{
"description": "The relevant insurance Coverage for this request to perform Eligibility checking, authorization, pre-determination or claiming for goods and/or services renderable or rendered, etc..\\\\n\\\\nResponses from insurers (ClaimResponse) containing responses to prior authorization or pre-determination requests to guide in the choosing of goods and services informed by reimbursement guidance, and to provide authorization numbers which may need to be quoted on future claims for reimbursement.",
"_filename": "StructureDefinition-request-insurance.json",
"package_name": "hl7.fhir.uv.extensions.r4b",
"date": "2017-12-06",
"derivation": "constraint",
"publisher": "HL7 International / FHIR Infrastructure",
"fhirVersion": "4.3.0",
"jurisdiction": [ {
"coding": [ {
"code": "001",
"system": "http://unstats.un.org/unsd/methods/m49/m49.htm"
} ]
} ],
"name": "RequestInsurance",
"mapping": [ {
"uri": "http://hl7.org/v2",
"name": "HL7 v2 Mapping",
"identity": "v2"
}, {
"uri": "http://hl7.org/v3",
"name": "RIM Mapping",
"identity": "rim"
} ],
"abstract": false,
"type": "Extension",
"experimental": "false",
"resourceType": "StructureDefinition",
"title": "Request Insurance",
"package_version": "5.3.0",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
"valueCode": "fhir"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
"valueInteger": 3
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "trial-use"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-type-characteristics",
"valueCode": "can-bind"
} ],
"snapshot": {
"element": [ {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children unless an empty Parameters resource",
"xpath": "@value|f:*|h:div|self::f:Parameters",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count()) or $this is Parameters"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Extension",
"min": 0,
"definition": "The relevant insurance Coverage for this request to perform Eligibility checking, authorization, pre-determination or claiming for goods and/or services renderable or rendered, etc..\\n\\nResponses from insurers (ClaimResponse) containing responses to prior authorization or pre-determination requests to guide in the choosing of goods and services informed by reimbursement guidance, and to provide authorization numbers which may need to be quoted on future claims for reimbursement.",
"isModifier": false,
"short": "Associated insurance coverage",
"mapping": [ {
"map": "IN1/IN2",
"identity": "v2"
}, {
"map": ".outboundRelationship[typeCode=COVBY].target",
"identity": "rim"
} ],
"max": "*",
"id": "Extension",
"condition": [ "ele-1" ],
"base": {
"max": "*",
"min": 0,
"path": "Extension"
}
}, {
"path": "Extension.id",
"min": 0,
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"isModifier": false,
"short": "Unique id for inter-element referencing",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "http://hl7.org/fhirpath/System.String",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "id"
} ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Extension.id",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Extension.extension",
"min": 0,
"definition": "An Extension",
"isModifier": false,
"short": "Extension",
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"max": "0",
"id": "Extension.extension",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
},
"isSummary": false
}, {
"path": "Extension.url",
"min": 1,
"definition": "Source of the definition for the extension code - a logical name or a URL.",
"isModifier": false,
"short": "identifies the meaning of the extension",
"fixedUri": "http://hl7.org/fhir/StructureDefinition/request-insurance",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "http://hl7.org/fhirpath/System.String",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "uri"
} ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Extension.url",
"comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
"base": {
"max": "1",
"min": 1,
"path": "Extension.url"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Extension.value[x]",
"min": 1,
"definition": "Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/R4B/extensibility.html) for a list).",
"isModifier": false,
"short": "Value of extension",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Reference",
"targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Coverage", "http://hl7.org/fhir/StructureDefinition/ClaimResponse" ]
} ],
"max": "1",
"id": "Extension.value[x]",
"base": {
"max": "1",
"min": 0,
"path": "Extension.value[x]"
},
"isSummary": false
} ],
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version",
"valueString": "4.3.0"
} ]
},
"status": "active",
"id": "0b68a9d3-c1c4-41d2-a93f-21f219b9f58b",
"kind": "complex-type",
"url": "http://hl7.org/fhir/StructureDefinition/request-insurance",
"identifier": [ {
"value": "urn:oid:2.16.840.1.113883.4.642.5.1725",
"system": "urn:ietf:rfc:3986"
} ],
"context": [ {
"type": "element",
"expression": "NutritionOrder"
}, {
"type": "element",
"expression": "CarePlan"
} ],
"version": "5.3.0",
"differential": {
"element": [ {
"id": "Extension",
"max": "*",
"min": 0,
"path": "Extension",
"short": "Associated insurance coverage",
"mapping": [ {
"map": "IN1/IN2",
"identity": "v2"
}, {
"map": ".outboundRelationship[typeCode=COVBY].target",
"identity": "rim"
} ],
"definition": "The relevant insurance Coverage for this request to perform Eligibility checking, authorization, pre-determination or claiming for goods and/or services renderable or rendered, etc..\\n\\nResponses from insurers (ClaimResponse) containing responses to prior authorization or pre-determination requests to guide in the choosing of goods and services informed by reimbursement guidance, and to provide authorization numbers which may need to be quoted on future claims for reimbursement."
}, {
"id": "Extension.extension",
"max": "0",
"path": "Extension.extension"
}, {
"id": "Extension.url",
"path": "Extension.url",
"fixedUri": "http://hl7.org/fhir/StructureDefinition/request-insurance"
}, {
"id": "Extension.value[x]",
"min": 1,
"path": "Extension.value[x]",
"type": [ {
"code": "Reference",
"targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Coverage", "http://hl7.org/fhir/StructureDefinition/ClaimResponse" ]
} ]
} ]
},
"contact": [ {
"telecom": [ {
"value": "http://www.hl7.org/Special/committees/fiwg",
"system": "url"
} ]
} ],
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/Extension"
}