datestype (DatesEventTypeCodes) referenced by ValueSet datestype bound to element CoverageEligibilityResponse.event.type is never bound to a code-type element. Should it move to THO?forms (FormCodes) bound to element CoverageEligibilityResponse.form (Example) is flagged as experimentaladjudication-error (AdjudicationErrorCodes) bound to element CoverageEligibilityResponse.error.code (Example) is flagged as experimental| Page File Name | coverageeligibilityresponse-introduction.xml |
| Responsible Workgroup | fm |
| Maturity Label | Draft |
| Maturity Level | 4 |
| Standards Status | trial-use |
| Management Comments | |
| Workgroup Comments | |
Exists In publish.ini |
No |
| Exists In Source Directory | Yes |
'deprecated' Literal Count |
0 |
| Zulip Link Count | 0 |
| Confluence Link Count | 0 |
'Conformant' conformance language appears in all-upper case. 'Non-conformant' covers all other cases appearing in the content.
| Literal | Conformant | Non-Conformant |
|---|---|---|
| SHALL | 0 | 0 |
| SHALL NOT | 0 | 0 |
| SHOULD | 0 | 3 |
| SHOULD NOT | 0 | 0 |
| MAY | 0 | 7 |
| MAY NOT | 0 | 0 |
| Word | Artifact Class |
|---|
| Word | Known Typo |
|---|---|
inforce, | No |
| Source | Missing Alt Text | Not In Figure Tag |
|---|
| Page File Name | coverageeligibilityresponse-notes.xml |
| Responsible Workgroup | fm |
| Maturity Label | Draft |
| Maturity Level | 4 |
| Standards Status | trial-use |
| Management Comments | |
| Workgroup Comments | |
Exists In publish.ini |
No |
| Exists In Source Directory | Yes |
'deprecated' Literal Count |
0 |
| Zulip Link Count | 0 |
| Confluence Link Count | 0 |
'Conformant' conformance language appears in all-upper case. 'Non-conformant' covers all other cases appearing in the content.
| Literal | Conformant | Non-Conformant |
|---|---|---|
| SHALL | 0 | 0 |
| SHALL NOT | 0 | 0 |
| SHOULD | 0 | 0 |
| SHOULD NOT | 0 | 0 |
| MAY | 0 | 0 |
| MAY NOT | 0 | 0 |
| Word | Artifact Class |
|---|
| Word | Known Typo |
|---|
| Source | Missing Alt Text | Not In Figure Tag |
|---|
| Path | Is Required | Not Array | Trial Use | Has fixed[x] | Has pattern[x] | Required Binding | External Required Binding | Check meaningWhenMissing |
Is Modifier |
|---|---|---|---|---|---|---|---|---|---|
CoverageEligibilityResponse |
X | |
|||||||
CoverageEligibilityResponse.identifier |
X | |
|||||||
CoverageEligibilityResponse.status |
X | NO 'other' or 'unknown' | |
X | |||||
CoverageEligibilityResponse.statusReason |
|
||||||||
CoverageEligibilityResponse.purpose |
X | X | NO 'other' or 'unknown' | |
|||||
CoverageEligibilityResponse.patient |
X | |
|||||||
CoverageEligibilityResponse.event |
X | |
|||||||
CoverageEligibilityResponse.event.type |
X | |
|||||||
CoverageEligibilityResponse.event.when[x] |
X | |
|||||||
CoverageEligibilityResponse.serviced[x] |
|
||||||||
CoverageEligibilityResponse.created |
X | |
|||||||
CoverageEligibilityResponse.requestor |
|
||||||||
CoverageEligibilityResponse.request |
|
||||||||
CoverageEligibilityResponse.outcome |
X | NO 'other' or 'unknown' | |
||||||
CoverageEligibilityResponse.disposition |
|
||||||||
CoverageEligibilityResponse.insurer |
X | |
|||||||
CoverageEligibilityResponse.insurance |
X | |
|||||||
CoverageEligibilityResponse.insurance.coverage |
X | |
|||||||
CoverageEligibilityResponse.insurance.inforce |
|
X | |||||||
CoverageEligibilityResponse.insurance.benefitPeriod |
|
||||||||
CoverageEligibilityResponse.insurance.item |
X | |
|||||||
CoverageEligibilityResponse.insurance.item.category |
|
||||||||
CoverageEligibilityResponse.insurance.item.productOrService |
|
||||||||
CoverageEligibilityResponse.insurance.item.modifier |
X | |
|||||||
CoverageEligibilityResponse.insurance.item.provider |
|
||||||||
CoverageEligibilityResponse.insurance.item.excluded |
|
X | |||||||
CoverageEligibilityResponse.insurance.item.name |
|
||||||||
CoverageEligibilityResponse.insurance.item.description |
|
||||||||
