Implementation Guide
25.0.0 - R4 APIs

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Logical Model: Eligibility - Detailed Descriptions

Active as of 2023-03-01

Definitions for the athena-eligibility-profile logical model.

Guidance on how to interpret the contents of this table can be found here

0. athena-eligibility-profile
Control0..*
Is Modifierfalse
Logical ModelInstances of this logical model are not marked to be the target of a Reference
2. athena-eligibility-profile.id
Definition

The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

ShortLogical id of this artifact
Comments

The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

Control1..1
Typeid
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summarytrue
4. athena-eligibility-profile.meta
Definition

The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.

ShortMetadata about the resource
Comments

Unique Id for this particular athena-eligibility-profile.

Control0..1
TypeMeta
Is Modifierfalse
Must Supportfalse
Summarytrue
6. athena-eligibility-profile.pid
Definition

PatientId for Eligibility

ShortPID is internal numeric value used in the Chart module and clinical data. This will be the same as the resource id in the Patient resource.
Comments

PID is internal numeric value used in the Chart module and clinical data. This will be the same as the resource id in the Patient resource.

Control1..1
Typeinteger
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summarytrue
8. athena-eligibility-profile.patient
Definition

Who or what the athena-eligibility-profile is about. The athena-eligibility-profile can be about a person.

ShortWho/what is the patient for Eligibility
Control0..1
TypeReference(Patient)
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ref-1: SHALL have a contained resource if a local reference is provided (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')))
10. athena-eligibility-profile.patient.id
Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

ShortUnique id for inter-element referencing
Control0..1
Typestring
Is Modifierfalse
XML FormatIn the XML format, this property is represented as an attribute.
Summaryfalse
12. athena-eligibility-profile.patient.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

ShortAdditional content defined by implementations
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifierfalse
Summaryfalse
Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
SlicingThis element introduces a set of slices on athena-eligibility-profile.patient.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
  • value @ url
  • 14. athena-eligibility-profile.patient.reference
    Definition

    Who or what the athena-eligibility-profile is about. The athena-eligibility-profile can be about a person.


    A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.

    ShortReference to the PatientLiteral reference, Relative, internal or absolute URL
    Comments

    Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.

    Control0..1
    This element is affected by the following invariants: ref-1
    Typestring
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    16. athena-eligibility-profile.patient.type
    Definition

    The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.

    The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).

    ShortType the reference refers to (e.g. "Patient")
    Comments

    This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.

    Control0..1
    BindingUnless not suitable, these codes SHALL be taken from ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types
    (extensible to http://hl7.org/fhir/ValueSet/resource-types)

    Aa resource (or, for logical models, the URI of the logical model).

    Typeuri
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    18. athena-eligibility-profile.patient.identifier
    Definition

    An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.

    ShortLogical reference, when literal reference is not known
    Comments

    When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy.

    When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

    Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

    Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).

    NoteThis is a business identifier, not a resource identifier (see discussion)
    Control0..1
    TypeIdentifier
    Is Modifierfalse
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    20. athena-eligibility-profile.patient.display
    Definition

    Patient name for the athena-eligibility-profile is about.


    Plain text narrative that identifies the resource in addition to the resource reference.

    ShortPatient nameText alternative for the resource
    Comments

    This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.

    Control0..1
    Typestring
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    22. athena-eligibility-profile.patientProfileId
    Definition

    Internal ID of patient used in non-clinical practice management data.

    ShortPatient specific id for practice management data including financial information
    Comments

    Patient profile ID

    Control1..1
    TypeunsignedInt
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supporttrue
    Summarytrue
    24. athena-eligibility-profile.orderForClaims
    Definition

    Order of this visit insurance row relative to the other rows linked to this visit

    ShortClaims-order link to the patient visit
    Comments

    Order of this visit insurance row relative to the other rows linked to this visit

    Control0..1
    Typeinteger
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    26. athena-eligibility-profile.patientInsuranceStatus
    Definition

    Status of Patient insurance

    ShortStatus of Patient insurance
    Comments

    Status of Patient insurance

    Control0..1
    Typestring
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    28. athena-eligibility-profile.patientInsuranceGroupId
    Definition

    Policy group number assigned by the insurance carrier.

