  v: Extensions that cannot be ignored
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. 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. Applications processing a resource are required to check for modifier extensions.
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
  v: extensions
alias:
  v: user content
alias:
  v: modifiers
min:
  v: 0
max:
  v: *
base:
  path:
    v: BackboneElement.modifierExtension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
is modifier:
  v: true
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: EligibilityResponse.insurance.coverage
path:
  v: EligibilityResponse.insurance.coverage
short:
  v: Updated Coverage details
definition:
  v: A suite of updated or additional Coverages from the Insurer.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EligibilityResponse.insurance.coverage
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Coverage
    l: Coverage

id:
  v: EligibilityResponse.insurance.contract
path:
  v: EligibilityResponse.insurance.contract
short:
  v: Contract details
definition:
  v: The contract resource which may provide more detailed information.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EligibilityResponse.insurance.contract
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Contract
    l: Contract

id:
  v: EligibilityResponse.insurance.benefitBalance
path:
  v: EligibilityResponse.insurance.benefitBalance
short:
  v: Benefits by Category
definition:
  v: Benefits and optionally current balances by Category.
min:
  v: 0
max:
  v: *
base:
  path:
    v: EligibilityResponse.insurance.benefitBalance
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: BackboneElement
    l: BackboneElement
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() | (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element

id:
  v: EligibilityResponse.insurance.benefitBalance.id
path:
  v: EligibilityResponse.insurance.benefitBalance.id
representation:
  v: xmlAttr
short:
  v: xml:id (or equivalent in JSON)
definition:
  v: unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: EligibilityResponse.insurance.benefitBalance.extension
path:
  v: EligibilityResponse.insurance.benefitBalance.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  ordered:
    v: false
  rules:
    v: open
short:
  v: Extension
definition:
  v: An Extension
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension

id:
  v: EligibilityResponse.insurance.benefitBalance.extension:modifier
path:
  v: EligibilityResponse.insurance.benefitBalance.extension
slice name:
  v: modifier
short:
  v: R4: Product or service billing modifiers (new)
definition:
  v: R4: `CoverageEligibilityResponse.insurance.item.modifier` (new:CodeableConcept)
comment:
  v: Element `CoverageEligibilityResponse.insurance.item.modifier` has a context of EligibilityResponse.insurance.benefitBalance based on following the parent source element upwards and mapping to `EligibilityResponse`. Element `CoverageEligibilityResponse.insurance.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.
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
  profile:
    v: http://hl7.org/fhir/4.0/StructureDefinition/extension-CoverageEligibilityResponse.insurance.item.modifier|0.1.0
    l: http://hl7.org/fhir/4.0/StructureDefinition/extension-CoverageEligibilityResponse.insurance.item.modifier
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() | (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: false

id:
  v: EligibilityResponse.insurance.benefitBalance.extension:provider
path:
  v: EligibilityResponse.insurance.benefitBalance.extension
slice name:
  v: provider
short:
  v: R4: Performing practitioner (new)
definition:
  v: R4: `CoverageEligibilityResponse.insurance.item.provider` (new:Reference(Practitioner,PractitionerRole))
comment:
  v: Element `CoverageEligibilityResponse.insurance.item.provider` has a context of EligibilityResponse.insurance.benefitBalance based on following the parent source element upwards and mapping to `EligibilityResponse`. Element `CoverageEligibilityResponse.insurance.item.provider` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).
min:
  v: 0
max:
  v: 1
base:
  path:
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  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
  profile:
    v: http://hl7.org/fhir/4.0/StructureDefinition/extension-CoverageEligibilityResponse.insurance.item.provider|0.1.0
    l: http://hl7.org/fhir/4.0/StructureDefinition/extension-CoverageEligibilityResponse.insurance.item.provider
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() | (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: false