CoverageEligibilityResponse.insurance.item.network |
|
||||||||
CoverageEligibilityResponse.insurance.item.unit |
|
||||||||
CoverageEligibilityResponse.insurance.item.term |
|
||||||||
CoverageEligibilityResponse.insurance.item.benefit |
X | |
|||||||
CoverageEligibilityResponse.insurance.item.benefit.type |
X | |
|||||||
CoverageEligibilityResponse.insurance.item.benefit.allowed[x] |
|
||||||||
CoverageEligibilityResponse.insurance.item.benefit.used[x] |
|
||||||||
CoverageEligibilityResponse.insurance.item.authorizationRequired |
|
X | |||||||
CoverageEligibilityResponse.insurance.item.authorizationSupporting |
X | |
|||||||
CoverageEligibilityResponse.insurance.item.authorizationUrl |
|
||||||||
CoverageEligibilityResponse.preAuthRef |
|
||||||||
CoverageEligibilityResponse.form |
|
||||||||
CoverageEligibilityResponse.error |
X | |
|||||||
CoverageEligibilityResponse.error.code |
X | |
|||||||
CoverageEligibilityResponse.error.expression |
X | |
No operations found.
| Id | Name | Publication Status | FMM | Standards Status | IsExperimental | WorkGroup | Search Type | Description |
|---|---|---|---|---|---|---|---|---|
CoverageEligibilityResponse-created |
created |
Draft | trial-use | False | fm | date | The creation date | |
CoverageEligibilityResponse-disposition |
disposition |
Draft | trial-use | False | fm | string | The contents of the disposition message | |
CoverageEligibilityResponse-insurer |
insurer |
Draft | trial-use | False | fm | reference | The organization which generated this resource | |
CoverageEligibilityResponse-outcome |
outcome |
Draft | trial-use | False | fm | token | The processing outcome | |
CoverageEligibilityResponse-request |
request |
Draft | trial-use | False | fm | reference | The EligibilityRequest reference | |
CoverageEligibilityResponse-requestor |
requestor |
Draft | trial-use | False | fm | reference | The EligibilityRequest provider | |
CoverageEligibilityResponse-status |
status |
Draft | trial-use | False | fm | token | The EligibilityRequest status | |
clinical-identifier |
identifier |
Draft | trial-use | False | pa | token | Multiple Resources: * [Account](http://hl7.org/fhir/R6/account.html): Account number * [AdverseEvent](http://hl7.org/fhir/R6/adverseevent.html): Business identifier for the event * [AllergyIntolerance](http://hl7.org/fhir/R6/allergyintolerance.html): External ids for this item * [Appointment](http://hl7.org/fhir/R6/appointment.html): An Identifier of the Appointment * [AppointmentResponse](http://hl7.org/fhir/R6/appointmentresponse.html): An Identifier in this appointment response * [Basic](http://hl7.org/fhir/R6/basic.html): Business identifier * [BiologicallyDerivedProduct](http://hl7.org/fhir/R6/biologicallyderivedproduct.html): Identifier * [BiologicallyDerivedProductDispense](http://hl7.org/fhir/R6/biologicallyderivedproductdispense.html): The identifier of the dispense * [BodyStructure](http://hl7.org/fhir/R6/bodystructure.html): Bodystructure identifier * [CarePlan](http://hl7.org/fhir/R6/careplan.html): External Ids for this plan * [CareTeam](http://hl7.org/fhir/R6/careteam.html): External Ids for this team * [ChargeItem](http://hl7.org/fhir/R6/chargeitem.html): Business Identifier for item * [Claim](http://hl7.org/fhir/R6/claim.html): The primary identifier of the financial resource * [ClaimResponse](http://hl7.org/fhir/R6/claimresponse.html): The identity of the ClaimResponse * [ClinicalAssessment](http://hl7.org/fhir/R6/clinicalassessment.html): Business identifier * [Communication](http://hl7.org/fhir/R6/communication.html): Unique identifier * [CommunicationRequest](http://hl7.org/fhir/R6/communicationrequest.html): Unique identifier * [Composition](http://hl7.org/fhir/R6/composition.html): Version-independent identifier for the Composition * [Condition](http://hl7.org/fhir/R6/condition.html): A unique identifier of the condition record * [Consent](http://hl7.org/fhir/R6/consent.html): Identifier