Union of https://profiles.ihe.net/ITI/FAIS/StructureDefinition/IHE.FAIS.CoverageEligibilityResponse and https://profiles.ihe.net/ITI/FAIS/StructureDefinition/IHE.FAIS.CoverageEligibilityResponse

This is the set of resources that conform to either of the profiles FAIS CoverageEligibilityResponse Profile (https://profiles.ihe.net/ITI/FAIS/StructureDefinition/IHE.FAIS.CoverageEligibilityResponse) and FAIS CoverageEligibilityResponse Profile (https://profiles.ihe.net/ITI/FAIS/StructureDefinition/IHE.FAIS.CoverageEligibilityResponse). E.g. what you have to deal with if you get resources conforming to one of them

Structure

Name	Flags	Card.	Type	Description & Constraints
CoverageEligibilityResponse		0..*		CoverageEligibilityResponse resource dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
meta	Σ	0..1	Meta	Metadata about the resource ele-1: All FHIR elements must have a @value or children
language		0..1	code	Language of the resource content Binding: ?? (preferred): A human language. ele-1: All FHIR elements must have a @value or children
text		0..1	Narrative	Text summary of the resource, for human interpretation ele-1: All FHIR elements must have a @value or children
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
identifier		0..*	Identifier	Business Identifier for coverage eligiblity request ele-1: All FHIR elements must have a @value or children
status	?!Σ	1..1	code	active | cancelled | draft | entered-in-error Binding: ?? (required): A code specifying the state of the resource instance. ele-1: All FHIR elements must have a @value or children
purpose	Σ	1..*	code	auth-requirements | benefits | discovery | validation Binding: ?? (required): A code specifying the types of information being requested. ele-1: All FHIR elements must have a @value or children
patient	Σ	1..1	Reference(Patient)	Intended recipient of products and services ele-1: All FHIR elements must have a @value or children
serviced[x]		0..1		Estimated date or dates of service ele-1: All FHIR elements must have a @value or children
servicedDate			date
servicedPeriod			Period
created	Σ	1..1	dateTime	Response creation date ele-1: All FHIR elements must have a @value or children
requestor		0..1	Reference(Practitioner | PractitionerRole | Organization)	Party responsible for the request ele-1: All FHIR elements must have a @value or children
request	Σ	1..1	Reference(FAIS CoverageEligibilityRequest Profile | #sd-IHE.FAIS.CoverageEligibilityRequest-IHE.FAIS.CoverageEligibilityRequest)	Eligibility request reference ele-1: All FHIR elements must have a @value or children
outcome	Σ	1..1	code	queued | complete | error | partial Binding: ?? (required): The outcome of the processing. ele-1: All FHIR elements must have a @value or children
disposition		0..1	string	Disposition Message ele-1: All FHIR elements must have a @value or children
insurer	Σ	1..1	Reference(Organization)	Coverage issuer ele-1: All FHIR elements must have a @value or children
insurance		0..*	BackboneElement	Patient insurance information ele-1: All FHIR elements must have a @value or children
extension		0..*	Extension	Additional content defined by implementations ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
coverage	Σ	1..1	Reference(Coverage)	Insurance information ele-1: All FHIR elements must have a @value or children
inforce		0..1	boolean	Coverage inforce indicator ele-1: All FHIR elements must have a @value or children
benefitPeriod		0..1	Period	When the benefits are applicable ele-1: All FHIR elements must have a @value or children
item	C	0..*	BackboneElement	Benefits and authorization details ces-1: SHALL contain a category or a billcode but not both. ele-1: All FHIR elements must have a @value or children
extension		0..*	Extension	Additional content defined by implementations ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
category		0..1	CodeableConcept	Benefit classification Binding: ?? (example): Benefit categories such as: oral, medical, vision etc. ele-1: All FHIR elements must have a @value or children
productOrService		0..1	CodeableConcept	Billing, service, product, or drug code Binding: ?? (example): Allowable service and product codes. ele-1: All FHIR elements must have a @value or children
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. ele-1: All FHIR elements must have a @value or children
provider		0..1	Reference(Practitioner | PractitionerRole)	Performing practitioner ele-1: All FHIR elements must have a @value or children
excluded		0..1	boolean	Excluded from the plan ele-1: All FHIR elements must have a @value or children
name		0..1	string	Short name for the benefit ele-1: All FHIR elements must have a @value or children
description		0..1	string	Description of the benefit or services covered ele-1: All FHIR elements must have a @value or children
network		0..1	CodeableConcept	In or out of network Binding: ?? (example): Code to classify in or out of network services. ele-1: All FHIR elements must have a @value or children
unit		0..1	CodeableConcept	Individual or family Binding: ?? (example): Unit covered/serviced - individual or family. ele-1: All FHIR elements must have a @value or children
term		0..1	CodeableConcept	Annual or lifetime Binding: ?? (example): Coverage unit - annual, lifetime. ele-1: All FHIR elements must have a @value or children
benefit		0..*	BackboneElement	Benefit Summary ele-1: All FHIR elements must have a @value or children
extension		0..*	Extension	Additional content defined by implementations ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
type		1..1	CodeableConcept	Benefit classification Binding: ?? (example): Deductable, visits, co-pay, etc. ele-1: All FHIR elements must have a @value or children
allowed[x]		0..1		Benefits allowed ele-1: All FHIR elements must have a @value or children
allowedUnsignedInt			unsignedInt
allowedString			string
allowedMoney			Money
used[x]		0..1		Benefits used ele-1: All FHIR elements must have a @value or children
usedUnsignedInt			unsignedInt
usedString			string
usedMoney			Money
authorizationRequired		0..1	boolean	Authorization required flag ele-1: All FHIR elements must have a @value or children
authorizationSupporting		0..*	CodeableConcept	Type of required supporting materials Binding: ?? (example): Type of supporting information to provide with a preauthorization. ele-1: All FHIR elements must have a @value or children
authorizationUrl		0..1	uri	Preauthorization requirements endpoint ele-1: All FHIR elements must have a @value or children
preAuthRef		0..1	string	Preauthorization reference ele-1: All FHIR elements must have a @value or children
form		0..1	CodeableConcept	Printed form identifier Binding: ?? (example): The forms codes. ele-1: All FHIR elements must have a @value or children
error		0..*	BackboneElement	Processing errors ele-1: All FHIR elements must have a @value or children
extension		0..*	Extension	Additional content defined by implementations ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
code		1..1	CodeableConcept	Error code detailing processing issues Binding: ?? (example): The error codes for adjudication processing. ele-1: All FHIR elements must have a @value or children
Documentation for this format