id:
  v: EligibilityResponse.insurance.benefitBalance.extension:authorizationRequired
path:
  v: EligibilityResponse.insurance.benefitBalance.extension
slice name:
  v: authorizationRequired
short:
  v: R4: Authorization required flag (new)
definition:
  v: R4: `CoverageEligibilityResponse.insurance.item.authorizationRequired` (new:boolean)
comment:
  v: Element `CoverageEligibilityResponse.insurance.item.authorizationRequired` has a context of EligibilityResponse.insurance.benefitBalance based on following the parent source element upwards and mapping to `EligibilityResponse`. Element `CoverageEligibilityResponse.insurance.item.authorizationRequired` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).
min:
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  v: 1
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  min:
    v: 0
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    v: Extension
    l: Extension
  profile:
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    l: http://hl7.org/fhir/4.0/StructureDefinition/extension-CoverageEligibilityResponse.insurance.item.authorizationRequired
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() | (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
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    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: false

id:
  v: EligibilityResponse.insurance.benefitBalance.extension:authorizationSupporting
path:
  v: EligibilityResponse.insurance.benefitBalance.extension
slice name:
  v: authorizationSupporting
short:
  v: R4: Type of required supporting materials (new)
definition:
  v: R4: `CoverageEligibilityResponse.insurance.item.authorizationSupporting` (new:CodeableConcept)
comment:
  v: Element `CoverageEligibilityResponse.insurance.item.authorizationSupporting` has a context of EligibilityResponse.insurance.benefitBalance based on following the parent source element upwards and mapping to `EligibilityResponse`. Element `CoverageEligibilityResponse.insurance.item.authorizationSupporting` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).
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    l: Extension
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    l: http://hl7.org/fhir/4.0/StructureDefinition/extension-CoverageEligibilityResponse.insurance.item.authorizationSupporting
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() | (children().count() > id.count())
  xpath:
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  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
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constraint:
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    v: ext-1
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    v: error
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    v: Must have either extensions or value[x], not both
  expression:
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  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: false

id:
  v: EligibilityResponse.insurance.benefitBalance.extension:authorizationUrl
path:
  v: EligibilityResponse.insurance.benefitBalance.extension
slice name:
  v: authorizationUrl
short:
  v: R4: Preauthorization requirements endpoint (new)
definition:
  v: R4: `CoverageEligibilityResponse.insurance.item.authorizationUrl` (new:uri)
comment:
  v: Element `CoverageEligibilityResponse.insurance.item.authorizationUrl` has a context of EligibilityResponse.insurance.benefitBalance based on following the parent source element upwards and mapping to `EligibilityResponse`. Element `CoverageEligibilityResponse.insurance.item.authorizationUrl` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).
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    l: http://hl7.org/fhir/4.0/StructureDefinition/extension-CoverageEligibilityResponse.insurance.item.authorizationUrl
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() | (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
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  key:
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    v: error
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    v: Must have either extensions or value[x], not both
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  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: false

id:
  v: EligibilityResponse.insurance.benefitBalance.modifierExtension
path:
  v: EligibilityResponse.insurance.benefitBalance.modifierExtension
short:
  v: Extensions that cannot be ignored
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. 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. Applications processing a resource are required to check for modifier extensions.
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
  v: extensions
alias:
  v: user content
alias:
  v: modifiers
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  v: 0
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  v: *
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  path:
    v: BackboneElement.modifierExtension
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    v: *
type:
  code:
    v: Extension
    l: Extension
is modifier:
  v: true
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: EligibilityResponse.insurance.benefitBalance.category
path:
  v: EligibilityResponse.insurance.benefitBalance.category
short:
  v: Type of services covered
definition:
  v: Dental, Vision, Medical, Pharmacy, Rehab etc.
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  v: 1
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  path:
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type:
  code:
    v: CodeableConcept
    l: CodeableConcept
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: BenefitCategory
  strength:
    v: example
  description:
    v: Benefit categories such as: oral, medical, vision etc.
  value set: Reference
    l: 3.0
    l: .2
    reference:
      v: http://hl7.org/fhir/ValueSet/benefit-category|3.0.2