for this record (external references) * [Contract](http://hl7.org/fhir/R6/contract.html): The identity of the contract * [Coverage](http://hl7.org/fhir/R6/coverage.html): The primary identifier of the insured and the coverage * [CoverageEligibilityRequest](http://hl7.org/fhir/R6/coverageeligibilityrequest.html): The business identifier of the Eligibility * [CoverageEligibilityResponse](http://hl7.org/fhir/R6/coverageeligibilityresponse.html): The business identifier * [DetectedIssue](http://hl7.org/fhir/R6/detectedissue.html): Unique id for the detected issue * [DeviceRequest](http://hl7.org/fhir/R6/devicerequest.html): Business identifier for request/order * [DeviceUsage](http://hl7.org/fhir/R6/deviceusage.html): Search by identifier * [DiagnosticReport](http://hl7.org/fhir/R6/diagnosticreport.html): An identifier for the report * [DocumentReference](http://hl7.org/fhir/R6/documentreference.html): Identifier of the attachment binary * [Encounter](http://hl7.org/fhir/R6/encounter.html): Identifier(s) by which this encounter is known * [EnrollmentRequest](http://hl7.org/fhir/R6/enrollmentrequest.html): The business identifier of the Enrollment * [EpisodeOfCare](http://hl7.org/fhir/R6/episodeofcare.html): Business Identifier(s) relevant for this EpisodeOfCare * [ExplanationOfBenefit](http://hl7.org/fhir/R6/explanationofbenefit.html): The business identifier of the Explanation of Benefit * [FamilyMemberHistory](http://hl7.org/fhir/R6/familymemberhistory.html): A search by a record identifier * [Flag](http://hl7.org/fhir/R6/flag.html): Business identifier * [Goal](http://hl7.org/fhir/R6/goal.html): External Ids for this goal * [GuidanceResponse](http://hl7.org/fhir/R6/guidanceresponse.html): The identifier of the guidance response * [ImagingSelection](http://hl7.org/fhir/R6/imagingselection.html): Identifiers for the imaging selection * [ImagingStudy](http://hl7.org/fhir/R6/imagingstudy.html): Identifiers for the Study, such as DICOM Study Instance UID * [Immunization](http://hl7.org/fhir/R6/immunization.html): Business identifier * [ImmunizationEvaluation](http://hl7.org/fhir/R6/immunizationevaluation.html): ID of the evaluation * [ImmunizationRecommendation](http://hl7.org/fhir/R6/immunizationrecommendation.html): Business identifier * [Invoice](http://hl7.org/fhir/R6/invoice.html): Business Identifier for item * [List](http://hl7.org/fhir/R6/list.html): Business identifier * [MeasureReport](http://hl7.org/fhir/R6/measurereport.html): External identifier of the measure report to be returned * [Medication](http://hl7.org/fhir/R6/medication.html): Returns medications with this external identifier * [MedicationAdministration](http://hl7.org/fhir/R6/medicationadministration.html): Return administrations with this external identifier * [MedicationDispense](http://hl7.org/fhir/R6/medicationdispense.html): Returns dispenses with this external identifier * [MedicationRequest](http://hl7.org/fhir/R6/medicationrequest.html): Return prescriptions with this external identifier * [MedicationStatement](http://hl7.org/fhir/R6/medicationstatement.html): Return statements with this external identifier * [NutritionIntake](http://hl7.org/fhir/R6/nutritionintake.html): Return statements with this external identifier * [NutritionOrder](http://hl7.org/fhir/R6/nutritionorder.html): Return nutrition orders with this external identifier * [Observation](http://hl7.org/fhir/R6/observation.html): The unique id for a particular observation * [Person](http://hl7.org/fhir/R6/person.html): A person Identifier * [Procedure](http://hl7.org/fhir/R6/procedure.html): A unique identifier for a procedure * [QuestionnaireResponse](http://hl7.org/fhir/R6/questionnaireresponse.html): The unique identifier for the questionnaire response * [RelatedPerson](http://hl7.org/fhir/R6/relatedperson.html): An Identifier of the RelatedPerson * [RequestOrchestration](http://hl7.org/fhir/R6/requestorchestration.html): External