FHIR Implementation Guide for ABDM
3.0.0 - CI Build India flag


banner

FHIR Implementation Guide for ABDM - Local Development build (v3.0.0). See the Directory of published versions

Resource Profile: StructureDefinition/CoverageEligibilityResponse

Official URL: https://nrces.in/ndhm/fhir/r4/StructureDefinition/CoverageEligibilityResponse Version: 3.0.0
Draft as of 2023-04-20 Computable Name: CoverageEligibilityResponse

This profile is set minimum expectation for CoverageEligibilityResponse resource which provides eligibility and plan details from the processing of an CoverageEligibilityRequest resource. It combines key information from a payor as to whether a Coverage is in-force, and optionally the nature of the Policy benefit details as well as the ability for the insurer to indicate whether the insurance provides benefits for requested types of services or requires preauthorization and if so what supporting information may be required.

Examples

Usage:

Formal Views of Profile Content

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

This structure is derived from CoverageEligibilityResponse

NameFlagsCard.TypeDescription & Constraintsdoco
.. CoverageEligibilityResponse 0..*CoverageEligibilityResponseCoverageEligibilityResponse resource
... purpose S1..*codeauth-requirements | benefits | discovery | validation
... patient 1..1Reference(Patient)Intended recipient of products and services
... requestor 1..1Reference(Practitioner | PractitionerRole | Organization)Party responsible for the request
... outcome S1..1codequeued | complete | error | partial
... disposition S0..1stringDisposition Message
... insurer S1..1Reference(Organization)Coverage issuer
... insurance S0..*BackboneElementPatient insurance information
.... coverage S1..1Reference(Coverage)Insurance information
.... inforce S0..1booleanCoverage inforce indicator
.... item S0..*BackboneElementBenefits and authorization details
..... category 0..1CodeableConceptBenefit classification
Binding: Benefit Category (example): Benefit categories such as: oral, medical, vision etc.

..... productOrService S1..1CodeableConceptBilling, service, product, or drug code
Binding: ProductorService (example): Allowable service and product codes .

..... provider 0..1Reference(Practitioner | PractitionerRole)Performing practitioner
..... benefit S0..*BackboneElementBenefit Summary
... error S0..*BackboneElementProcessing errors

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. CoverageEligibilityResponse 0..*CoverageEligibilityResponseCoverageEligibilityResponse resource
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier 0..*IdentifierBusiness Identifier for coverage eligiblity request
... status ?!Σ1..1codeactive | cancelled | draft | entered-in-error
Binding: FinancialResourceStatusCodes (required): A code specifying the state of the resource instance.

... purpose SΣ1..*codeauth-requirements | benefits | discovery | validation
Binding: EligibilityResponsePurpose (required): A code specifying the types of information being requested.


... patient Σ1..1Reference(Patient)Intended recipient of products and services
... serviced[x] 0..1Estimated date or dates of service
.... servicedDatedate
.... servicedPeriodPeriod
... created Σ1..1dateTimeResponse creation date
... requestor 1..1Reference(Practitioner | PractitionerRole | Organization)Party responsible for the request
... request Σ1..1Reference(CoverageEligibilityRequest)Eligibility request reference
... outcome SΣ1..1codequeued | complete | error | partial
Binding: ClaimProcessingCodes (required): The outcome of the processing.

... disposition S0..1stringDisposition Message
... insurer SΣ1..1Reference(Organization)Coverage issuer
... insurance S0..*BackboneElementPatient insurance information
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... coverage SΣ1..1Reference(Coverage)Insurance information
.... inforce S0..1booleanCoverage inforce indicator
.... benefitPeriod 0..1PeriodWhen the benefits are applicable
.... item SC0..*BackboneElementBenefits and authorization details
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... category 0..1CodeableConceptBenefit classification
Binding: Benefit Category (example): Benefit categories such as: oral, medical, vision etc.

..... productOrService S1..1CodeableConceptBilling, service, product, or drug code
Binding: ProductorService (example): Allowable service and product codes .

..... modifier 0..*CodeableConceptProduct 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..1Reference(Practitioner | PractitionerRole)Performing practitioner
..... excluded 0..1booleanExcluded from the plan
..... name 0..1stringShort name for the benefit
..... description 0..1stringDescription of the benefit or services covered
..... network 0..1CodeableConceptIn or out of network
Binding: NetworkTypeCodes (example): Code to classify in or out of network services.