id:
  v: EligibilityResponse.insurance.benefitBalance.subCategory
path:
  v: EligibilityResponse.insurance.benefitBalance.subCategory
short:
  v: Detailed services covered within the type
definition:
  v: Dental: basic, major, ortho; Vision exam, glasses, contacts; etc.
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  v: 0
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  code:
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  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: BenefitSubCategory
  strength:
    v: example
  description:
    v: Benefit subcategories such as: oral-basic, major, glasses
  value set: Reference
    l: 3.0
    l: .2
    reference:
      v: http://hl7.org/fhir/ValueSet/benefit-subcategory|3.0.2

id:
  v: EligibilityResponse.insurance.benefitBalance.excluded
path:
  v: EligibilityResponse.insurance.benefitBalance.excluded
short:
  v: Excluded from the plan
definition:
  v: True if the indicated class of service is excluded from the plan, missing or False indicated the service is included in the coverage.
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  v: 0
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  v: 1
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type:
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    v: boolean
    l: boolean

id:
  v: EligibilityResponse.insurance.benefitBalance.name
path:
  v: EligibilityResponse.insurance.benefitBalance.name
short:
  v: Short name for the benefit
definition:
  v: A short name or tag for the benefit, for example MED01, or DENT2.
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  v: 0
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  v: 1
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  path:
    v: EligibilityResponse.insurance.benefitBalance.name
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type:
  code:
    v: string
    l: string

id:
  v: EligibilityResponse.insurance.benefitBalance.description
path:
  v: EligibilityResponse.insurance.benefitBalance.description
short:
  v: Description of the benefit or services covered
definition:
  v: A richer description of the benefit, for example 'DENT2 covers 100% of basic, 50% of major but exclused Ortho, Implants and Costmetic services'.
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  v: 0
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  v: 1
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    v: string
    l: string

id:
  v: EligibilityResponse.insurance.benefitBalance.network
path:
  v: EligibilityResponse.insurance.benefitBalance.network
short:
  v: In or out of network
definition:
  v: Network designation.
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  v: 0
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    v: EligibilityResponse.insurance.benefitBalance.network
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    v: 0
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type:
  code:
    v: CodeableConcept
    l: CodeableConcept
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: BenefitNetwork
  strength:
    v: example
  description:
    v: Code to classify in or out of network services
  value set: Reference
    l: 3.0
    l: .2
    reference:
      v: http://hl7.org/fhir/ValueSet/benefit-network|3.0.2

id:
  v: EligibilityResponse.insurance.benefitBalance.unit
path:
  v: EligibilityResponse.insurance.benefitBalance.unit
short:
  v: Individual or family
definition:
  v: Unit designation: individual or family.
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  v: 0
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  v: 1
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  code:
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    l: CodeableConcept
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: BenefitUnit
  strength:
    v: example
  description:
    v: Unit covered/serviced - individual or family
  value set: Reference
    l: 3.0
    l: .2
    reference:
      v: http://hl7.org/fhir/ValueSet/benefit-unit|3.0.2

id:
  v: EligibilityResponse.insurance.benefitBalance.term
path:
  v: EligibilityResponse.insurance.benefitBalance.term
short:
  v: Annual or lifetime
definition:
  v: The term or period of the values such as 'maximum lifetime benefit' or 'maximum annual vistis'.
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  v: 0
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  v: 1
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  path:
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    v: 1
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: BenefitTerm
  strength:
    v: example
  description:
    v: Coverage unit - annual, lifetime
  value set: Reference
    l: 3.0
    l: .2
    reference:
      v: http://hl7.org/fhir/ValueSet/benefit-term|3.0.2

id:
  v: EligibilityResponse.insurance.benefitBalance.financial
path:
  v: EligibilityResponse.insurance.benefitBalance.financial
short:
  v: Benefit Summary
definition:
  v: Benefits Used to date.
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type:
  code:
    v: BackboneElement
    l: BackboneElement
constraint:
  key:
    v: ele-1
  severity:
    v: error
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    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() | (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element

