Union 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 either of the profiles CoverageEligibilityResponse (https://nrces.in/ndhm/fhir/r4/StructureDefinition/CoverageEligibilityResponse) and CoverageEligibilityResponse (https://nrces.in/ndhm/fhir/r4/StructureDefinition/CoverageEligibilityResponse). E.g. what you have to deal with if you get resources conforming to one of them

Structure

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. CoverageEligibilityResponse 0..*CoverageEligibilityResponse resource
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: ?? (preferred): A human language.
... 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: ?? (required): A code specifying the state of the resource instance.
... purpose SΣ1..*codeauth-requirements | benefits | discovery | validation
Binding: ?? (required): A code specifying the types of information being requested.
... patient Σ1..1Reference(Patient | #sd-Patient-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 | #sd-Practitioner-Practitioner)Party responsible for the request
... request Σ1..1Reference(CoverageEligibilityRequest | #sd-CoverageEligibilityRequest-CoverageEligibilityRequest)Eligibility request reference
... outcome SΣ1..1codequeued | complete | error | partial
Binding: ?? (required): The outcome of the processing.
... disposition S0..1stringDisposition Message
... insurer SΣ1..1Reference(Organization | #sd-Organization-Organization)Coverage issuer
... insurance S0..*BackboneElementPatient insurance information
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... coverage SΣ1..1Reference(Coverage | #sd-Coverage-Coverage)Insurance information
.... inforce S0..1booleanCoverage inforce indicator
.... benefitPeriod 0..1PeriodWhen the benefits are applicable
.... item SC0..*BackboneElementBenefits and authorization details
Constraints: ces-1
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... category 0..1CodeableConceptBenefit classification
Binding: ?? (example)
...... extension 0..*ExtensionAdditional content defined by implementations
...... coding Σ0..*CodingCode defined by a terminology system
....... extension 0..*ExtensionAdditional content defined by implementations
....... system Σ1..1uriIdentity of the terminology system
....... version Σ0..1stringVersion of the system - if relevant
....... code Σ1..1codeSymbol in syntax defined by the system
....... display Σ1..1stringRepresentation defined by the system
....... userSelected Σ0..1booleanIf this coding was chosen directly by the user
...... text Σ0..1stringPlain text representation of the concept
..... productOrService S1..1CodeableConceptBilling, service, product, or drug code
Binding: ?? (example): Allowable service and product codes .
...... extension 0..*ExtensionAdditional content defined by implementations
...... coding Σ0..*CodingCode defined by a terminology system
....... extension 0..*ExtensionAdditional content defined by implementations
....... system Σ1..1uriIdentity of the terminology system
....... version Σ0..1stringVersion of the system - if relevant
....... code Σ1..1codeSymbol in syntax defined by the system
....... display Σ1..1stringRepresentation defined by the system
....... userSelected Σ0..1booleanIf this coding was chosen directly by the user
...... text Σ0..1stringPlain text representation of the concept
..... modifier 0..*CodeableConceptProduct 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.
..... provider 0..1Reference(Practitioner | PractitionerRole | #sd-Practitioner-Practitioner)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: ?? (example): Code to classify in or out of network services.
..... unit 0..1CodeableConceptIndividual or family
Binding: ?? (example): Unit covered/serviced - individual or family.
..... term 0..1CodeableConceptAnnual or lifetime
Binding: ?? (example): Coverage unit - annual, lifetime.
..... benefit S0..*BackboneElementBenefit Summary
...... extension 0..*ExtensionAdditional content defined by implementations
...... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
...... type 1..1CodeableConceptBenefit classification
Binding: ?? (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: ?? (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: ?? (example): The forms codes.
... error S0..*BackboneElementProcessing errors
.... 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: ?? (example): The error codes for adjudication processing.

doco Documentation for this format