    ShortPolicy group number
    Comments

    Policy number

    Control0..1
    Typestring
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    30. athena-eligibility-profile.patientInsuranceGroupName
    Definition

    Policy group name

    ShortPolicy group name
    Comments

    Policy group name

    Control0..1
    Typestring
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    32. athena-eligibility-profile.claimOfficeNumber
    Definition

    Office number of Claim.

    ShortOffice number of Claim.
    Comments

    Office number of Claim.

    Control0..1
    Typestring
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    34. athena-eligibility-profile.insuredId
    Definition

    Insured person's insurance ID

    ShortInsured person's insurance ID
    Comments

    Insured person's insurance ID

    Control0..1
    Typestring
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    36. athena-eligibility-profile.patientInsuranceMediGapId
    Definition

    The Medigap ID for this insurance carrier if the policy type is set to Medigap.

    ShortThe Medigap ID for this insurance carrier if the policy type is set to Medigap.
    Control0..1
    Typestring
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    38. athena-eligibility-profile.insuranceCardEffectiveDate
    Definition

    Effective date of this insurance policy.

    ShortEffective date of this insurance policy.
    Control0..1
    TypedateTime
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    40. athena-eligibility-profile.insuranceCardTerminationDate
    Definition

    Termination date of this insurance policy.

    ShortTermination date of this insurance policy.
    Control0..1
    TypedateTime
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    42. athena-eligibility-profile.patientCopayAmount
    Definition

    Patient copay for each Insurance Eligibility 271 parsed response

    ShortPatient copay for each Insurance Eligibility 271 parsed response
    Control0..1
    TypeMoney
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    44. athena-eligibility-profile.patientCopayAmount.id
    Definition

    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

    ShortUnique id for inter-element referencing
    Control0..1
    Typestring
    Is Modifierfalse
    XML FormatIn the XML format, this property is represented as an attribute.
    Summaryfalse
    46. athena-eligibility-profile.patientCopayAmount.extension
    Definition

    May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

    ShortAdditional content defined by implementations
    Comments

    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

    Control0..*
    TypeExtension
    Is Modifierfalse
    Summaryfalse
    Alternate Namesextensions, user content
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    SlicingThis element introduces a set of slices on athena-eligibility-profile.patientCopayAmount.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
    • value @ url
    • 48. athena-eligibility-profile.patientCopayAmount.value
      Definition

      Amount of money for patient athena-payment-profile.


      Numerical value (with implicit precision).

      ShortMoney valueNumerical value (with implicit precision)
      Comments

      Payment amount.


      Monetary values have their own rules for handling precision (refer to standard accounting text books).

      Control0..1
      Typedecimal
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summarytrue
      Requirements

      The amount of the currency. The value includes an implicit precision in the presentation of the value.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      50. athena-eligibility-profile.patientCopayAmount.currency
      Definition

      Name of the the Currency


      ISO 4217 Currency Code.

      ShortCurrencyISO 4217 Currency Code
      Comments

      Currency in which the Payment payment has to been done.

      Control0..1
      BindingThe codes SHALL be taken from Currencieshttp://hl7.org/fhir/ValueSet/currencies|4.0.1
      (required to http://hl7.org/fhir/ValueSet/currencies|4.0.1)

      A code indicating the currency, taken from ISO 4217.

      Typecode
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summarytrue
      Requirements

      A code indicating the currency, taken from ISO 4217.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      52. athena-eligibility-profile.patientInsuranceDeductible
      Definition

      Patient Insurance deductible 271 parsed response

      ShortPatient Insurance deductible 271 parsed response
      Control0..1
      TypeMoney
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      54. athena-eligibility-profile.patientInsuranceDeductible.id
      Definition

      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

      ShortUnique id for inter-element referencing
      Control0..1
      Typestring
      Is Modifierfalse
      XML FormatIn the XML format, this property is represented as an attribute.
      Summaryfalse
      56. athena-eligibility-profile.patientInsuranceDeductible.extension
      Definition

      May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

      ShortAdditional content defined by implementations
      Comments

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

      Control0..*
      TypeExtension
      Is Modifierfalse
      Summaryfalse
      Alternate Namesextensions, user content
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      SlicingThis element introduces a set of slices on athena-eligibility-profile.patientInsuranceDeductible.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
      • value @ url
      • 58. athena-eligibility-profile.patientInsuranceDeductible.value
        Definition

        Amount of money for patient athena-payment-profile.


