Left: | Coverage Information (http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-coverage-information) |
Right: | Coverage Information (http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-coverage-information) |
Error | StructureDefinition.version | Values for version differ: '2.0.0' vs '2.1.0' |
Information | StructureDefinition.name | Values for name differ: 'CoverageInformation' vs 'CRDCoverageInformation' |
Information | StructureDefinition.date | Values for date differ: '2023-05-30T11:47:53-07:00' vs '2024-12-11T01:38:49+00:00' |
Name | Value | Comments | |
---|---|---|---|
abstract | false | ||
baseDefinition | http://hl7.org/fhir/StructureDefinition/Extension | ||
copyright | |||
date | 2023-05-30T11:47:53-07:00 | 2024-12-11T01:38:49+00:00 |
|
description | Captures assertions from a payer about whether the service is covered and/or requires prior authorization. | ||
experimental | false | ||
fhirVersion | 4.0.1 | ||
jurisdiction | |||
jurisdiction[0] | urn:iso:std:iso:3166#US | ||
kind | complex-type | ||
name | CoverageInformation | CRDCoverageInformation |
|
publisher | HL7 International / Financial Management | ||
purpose | |||
status | active | ||
title | Coverage Information | ||
type | Extension | ||
url | http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-coverage-information | ||
version | 2.0.0 | 2.1.0 |
|
Name | L Flags | L Card. | L Type | L Description & Constraints | R Flags | R Card. | R Type | R Description & Constraints | Comments |
---|---|---|---|---|---|---|---|---|---|
Extension | C | 0..* | Extension | CoverageInfo crd-ci-q1: Questionnaire and QuestionnaireResponse are only allowed when doc-needed exists and not equal to 'no-doc' crd-ci-q2: If covered is set to 'not-covered', then 'pa-needed' should not exist. crd-ci-q3: If 'info-needed' exists, then at least one of 'covered', 'pa-needed', or 'doc-needed' must be 'conditional'. crd-ci-q4: If 'pa-needed' is 'satisfied', then 'Doc-purpose' can't be 'PA'. crd-ci-q5: 'satisfied-pa-id' must exist if and only if 'pa-needed' is set to 'satisfied'. | C | 0..* | Extension | CoverageInfo crd-ci-q1: Questionnaire is only allowed when doc-needed exists crd-ci-q2: If covered is set to 'not-covered', then 'pa-needed' must not exist. crd-ci-q3: 'info-needed' SHALL exist if and only if at least one of 'covered', 'pa-needed', or 'doc-needed' is set to 'conditional'. crd-ci-q4: If 'pa-needed' is 'satisfied', then 'Doc-purpose' can't be 'withpa'. crd-ci-q5: 'satisfied-pa-id' must exist if and only if 'pa-needed' is set to 'satisfied'. crd-ci-q6: If 'info-needed' is Other, then reason must be specified crd-ci-q7: If reason.coding is present and is not from the extensible value set, then reason.text must be present | |
id | 0..1 | string | Unique id for inter-element referencing | 0..1 | string | Unique id for inter-element referencing | |||
Slices for extension | 4..* | Extension | Extension Slice: Unordered, Open by value:url | 4..* | Extension | Extension Slice: Unordered, Open by value:url | |||
url | 1..1 | uri | "http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-coverage-information" | 1..1 | uri | "http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-coverage-information" | |||
value[x] | 0..0 | 0..0 | |||||||
Documentation for this format |