NameFlagsCard.TypeDescription & Constraintsdoco
.. EligibilityRequest TUDomainResourceDetermine insurance validity and scope of coverage
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
... identifier 0..*IdentifierBusiness Identifier
... status ?!Σ0..1codeactive | cancelled | draft | entered-in-error
Financial Resource Status Codes (Required)
... priority 0..1CodeableConceptDesired processing priority
Process Priority Codes (Example)
... patient 0..1Reference(Patient)The subject of the Products and Services
... serviced[x] 0..1Estimated date or dates of Service
.... servicedDatedate
.... servicedPeriodPeriod
... created 0..1dateTimeCreation date
... enterer 0..1Reference(Practitioner | PractitionerRole)Author
... provider 0..1Reference(Practitioner | PractitionerRole | Organization)Responsible practitioner
... insurer 0..1Reference(Organization)Target
... facility 0..1Reference(Location)Servicing Facility
... coverage 0..1Reference(Coverage)Insurance or medical plan
... businessArrangement 0..1stringBusiness agreement
... benefitCategory 0..1CodeableConceptType of services covered
Benefit Category Codes (Example)
... benefitSubCategory 0..1CodeableConceptDetailed services covered within the type
Benefit SubCategory Codes (Example)
... authorization 0..*BackboneElementServices which may require prior authorization
.... sequence 1..1positiveIntProcedure sequence for reference
.... service 1..1CodeableConceptBilling Code
USCLS Codes (Example)
.... modifier 0..*CodeableConceptService/Product billing modifiers
Modifier type Codes (Example)
.... quantity 0..1SimpleQuantityCount of products or services
.... unitPrice 0..1MoneyFee, charge or cost per point
.... facility 0..1Reference(Location | Organization)Servicing Facility
.... diagnosis 0..*BackboneElementList of Diagnosis
..... diagnosis[x] 0..1Patient's diagnosis
ICD-10 Codes (Example)
...... diagnosisCodeableConceptCodeableConcept
...... diagnosisReferenceReference(Condition)

doco Documentation for this format