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