Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
TU | DomainResource | CoverageEligibilityRequest resource Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension | ||
0..* | Identifier | Business Identifier for coverage eligiblity request | ||
?!Σ | 1..1 | code | active | cancelled | draft | entered-in-error Binding: Financial Resource Status Codes (Required) | |
0..1 | CodeableConcept | Desired processing priority Binding: Process Priority Codes (Example) | ||
Σ | 1..* | code | auth-requirements | benefits | discovery | validation Binding: Eligibility Request Purpose (Required) | |
Σ | 1..1 | Reference(Patient) | Intended recipient of products and services | |
0..* | BackboneElement | Event information | ||
1..1 | CodeableConcept | Specific event Binding: Dates Type Codes (Example) | ||
1..1 | Occurance date or period | |||
dateTime | ||||
Period | ||||
0..1 | Estimated date or dates of service | |||
date | ||||
Period | ||||
Σ | 1..1 | dateTime | Creation date | |
0..1 | Reference(Practitioner | PractitionerRole) | Author | ||
0..1 | Reference(Practitioner | PractitionerRole | Organization) | Party responsible for the request | ||
Σ | 1..1 | Reference(Organization) | Coverage issuer | |
0..1 | Reference(Location) | Servicing facility | ||
0..* | BackboneElement | Supporting information | ||
1..1 | positiveInt | Information instance identifier | ||
1..1 | Reference(Any) | Data to be provided | ||
0..1 | boolean | Applies to all items | ||
0..* | BackboneElement | Patient insurance information | ||
0..1 | boolean | Applicable coverage | ||
1..1 | Reference(Coverage) | Insurance information | ||
0..1 | string | Additional provider contract number | ||
0..* | BackboneElement | Item to be evaluated for eligibiity | ||
0..* | positiveInt | Applicable exception or supporting information | ||
0..1 | CodeableConcept | Benefit classification Binding: Benefit Category Codes (Example) | ||
0..1 | CodeableConcept | Billing, service, product, or drug code Binding: USCLS Codes (Example) | ||
0..* | CodeableConcept | Product or service billing modifiers Binding: Modifier type Codes (Example) | ||
0..1 | Reference(Practitioner | PractitionerRole) | Perfoming practitioner | ||
0..1 | SimpleQuantity | Count of products or services | ||
0..1 | Money | Fee, charge or cost per item | ||
0..1 | Reference(Location | Organization) | Servicing facility | ||
0..* | BackboneElement | Applicable diagnosis | ||
0..1 | Nature of illness or problem Binding: ICD-10 Codes (Example) | |||
CodeableConcept | ||||
Reference(Condition) | ||||
0..* | Reference(Any) | Product or service details | ||