id:
  v: EligibilityResponse.insurance.benefitBalance.financial.id
path:
  v: EligibilityResponse.insurance.benefitBalance.financial.id
representation:
  v: xmlAttr
short:
  v: xml:id (or equivalent in JSON)
definition:
  v: unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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  v: 0
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  v: 1
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  path:
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type:
  code:
    v: string
    l: string
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: EligibilityResponse.insurance.benefitBalance.financial.extension
path:
  v: EligibilityResponse.insurance.benefitBalance.financial.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  ordered:
    v: false
  rules:
    v: open
short:
  v: Extension
definition:
  v: An Extension
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  v: 0
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  v: *
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  path:
    v: Element.extension
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id:
  v: EligibilityResponse.insurance.benefitBalance.financial.extension:used
path:
  v: EligibilityResponse.insurance.benefitBalance.financial.extension
slice name:
  v: used
short:
  v: R4: used additional types
definition:
  v: R4: `CoverageEligibilityResponse.insurance.item.benefit.used[x]` additional types (string)
comment:
  v: Element `CoverageEligibilityResponse.insurance.item.benefit.used[x]` is mapped to FHIR STU3 element `EligibilityResponse.insurance.benefitBalance.financial.used[x]` as `SourceIsBroaderThanTarget`. The mappings for `CoverageEligibilityResponse.insurance.item.benefit.used[x]` do not cover the following types: string. The target context `EligibilityResponse.insurance.benefitBalance.financial.used[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `EligibilityResponse.insurance.benefitBalance.financial`.
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    v: Extension
    l: Extension
  profile:
    v: http://hl7.org/fhir/4.0/StructureDefinition/extension-CoverageEligibilityResponse.insurance.item.benefit.used|0.1.0
    l: http://hl7.org/fhir/4.0/StructureDefinition/extension-CoverageEligibilityResponse.insurance.item.benefit.used
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
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    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() | (children().count() > id.count())
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    v: @value|f:*|h:div
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    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
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  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
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    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: false

id:
  v: EligibilityResponse.insurance.benefitBalance.financial.modifierExtension
path:
  v: EligibilityResponse.insurance.benefitBalance.financial.modifierExtension
short:
  v: Extensions that cannot be ignored
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. 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. Applications processing a resource are required to check for modifier extensions.
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
  v: extensions
alias:
  v: user content
alias:
  v: modifiers
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max:
  v: *
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  path:
    v: BackboneElement.modifierExtension
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    v: Extension
    l: Extension
is modifier:
  v: true
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: EligibilityResponse.insurance.benefitBalance.financial.type
path:
  v: EligibilityResponse.insurance.benefitBalance.financial.type
short:
  v: Deductable, visits, benefit amount
definition:
  v: Deductable, visits, benefit amount.
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binding:
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    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: BenefitType
  strength:
    v: example
  description:
    v: Deductable, visits, co-pay, etc.
  value set: Reference
    l: 3.0
    l: .2
    reference:
      v: http://hl7.org/fhir/ValueSet/benefit-type|3.0.2

id:
  v: EligibilityResponse.insurance.benefitBalance.financial.allowed[x]
path:
  v: EligibilityResponse.insurance.benefitBalance.financial.allowed[x]
short:
  v: Benefits allowed
definition:
  v: Benefits allowed.
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type:
  code:
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    l: unsignedInt
type:
  code:
    v: string
    l: string
type:
  code:
    v: Money
    l: Money

id:
  v: EligibilityResponse.insurance.benefitBalance.financial.used[x]
path:
  v: EligibilityResponse.insurance.benefitBalance.financial.used[x]
short:
  v: Benefits used
definition:
  v: Benefits used.
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    v: 0
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    v: 1
type:
  code:
    v: unsignedInt
    l: unsignedInt
type:
  code:
    v: Money
    l: Money

id:
  v: EligibilityResponse.form
path:
  v: EligibilityResponse.form
short:
  v: Printed Form Identifier
definition:
  v: The form to be used for printing the content.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EligibilityResponse.form
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: Forms
  strength:
    v: example
  description:
    v: The forms codes.
  value set: Reference
    l: 3.0
    l: .2
    reference:
      v: http://hl7.org/fhir/ValueSet/forms|3.0.2
mapping:
  identity:
    v: cdanetv4
  map:
    v: G42