..... unit 0..1CodeableConceptIndividual or family
Binding: UnitTypeCodes (example): Unit covered/serviced - individual or family.

..... term 0..1CodeableConceptAnnual or lifetime
Binding: BenefitTermCodes (example): Coverage unit - annual, lifetime.

..... benefit S0..*BackboneElementBenefit Summary
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
...... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
...... type 1..1CodeableConceptBenefit classification
Binding: BenefitTypeCodes (example): Deductable, visits, co-pay, etc.

...... allowed[x] 0..1Benefits allowed
....... allowedUnsignedIntunsignedInt
....... allowedStringstring
....... allowedMoneyMoney
...... used[x] 0..1Benefits used
....... usedUnsignedIntunsignedInt
....... usedStringstring
....... usedMoneyMoney
..... authorizationRequired 0..1booleanAuthorization required flag
..... authorizationSupporting 0..*CodeableConceptType of required supporting materials
Binding: CoverageEligibilityResponseAuthSupportCodes (example): Type of supporting information to provide with a preauthorization.


..... authorizationUrl 0..1uriPreauthorization requirements endpoint
... preAuthRef 0..1stringPreauthorization reference
... form 0..1CodeableConceptPrinted form identifier
Binding: Form Codes (example): The forms codes.

... error S0..*BackboneElementProcessing errors
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code 1..1CodeableConceptError code detailing processing issues
Binding: Adjudication Error Codes (example): The error codes for adjudication processing.


doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. CoverageEligibilityResponse 0..*CoverageEligibilityResponseCoverageEligibilityResponse resource
... purpose Σ1..*codeauth-requirements | benefits | discovery | validation
Binding: EligibilityResponsePurpose (required): A code specifying the types of information being requested.


... outcome Σ1..1codequeued | complete | error | partial
Binding: ClaimProcessingCodes (required): The outcome of the processing.

... disposition 0..1stringDisposition Message
... insurance 0..*BackboneElementPatient insurance information
.... coverage Σ1..1Reference(Coverage)Insurance information
.... inforce 0..1booleanCoverage inforce indicator
.... item C0..*BackboneElementBenefits and authorization details
..... productOrService 1..1CodeableConceptBilling, service, product, or drug code
Binding: ProductorService (example): Allowable service and product codes .

..... benefit 0..*BackboneElementBenefit Summary
... error 0..*BackboneElementProcessing errors

doco Documentation for this format

Differential View

This structure is derived from CoverageEligibilityResponse

NameFlagsCard.TypeDescription & Constraintsdoco
.. CoverageEligibilityResponse 0..*CoverageEligibilityResponseCoverageEligibilityResponse resource
... purpose S1..*codeauth-requirements | benefits | discovery | validation
... patient 1..1Reference(Patient)Intended recipient of products and services
... requestor 1..1Reference(Practitioner | PractitionerRole | Organization)Party responsible for the request
... outcome S1..1codequeued | complete | error | partial
... disposition S0..1stringDisposition Message
... insurer S1..1Reference(Organization)Coverage issuer
... insurance S0..*BackboneElementPatient insurance information
.... coverage S1..1Reference(Coverage)Insurance information
.... inforce S0..1booleanCoverage inforce indicator
.... item S0..*BackboneElementBenefits and authorization details
..... category 0..1CodeableConceptBenefit classification
Binding: Benefit Category (example): Benefit categories such as: oral, medical, vision etc.

..... productOrService S1..1CodeableConceptBilling, service, product, or drug code
Binding: ProductorService (example): Allowable service and product codes .

..... provider 0..1Reference(Practitioner | PractitionerRole)Performing practitioner
..... benefit S0..*BackboneElementBenefit Summary
... error S0..*BackboneElementProcessing errors

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. CoverageEligibilityResponse 0..*CoverageEligibilityResponseCoverageEligibilityResponse resource
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier 0..*IdentifierBusiness Identifier for coverage eligiblity request
... status ?!Σ1..1codeactive | cancelled | draft | entered-in-error
Binding: FinancialResourceStatusCodes (required): A code specifying the state of the resource instance.