identifiers for the request orchestration * [ResearchSubject](http://hl7.org/fhir/R6/researchsubject.html): Business Identifier for research subject in a study * [RiskAssessment](http://hl7.org/fhir/R6/riskassessment.html): Unique identifier for the assessment * [ServiceRequest](http://hl7.org/fhir/R6/servicerequest.html): Identifiers assigned to this order * [Specimen](http://hl7.org/fhir/R6/specimen.html): The unique identifier associated with the specimen * [SupplyDelivery](http://hl7.org/fhir/R6/supplydelivery.html): External identifier * [SupplyRequest](http://hl7.org/fhir/R6/supplyrequest.html): Business Identifier for SupplyRequest * [Task](http://hl7.org/fhir/R6/task.html): Search for a task instance by its business identifier * [VisionPrescription](http://hl7.org/fhir/R6/visionprescription.html): Return prescriptions with this external identifier | |
clinical-patient |
patient |
Draft | trial-use | False | pa | reference | Multiple Resources: * [Account](http://hl7.org/fhir/R6/account.html): The entity that caused the expenses * [AdverseEvent](http://hl7.org/fhir/R6/adverseevent.html): Subject impacted by event * [AllergyIntolerance](http://hl7.org/fhir/R6/allergyintolerance.html): Who the sensitivity is for * [Appointment](http://hl7.org/fhir/R6/appointment.html): One of the individuals of the appointment is this patient * [AppointmentResponse](http://hl7.org/fhir/R6/appointmentresponse.html): This Response is for this Patient * [AuditEvent](http://hl7.org/fhir/R6/auditevent.html): Where the activity involved patient data * [Basic](http://hl7.org/fhir/R6/basic.html): Identifies the focus of this resource * [BiologicallyDerivedProduct](http://hl7.org/fhir/R6/biologicallyderivedproduct.html): The patient who underwent the procedure to collect the product * [BiologicallyDerivedProductDispense](http://hl7.org/fhir/R6/biologicallyderivedproductdispense.html): The identity of a patient for whom to list dispenses * [BodyStructure](http://hl7.org/fhir/R6/bodystructure.html): Who this is about * [CarePlan](http://hl7.org/fhir/R6/careplan.html): Who the care plan is for * [CareTeam](http://hl7.org/fhir/R6/careteam.html): Who care team is for * [ChargeItem](http://hl7.org/fhir/R6/chargeitem.html): Individual service was done for/to * [Claim](http://hl7.org/fhir/R6/claim.html): Patient receiving the products or services * [ClaimResponse](http://hl7.org/fhir/R6/claimresponse.html): The subject of care * [ClinicalAssessment](http://hl7.org/fhir/R6/clinicalassessment.html): Patient assessed * [Communication](http://hl7.org/fhir/R6/communication.html): Focus of message * [CommunicationRequest](http://hl7.org/fhir/R6/communicationrequest.html): Focus of message * [Composition](http://hl7.org/fhir/R6/composition.html): Who and/or what the composition is about * [Condition](http://hl7.org/fhir/R6/condition.html): Who has the condition? * [Consent](http://hl7.org/fhir/R6/consent.html): Who the consent applies to * [Contract](http://hl7.org/fhir/R6/contract.html): The identity of the subject of the contract (if a patient) * [Coverage](http://hl7.org/fhir/R6/coverage.html): Retrieve coverages for a patient * [CoverageEligibilityRequest](http://hl7.org/fhir/R6/coverageeligibilityrequest.html): The reference to the patient * [CoverageEligibilityResponse](http://hl7.org/fhir/R6/coverageeligibilityresponse.html): The reference to the patient * [DetectedIssue](http://hl7.org/fhir/R6/detectedissue.html): Associated patient * [DeviceRequest](http://hl7.org/fhir/R6/devicerequest.html): Individual the service is ordered for * [DeviceUsage](http://hl7.org/fhir/R6/deviceusage.html): Search by patient who used the device * [DiagnosticReport](http://hl7.org/fhir/R6/diagnosticreport.html): The subject of the report if a patient * [DocumentReference](http://hl7.org/fhir/R6/documentreference.html): Who/what is the subject of the document * [Encounter](http://hl7.org/fhir/R6/encounter.html): The patient present at the encounter * [EnrollmentRequest](http://hl7.org/fhir/R6/enrollmentrequest.html): The party to be enrolled * [EpisodeOfCare](http://hl7.org/fhir/R6/episodeofcare.html): The patient who is the focus of this episode of care * [ExplanationOfBenefit](http://hl7.org/fhir/R6/explanationofbenefit.html): The reference to the patient * [FamilyMemberHistory](http://hl7.org/fhir/R6/familymemberhistory.html): The identity of a subject to list family member history items for * [Flag](http://hl7.org/fhir/R6/flag.html): The identity of a subject to list flags for * [Goal](http://hl7.org/fhir/R6/goal.html): Who this goal is intended for * [GuidanceResponse](http://hl7.org/fhir/R6/guidanceresponse.html): The identity of a patient to search for guidance response results * [ImagingSelection](http://hl7.org/fhir/R6/imagingselection.html): Who the study is about * [ImagingStudy](http://hl7.org/fhir/R6/imagingstudy.html): Who the study is about * [Immunization](http://hl7.org/fhir/R6/immunization.html): The patient for the vaccination record * [ImmunizationEvaluation](http://hl7.org/fhir/R6/immunizationevaluation.html): The patient being evaluated * [ImmunizationRecommendation](http://hl7.org/fhir/R6/immunizationrecommendation.html): Who this profile is for * [Invoice](http://hl7.org/fhir/R6/invoice.html): Recipient(s) of goods and services * [List](http://hl7.org/fhir/R6/list.html): If all resources have the same subject * [MeasureReport](http://hl7.org/fhir/R6/measurereport.html): The identity of a patient to search for individual measure report results for * [MedicationAdministration](http://hl7.org/fhir/R6/medicationadministration.html): The identity of a patient to list administrations for * [MedicationDispense](http://hl7.org/fhir/R6/medicationdispense.html): The identity of a patient to list dispenses for * [MedicationRequest](http://hl7.org/fhir/R6/medicationrequest.html): Returns prescriptions for a specific patient * [MedicationStatement](http://hl7.org/fhir/R6/medicationstatement.html): Returns statements for a specific patient. * [NutritionIntake](http://hl7.org/fhir/R6/nutritionintake.html): Returns statements for a specific patient. * [NutritionOrder](http://hl7.org/fhir/R6/nutritionorder.html): The identity of the individual or set of individuals who requires the diet, formula or nutritional supplement * [Observation](http://hl7.org/fhir/R6/observation.html): The subject that the observation is about (if patient) * [Person](http://hl7.org/fhir/R6/person.html): The Person links to this Patient * [Procedure](http://hl7.org/fhir/R6/procedure.html): Search by subject - a patient * [Provenance](http://hl7.org/fhir/R6/provenance.html): Where the activity involved patient data * [QuestionnaireResponse](http://hl7.org/fhir/R6/questionnaireresponse.html): The patient that is the subject of the questionnaire response * [RelatedPerson](http://hl7.org/fhir/R6/relatedperson.html): The patient this related person is related to * [RequestOrchestration](http://hl7.org/fhir/R6/requestorchestration.html): The identity of a patient to search for request orchestrations * [ResearchSubject](http://hl7.org/fhir/R6/researchsubject.html): Who or what is part of study * [RiskAssessment](http://hl7.org/fhir/R6/riskassessment.html): Who/what does assessment apply to? * [ServiceRequest](http://hl7.org/fhir/R6/servicerequest.html): Search by subject - a patient * [Specimen](http://hl7.org/fhir/R6/specimen.html): The patient the specimen comes from * [SupplyDelivery](http://hl7.org/fhir/R6/supplydelivery.html): Patient for whom the item is supplied * [SupplyRequest](http://hl7.org/fhir/R6/supplyrequest.html): The patient or subject for whom the supply is destined * [Task](http://hl7.org/fhir/R6/task.html): Search by patient * [VisionPrescription](http://hl7.org/fhir/R6/visionprescription.html): The identity of a patient to list dispenses for |