{
  "resourceType": "StructureDefinition",
  "id": "ca-bc-lra-profile-CoverageEligibilityResponse",
  "url": "http://phsa.ca/fhir/StructureDefinition/ca-bc-lra-profile-CoverageEligibilityResponse",
  "version": "0.1.0",
  "name": "LRAMSPCoverageEligibilityResponse",
  "title": "CoverageEligibilityResponse (MSP-LRA)",
  "status": "draft",
  "date": "2024-07-16",
  "publisher": "Provincial Health Services Authority (BC)",
  "contact": [
    {
      "name": "Provincial Health Services Authority (BC)",
      "telecom": [
        {
          "system": "url",
          "value": "http://phsa.ca/fhir/"
        },
        {
          "system": "email",
          "value": "some.email@phsa.ca"
        }
      ]
    }
  ],
  "description": "Provide the LRA Platform the same information currently provided to the MoH EMPI Provincial System to determine  Medical Service Plan (MSP) Eligiblity",
  "fhirVersion": "4.0.1",
  "kind": "resource",
  "abstract": false,
  "type": "CoverageEligibilityResponse",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/CoverageEligibilityResponse",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "CoverageEligibilityResponse.extension",
        "path": "CoverageEligibilityResponse.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "ordered": false,
          "rules": "open"
        }
      },
      {
        "id": "CoverageEligibilityResponse.extension:dispositionCode",
        "path": "CoverageEligibilityResponse.extension",
        "sliceName": "dispositionCode",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://phsa.ca/fhir/StructureDefinition/ca-bc-lra-msp-extension-DispositionCode"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "CoverageEligibilityResponse.extension:coverageCancelReasonLegacyCode",
        "path": "CoverageEligibilityResponse.extension",
        "sliceName": "coverageCancelReasonLegacyCode",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://phsa.ca/fhir/StructureDefinition/ca-bc-lra-msp-extension-CoverageCancelReasonLegacyCode"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "CoverageEligibilityResponse.extension:informationDetails",
        "path": "CoverageEligibilityResponse.extension",
        "sliceName": "informationDetails",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://phsa.ca/fhir/StructureDefinition/ca-bc-lra-msp-extension-InformationDetails"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "CoverageEligibilityResponse.status",
        "path": "CoverageEligibilityResponse.status",
        "type": [
          {
            "code": "code"
          }
        ],
        "fixedCode": "active"
      },
      {
        "id": "CoverageEligibilityResponse.purpose",
        "path": "CoverageEligibilityResponse.purpose",
        "fixedCode": "validation"
      },
      {
        "id": "CoverageEligibilityResponse.patient",
        "path": "CoverageEligibilityResponse.patient",
        "mustSupport": true
      },
      {
        "id": "CoverageEligibilityResponse.serviced[x]",
        "path": "CoverageEligibilityResponse.serviced[x]",
        "type": [
          {
            "code": "date"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "CoverageEligibilityResponse.created",
        "path": "CoverageEligibilityResponse.created",
        "mustSupport": true
      },
      {
        "id": "CoverageEligibilityResponse.request",
        "path": "CoverageEligibilityResponse.request",
        "mustSupport": true
      },
      {
        "id": "CoverageEligibilityResponse.outcome",
        "path": "CoverageEligibilityResponse.outcome",
        "mustSupport": true
      },
      {
        "id": "CoverageEligibilityResponse.disposition",
        "path": "CoverageEligibilityResponse.disposition",
        "mustSupport": true
      },
      {
        "id": "CoverageEligibilityResponse.insurer",
        "path": "CoverageEligibilityResponse.insurer",
        "mustSupport": true
      },
      {
        "id": "CoverageEligibilityResponse.insurance",
        "path": "CoverageEligibilityResponse.insurance",
        "mustSupport": true
      },
      {
        "id": "CoverageEligibilityResponse.insurance.inforce",
        "path": "CoverageEligibilityResponse.insurance.inforce",
        "short": "Beneficiary's coverage status",
        "definition": "Indicates whether the beneficiary has an active MSP coverage.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "boolean"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "CoverageEligibilityResponse.error",
        "path": "CoverageEligibilityResponse.error",
        "comment": "Used to return error details in case of any validation failures or issues during the eligibility check."
      }
    ]
  }
}