id:
  v: EligibilityResponse.error
path:
  v: EligibilityResponse.error
short:
  v: Processing errors
definition:
  v: Mutually exclusive with Services Provided (Item).
min:
  v: 0
max:
  v: *
base:
  path:
    v: EligibilityResponse.error
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: BackboneElement
    l: BackboneElement
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() | (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element

id:
  v: EligibilityResponse.error.id
path:
  v: EligibilityResponse.error.id
representation:
  v: xmlAttr
short:
  v: xml:id (or equivalent in JSON)
definition:
  v: unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: EligibilityResponse.error.extension
path:
  v: EligibilityResponse.error.extension
short:
  v: Additional Content defined by implementations
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
  v: extensions
alias:
  v: user content
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    l: Extension
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: EligibilityResponse.error.modifierExtension
path:
  v: EligibilityResponse.error.modifierExtension
short:
  v: Extensions that cannot be ignored
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. 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. Applications processing a resource are required to check for modifier extensions.
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
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alias:
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is modifier:
  v: true
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: EligibilityResponse.error.code
path:
  v: EligibilityResponse.error.code
short:
  v: Error code detailing processing issues
definition:
  v: An error code,from a specified code system, which details why the eligibility check could not be performed.
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binding:
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    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: AdjudicationError
  strength:
    v: example
  description:
    v: The error codes for adjudication processing.
  value set: Reference
    l: 3.0
    l: .2
    reference:
      v: http://hl7.org/fhir/ValueSet/adjudication-error|3.0.2

element:
  id:
    v: EligibilityResponse
  path:
    v: EligibilityResponse
element:
  id:
    v: EligibilityResponse.extension
  path:
    v: EligibilityResponse.extension
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  id:
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  path:
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    v: purpose
  short:
    v: R4: auth-requirements | benefits | discovery | validation (new)
  definition:
    v: R4: `CoverageEligibilityResponse.purpose` (new:code)
  comment:
    v: Element `CoverageEligibilityResponse.purpose` has a context of EligibilityResponse based on following the parent source element upwards and mapping to `EligibilityResponse`. Element `CoverageEligibilityResponse.purpose` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).
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      l: http://hl7.org/fhir/4.0/StructureDefinition/extension-CoverageEligibilityResponse.purpose
element:
  id:
    v: EligibilityResponse.extension:patient
  path:
    v: EligibilityResponse.extension
  slice name:
    v: patient
  short:
    v: R4: Intended recipient of products and services (new)
  definition:
    v: R4: `CoverageEligibilityResponse.patient` (new:Reference(Patient))
  comment:
    v: Element `CoverageEligibilityResponse.patient` has a context of EligibilityResponse based on following the parent source element upwards and mapping to `EligibilityResponse`. Element `CoverageEligibilityResponse.patient` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).
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      l: http://hl7.org/fhir/4.0/StructureDefinition/extension-CoverageEligibilityResponse.patient
element:
  id:
    v: EligibilityResponse.extension:serviced
  path:
    v: EligibilityResponse.extension
  slice name:
    v: serviced
  short:
    v: R4: Estimated date or dates of service (new)
  definition:
    v: R4: `CoverageEligibilityResponse.serviced[x]` (new:date, Period)
  comment:
    v: Element `CoverageEligibilityResponse.serviced[x]` has a context of EligibilityResponse based on following the parent source element upwards and mapping to `EligibilityResponse`. Element `CoverageEligibilityResponse.serviced[x]` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).
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      l: http://hl7.org/fhir/4.0/StructureDefinition/extension-CoverageEligibilityResponse.serviced
element:
  id:
    v: EligibilityResponse.extension:requestor
  path:
    v: EligibilityResponse.extension
  slice name:
    v: requestor
  short:
    v: R4: Party responsible for the request
  definition:
    v: R4: `CoverageEligibilityResponse.requestor`
  comment:
    v: Element `CoverageEligibilityResponse.requestor` is mapped to FHIR STU3 element `EligibilityResponse.requestProvider` as `SourceIsBroaderThanTarget`. Element `CoverageEligibilityResponse.requestor` is mapped to FHIR STU3 element `EligibilityResponse.requestOrganization` as `SourceIsBroaderThanTarget`. The standard extension `alternate-reference` has been mapped as the representation of FHIR R4 element `CoverageEligibilityResponse.requestor` with unmapped reference targets: PractitionerRole. Typically this field would be 1..1 where this party is responsible for the claim but not necessarily professionally responsible for the provision of the individual products and services listed below.
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  type:
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      l: Extension
    profile:
      v: http://hl7.org/fhir/StructureDefinition/alternate-reference
      l: alternate-reference
element:
  id:
    v: EligibilityResponse.extension:preAuthRef
  path:
    v: EligibilityResponse.extension
  slice name:
    v: preAuthRef
  short:
    v: R4: Preauthorization reference (new)
  definition:
    v: R4: `CoverageEligibilityResponse.preAuthRef` (new:string)
  comment:
    v: Element `CoverageEligibilityResponse.preAuthRef` has a context of EligibilityResponse based on following the parent source element upwards and mapping to `EligibilityResponse`. Element `CoverageEligibilityResponse.preAuthRef` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).
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      l: http://hl7.org/fhir/4.0/StructureDefinition/extension-CoverageEligibilityResponse.preAuthRef
element:
  id:
    v: EligibilityResponse.outcome.extension
  path:
    v: EligibilityResponse.outcome.extension
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      type:
        v: value
      path:
        v: url
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element:
  id:
    v: EligibilityResponse.outcome.extension:outcome