        Numerical value (with implicit precision).

        ShortMoney valueNumerical value (with implicit precision)
        Comments

        Payment amount.


        Monetary values have their own rules for handling precision (refer to standard accounting text books).

        Control0..1
        Typedecimal
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Summarytrue
        Requirements

        The amount of the currency. The value includes an implicit precision in the presentation of the value.

        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        60. athena-eligibility-profile.patientInsuranceDeductible.currency
        Definition

        Name of the the Currency


        ISO 4217 Currency Code.

        ShortCurrencyISO 4217 Currency Code
        Comments

        Currency in which the Payment payment has to been done.

        Control0..1
        BindingThe codes SHALL be taken from Currencieshttp://hl7.org/fhir/ValueSet/currencies|4.0.1
        (required to http://hl7.org/fhir/ValueSet/currencies|4.0.1)

        A code indicating the currency, taken from ISO 4217.

        Typecode
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Summarytrue
        Requirements

        A code indicating the currency, taken from ISO 4217.

        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        62. athena-eligibility-profile.champusBranch
        Definition

        A CHAMPUS branch identifies and tracks the branch of the military to which a patient belongs.

        ShortA CHAMPUS branch identifies and tracks the branch of the military to which a patient belongs.
        Control0..1
        Typestring
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        64. athena-eligibility-profile.champusGrade
        Definition

        A CHAMPUS Grade list option identifies and tracks the ranking of a patient in the military

        ShortA CHAMPUS Grade list option identifies and tracks the ranking of a patient in the military
        Control0..1
        Typestring
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        66. athena-eligibility-profile.champusStatus
        Definition

        A CHAMPUS status identifies and tracks the status of a patient in the military (whether active or retired).

        ShortA CHAMPUS status identifies and tracks the status of a patient in the military (whether active or retired).
        Control0..1
        Typestring
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        68. athena-eligibility-profile.patientRelatedToInsured
        Definition

        Relation of patient with the Insured person.

        ShortRelation of patient with the Insured person.
        Control0..1
        Typestring
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        70. athena-eligibility-profile.employer
        Definition

        Employer details

        ShortEmployer details
        Control0..1
        TypeReference(Organization)
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ref-1: SHALL have a contained resource if a local reference is provided (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')))
        72. athena-eligibility-profile.employer.id
        Definition

        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

        ShortUnique id for inter-element referencing
        Control0..1
        Typestring
        Is Modifierfalse
        XML FormatIn the XML format, this property is represented as an attribute.
        Summaryfalse
        74. athena-eligibility-profile.employer.extension
        Definition

        May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

        ShortAdditional content defined by implementations
        Comments

        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

        Control0..*
        TypeExtension
        Is Modifierfalse
        Summaryfalse
        Alternate Namesextensions, user content
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        SlicingThis element introduces a set of slices on athena-eligibility-profile.employer.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
        • value @ url
        • 76. athena-eligibility-profile.employer.reference
          Definition

          Reference to employer


          A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.

          ShortInsurance Carrier Id refering to employerLiteral reference, Relative, internal or absolute URL
          Comments

          Insurance Carrier Id refering to employer


          Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.

          Control0..1
          This element is affected by the following invariants: ref-1
          Typestring
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          78. athena-eligibility-profile.employer.type
          Definition

          The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.

          The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).

          ShortType the reference refers to (e.g. "Patient")
          Comments

          This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.

          Control0..1
          BindingUnless not suitable, these codes SHALL be taken from ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types
          (extensible to http://hl7.org/fhir/ValueSet/resource-types)

          Aa resource (or, for logical models, the URI of the logical model).

          Typeuri
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          80. athena-eligibility-profile.employer.identifier
          Definition

          An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.

          ShortLogical reference, when literal reference is not known
          Comments

          When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy.

          When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

          Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

          Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).

