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: ClaimSupportingInfoRequirement

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

This extension enumerates essential documentation necessary for a health insurance product. It provides a comprehensive list of documents such as identification proofs or medical records needed during the claims process.

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 Enumerates essential documentation necessary for a health insurance product during claim processing. e.g. proof of identity, proof of address
... extension 2..* Extension Extension
... Slices for extension Content/Rules for all slices
.... extension:category 1..1 Extension Classification of the supplied information e.g proof of identity, proof of address.
..... extension 0..0
..... url 1..1 uri "category"
..... value[x] 0..1 CodeableConcept Value of extension
Binding: SupportingInfo Category (example): The valueset used for additional information category codes.
...... coding 0..1 Coding Code defined by a terminology system
....... system 1..1 uri Identity of the terminology system
....... code 1..1 code Symbol in syntax defined by the system
....... display 1..1 string Representation defined by the system
.... extension:code 1..* Extension Additional content defined by implementations e.g ABHA ID, Adhar Card
..... extension 0..0
..... url 1..1 uri "code"
..... value[x] 0..1 CodeableConcept Value of extension
Binding: SupportingInfo Code (example): The valueset used for additional information codes.
...... coding 0..1 Coding Code defined by a terminology system
....... system 1..1 uri Identity of the terminology system
....... code 1..1 code Symbol in syntax defined by the system
....... display 1..1 string Representation defined by the system
.... extension:documentationUrl 0..1 Extension Url of the document or template that needs to be filled.
..... extension 0..0
..... url 1..1 uri "documentationUrl"
..... value[x] 0..1 url Value of extension
... url 1..1 uri "https://nrces.in/ndhm/fhir/r4/StructureDefinition/Claim-SupportingInfoRequirement"

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Extension 0..* Extension Enumerates essential documentation necessary for a health insurance product during claim processing. e.g. proof of identity, proof of address
... id 0..1 string Unique id for inter-element referencing
... Slices for extension 2..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:category 1..1 Extension Classification of the supplied information e.g proof of identity, proof of address.
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0
..... url 1..1 uri "category"
..... value[x] 0..1 CodeableConcept Value of extension
Binding: SupportingInfo Category (example): The valueset used for additional information category codes.
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ 0..1 Coding Code defined by a terminology system
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ 1..1 uri Identity of the terminology system
....... version Σ 0..1 string Version of the system - if relevant
....... code Σ 1..1 code Symbol in syntax defined by the system
....... display Σ 1..1 string Representation defined by the system
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
...... text Σ 0..1 string Plain text representation of the concept
.... extension:code 1..* Extension Additional content defined by implementations e.g ABHA ID, Adhar Card
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0
..... url 1..1 uri "code"
..... value[x] 0..1 CodeableConcept Value of extension
Binding: SupportingInfo Code (example): The valueset used for additional information codes.
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ 0..1 Coding Code defined by a terminology system
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ 1..1 uri Identity of the terminology system
....... version Σ 0..1 string Version of the system - if relevant
....... code Σ 1..1 code Symbol in syntax defined by the system
....... display Σ 1..1 string Representation defined by the system
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
...... text Σ 0..1 string Plain text representation of the concept
.... extension:documentationUrl 0..1 Extension Url of the document or template that needs to be filled.
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0
..... url 1..1 uri "documentationUrl"
..... value[x] 0..1 url Value of extension
... url 1..1 uri "https://nrces.in/ndhm/fhir/r4/StructureDefinition/Claim-SupportingInfoRequirement"

doco Documentation for this format

This structure is derived from Extension

Summary

Complex Extension: This extension enumerates essential documentation necessary for a health insurance product. It provides a comprehensive list of documents such as identification proofs or medical records needed during the claims process.

