Union of https://profiles.ihe.net/ITI/FAIS/StructureDefinition/IHE.FAIS.CoverageEligibilityRequest and https://profiles.ihe.net/ITI/FAIS/StructureDefinition/IHE.FAIS.CoverageEligibilityRequest

This is the set of resources that conform to either of the profiles 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). E.g. what you have to deal with if you get resources conforming to one of them

Structure

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