StructureDefinition-CoverageEligibilityRequest

Sourcendhm.in#current:FHIR Implementation Guide for ABDM (v4.0.1)
resourceTypeStructureDefinition
idCoverageEligibilityRequest
canonicalhttps://nrces.in/ndhm/fhir/r4/StructureDefinition/CoverageEligibilityRequest
version3.0.0
statusdraft
publisherNational Resource Center for EHR Standards
nameCoverageEligibilityRequest
date2023-07-04T12:01:59+00:00
descriptionThis profile sets minimum expectations for CoverageEligibilityRequest to provide patient and insurance coverage information to an insurer for them to respond, in the form of an CoverageEligibilityResponse, with information regarding whether the stated coverage is valid and in-force and optionally to provide the insurance details of the policy.
jurisdictionsin
fhirVersion4.0.1
kindresource
abstractfalse
sdTtypeCoverageEligibilityRequest
derivationconstraint
basehttp://hl7.org/fhir/StructureDefinition/CoverageEligibilityRequest
Usages
Name Flags Card. Type Description & Constraints doco
. . CoverageEligibilityRequest CoverageEligibilityRequest
. . . identifier S 1..1
. . . priority 1..
. . . purpose S
. . . patient Reference (Patient)
. . . created
. . . enterer 1.. Reference (Practitioner | PractitionerRole)
. . . provider 1.. Reference (Practitioner | PractitionerRole | Organization)
. . . insurer Reference (Organization)
. . . facility 1..
. . . supportingInfo S
. . . insurance S 1..
. . . . coverage S
. . . item S
. . . . category Binding: Benefit Category ( example )
. . . . productOrService S 1.. Binding: ProductorService ( example )
. . . . provider Reference (Practitioner | PractitionerRole)
. . . . facility Reference ( Location | Organization)
. . . . diagnosis S
. . . . . diagnosis[x]
. . . . . . diagnosisCodeableConcept CodeableConcept
. . . . . . diagnosisReference Reference (Condition)
. . . . detail

doco Documentation for this format

Produced 08 Sep 2023