<status value="draft" /> <description value="בדיקת קיום התחייבות, עם או בלי בקשה ליצירת התחייבות" /> <fhirVersion value="4.0.1" /> <kind value="resource" /> <abstract value="false" /> <type value="CoverageEligibilityResponse" /> <baseDefinition value="http://fhir.health.gov.il/StructureDefinition/il-core-coverage-eligibility-response" /> <derivation value="constraint" /> <differential> <element id="CoverageEligibilityResponse"> <path value="CoverageEligibilityResponse" /> <constraint> <key value="purpose-validation" /> <severity value="error" /> <human value="אם יש insurance.identifier או insurance.reference ומדובר ב- purpose=validation אז חייבים להיות תאריכים." /> <expression value="(insurance.identifier.exists() or insurance.reference.exists()) and (purpose.coding.system = 'http://hl7.org/fhir/eligibilityresponse-purpose' and purpose.coding.code = 'validation') implies insurance.benefitPeriod.exists()" /> <source value="http://ig.fhir-il-community.org/T17/StructureDefinition/t17-response" /> </constraint> </element> <element id="CoverageEligibilityResponse.purpose"> <path value="CoverageEligibilityResponse.purpose" /> <max value="1" /> <binding> <strength value="required" /> <valueSet value="http://ig.fhir-il-community.org/T17/ValueSet/t17-eligibilityresponse-purpose" /> </binding> </element> <element id="CoverageEligibilityResponse.patient.identifier.system"> <path value="CoverageEligibilityResponse.patient.identifier.system" /> <min value="1" /> </element> <element id="CoverageEligibilityResponse.patient.identifier.value"> <path value="CoverageEligibilityResponse.patient.identifier.value" /> <min value="1" /> </element> <element id="CoverageEligibilityResponse.requestor.identifier.system"> <path value="CoverageEligibilityResponse.requestor.identifier.system" /> <min value="1" /> </element> <element id="CoverageEligibilityResponse.requestor.identifier.value"> <path value="CoverageEligibilityResponse.requestor.identifier.value" /> <min value="1" /> </element> <element id="CoverageEligibilityResponse.request"> <path value="CoverageEligibilityResponse.request" /> <type> <code value="Reference" /> <targetProfile value="http://ig.fhir-il-community.org/T17/StructureDefinition/t17-request" /> </type> </element> <element id="CoverageEligibilityResponse.insurer.identifier"> <path value="CoverageEligibilityResponse.insurer.identifier" /> <min value="1" /> </element> <element id="CoverageEligibilityResponse.insurer.identifier.system"> <path value="CoverageEligibilityResponse.insurer.identifier.system" /> <min value="1" /> </element> <element id="CoverageEligibilityResponse.insurer.identifier.value"> <path value="CoverageEligibilityResponse.insurer.identifier.value" /> <min value="1" /> </element> <element id="CoverageEligibilityResponse.insurance.coverage"> <path value="CoverageEligibilityResponse.insurance.coverage" /> <type> <code value="Reference" /> <targetProfile value="http://ig.fhir-il-community.org/T17/StructureDefinition/t17-obligation" /> </type> </element> <element id="CoverageEligibilityResponse.insurance.benefitPeriod.start"> <path value="CoverageEligibilityResponse.insurance.benefitPeriod.start" /> <min value="1" /> </element> <element id="CoverageEligibilityResponse.insurance.benefitPeriod.end"> <path value="CoverageEligibilityResponse.insurance.benefitPeriod.end" /> <min value="1" /> </element> <element id="CoverageEligibilityResponse.insurance.item.productOrService.coding"> <path value="CoverageEligibilityResponse.insurance.item.productOrService.coding" /> <slicing> <discriminator> <type value="value" /> <path value="system" /> </discriminator> <description value="סלייסינג לקוד משרד הבריאות" /> <ordered value="false" /> <rules value="open" /> </slicing> <min value="1" /> </element> <element id="CoverageEligibilityResponse.insurance.item.productOrService.coding:moh"> <path value="CoverageEligibilityResponse.insurance.item.productOrService.coding" /> <sliceName value="moh" /> <min value="1" /> <max value="1" /> <binding> <strength value="required" /> <valueSet value="http://fhir.health.gov.il/ValueSet/medical-service-moh" /> </binding> </element> <element