Extensions for Using Data Elements from FHIR R4 in FHIR R4B - Downloaded Version null See the Directory of published versions

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Resource Profile: Profile_R4_CoverageEligibilityRequest_R4B

This cross-version profile allows R4 CoverageEligibilityRequest content to be represented via FHIR R4B CoverageEligibilityRequest resources.

Usages:

• This Profile is not used by any profiles in this Implementation Guide

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

• Key Elements Table
• Differential Table
• Snapshot Table
• Statistics/References
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Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
CoverageEligibilityRequest		0..*	CoverageEligibilityRequest(4.3.0)	CoverageEligibilityRequest resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored Constraints: ext-1
status	?!Σ	1..1	code	active | cancelled | draft | entered-in-error Binding: FinancialResourceStatusCodes (required): A code specifying the state of the resource instance.
purpose	Σ	1..*	code	auth-requirements | benefits | discovery | validation Binding: EligibilityRequestPurpose (required): A code specifying the types of information being requested.
patient	Σ	1..1	Reference(Patient)	Intended recipient of products and services
created	Σ	1..1	dateTime	Creation date
insurer	Σ	1..1	Reference(Organization)	Coverage issuer
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
CoverageEligibilityRequest.​status	Base	required	Financial Resource Status Codes	📍4.3.0	FHIR Std.
CoverageEligibilityRequest.​purpose	Base	required	EligibilityRequestPurpose	📍4.3.0	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	CoverageEligibilityRequest	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	CoverageEligibilityRequest	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where(((id.exists() and ('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url)))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(uri) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	CoverageEligibilityRequest	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	CoverageEligibilityRequest	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	CoverageEligibilityRequest	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	CoverageEligibilityRequest.implicitRules, CoverageEligibilityRequest.modifierExtension, CoverageEligibilityRequest.status, CoverageEligibilityRequest.purpose, CoverageEligibilityRequest.patient, CoverageEligibilityRequest.created, CoverageEligibilityRequest.insurer	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	CoverageEligibilityRequest.modifierExtension	Must have either extensions or value[x], not both	extension.exists() != value.exists()

