Intersection of https://nrces.in/ndhm/fhir/r4/StructureDefinition/CoverageEligibilityResponse and https://nrces.in/ndhm/fhir/r4/StructureDefinition/CoverageEligibilityResponse

This is the set of resources that conform to both CoverageEligibilityResponse (https://nrces.in/ndhm/fhir/r4/StructureDefinition/CoverageEligibilityResponse) and CoverageEligibilityResponse (https://nrces.in/ndhm/fhir/r4/StructureDefinition/CoverageEligibilityResponse).

Structure

Name	Flags	Card.	Type	Description & Constraints
CoverageEligibilityResponse		0..*		CoverageEligibilityResponse 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
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created 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. Additional Bindings Purpose ?? Max Binding 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	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	?!	0..*	Extension	Extensions that cannot be ignored 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
purpose	SΣ	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 | #sd-Patient-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	Response creation date ele-1: All FHIR elements must have a @value or children
requestor		1..1	Reference(Practitioner | PractitionerRole | Organization | #sd-Practitioner-Practitioner)	Party responsible for the request ele-1: All FHIR elements must have a @value or children
request	Σ	1..1	Reference(CoverageEligibilityRequest | #sd-CoverageEligibilityRequest-CoverageEligibilityRequest)	Eligibility request reference ele-1: All FHIR elements must have a @value or children
outcome	SΣ	1..1	code	queued | complete | error | partial Binding: ?? (required): The outcome of the processing. ele-1: All FHIR elements must have a @value or children
disposition	S	0..1	string	Disposition Message ele-1: All FHIR elements must have a @value or children
insurer	SΣ	1..1	Reference(Organization | #sd-Organization-Organization)	Coverage issuer ele-1: All FHIR elements must have a @value or children
insurance	S	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
coverage	SΣ	1..1	Reference(Coverage | #sd-Coverage-Coverage)	Insurance information ele-1: All FHIR elements must have a @value or children
inforce	S	0..1	boolean	Coverage inforce indicator ele-1: All FHIR elements must have a @value or children
benefitPeriod		0..1	Period	When the benefits are applicable ele-1: All FHIR elements must have a @value or children
item	SC	0..*	BackboneElement	Benefits and authorization details ces-1: SHALL contain a category or a billcode but not both. 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
category		0..1	CodeableConcept	Benefit classification Binding: ?? (example) 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
coding	Σ	0..*	Coding	Code defined by a terminology system 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
system	Σ	1..1	uri	Identity of the terminology system ele-1: All FHIR elements must have a @value or children
version	Σ	0..1	string	Version of the system - if relevant ele-1: All FHIR elements must have a @value or children
code	Σ	1..1	code	Symbol in syntax defined by the system ele-1: All FHIR elements must have a @value or children
display	Σ	1..1	string	Representation defined by the system ele-1: All FHIR elements must have a @value or children
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user ele-1: All FHIR elements must have a @value or children
text	Σ	0..1	string	Plain text representation of the concept ele-1: All FHIR elements must have a @value or children
productOrService	S	1..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
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
coding	Σ	0..*	Coding	Code defined by a terminology system 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
system	Σ	1..1	uri	Identity of the terminology system ele-1: All FHIR elements must have a @value or children
version	Σ	0..1	string	Version of the system - if relevant ele-1: All FHIR elements must have a @value or children
code	Σ	1..1	code	Symbol in syntax defined by the system ele-1: All FHIR elements must have a @value or children
display	Σ	1..1	string	Representation defined by the system ele-1: All FHIR elements must have a @value or children
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user ele-1: All FHIR elements must have a @value or children
text	Σ	0..1	string	Plain text representation of the concept 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 | #sd-Practitioner-Practitioner)	Performing practitioner ele-1: All FHIR elements must have a @value or children
excluded		0..1	boolean	Excluded from the plan ele-1: All FHIR elements must have a @value or children
name		0..1	string	Short name for the benefit ele-1: All FHIR elements must have a @value or children
description		0..1	string	Description of the benefit or services covered ele-1: All FHIR elements must have a @value or children
network		0..1	CodeableConcept	In or out of network Binding: ?? (example): Code to classify in or out of network services. ele-1: All FHIR elements must have a @value or children
unit		0..1	CodeableConcept	Individual or family Binding: ?? (example): Unit covered/serviced - individual or family. ele-1: All FHIR elements must have a @value or children
term		0..1	CodeableConcept	Annual or lifetime Binding: ?? (example): Coverage unit - annual, lifetime. ele-1: All FHIR elements must have a @value or children
benefit	S	0..*	BackboneElement	Benefit Summary 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
type		1..1	CodeableConcept	Benefit classification Binding: ?? (example): Deductable, visits, co-pay, etc. ele-1: All FHIR elements must have a @value or children
allowed[x]		0..1		Benefits allowed ele-1: All FHIR elements must have a @value or children
allowedUnsignedInt			unsignedInt
allowedString			string
allowedMoney			Money
used[x]		0..1		Benefits used ele-1: All FHIR elements must have a @value or children
usedUnsignedInt			unsignedInt
usedString			string
usedMoney			Money
authorizationRequired		0..1	boolean	Authorization required flag ele-1: All FHIR elements must have a @value or children
authorizationSupporting		0..*	CodeableConcept	Type of required supporting materials Binding: ?? (example): Type of supporting information to provide with a preauthorization. ele-1: All FHIR elements must have a @value or children
authorizationUrl		0..1	uri	Preauthorization requirements endpoint ele-1: All FHIR elements must have a @value or children
preAuthRef		0..1	string	Preauthorization reference ele-1: All FHIR elements must have a @value or children
form		0..1	CodeableConcept	Printed form identifier Binding: ?? (example): The forms codes. ele-1: All FHIR elements must have a @value or children
error	S	0..*	BackboneElement	Processing errors 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
code		1..1	CodeableConcept	Error code detailing processing issues Binding: ?? (example): The error codes for adjudication processing. ele-1: All FHIR elements must have a @value or children
Documentation for this format