NameFlagsCard.TypeDescription & Constraintsdoco
.. EligibilityRequest DomainResourceEligibility request
... identifier 0..*IdentifierBusiness Identifier
... status ?!Σ1..1codeactive | cancelled | draft | entered-in-error
EligibilityRequestStatus (Required)
... ruleset 0..1CodingResource version
Ruleset Codes (Example)
... originalRuleset 0..1CodingOriginal version
Ruleset Codes (Example)
... created 0..1dateTimeCreation date
... insurer[x] 0..1Target
.... insurerIdentifierIdentifier
.... insurerReferenceReference(Organization)
... provider[x] 0..1Responsible practitioner
.... providerIdentifierIdentifier
.... providerReferenceReference(Practitioner)
... organization[x] 0..1Responsible organization
.... organizationIdentifierIdentifier
.... organizationReferenceReference(Organization)
... priority 0..1CodingDesired processing priority
Priority Codes (Example)
... enterer[x] 0..1Author
.... entererIdentifierIdentifier
.... entererReferenceReference(Practitioner)
... facility[x] 0..1Servicing Facility
.... facilityIdentifierIdentifier
.... facilityReferenceReference(Location)
... patient[x] 0..1The subject of the Products and Services
.... patientIdentifierIdentifier
.... patientReferenceReference(Patient)
... coverage[x] 0..1Insurance or medical plan
.... coverageIdentifierIdentifier
.... coverageReferenceReference(Coverage)
... businessArrangement 0..1stringBusiness agreement
... serviced[x] 0..1Estimated date or dates of Service
.... servicedDatedate
.... servicedPeriodPeriod
... benefitCategory 0..1CodingBenefit Category
Benefit Category Codes (Example)
... benefitSubCategory 0..1CodingBenefit SubCategory
Benefit SubCategory Codes (Example)

doco Documentation for this format