Cross-Version Extension for CoverageEligibilityRequest.insurance in R4

Context of Use

This extension may be used in the following contexts:

• element EligibilityRequest (For version R3)
• extension http://hl7.org/fhir/3.0/StructureDefinition/extension-EligibilityRequest
• element EligibilityRequest (For version R2)
• extension http://hl7.org/fhir/1.0/StructureDefinition/extension-EligibilityRequest

Name	Flags	Card.	Type	Description & Constraints
Extension		0..*	Extension	Patient insurance information
extension:focalR4			?gen-e1? [CanonicalType[http://hl7.org/fhir/4.0/StructureDefinition/extension-CoverageEligibilityRequest.insurance.focal]]	URL: http://hl7.org/fhir/4.0/StructureDefinition/extension-CoverageEligibilityRequest.insurance.focal
extension		1..
value[x]		..0
url				"http://hl7.org/fhir/4.0/StructureDefinition/extension-CoverageEligibilityRequest.insurance"
Documentation for this format

{
  "resourceType" : "StructureDefinition",
  "id" : "xv-r4-cer.insurance",
  "url" : "http://hl7.org/fhir/4.0/StructureDefinition/extension-CoverageEligibilityRequest.insurance",
  "name" : "XVerExtensionCoverageEligibilityRequest.insuranceR4",
  "title" : "Cross-Version Extension for CoverageEligibilityRequest.insurance in R4",
  "status" : "active",
  "experimental" : false,
  "publisher" : "Health Level Seven International (Financial Management)",
  "contact" : [{
    "telecom" : [{
      "system" : "url",
      "value" : "http://hl7.org/fhir"
    }]
  },
  {
    "telecom" : [{
      "system" : "url",
      "value" : "http://www.hl7.org/Special/committees/fm/index.cfm"
    }]
  }],
  "description" : "Cross-Version Extension for CoverageEligibilityRequest.insurance. Valid in versions R2, R3\r\n\r\nThis is a valid cross-version extension because it's counted as a new element",
  "jurisdiction" : [{
    "coding" : [{
      "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
      "code" : "001"
    }]
  }],
  "fhirVersion" : "5.0.0",
  "kind" : "complex-type",
  "abstract" : false,
  "context" : [{
    "extension" : [{
      "extension" : [{
        "url" : "startFhirVersion",
        "valueCode" : "3.0"
      },
      {
        "url" : "endFhirVersion",
        "valueCode" : "3.0"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/version-specific-use"
    }],
    "type" : "element",
    "expression" : "EligibilityRequest"
  },
  {
    "type" : "extension",
    "expression" : "http://hl7.org/fhir/3.0/StructureDefinition/extension-EligibilityRequest"
  },
  {
    "extension" : [{
      "extension" : [{
        "url" : "startFhirVersion",
        "valueCode" : "1.0"
      },
      {
        "url" : "endFhirVersion",
        "valueCode" : "1.0"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/version-specific-use"
    }],
    "type" : "element",
    "expression" : "EligibilityRequest"
  },
  {
    "type" : "extension",
    "expression" : "http://hl7.org/fhir/1.0/StructureDefinition/extension-EligibilityRequest"
  }],
  "type" : "Extension",
  "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/Extension",
  "derivation" : "constraint",
  "differential" : {
    "element" : [{
      "path" : "Extension",
      "short" : "Patient insurance information",
      "definition" : "Financial instruments for reimbursement for the health care products and services.",
      "comment" : "All insurance coverages for the patient which may be applicable for reimbursement, of the products and services listed in the claim, are typically provided in the claim to allow insurers to confirm the ordering of the insurance coverages relative to local 'coordination of benefit' rules. One coverage (and only one) with 'focal=true' is to be used in the adjudication of this claim. Coverages appearing before the focal Coverage in the list, and where 'subrogation=false', should provide a reference to the ClaimResponse containing the adjudication results of the prior claim.",
      "requirements" : "There must be at least one coverage for which eligibility is requested.",
      "min" : 0,
      "max" : "*",
      "isModifier" : false
    },
    {
      "path" : "Extension.extension",
      "sliceName" : "focalR4",
      "type" : [{
        "code" : "Extension",
        "profile" : ["http://hl7.org/fhir/4.0/StructureDefinition/extension-CoverageEligibilityRequest.insurance.focal"]
      }]
    },
    {
      "path" : "Extension.extension",
      "min" : 1
    },
    {
      "path" : "Extension.value[x]",
      "max" : "0"
    },
    {
      "path" : "Extension.url",
      "fixedUri" : "http://hl7.org/fhir/4.0/StructureDefinition/extension-CoverageEligibilityRequest.insurance"
    }]
  }
}