FHIR Implementation Guide for ABDM
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FHIR Implementation Guide for ABDM - Local Development build (v6.5.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Extension: ClaimCondition

Official URL: https://nrces.in/ndhm/fhir/r4/StructureDefinition/Claim-Condition Version: 6.5.0
Draft as of 2025-03-18 Computable Name: ClaimCondition

This extension outlines specific conditions and criteria that may be required to successfully claim benefits under a coverage within a insurance plan.

Context of Use

Usage info

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Extension Content

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

This structure is derived from Extension

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Extension 0..* Extension Outlines specific conditions and criteria that may be required to successfully claim benefits under a coverage within a insurance product.
... Slices for extension Content/Rules for all slices
.... extension:claim-condition 0..* Extension Extension
..... extension 0..0
..... url 1..1 uri "claim-condition"
..... value[x] 0..1 string Value of extension
... url 1..1 uri "https://nrces.in/ndhm/fhir/r4/StructureDefinition/Claim-Condition"
... value[x] 0..0

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Extension 0..* Extension Outlines specific conditions and criteria that may be required to successfully claim benefits under a coverage within a insurance product.
... id 0..1 string Unique id for inter-element referencing
... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... extension:claim-condition 0..* Extension Extension
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0
..... url 1..1 uri "claim-condition"
..... value[x] 0..1 string Value of extension
... url 1..1 uri "https://nrces.in/ndhm/fhir/r4/StructureDefinition/Claim-Condition"

doco Documentation for this format

This structure is derived from Extension

Summary

Complex Extension: This extension outlines specific conditions and criteria that may be required to successfully claim benefits under a coverage within a insurance plan.

  • claim-condition: string: An Extension

Differential View

This structure is derived from Extension

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Extension 0..* Extension Outlines specific conditions and criteria that may be required to successfully claim benefits under a coverage within a insurance product.
... Slices for extension Content/Rules for all slices
.... extension:claim-condition 0..* Extension Extension
..... extension 0..0
..... url 1..1 uri "claim-condition"
..... value[x] 0..1 string Value of extension
... url 1..1 uri "https://nrces.in/ndhm/fhir/r4/StructureDefinition/Claim-Condition"
... value[x] 0..0

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Extension 0..* Extension Outlines specific conditions and criteria that may be required to successfully claim benefits under a coverage within a insurance product.
... id 0..1 string Unique id for inter-element referencing
... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... extension:claim-condition 0..* Extension Extension
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0
..... url 1..1 uri "claim-condition"
..... value[x] 0..1 string Value of extension
... url 1..1 uri "https://nrces.in/ndhm/fhir/r4/StructureDefinition/Claim-Condition"

doco Documentation for this format

This structure is derived from Extension

Summary

Complex Extension: This extension outlines specific conditions and criteria that may be required to successfully claim benefits under a coverage within a insurance plan.

  • claim-condition: string: An Extension

 

Other representations of profile: CSV, Excel, Schematron

Constraints

IdGradePath(s)DetailsRequirements
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()