This structure is derived from CoverageEligibilityRequest

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
CoverageEligibilityRequest		0..*	CoverageEligibilityRequest(4.3.0)	CoverageEligibilityRequest resource
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
CoverageEligibilityRequest		0..*	CoverageEligibilityRequest(4.3.0)	CoverageEligibilityRequest resource
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): IETF language tag Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources Constraints: dom-r4b
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored Constraints: ext-1
identifier		0..*	Identifier	Business Identifier for coverage eligiblity request
status	?!Σ	1..1	code	active | cancelled | draft | entered-in-error Binding: FinancialResourceStatusCodes (required): A code specifying the state of the resource instance.
priority		0..1	CodeableConcept	Desired processing priority Binding: ProcessPriorityCodes (example): The timeliness with which processing is required: STAT, normal, Deferred.
purpose	Σ	1..*	code	auth-requirements | benefits | discovery | validation Binding: EligibilityRequestPurpose (required): A code specifying the types of information being requested.
patient	Σ	1..1	Reference(Patient)	Intended recipient of products and services
serviced[x]		0..1		Estimated date or dates of service
servicedDate			date
servicedPeriod			Period
created	Σ	1..1	dateTime	Creation date
enterer		0..1	Reference(Practitioner | PractitionerRole)	Author
provider		0..1	Reference(Practitioner | PractitionerRole | Organization)	Party responsible for the request
insurer	Σ	1..1	Reference(Organization)	Coverage issuer
facility		0..1	Reference(Location)	Servicing facility
supportingInfo		0..*	BackboneElement	Supporting information
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
sequence		1..1	positiveInt	Information instance identifier
information		1..1	Reference(Resource)	Data to be provided
appliesToAll		0..1	boolean	Applies to all items
insurance		0..*	BackboneElement	Patient insurance information
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
focal		0..1	boolean	Applicable coverage
coverage		1..1	Reference(Coverage)	Insurance information
businessArrangement		0..1	string	Additional provider contract number
item		0..*	BackboneElement	Item to be evaluated for eligibiity
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
supportingInfoSequence		0..*	positiveInt	Applicable exception or supporting information
category		0..1	CodeableConcept	Benefit classification Binding: BenefitCategoryCodes (example): Benefit categories such as: oral, medical, vision etc.
productOrService		0..1	CodeableConcept	Billing, service, product, or drug code Binding: USCLSCodes (example): Allowable service and product codes.
modifier		0..*	CodeableConcept	Product or service billing modifiers Binding: ModifierTypeCodes (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.
provider		0..1	Reference(Practitioner | PractitionerRole)	Perfoming practitioner
quantity		0..1	SimpleQuantity(4.3.0)	Count of products or services
unitPrice		0..1	Money	Fee, charge or cost per item
facility		0..1	Reference(Location | Organization)	Servicing facility
diagnosis		0..*	BackboneElement	Applicable diagnosis
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
diagnosis[x]		0..1		Nature of illness or problem Binding: ICD-10Codes (example): ICD10 Diagnostic codes.
diagnosisCodeableConcept			CodeableConcept
diagnosisReference			Reference(Condition)
detail		0..*	Reference(Resource)	Product or service details
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
CoverageEligibilityRequest.​language	Base	preferred	Common Languages	📍4.3.0	FHIR Std.
CoverageEligibilityRequest.​status	Base	required	Financial Resource Status Codes	📍4.3.0	FHIR Std.
CoverageEligibilityRequest.​priority	Base	example	Process Priority Codes	📍4.3.0	FHIR Std.
CoverageEligibilityRequest.​purpose	Base	required	EligibilityRequestPurpose	📍4.3.0	FHIR Std.
CoverageEligibilityRequest.​item.category	Base	example	Benefit Category Codes	📍4.3.0	FHIR Std.
CoverageEligibilityRequest.​item.productOrService	Base	example	USCLS Codes	📍4.3.0	FHIR Std.
CoverageEligibilityRequest.​item.modifier	Base	example	Modifier type Codes	📍4.3.0	FHIR Std.