  • category: CodeableConcept: An Extension
  • code: CodeableConcept: An Extension
  • documentationUrl: url: An Extension

Differential View

This structure is derived from Extension

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Extension 0..* Extension Enumerates essential documentation necessary for a health insurance product during claim processing. e.g. proof of identity, proof of address
... extension 2..* Extension Extension
... Slices for extension Content/Rules for all slices
.... extension:category 1..1 Extension Classification of the supplied information e.g proof of identity, proof of address.
..... extension 0..0
..... url 1..1 uri "category"
..... value[x] 0..1 CodeableConcept Value of extension
Binding: SupportingInfo Category (example): The valueset used for additional information category codes.
...... coding 0..1 Coding Code defined by a terminology system
....... system 1..1 uri Identity of the terminology system
....... code 1..1 code Symbol in syntax defined by the system
....... display 1..1 string Representation defined by the system
.... extension:code 1..* Extension Additional content defined by implementations e.g ABHA ID, Adhar Card
..... extension 0..0
..... url 1..1 uri "code"
..... value[x] 0..1 CodeableConcept Value of extension
Binding: SupportingInfo Code (example): The valueset used for additional information codes.
...... coding 0..1 Coding Code defined by a terminology system
....... system 1..1 uri Identity of the terminology system
....... code 1..1 code Symbol in syntax defined by the system
....... display 1..1 string Representation defined by the system
.... extension:documentationUrl 0..1 Extension Url of the document or template that needs to be filled.
..... extension 0..0
..... url 1..1 uri "documentationUrl"
..... value[x] 0..1 url Value of extension
... url 1..1 uri "https://nrces.in/ndhm/fhir/r4/StructureDefinition/Claim-SupportingInfoRequirement"

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Extension 0..* Extension Enumerates essential documentation necessary for a health insurance product during claim processing. e.g. proof of identity, proof of address
... id 0..1 string Unique id for inter-element referencing
... Slices for extension 2..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:category 1..1 Extension Classification of the supplied information e.g proof of identity, proof of address.
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0
..... url 1..1 uri "category"
..... value[x] 0..1 CodeableConcept Value of extension
Binding: SupportingInfo Category (example): The valueset used for additional information category codes.
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ 0..1 Coding Code defined by a terminology system
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ 1..1 uri Identity of the terminology system
....... version Σ 0..1 string Version of the system - if relevant
....... code Σ 1..1 code Symbol in syntax defined by the system
....... display Σ 1..1 string Representation defined by the system
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
...... text Σ 0..1 string Plain text representation of the concept
.... extension:code 1..* Extension Additional content defined by implementations e.g ABHA ID, Adhar Card
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0
..... url 1..1 uri "code"
..... value[x] 0..1 CodeableConcept Value of extension
Binding: SupportingInfo Code (example): The valueset used for additional information codes.
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ 0..1 Coding Code defined by a terminology system
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ 1..1 uri Identity of the terminology system
....... version Σ 0..1 string Version of the system - if relevant
....... code Σ 1..1 code Symbol in syntax defined by the system
....... display Σ 1..1 string Representation defined by the system
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
...... text Σ 0..1 string Plain text representation of the concept
.... extension:documentationUrl 0..1 Extension Url of the document or template that needs to be filled.
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0
..... url 1..1 uri "documentationUrl"
..... value[x] 0..1 url Value of extension
... url 1..1 uri "https://nrces.in/ndhm/fhir/r4/StructureDefinition/Claim-SupportingInfoRequirement"

doco Documentation for this format

This structure is derived from Extension

Summary

Complex Extension: This extension enumerates essential documentation necessary for a health insurance product. It provides a comprehensive list of documents such as identification proofs or medical records needed during the claims process.

  • category: CodeableConcept: An Extension
  • code: CodeableConcept: An Extension
  • documentationUrl: url: An Extension

 

Other representations of profile: CSV, Excel, Schematron

Terminology Bindings

PathConformanceValueSetURI
Extension.extension:category.value[x]exampleSupportingInfoCategory(a valid code from SupportingInfo Category)
https://nrces.in/ndhm/fhir/r4/ValueSet/ndhm-supportinginfo-category
From this IG
Extension.extension:code.value[x]exampleSupportingInfoCode
https://nrces.in/ndhm/fhir/r4/ValueSet/ndhm-supportinginfo-code
From this IG

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()