          NoteThis is a business identifier, not a resource identifier (see discussion)
          Control0..1
          TypeIdentifier
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          82. athena-eligibility-profile.employer.display
          Definition

          Name of the the insurance Carrier


          Plain text narrative that identifies the resource in addition to the resource reference.

          ShortInsurance carrier NameText alternative for the resource
          Comments

          Insurance carrier Name


          This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.

          Control0..1
          Typestring
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          84. athena-eligibility-profile.employeeId
          Definition

          Identifier for Employee

          ShortIdentifier for Employee
          Control0..1
          Typestring
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          86. athena-eligibility-profile.eligibilityVerified
          Definition

          Integer code for the eligibility status for this insurance carrier for this patient

          ShortInteger code for the eligibility status for this insurance carrier for this patient
          Control0..1
          Typeinteger
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          88. athena-eligibility-profile.eligibilityVerifiedDate
          Definition

          Date the eligibility information was verified.

          ShortDate the eligibility information was verified.
          Control0..1
          TypedateTime
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          90. athena-eligibility-profile.eligibilityVerifiedBy
          Definition

          Person who has verified Eligibility.

          ShortPerson who has verified Eligibility.
          Control0..1
          Typestring
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          92. athena-eligibility-profile.eligibilityNotes
          Definition

          Notes from this insurance carrier about the eligibility for this patient.

          ShortNotes from this insurance carrier about the eligibility for this patient.
          Control0..1
          Typestring
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          94. athena-eligibility-profile.patientInsuranceNotes
          Definition

          Patient InsuranceNotes

          ShortInsuranceNotes related to patient
          Control0..1
          Typestring
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          96. athena-eligibility-profile.insurancePolicyTypes
          Definition

          Insurance policy type

          ShortInsurance policy type
          Control0..1
          Typestring
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          98. athena-eligibility-profile.dateOfServiceFrom
          Definition

          Start date of service for this procedure

          ShortStart date of service for this procedure
          Control0..1
          TypedateTime
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          100. athena-eligibility-profile.dateOfServiceTo
          Definition

          Stop date of service for this procedure.

          ShortStop date of service for this procedure.
          Control0..1
          TypedateTime
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          102. athena-eligibility-profile.otherInsuredId
          Definition

          Insured person's another insurance ID

          ShortInsured person's another insurance ID
          Control0..1
          Typestring
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          104. athena-eligibility-profile.otherIdQualifier
          Definition

          OtherId Qualifier

          ShortOtherId Qualifier
          Control0..1
          Typestring
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          106. athena-eligibility-profile.otherCopayAmount
          Definition

          OtherCopayAmt for each Insurance Eligibility 271 parsed response

          ShortOtherCopayAmt for each Insurance Eligibility 271 parsed response
          Control0..1
          TypeMoney
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          108. athena-eligibility-profile.otherCopayAmount.id
          Definition

          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

          ShortUnique id for inter-element referencing
          Control0..1
          Typestring
          Is Modifierfalse
          XML FormatIn the XML format, this property is represented as an attribute.
          Summaryfalse
          110. athena-eligibility-profile.otherCopayAmount.extension
          Definition

          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

          ShortAdditional content defined by implementations
          Comments

          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

          Control0..*
          TypeExtension
          Is Modifierfalse
          Summaryfalse
          Alternate Namesextensions, user content
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          SlicingThis element introduces a set of slices on athena-eligibility-profile.otherCopayAmount.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
          • value @ url
          • 112. athena-eligibility-profile.otherCopayAmount.value
            Definition

            Amount of money for patient athena-payment-profile.


            Numerical value (with implicit precision).

            ShortMoney valueNumerical value (with implicit precision)
            Comments

            Payment amount.


            Monetary values have their own rules for handling precision (refer to standard accounting text books).

            Control0..1
            Typedecimal
            Is Modifierfalse
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Summarytrue
            Requirements

            The amount of the currency. The value includes an implicit precision in the presentation of the value.

            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            114. athena-eligibility-profile.otherCopayAmount.currency
            Definition

            Name of the the Currency


            ISO 4217 Currency Code.

            ShortCurrencyISO 4217 Currency Code
            Comments

            Currency in which the Payment payment has to been done.