v: EligibilityResponse.outcome.extension

v: outcome

v: R4: queued | complete | error | partial

v: R4: `CoverageEligibilityResponse.outcome`

v: Element `CoverageEligibilityResponse.outcome` is mapped to FHIR STU3 element `EligibilityResponse.outcome` as `RelatedTo`. The resource may be used to indicate that: the request has been held (queued) for processing; that it has been processed and errors found (error); that no errors were found and that some of the adjudication has been undertaken (partial) or that all of the adjudication has been undertaken (complete).

v: 1

v: 1

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code:
  v: Extension
  l: Extension
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  v: http://hl7.org/fhir/4.0/StructureDefinition/extension-CoverageEligibilityResponse.outcome|0.1.0
  l: http://hl7.org/fhir/4.0/StructureDefinition/extension-CoverageEligibilityResponse.outcome

id:
  v: EligibilityResponse.insurance.extension
path:
  v: EligibilityResponse.insurance.extension
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    type:
      v: value
    path:
      v: url
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    v: false
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    v: open
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  v: 0
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id:
  v: EligibilityResponse.insurance.extension:benefitPeriod
path:
  v: EligibilityResponse.insurance.extension
slice name:
  v: benefitPeriod
short:
  v: R4: When the benefits are applicable (new)
definition:
  v: R4: `CoverageEligibilityResponse.insurance.benefitPeriod` (new:Period)
comment:
  v: Element `CoverageEligibilityResponse.insurance.benefitPeriod` has a context of EligibilityResponse.insurance based on following the parent source element upwards and mapping to `EligibilityResponse`. Element `CoverageEligibilityResponse.insurance.benefitPeriod` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).
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    l: http://hl7.org/fhir/4.0/StructureDefinition/extension-CoverageEligibilityResponse.insurance.benefitPeriod

id:
  v: EligibilityResponse.insurance.benefitBalance.extension
path:
  v: EligibilityResponse.insurance.benefitBalance.extension
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    type:
      v: value
    path:
      v: url
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    v: false
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    v: open
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  v: 0
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id:
  v: EligibilityResponse.insurance.benefitBalance.extension:modifier
path:
  v: EligibilityResponse.insurance.benefitBalance.extension
slice name:
  v: modifier
short:
  v: R4: Product or service billing modifiers (new)
definition:
  v: R4: `CoverageEligibilityResponse.insurance.item.modifier` (new:CodeableConcept)
comment:
  v: Element `CoverageEligibilityResponse.insurance.item.modifier` has a context of EligibilityResponse.insurance.benefitBalance based on following the parent source element upwards and mapping to `EligibilityResponse`. Element `CoverageEligibilityResponse.insurance.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.
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    l: http://hl7.org/fhir/4.0/StructureDefinition/extension-CoverageEligibilityResponse.insurance.item.modifier

