abstractbaseDefinitioncopyrightdate- Values Differ
descriptionexperimentalfhirVersionjurisdiction
jurisdiction[0]kindnamepublisherpurposestatustitletypeurlversion- Values Differ
| Left: | FAIS CoverageEligibilityRequest Profile (https://profiles.ihe.net/ITI/FAIS/StructureDefinition/IHE.FAIS.CoverageEligibilityRequest) |
| Right: | FAIS CoverageEligibilityRequest Profile (https://profiles.ihe.net/ITI/FAIS/StructureDefinition/IHE.FAIS.CoverageEligibilityRequest) |
| Error | StructureDefinition.version | Values for version differ: '1.0.0' vs '1.0.1-current' |
| Information | StructureDefinition.date | Values for date differ: '2024-11-13T10:50:55-06:00' vs '2024-11-22T13:00:48+00:00' |
| Name | Value | Comments | |
|---|---|---|---|
| abstract | false | ||
| baseDefinition | http://hl7.org/fhir/StructureDefinition/CoverageEligibilityRequest | ||
| copyright | |||
| date | 2024-11-13T10:50:55-06:00 | 2024-11-22T13:00:48+00:00 |
|
| description | The FAIS CoverageEligibilityRequest profile for submitting coverage eligibility requests. | ||
| experimental | |||
| fhirVersion | 4.0.1 | ||
| jurisdiction | |||
| jurisdiction[0] | http://unstats.un.org/unsd/methods/m49/m49.htm#001 | ||
| kind | resource | ||
| name | FAISCoverageEligibilityRequest | ||
| publisher | IHE IT Infrastructure Technical Committee | ||
| purpose | |||
| status | active | ||
| title | FAIS CoverageEligibilityRequest Profile | ||
| type | CoverageEligibilityRequest | ||
| url | https://profiles.ihe.net/ITI/FAIS/StructureDefinition/IHE.FAIS.CoverageEligibilityRequest | ||
| version | 1.0.0 | 1.0.1-current |
|
| Name | L Flags | L Card. | L Type | L Description & Constraints | R Flags | R Card. | R Type | R Description & Constraints | Comments | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
 CoverageEligibilityRequest | 0..* | CoverageEligibilityRequest | CoverageEligibilityRequest resource | 0..* | CoverageEligibilityRequest | CoverageEligibilityRequest resource | |||||||||||
 id | Σ | 0..1 | id | Logical id of this artifact | Σ | 0..1 | id | Logical id of this artifact | |||||||||
| meta | Σ | 0..1 | Meta | Metadata about the resource | Σ | 0..1 | Meta | Metadata about the resource | |||||||||
| implicitRules | ?!Σ | 0..0 | ?!Σ | 0..0 | |||||||||||||
| language | 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language.
| 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language.
| |||||||||||
| text | 0..1 | Narrative | Text summary of the resource, for human interpretation | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||||||||
| contained | 0..* | Resource | Contained, inline Resources | 0..* | Resource | Contained, inline Resources | |||||||||||
 Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||||
 modifierExtension | ?! | 0..0 | ?! | 0..0 | |||||||||||||
| identifier | 0..* | Identifier | Business Identifier for coverage eligiblity request | 0..* | Identifier | Business Identifier for coverage eligiblity request | |||||||||||
| status | ?!Σ | 1..1 | code | active | cancelled | draft | entered-in-error Binding: ?? (required): A code specifying the state of the resource instance. | ?!Σ | 1..1 | code | active | cancelled | draft | entered-in-error Binding: ?? (required): A code specifying the state of the resource instance. | |||||||||
| priority | 0..1 | CodeableConcept | Desired processing priority Binding: ?? (example): The timeliness with which processing is required: STAT, normal, Deferred. | 0..1 | CodeableConcept | Desired processing priority Binding: ?? (example): The timeliness with which processing is required: STAT, normal, Deferred. | |||||||||||
| purpose | Σ | 1..* | code | auth-requirements | benefits | discovery | validation Binding: ?? (required): A code specifying the types of information being requested. | Σ | 1..* | code | auth-requirements | benefits | discovery | validation Binding: ?? (required): A code specifying the types of information being requested. | |||||||||
| patient | Σ | 1..1 | Reference(Patient) | Intended recipient of products and services | Σ | 1..1 | Reference(Patient) | Intended recipient of products and services | |||||||||
| serviced[x] | 0..1 | date, Period | Estimated date or dates of service | 0..1 | date, Period | Estimated date or dates of service | |||||||||||
| created | Σ | 1..1 | dateTime | Creation date | Σ | 1..1 | dateTime | Creation date | |||||||||
| enterer | 0..1 | Reference(Practitioner | PractitionerRole) | Author | 0..1 | Reference(Practitioner | PractitionerRole) | Author | |||||||||||
| provider | 0..1 | Reference(Practitioner | PractitionerRole | Organization) | Party responsible for the request | 0..1 | Reference(Practitioner | PractitionerRole | Organization) | Party responsible for the request | |||||||||||