            Control0..1
            BindingThe codes SHALL be taken from Currencieshttp://hl7.org/fhir/ValueSet/currencies|4.0.1
            (required to http://hl7.org/fhir/ValueSet/currencies|4.0.1)

            A code indicating the currency, taken from ISO 4217.

            Typecode
            Is Modifierfalse
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Summarytrue
            Requirements

            A code indicating the currency, taken from ISO 4217.

            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            116. athena-eligibility-profile.familyDeductible
            Definition

            FamilyDeductible for each Insurance Eligibility 271 parsed response

            ShortFamilyDeductible for each Insurance Eligibility 271 parsed response
            Control0..1
            TypeMoney
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            118. athena-eligibility-profile.familyDeductible.id
            Definition

            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

            ShortUnique id for inter-element referencing
            Control0..1
            Typestring
            Is Modifierfalse
            XML FormatIn the XML format, this property is represented as an attribute.
            Summaryfalse
            120. athena-eligibility-profile.familyDeductible.extension
            Definition

            May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

            ShortAdditional content defined by implementations
            Comments

            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

            Control0..*
            TypeExtension
            Is Modifierfalse
            Summaryfalse
            Alternate Namesextensions, user content
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            SlicingThis element introduces a set of slices on athena-eligibility-profile.familyDeductible.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
            • value @ url
            • 122. athena-eligibility-profile.familyDeductible.value
              Definition

              Amount of money for patient athena-payment-profile.


              Numerical value (with implicit precision).

              ShortMoney valueNumerical value (with implicit precision)
              Comments

              Payment amount.


              Monetary values have their own rules for handling precision (refer to standard accounting text books).

              Control0..1
              Typedecimal
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Summarytrue
              Requirements

              The amount of the currency. The value includes an implicit precision in the presentation of the value.

              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              124. athena-eligibility-profile.familyDeductible.currency
              Definition

              Name of the the Currency


              ISO 4217 Currency Code.

              ShortCurrencyISO 4217 Currency Code
              Comments

              Currency in which the Payment payment has to been done.

              Control0..1
              BindingThe codes SHALL be taken from Currencieshttp://hl7.org/fhir/ValueSet/currencies|4.0.1
              (required to http://hl7.org/fhir/ValueSet/currencies|4.0.1)

              A code indicating the currency, taken from ISO 4217.

              Typecode
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Summarytrue
              Requirements

              A code indicating the currency, taken from ISO 4217.

              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              126. athena-eligibility-profile.coInsurance
              Definition

              CoInsurance for each Insurance Eligibility 271 parsed response

              ShortCoInsurance for each Insurance Eligibility 271 parsed response
              Control0..1
              TypeMoney
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              128. athena-eligibility-profile.coInsurance.id
              Definition

              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

              ShortUnique id for inter-element referencing
              Control0..1
              Typestring
              Is Modifierfalse
              XML FormatIn the XML format, this property is represented as an attribute.
              Summaryfalse
              130. athena-eligibility-profile.coInsurance.extension
              Definition

              May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

              ShortAdditional content defined by implementations
              Comments

              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

              Control0..*
              TypeExtension
              Is Modifierfalse
              Summaryfalse
              Alternate Namesextensions, user content
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              SlicingThis element introduces a set of slices on athena-eligibility-profile.coInsurance.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
              • value @ url
              • 132. athena-eligibility-profile.coInsurance.value
                Definition

                Amount of money for patient athena-payment-profile.


                Numerical value (with implicit precision).

                ShortMoney valueNumerical value (with implicit precision)
                Comments

                Payment amount.


                Monetary values have their own rules for handling precision (refer to standard accounting text books).

                Control0..1
                Typedecimal
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Summarytrue
                Requirements

                The amount of the currency. The value includes an implicit precision in the presentation of the value.

                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                134. athena-eligibility-profile.coInsurance.currency
                Definition

                Name of the the Currency


                ISO 4217 Currency Code.

                ShortCurrencyISO 4217 Currency Code
                Comments

                Currency in which the Payment payment has to been done.

                Control0..1
                BindingThe codes SHALL be taken from Currencieshttp://hl7.org/fhir/ValueSet/currencies|4.0.1
                (required to http://hl7.org/fhir/ValueSet/currencies|4.0.1)

                A code indicating the currency, taken from ISO 4217.

