This is the set of resources that conform to both FAIS CoverageEligibilityRequest Profile (https://profiles.ihe.net/ITI/FAIS/StructureDefinition/IHE.FAIS.CoverageEligibilityRequest) and FAIS CoverageEligibilityRequest Profile (https://profiles.ihe.net/ITI/FAIS/StructureDefinition/IHE.FAIS.CoverageEligibilityRequest).
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
CoverageEligibilityRequest | 0..* | CoverageEligibilityRequest resource dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management | ||||||
meta | Σ | 0..1 | Meta | Metadata about the resource ele-1: All FHIR elements must have a @value or children | ||||
language | 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language.
ele-1: All FHIR elements must have a @value or children | |||||
text | 0..1 | Narrative | Text summary of the resource, for human interpretation ele-1: All FHIR elements must have a @value or children | |||||
contained | 0..* | Resource | Contained, inline Resources | |||||
extension | 0..* | Extension | left: Additional content defined by implementations; right: Extension ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |||||
identifier | 0..* | Identifier | Business Identifier for coverage eligiblity request ele-1: All FHIR elements must have a @value or children | |||||
status | ?!Σ | 1..1 | code | active | cancelled | draft | entered-in-error Binding: ?? (required): A code specifying the state of the resource instance. ele-1: All FHIR elements must have a @value or children | ||||
priority | 0..1 | CodeableConcept | Desired processing priority Binding: ?? (example): The timeliness with which processing is required: STAT, normal, Deferred. ele-1: All FHIR elements must have a @value or children | |||||
purpose | Σ | 1..* | code | auth-requirements | benefits | discovery | validation Binding: ?? (required): A code specifying the types of information being requested. ele-1: All FHIR elements must have a @value or children | ||||
patient | Σ | 1..1 | Reference(Patient) | Intended recipient of products and services ele-1: All FHIR elements must have a @value or children | ||||
serviced[x] | 0..1 | Estimated date or dates of service ele-1: All FHIR elements must have a @value or children | ||||||
servicedDate | date | |||||||
servicedPeriod | Period | |||||||
created | Σ | 1..1 | dateTime | Creation date ele-1: All FHIR elements must have a @value or children | ||||
enterer | 0..1 | Reference(Practitioner | PractitionerRole) | Author ele-1: All FHIR elements must have a @value or children | |||||
provider | 0..1 | Reference(Practitioner | PractitionerRole | Organization) | Party responsible for the request ele-1: All FHIR elements must have a @value or children | |||||
insurer | Σ | 1..1 | Reference(Organization) | Coverage issuer ele-1: All FHIR elements must have a @value or children | ||||
facility | 0..1 | Reference(Location) | Servicing facility ele-1: All FHIR elements must have a @value or children | |||||
supportingInfo | 0..* | BackboneElement | Supporting information ele-1: All FHIR elements must have a @value or children | |||||
extension | 0..* | Extension | Additional content defined by implementations ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | ||||
sequence | 1..1 | positiveInt | Information instance identifier ele-1: All FHIR elements must have a @value or children | |||||
information | 1..1 | Reference(Resource) | Data to be provided ele-1: All FHIR elements must have a @value or children | |||||
appliesToAll | 0..1 | boolean | Applies to all items ele-1: All FHIR elements must have a @value or children | |||||
insurance | 0..* | BackboneElement | Patient insurance information ele-1: All FHIR elements must have a @value or children | |||||
extension | 0..* | Extension | Additional content defined by implementations ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | ||||
focal | 0..1 | boolean | Applicable coverage ele-1: All FHIR elements must have a @value or children | |||||
coverage | 1..1 | Reference(Coverage) | Insurance information ele-1: All FHIR elements must have a @value or children | |||||
businessArrangement | 0..1 | string | Additional provider contract number ele-1: All FHIR elements must have a @value or children | |||||
item | 0..* | BackboneElement | Item to be evaluated for eligibiity ele-1: All FHIR elements must have a @value or children | |||||
extension | 0..* | Extension | Additional content defined by implementations ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | ||||
supportingInfoSequence | 0..* | positiveInt | Applicable exception or supporting information ele-1: All FHIR elements must have a @value or children | |||||
category | 0..1 | CodeableConcept | Benefit classification Binding: ?? (example): Benefit categories such as: oral, medical, vision etc. ele-1: All FHIR elements must have a @value or children | |||||
productOrService | 0..1 | CodeableConcept | Billing, service, product, or drug code Binding: ?? (example): Allowable service and product codes. ele-1: All FHIR elements must have a @value or children | |||||
modifier | 0..* | CodeableConcept | Product or service billing modifiers Binding: ?? (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. ele-1: All FHIR elements must have a @value or children | |||||
provider | 0..1 | Reference(Practitioner | PractitionerRole) | Perfoming practitioner ele-1: All FHIR elements must have a @value or children | |||||
quantity | 0..1 | ??, ?? | Count of products or services ele-1: All FHIR elements must have a @value or children | |||||
unitPrice | 0..1 | Money | Fee, charge or cost per item ele-1: All FHIR elements must have a @value or children | |||||
facility | 0..1 | Reference(Location | Organization) | Servicing facility ele-1: All FHIR elements must have a @value or children | |||||
diagnosis | 0..* | BackboneElement | Applicable diagnosis ele-1: All FHIR elements must have a @value or children | |||||
extension | 0..* | Extension | Additional content defined by implementations ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | ||||
diagnosis[x] | 0..1 | Nature of illness or problem Binding: ?? (example): ICD10 Diagnostic codes. ele-1: All FHIR elements must have a @value or children | ||||||
diagnosisCodeableConcept | CodeableConcept | |||||||
diagnosisReference | Reference(Condition) | |||||||
detail | 0..* | Reference(Resource) | Product or service details ele-1: All FHIR elements must have a @value or children | |||||
Documentation for this format |