CoverageEligibilityRequest.​item.diagnosis.diagnosis[x]	Base	example	ICD-10 Codes	📍4.3.0	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	CoverageEligibilityRequest	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	CoverageEligibilityRequest	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where(((id.exists() and ('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url)))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(uri) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	CoverageEligibilityRequest	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	CoverageEligibilityRequest	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	CoverageEligibilityRequest	A resource should have narrative for robust management	text.`div`.exists()
dom-r4b	warning	CoverageEligibilityRequest.contained	Containing new R4B resources within R4 resources may cause interoperability issues if instances are shared with R4 systems	($this is Citation or $this is Evidence or $this is EvidenceReport or $this is EvidenceVariable or $this is MedicinalProductDefinition or $this is PackagedProductDefinition or $this is AdministrableProductDefinition or $this is Ingredient or $this is ClinicalUseDefinition or $this is RegulatedAuthorization or $this is SubstanceDefinition or $this is SubscriptionStatus or $this is SubscriptionTopic) implies (%resource is Citation or %resource is Evidence or %resource is EvidenceReport or %resource is EvidenceVariable or %resource is MedicinalProductDefinition or %resource is PackagedProductDefinition or %resource is AdministrableProductDefinition or %resource is Ingredient or %resource is ClinicalUseDefinition or %resource is RegulatedAuthorization or %resource is SubstanceDefinition or %resource is SubscriptionStatus or %resource is SubscriptionTopic)
ele-1	error	CoverageEligibilityRequest.meta, CoverageEligibilityRequest.implicitRules, CoverageEligibilityRequest.language, CoverageEligibilityRequest.text, CoverageEligibilityRequest.extension, CoverageEligibilityRequest.modifierExtension, CoverageEligibilityRequest.identifier, CoverageEligibilityRequest.status, CoverageEligibilityRequest.priority, CoverageEligibilityRequest.purpose, CoverageEligibilityRequest.patient, CoverageEligibilityRequest.serviced[x], CoverageEligibilityRequest.created, CoverageEligibilityRequest.enterer, CoverageEligibilityRequest.provider, CoverageEligibilityRequest.insurer, CoverageEligibilityRequest.facility, CoverageEligibilityRequest.supportingInfo, CoverageEligibilityRequest.supportingInfo.extension, CoverageEligibilityRequest.supportingInfo.modifierExtension, CoverageEligibilityRequest.supportingInfo.sequence, CoverageEligibilityRequest.supportingInfo.information, CoverageEligibilityRequest.supportingInfo.appliesToAll, CoverageEligibilityRequest.insurance, CoverageEligibilityRequest.insurance.extension, CoverageEligibilityRequest.insurance.modifierExtension, CoverageEligibilityRequest.insurance.focal, CoverageEligibilityRequest.insurance.coverage, CoverageEligibilityRequest.insurance.businessArrangement, CoverageEligibilityRequest.item, CoverageEligibilityRequest.item.extension, CoverageEligibilityRequest.item.modifierExtension, CoverageEligibilityRequest.item.supportingInfoSequence, CoverageEligibilityRequest.item.category, CoverageEligibilityRequest.item.productOrService, CoverageEligibilityRequest.item.modifier, CoverageEligibilityRequest.item.provider, CoverageEligibilityRequest.item.quantity, CoverageEligibilityRequest.item.unitPrice, CoverageEligibilityRequest.item.facility, CoverageEligibilityRequest.item.diagnosis, CoverageEligibilityRequest.item.diagnosis.extension, CoverageEligibilityRequest.item.diagnosis.modifierExtension, CoverageEligibilityRequest.item.diagnosis.diagnosis[x], CoverageEligibilityRequest.item.detail	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	CoverageEligibilityRequest.extension, CoverageEligibilityRequest.modifierExtension, CoverageEligibilityRequest.supportingInfo.extension, CoverageEligibilityRequest.supportingInfo.modifierExtension, CoverageEligibilityRequest.insurance.extension, CoverageEligibilityRequest.insurance.modifierExtension, CoverageEligibilityRequest.item.extension, CoverageEligibilityRequest.item.modifierExtension, CoverageEligibilityRequest.item.diagnosis.extension, CoverageEligibilityRequest.item.diagnosis.modifierExtension	Must have either extensions or value[x], not both	extension.exists() != value.exists()