                Typecode
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Summarytrue
                Requirements

                A code indicating the currency, taken from ISO 4217.

                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                136. athena-eligibility-profile.otherDeductible
                Definition

                OtherDeductible for each Insurance Eligibility 271 parsed response

                ShortOtherDeductible for each Insurance Eligibility 271 parsed response
                Control0..1
                TypeMoney
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                138. athena-eligibility-profile.otherDeductible.id
                Definition

                Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                ShortUnique id for inter-element referencing
                Control0..1
                Typestring
                Is Modifierfalse
                XML FormatIn the XML format, this property is represented as an attribute.
                Summaryfalse
                140. athena-eligibility-profile.otherDeductible.extension
                Definition

                May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                ShortAdditional content defined by implementations
                Comments

                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                Control0..*
                TypeExtension
                Is Modifierfalse
                Summaryfalse
                Alternate Namesextensions, user content
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                SlicingThis element introduces a set of slices on athena-eligibility-profile.otherDeductible.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                • value @ url
                • 142. athena-eligibility-profile.otherDeductible.value
                  Definition

                  Amount of money for patient athena-payment-profile.


                  Numerical value (with implicit precision).

                  ShortMoney valueNumerical value (with implicit precision)
                  Comments

                  Payment amount.


                  Monetary values have their own rules for handling precision (refer to standard accounting text books).

                  Control0..1
                  Typedecimal
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Summarytrue
                  Requirements

                  The amount of the currency. The value includes an implicit precision in the presentation of the value.

                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  144. athena-eligibility-profile.otherDeductible.currency
                  Definition

                  Name of the the Currency


                  ISO 4217 Currency Code.

                  ShortCurrencyISO 4217 Currency Code
                  Comments

                  Currency in which the Payment payment has to been done.

                  Control0..1
                  BindingThe codes SHALL be taken from Currencieshttp://hl7.org/fhir/ValueSet/currencies|4.0.1
                  (required to http://hl7.org/fhir/ValueSet/currencies|4.0.1)

                  A code indicating the currency, taken from ISO 4217.

                  Typecode
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Summarytrue
                  Requirements

                  A code indicating the currency, taken from ISO 4217.

                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  146. athena-eligibility-profile.masterInsuranceCarriersId
                  Definition

                  If this carrier was imported from the master list, then this is the ID of the carrier that was imported.

                  ShortIf this carrier was imported from the master list, then this is the ID of the carrier that was imported.
                  Control0..1
                  Typeinteger
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  148. athena-eligibility-profile.inactiveInsuranceCarrier
                  Definition

                  Flag for insurance carrier is marked inactive.

                  ShortFlag for insurance carrier is marked inactive.
                  Control0..1
                  Typeboolean
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  150. athena-eligibility-profile.insuranceCarrier
                  Definition

                  insurance Carrier details

                  Shortinsurance Carrier details
                  Control0..1
                  TypeReference(Organization)
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  ref-1: SHALL have a contained resource if a local reference is provided (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')))
                  152. athena-eligibility-profile.insuranceCarrier.id
                  Definition

                  Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                  ShortUnique id for inter-element referencing
                  Control0..1
                  Typestring
                  Is Modifierfalse
                  XML FormatIn the XML format, this property is represented as an attribute.
                  Summaryfalse
                  154. athena-eligibility-profile.insuranceCarrier.extension
                  Definition

                  May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                  ShortAdditional content defined by implementations
                  Comments

                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                  Control0..*
                  TypeExtension
                  Is Modifierfalse
                  Summaryfalse
                  Alternate Namesextensions, user content
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                  SlicingThis element introduces a set of slices on athena-eligibility-profile.insuranceCarrier.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                  • value @ url
                  • 156. athena-eligibility-profile.insuranceCarrier.reference
                    Definition

                    Reference to Organization


                    A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.

                    ShortInsurance Carrier Id refering to OrganizationLiteral reference, Relative, internal or absolute URL
                    Comments

                    Insurance Carrier Id refering to Organization


                    Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.

                    Control0..1
                    This element is affected by the following invariants: ref-1
                    Typestring
                    Is Modifierfalse
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Summarytrue
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    158. athena-eligibility-profile.insuranceCarrier.type
                    Definition

                    The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.