id="CoverageEligibilityResponse.insurance.item.productOrService.coding:moh.system"> <path value="CoverageEligibilityResponse.insurance.item.productOrService.coding.system" /> <min value="1" /> <fixedUri value="http://fhir.health.gov.il/cs/medical-service-moh" /> </element> <element id="CoverageEligibilityResponse.insurance.item.productOrService.coding:moh.code"> <path value="CoverageEligibilityResponse.insurance.item.productOrService.coding.code" /> <min value="1" /> </element> <element id="CoverageEligibilityResponse.insurance.item.modifier"> <path value="CoverageEligibilityResponse.insurance.item.modifier" /> <binding> <strength value="extensible" /> <valueSet value="http://fhir.health.gov.il/ValueSet/tofes17-reject-codes" /> </binding> </element> <element id="CoverageEligibilityResponse.insurance.item.modifier.coding"> <path value="CoverageEligibilityResponse.insurance.item.modifier.coding" /> <slicing> <discriminator> <type value="value" /> <path value="system" /> </discriminator> <description value="סלייסינג לקוד משרד הבריאות" /> <ordered value="false" /> <rules value="open" /> </slicing> </element> <element id="CoverageEligibilityResponse.insurance.item.modifier.coding:moh"> <path value="CoverageEligibilityResponse.insurance.item.modifier.coding" /> <sliceName value="moh" /> <min value="0" /> <max value="1" /> <binding> <strength value="required" /> <valueSet value="http://fhir.health.gov.il/ValueSet/tofes17-reject-codes" /> </binding> </element> <element id="CoverageEligibilityResponse.insurance.item.modifier.coding:moh.system"> <path value="CoverageEligibilityResponse.insurance.item.modifier.coding.system" /> <min value="1" /> <fixedUri value="http://fhir.health.gov.il/cs/moh-form17-issue-code" /> </element> <element id="CoverageEligibilityResponse.insurance.item.modifier.coding:moh.code"> <path value="CoverageEligibilityResponse.insurance.item.modifier.coding.code" /> <min value="1" /> </element> <element id="CoverageEligibilityResponse.insurance.item.excluded"> <path value="CoverageEligibilityResponse.insurance.item.excluded" /> <min value="1" /> </element> <element id="CoverageEligibilityResponse.error.extension"> <path value="CoverageEligibilityResponse.error.extension" /> <slicing> <discriminator> <type value="value" /> <path value="url" /> </discriminator> <ordered value="false" /> <rules value="open" /> </slicing> </element> <element id="CoverageEligibilityResponse.error.extension:issue-regards"> <path value="CoverageEligibilityResponse.error.extension" /> <sliceName value="issue-regards" /> <min value="0" /> <max value="1" /> <type> <code value="Extension" /> <profile value="http://fhir.outburn.co.il/StructureDefinition/issue-regards" /> </type> </element> <element id="CoverageEligibilityResponse.error.extension:issue-regards.value[x]"> <path value="CoverageEligibilityResponse.error.extension.value[x]" /> <slicing> <discriminator> <type value="type" /> <path value="$this" /> </discriminator> <ordered value="false" /> <rules value="open" /> </slicing> <min value="1" /> </element> <element id="CoverageEligibilityResponse.error.extension:issue-regards.value[x]:valueCoding"> <path value="CoverageEligibilityResponse.error.extension.value[x]" /> <sliceName value="valueCoding" /> <min value="1" /> <max value="1" /> <type> <code value="Coding" /> </type> </element> <element id="CoverageEligibilityResponse.error.extension:issue-regards.value[x]:valueCoding.system"> <path value="CoverageEligibilityResponse.error.extension.value[x].system" /> <min value="1" /> <fixedUri value="http://fhir.health.gov.il/cs/medical-service-moh" /> </element> <element id="CoverageEligibilityResponse.error.extension:issue-regards.value[x]:valueCoding.code"> <path value="CoverageEligibilityResponse.error.extension.value[x].code" /> <min value="1" /> </element> <element id="CoverageEligibilityResponse.error.code"> <path value="CoverageEligibilityResponse.error.code" /> <binding> <strength value="extensible" /> <valueSet value="http://fhir.health.gov.il/ValueSet/tofes17-error-codes" /> </binding> </element> </differential> </StructureDefinition>