This structure is derived from CoverageEligibilityRequest

Summary

Maturity: 0

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
CoverageEligibilityRequest		0..*	CoverageEligibilityRequest(4.3.0)	CoverageEligibilityRequest resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored Constraints: ext-1
status	?!Σ	1..1	code	active | cancelled | draft | entered-in-error Binding: FinancialResourceStatusCodes (required): A code specifying the state of the resource instance.
purpose	Σ	1..*	code	auth-requirements | benefits | discovery | validation Binding: EligibilityRequestPurpose (required): A code specifying the types of information being requested.
patient	Σ	1..1	Reference(Patient)	Intended recipient of products and services
created	Σ	1..1	dateTime	Creation date
insurer	Σ	1..1	Reference(Organization)	Coverage issuer
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
CoverageEligibilityRequest.​status	Base	required	Financial Resource Status Codes	📍4.3.0	FHIR Std.
CoverageEligibilityRequest.​purpose	Base	required	EligibilityRequestPurpose	📍4.3.0	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	CoverageEligibilityRequest	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	CoverageEligibilityRequest	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where(((id.exists() and ('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url)))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(uri) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	CoverageEligibilityRequest	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	CoverageEligibilityRequest	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	CoverageEligibilityRequest	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	CoverageEligibilityRequest.implicitRules, CoverageEligibilityRequest.modifierExtension, CoverageEligibilityRequest.status, CoverageEligibilityRequest.purpose, CoverageEligibilityRequest.patient, CoverageEligibilityRequest.created, CoverageEligibilityRequest.insurer	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	CoverageEligibilityRequest.modifierExtension	Must have either extensions or value[x], not both	extension.exists() != value.exists()

Differential View

This structure is derived from CoverageEligibilityRequest

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
CoverageEligibilityRequest		0..*	CoverageEligibilityRequest(4.3.0)	CoverageEligibilityRequest resource
Documentation for this format