| insurer | Σ | 1..1 | Reference(Organization) | Coverage issuer | Σ | 1..1 | Reference(Organization) | Coverage issuer | |||||||||
| facility | 0..1 | Reference(Location) | Servicing facility | 0..1 | Reference(Location) | Servicing facility | |||||||||||
| supportingInfo | 0..* | BackboneElement | Supporting information | 0..* | BackboneElement | Supporting information | |||||||||||
 id | 0..1 | string | Unique id for inter-element referencing | 0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension | 0..* | Extension | Additional content defined by implementations | 0..* | Extension | Additional content defined by implementations | |||||||||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
| sequence | 1..1 | positiveInt | Information instance identifier | 1..1 | positiveInt | Information instance identifier | |||||||||||
| information | 1..1 | Reference(Resource) | Data to be provided | 1..1 | Reference(Resource) | Data to be provided | |||||||||||
| appliesToAll | 0..1 | boolean | Applies to all items | 0..1 | boolean | Applies to all items | |||||||||||
| insurance | 0..* | BackboneElement | Patient insurance information | 0..* | BackboneElement | Patient insurance information | |||||||||||
| id | 0..1 | string | Unique id for inter-element referencing | 0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension | 0..* | Extension | Additional content defined by implementations | 0..* | Extension | Additional content defined by implementations | |||||||||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
| focal | 0..1 | boolean | Applicable coverage | 0..1 | boolean | Applicable coverage | |||||||||||
| coverage | 1..1 | Reference(Coverage) | Insurance information | 1..1 | Reference(Coverage) | Insurance information | |||||||||||
| businessArrangement | 0..1 | string | Additional provider contract number | 0..1 | string | Additional provider contract number | |||||||||||
| item | 0..* | BackboneElement | Item to be evaluated for eligibiity | 0..* | BackboneElement | Item to be evaluated for eligibiity | |||||||||||
 id | 0..1 | string | Unique id for inter-element referencing | 0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension | 0..* | Extension | Additional content defined by implementations | 0..* | Extension | Additional content defined by implementations | |||||||||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
| supportingInfoSequence | 0..* | positiveInt | Applicable exception or supporting information | 0..* | positiveInt | Applicable exception or supporting information | |||||||||||
| category | 0..1 | CodeableConcept | Benefit classification Binding: ?? (example): Benefit categories such as: oral, medical, vision etc. | 0..1 | CodeableConcept | Benefit classification Binding: ?? (example): Benefit categories such as: oral, medical, vision etc. | |||||||||||
| productOrService | 0..1 | CodeableConcept | Billing, service, product, or drug code Binding: ?? (example): Allowable service and product codes. | 0..1 | CodeableConcept | Billing, service, product, or drug code Binding: ?? (example): Allowable service and product codes. | |||||||||||
| 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. | 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. | |||||||||||
| provider | 0..1 | Reference(Practitioner | PractitionerRole) | Perfoming practitioner | 0..1 | Reference(Practitioner | PractitionerRole) | Perfoming practitioner | |||||||||||
| quantity | 0..1 | ?? | Count of products or services | 0..1 | ?? | Count of products or services | |||||||||||
| unitPrice | 0..1 | Money | Fee, charge or cost per item | 0..1 | Money | Fee, charge or cost per item | |||||||||||
| facility | 0..1 | Reference(Location | Organization) | Servicing facility | 0..1 | Reference(Location | Organization) | Servicing facility | |||||||||||
| diagnosis | 0..* | BackboneElement | Applicable diagnosis | 0..* | BackboneElement | Applicable diagnosis | |||||||||||
| id | 0..1 | string | Unique id for inter-element referencing | 0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension | 0..* | Extension | Additional content defined by implementations | 0..* | Extension | Additional content defined by implementations | |||||||||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
| diagnosis[x] | 0..1 | CodeableConcept, Reference(Condition) | Nature of illness or problem Binding: ?? (example): ICD10 Diagnostic codes. | 0..1 | CodeableConcept, Reference(Condition) | Nature of illness or problem Binding: ?? (example): ICD10 Diagnostic codes. | |||||||||||
| detail | 0..* | Reference(Resource) | Product or service details | 0..* | Reference(Resource) | Product or service details | |||||||||||
| Documentation for this format | |||||||||||||||||