... purpose SΣ1..*codeauth-requirements | benefits | discovery | validation
Binding: EligibilityResponsePurpose (required): A code specifying the types of information being requested.


... patient Σ1..1Reference(Patient)Intended recipient of products and services
... serviced[x] 0..1Estimated date or dates of service
.... servicedDatedate
.... servicedPeriodPeriod
... created Σ1..1dateTimeResponse creation date
... requestor 1..1Reference(Practitioner | PractitionerRole | Organization)Party responsible for the request
... request Σ1..1Reference(CoverageEligibilityRequest)Eligibility request reference
... outcome SΣ1..1codequeued | complete | error | partial
Binding: ClaimProcessingCodes (required): The outcome of the processing.

... disposition S0..1stringDisposition Message
... insurer SΣ1..1Reference(Organization)Coverage issuer
... insurance S0..*BackboneElementPatient insurance information
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... coverage SΣ1..1Reference(Coverage)Insurance information
.... inforce S0..1booleanCoverage inforce indicator
.... benefitPeriod 0..1PeriodWhen the benefits are applicable
.... item SC0..*BackboneElementBenefits and authorization details
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... category 0..1CodeableConceptBenefit classification
Binding: Benefit Category (example): Benefit categories such as: oral, medical, vision etc.

..... productOrService S1..1CodeableConceptBilling, service, product, or drug code
Binding: ProductorService (example): Allowable service and product codes .

..... modifier 0..*CodeableConceptProduct 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..1Reference(Practitioner | PractitionerRole)Performing practitioner
..... excluded 0..1booleanExcluded from the plan
..... name 0..1stringShort name for the benefit
..... description 0..1stringDescription of the benefit or services covered
..... network 0..1CodeableConceptIn or out of network
Binding: NetworkTypeCodes (example): Code to classify in or out of network services.

..... unit 0..1CodeableConceptIndividual or family
Binding: UnitTypeCodes (example): Unit covered/serviced - individual or family.

..... term 0..1CodeableConceptAnnual or lifetime
Binding: BenefitTermCodes (example): Coverage unit - annual, lifetime.

..... benefit S0..*BackboneElementBenefit Summary
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
...... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
...... type 1..1CodeableConceptBenefit classification
Binding: BenefitTypeCodes (example): Deductable, visits, co-pay, etc.

...... allowed[x] 0..1Benefits allowed
....... allowedUnsignedIntunsignedInt
....... allowedStringstring
....... allowedMoneyMoney
...... used[x] 0..1Benefits used
....... usedUnsignedIntunsignedInt
....... usedStringstring
....... usedMoneyMoney
..... authorizationRequired 0..1booleanAuthorization required flag
..... authorizationSupporting 0..*CodeableConceptType of required supporting materials
Binding: CoverageEligibilityResponseAuthSupportCodes (example): Type of supporting information to provide with a preauthorization.


..... authorizationUrl 0..1uriPreauthorization requirements endpoint
... preAuthRef 0..1stringPreauthorization reference
... form 0..1CodeableConceptPrinted form identifier
Binding: Form Codes (example): The forms codes.

... error S0..*BackboneElementProcessing errors
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code 1..1CodeableConceptError code detailing processing issues
Binding: Adjudication Error Codes (example): The error codes for adjudication processing.


doco Documentation for this format

 

Other representations of profile: CSV, Excel, Schematron

Terminology Bindings

PathConformanceValueSet
CoverageEligibilityResponse.languagepreferredCommonLanguages
Max Binding: AllLanguages
CoverageEligibilityResponse.statusrequiredFinancialResourceStatusCodes
CoverageEligibilityResponse.purposerequiredEligibilityResponsePurpose
CoverageEligibilityResponse.outcomerequiredClaimProcessingCodes
CoverageEligibilityResponse.insurance.item.categoryexampleBenefitCategory
CoverageEligibilityResponse.insurance.item.productOrServiceexampleProductorService
CoverageEligibilityResponse.insurance.item.modifierexampleModifierTypeCodes
CoverageEligibilityResponse.insurance.item.networkexampleNetworkTypeCodes
CoverageEligibilityResponse.insurance.item.unitexampleUnitTypeCodes
CoverageEligibilityResponse.insurance.item.termexampleBenefitTermCodes
CoverageEligibilityResponse.insurance.item.benefit.typeexampleBenefitTypeCodes
CoverageEligibilityResponse.insurance.item.authorizationSupportingexampleCoverageEligibilityResponseAuthSupportCodes
CoverageEligibilityResponse.formexampleForm Codes
CoverageEligibilityResponse.error.codeexampleAdjudication Error Codes