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
CoverageEligibilityRequest		0..*	CoverageEligibilityRequest(4.3.0)	CoverageEligibilityRequest resource
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): IETF language tag Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources Constraints: dom-r4b
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored Constraints: ext-1
identifier		0..*	Identifier	Business Identifier for coverage eligiblity request
status	?!Σ	1..1	code	active | cancelled | draft | entered-in-error Binding: FinancialResourceStatusCodes (required): A code specifying the state of the resource instance.
priority		0..1	CodeableConcept	Desired processing priority Binding: ProcessPriorityCodes (example): The timeliness with which processing is required: STAT, normal, Deferred.
purpose	Σ	1..*	code	auth-requirements | benefits | discovery | validation Binding: EligibilityRequestPurpose (required): A code specifying the types of information being requested.
patient	Σ	1..1	Reference(Patient)	Intended recipient of products and services
serviced[x]		0..1		Estimated date or dates of service
servicedDate			date
servicedPeriod			Period
created	Σ	1..1	dateTime	Creation date
enterer		0..1	Reference(Practitioner | PractitionerRole)	Author
provider		0..1	Reference(Practitioner | PractitionerRole | Organization)	Party responsible for the request
insurer	Σ	1..1	Reference(Organization)	Coverage issuer
facility		0..1	Reference(Location)	Servicing facility
supportingInfo		0..*	BackboneElement	Supporting information
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
sequence		1..1	positiveInt	Information instance identifier
information		1..1	Reference(Resource)	Data to be provided
appliesToAll		0..1	boolean	Applies to all items
insurance		0..*	BackboneElement	Patient insurance information
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
focal		0..1	boolean	Applicable coverage
coverage		1..1	Reference(Coverage)	Insurance information
businessArrangement		0..1	string	Additional provider contract number
item		0..*	BackboneElement	Item to be evaluated for eligibiity
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
supportingInfoSequence		0..*	positiveInt	Applicable exception or supporting information
category		0..1	CodeableConcept	Benefit classification Binding: BenefitCategoryCodes (example): Benefit categories such as: oral, medical, vision etc.
productOrService		0..1	CodeableConcept	Billing, service, product, or drug code Binding: USCLSCodes (example): Allowable service and product codes.
modifier		0..*	CodeableConcept	Product or service billing modifiers Binding: ModifierTypeCodes (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.
provider		0..1	Reference(Practitioner | PractitionerRole)	Perfoming practitioner
quantity		0..1	SimpleQuantity(4.3.0)	Count of products or services
unitPrice		0..1	Money	Fee, charge or cost per item
facility		0..1	Reference(Location | Organization)	Servicing facility
diagnosis		0..*	BackboneElement	Applicable diagnosis
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
diagnosis[x]		0..1		Nature of illness or problem Binding: ICD-10Codes (example): ICD10 Diagnostic codes.
diagnosisCodeableConcept			CodeableConcept
diagnosisReference			Reference(Condition)
detail		0..*	Reference(Resource)	Product or service details
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
CoverageEligibilityRequest.​language	Base	preferred	Common Languages	📍4.3.0	FHIR Std.
CoverageEligibilityRequest.​status	Base	required	Financial Resource Status Codes	📍4.3.0	FHIR Std.
CoverageEligibilityRequest.​priority	Base	example	Process Priority Codes	📍4.3.0	FHIR Std.
CoverageEligibilityRequest.​purpose	Base	required	EligibilityRequestPurpose	📍4.3.0	FHIR Std.
CoverageEligibilityRequest.​item.category	Base	example	Benefit Category Codes	📍4.3.0	FHIR Std.
CoverageEligibilityRequest.​item.productOrService	Base	example	USCLS Codes	📍4.3.0	FHIR Std.
CoverageEligibilityRequest.​item.modifier	Base	example	Modifier type Codes	📍4.3.0	FHIR Std.
CoverageEligibilityRequest.​item.diagnosis.diagnosis[x]	Base	example	ICD-10 Codes	📍4.3.0	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	CoverageEligibilityRequest	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	CoverageEligibilityRequest	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where(((id.exists() and ('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url)))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(uri) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	CoverageEligibilityRequest	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	CoverageEligibilityRequest	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	CoverageEligibilityRequest	A resource should have narrative for robust management	text.`div`.exists()
dom-r4b	warning	CoverageEligibilityRequest.contained	Containing new R4B resources within R4 resources may cause interoperability issues if instances are shared with R4 systems	($this is Citation or $this is Evidence or $this is EvidenceReport or $this is EvidenceVariable or $this is MedicinalProductDefinition or $this is PackagedProductDefinition or $this is AdministrableProductDefinition or $this is Ingredient or $this is ClinicalUseDefinition or $this is RegulatedAuthorization or $this is SubstanceDefinition or $this is SubscriptionStatus or $this is SubscriptionTopic) implies (%resource is Citation or %resource is Evidence or %resource is EvidenceReport or %resource is EvidenceVariable or %resource is MedicinalProductDefinition or %resource is PackagedProductDefinition or %resource is AdministrableProductDefinition or %resource is Ingredient or %resource is ClinicalUseDefinition or %resource is RegulatedAuthorization or %resource is SubstanceDefinition or %resource is SubscriptionStatus or %resource is SubscriptionTopic)
ele-1	error	CoverageEligibilityRequest.meta, CoverageEligibilityRequest.implicitRules, CoverageEligibilityRequest.language, CoverageEligibilityRequest.text, CoverageEligibilityRequest.extension, CoverageEligibilityRequest.modifierExtension, CoverageEligibilityRequest.identifier, CoverageEligibilityRequest.status, CoverageEligibilityRequest.priority, CoverageEligibilityRequest.purpose, CoverageEligibilityRequest.patient, CoverageEligibilityRequest.serviced[x], CoverageEligibilityRequest.created, CoverageEligibilityRequest.enterer, CoverageEligibilityRequest.provider, CoverageEligibilityRequest.insurer, CoverageEligibilityRequest.facility, CoverageEligibilityRequest.supportingInfo, CoverageEligibilityRequest.supportingInfo.extension, CoverageEligibilityRequest.supportingInfo.modifierExtension, CoverageEligibilityRequest.supportingInfo.sequence, CoverageEligibilityRequest.supportingInfo.information, CoverageEligibilityRequest.supportingInfo.appliesToAll, CoverageEligibilityRequest.insurance, CoverageEligibilityRequest.insurance.extension, CoverageEligibilityRequest.insurance.modifierExtension, CoverageEligibilityRequest.insurance.focal, CoverageEligibilityRequest.insurance.coverage, CoverageEligibilityRequest.insurance.businessArrangement, CoverageEligibilityRequest.item, CoverageEligibilityRequest.item.extension, CoverageEligibilityRequest.item.modifierExtension, CoverageEligibilityRequest.item.supportingInfoSequence, CoverageEligibilityRequest.item.category, CoverageEligibilityRequest.item.productOrService, CoverageEligibilityRequest.item.modifier, CoverageEligibilityRequest.item.provider, CoverageEligibilityRequest.item.quantity, CoverageEligibilityRequest.item.unitPrice, CoverageEligibilityRequest.item.facility, CoverageEligibilityRequest.item.diagnosis, CoverageEligibilityRequest.item.diagnosis.extension, CoverageEligibilityRequest.item.diagnosis.modifierExtension, CoverageEligibilityRequest.item.diagnosis.diagnosis[x], CoverageEligibilityRequest.item.detail	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	CoverageEligibilityRequest.extension, CoverageEligibilityRequest.modifierExtension, CoverageEligibilityRequest.supportingInfo.extension, CoverageEligibilityRequest.supportingInfo.modifierExtension, CoverageEligibilityRequest.insurance.extension, CoverageEligibilityRequest.insurance.modifierExtension, CoverageEligibilityRequest.item.extension, CoverageEligibilityRequest.item.modifierExtension, CoverageEligibilityRequest.item.diagnosis.extension, CoverageEligibilityRequest.item.diagnosis.modifierExtension	Must have either extensions or value[x], not both	extension.exists() != value.exists()

This structure is derived from CoverageEligibilityRequest

Summary

Maturity: 0

Other representations of profile: CSV, Excel, Schematron