id:
  v: EligibilityResponse.insurance.benefitBalance.extension:provider
path:
  v: EligibilityResponse.insurance.benefitBalance.extension
slice name:
  v: provider
short:
  v: R4: Performing practitioner (new)
definition:
  v: R4: `CoverageEligibilityResponse.insurance.item.provider` (new:Reference(Practitioner,PractitionerRole))
comment:
  v: Element `CoverageEligibilityResponse.insurance.item.provider` has a context of EligibilityResponse.insurance.benefitBalance based on following the parent source element upwards and mapping to `EligibilityResponse`. Element `CoverageEligibilityResponse.insurance.item.provider` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).
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    l: http://hl7.org/fhir/4.0/StructureDefinition/extension-CoverageEligibilityResponse.insurance.item.provider

id:
  v: EligibilityResponse.insurance.benefitBalance.extension:authorizationRequired
path:
  v: EligibilityResponse.insurance.benefitBalance.extension
slice name:
  v: authorizationRequired
short:
  v: R4: Authorization required flag (new)
definition:
  v: R4: `CoverageEligibilityResponse.insurance.item.authorizationRequired` (new:boolean)
comment:
  v: Element `CoverageEligibilityResponse.insurance.item.authorizationRequired` has a context of EligibilityResponse.insurance.benefitBalance based on following the parent source element upwards and mapping to `EligibilityResponse`. Element `CoverageEligibilityResponse.insurance.item.authorizationRequired` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).
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    l: http://hl7.org/fhir/4.0/StructureDefinition/extension-CoverageEligibilityResponse.insurance.item.authorizationRequired

id:
  v: EligibilityResponse.insurance.benefitBalance.extension:authorizationSupporting
path:
  v: EligibilityResponse.insurance.benefitBalance.extension
slice name:
  v: authorizationSupporting
short:
  v: R4: Type of required supporting materials (new)
definition:
  v: R4: `CoverageEligibilityResponse.insurance.item.authorizationSupporting` (new:CodeableConcept)
comment:
  v: Element `CoverageEligibilityResponse.insurance.item.authorizationSupporting` has a context of EligibilityResponse.insurance.benefitBalance based on following the parent source element upwards and mapping to `EligibilityResponse`. Element `CoverageEligibilityResponse.insurance.item.authorizationSupporting` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).
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id:
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  v: EligibilityResponse.insurance.benefitBalance.extension
slice name:
  v: authorizationUrl
short:
  v: R4: Preauthorization requirements endpoint (new)
definition:
  v: R4: `CoverageEligibilityResponse.insurance.item.authorizationUrl` (new:uri)
comment:
  v: Element `CoverageEligibilityResponse.insurance.item.authorizationUrl` has a context of EligibilityResponse.insurance.benefitBalance based on following the parent source element upwards and mapping to `EligibilityResponse`. Element `CoverageEligibilityResponse.insurance.item.authorizationUrl` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).
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    type:
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id:
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path:
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  v: used
short:
  v: R4: used additional types
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  v: R4: `CoverageEligibilityResponse.insurance.item.benefit.used[x]` additional types (string)
comment:
  v: Element `CoverageEligibilityResponse.insurance.item.benefit.used[x]` is mapped to FHIR STU3 element `EligibilityResponse.insurance.benefitBalance.financial.used[x]` as `SourceIsBroaderThanTarget`. The mappings for `CoverageEligibilityResponse.insurance.item.benefit.used[x]` do not cover the following types: string. The target context `EligibilityResponse.insurance.benefitBalance.financial.used[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `EligibilityResponse.insurance.benefitBalance.financial`.
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