Constraints

IdGradePathDetailsRequirements
dom-2errorCoverageEligibilityResponseIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorCoverageEligibilityResponseIf 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 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(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorCoverageEligibilityResponseIf 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-5errorCoverageEligibilityResponseIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6Best PracticeCoverageEligibilityResponseA resource should have narrative for robust management
: text.`div`.exists()
ele-1errorCoverageEligibilityResponse.metaAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorCoverageEligibilityResponse.implicitRulesAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorCoverageEligibilityResponse.languageAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorCoverageEligibilityResponse.textAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorCoverageEligibilityResponse.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorCoverageEligibilityResponse.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorCoverageEligibilityResponse.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorCoverageEligibilityResponse.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorCoverageEligibilityResponse.identifierAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorCoverageEligibilityResponse.statusAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorCoverageEligibilityResponse.purposeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorCoverageEligibilityResponse.patientAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorCoverageEligibilityResponse.serviced[x]All FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorCoverageEligibilityResponse.createdAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorCoverageEligibilityResponse.requestorAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorCoverageEligibilityResponse.requestAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorCoverageEligibilityResponse.outcomeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorCoverageEligibilityResponse.dispositionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorCoverageEligibilityResponse.insurerAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorCoverageEligibilityResponse.insuranceAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorCoverageEligibilityResponse.insurance.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorCoverageEligibilityResponse.insurance.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorCoverageEligibilityResponse.insurance.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorCoverageEligibilityResponse.insurance.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorCoverageEligibilityResponse.insurance.coverageAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorCoverageEligibilityResponse.insurance.inforceAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorCoverageEligibilityResponse.insurance.benefitPeriodAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ces-1errorCoverageEligibilityResponse.insurance.itemSHALL contain a category or a billcode but not both.
: category.exists() xor productOrService.exists()
ele-1errorCoverageEligibilityResponse.insurance.itemAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorCoverageEligibilityResponse.insurance.item.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorCoverageEligibilityResponse.insurance.item.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorCoverageEligibilityResponse.insurance.item.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorCoverageEligibilityResponse.insurance.item.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorCoverageEligibilityResponse.insurance.item.categoryAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorCoverageEligibilityResponse.insurance.item.productOrServiceAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorCoverageEligibilityResponse.insurance.item.modifierAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorCoverageEligibilityResponse.insurance.item.providerAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorCoverageEligibilityResponse.insurance.item.excludedAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorCoverageEligibilityResponse.insurance.item.nameAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorCoverageEligibilityResponse.insurance.item.descriptionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorCoverageEligibilityResponse.insurance.item.networkAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorCoverageEligibilityResponse.insurance.item.unitAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorCoverageEligibilityResponse.insurance.item.termAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorCoverageEligibilityResponse.insurance.item.benefitAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorCoverageEligibilityResponse.insurance.item.benefit.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorCoverageEligibilityResponse.insurance.item.benefit.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorCoverageEligibilityResponse.insurance.item.benefit.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorCoverageEligibilityResponse.insurance.item.benefit.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorCoverageEligibilityResponse.insurance.item.benefit.typeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorCoverageEligibilityResponse.insurance.item.benefit.allowed[x]All FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorCoverageEligibilityResponse.insurance.item.benefit.used[x]All FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorCoverageEligibilityResponse.insurance.item.authorizationRequiredAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorCoverageEligibilityResponse.insurance.item.authorizationSupportingAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorCoverageEligibilityResponse.insurance.item.authorizationUrlAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorCoverageEligibilityResponse.preAuthRefAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorCoverageEligibilityResponse.formAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorCoverageEligibilityResponse.errorAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorCoverageEligibilityResponse.error.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorCoverageEligibilityResponse.error.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorCoverageEligibilityResponse.error.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorCoverageEligibilityResponse.error.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorCoverageEligibilityResponse.error.codeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())