                    The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).

                    ShortType the reference refers to (e.g. "Patient")
                    Comments

                    This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.

                    Control0..1
                    BindingUnless not suitable, these codes SHALL be taken from ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types
                    (extensible to http://hl7.org/fhir/ValueSet/resource-types)

                    Aa resource (or, for logical models, the URI of the logical model).

                    Typeuri
                    Is Modifierfalse
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Summarytrue
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    160. athena-eligibility-profile.insuranceCarrier.identifier
                    Definition

                    An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.

                    ShortLogical reference, when literal reference is not known
                    Comments

                    When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy.

                    When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

                    Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

                    Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).

                    NoteThis is a business identifier, not a resource identifier (see discussion)
                    Control0..1
                    TypeIdentifier
                    Is Modifierfalse
                    Summarytrue
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    162. athena-eligibility-profile.insuranceCarrier.display
                    Definition

                    Name of the the insurance Carrier


                    Plain text narrative that identifies the resource in addition to the resource reference.

                    ShortInsurance carrier NameText alternative for the resource
                    Comments

                    Insurance carrier Name


                    This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.

                    Control0..1
                    Typestring
                    Is Modifierfalse
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Summarytrue
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    164. athena-eligibility-profile.collectionsGroup
                    Definition

                    Collections group to which this insurance carrier belongs.

                    ShortCollections group to which this insurance carrier belongs.
                    Control0..1
                    Typestring
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    166. athena-eligibility-profile.carrierType
                    Definition

                    Carrier type of this insurance carrier.

                    ShortCarrier type of this insurance carrier.
                    Control0..1
                    Typestring
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    168. athena-eligibility-profile.carrierTypeANSI
                    Definition

                    Carrier type ANSI of this insurance carrier

                    ShortCarrier type ANSI of this insurance carrier
                    Control0..1
                    Typestring
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    170. athena-eligibility-profile.patientFinancialClass
                    Definition

                    Financial class of this insurance carrier.

                    ShortFinancial class of this insurance carrier.
                    Control0..1
                    Typestring
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    172. athena-eligibility-profile.insuranceGroupName
                    Definition

                    Insurance Group Name.

                    ShortInsurance Group Name.
                    Control0..1
                    Typestring
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension

                    Guidance on how to interpret the contents of this table can be found here

                    0. athena-eligibility-profile
                    Logical ModelInstances of this logical model are not marked to be the target of a Reference
                    2. athena-eligibility-profile.id
                    Definition

                    The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

                    ShortLogical id of this artifact
                    Comments

                    The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

                    Control1..1
                    Typeid
                    Is Modifierfalse
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Must Supporttrue
                    4. athena-eligibility-profile.meta
                    Definition

                    The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.

                    ShortMetadata about the resource
                    Comments

                    Unique Id for this particular athena-eligibility-profile.

                    Control0..1
                    TypeMeta
                    Is Modifierfalse
                    Must Supportfalse
                    6. athena-eligibility-profile.pid
                    Definition

                    PatientId for Eligibility

                    ShortPID is internal numeric value used in the Chart module and clinical data. This will be the same as the resource id in the Patient resource.
                    Comments

                    PID is internal numeric value used in the Chart module and clinical data. This will be the same as the resource id in the Patient resource.

                    Control1..1
                    Typeinteger
                    Is Modifierfalse
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Must Supporttrue
                    8. athena-eligibility-profile.patient
                    Definition

                    Who or what the athena-eligibility-profile is about. The athena-eligibility-profile can be about a person.

                    ShortWho/what is the patient for Eligibility
                    Control0..1
                    TypeReference(Patient)
                    10. athena-eligibility-profile.patient.reference
                    Definition

                    Who or what the athena-eligibility-profile is about. The athena-eligibility-profile can be about a person.

                    ShortReference to the Patient
                    Control0..1
                    Typestring
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    12. athena-eligibility-profile.patient.display
                    Definition

                    Patient name for the athena-eligibility-profile is about.

                    ShortPatient name
                    Control0..1
                    Typestring
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    14. athena-eligibility-profile.patientProfileId
                    Definition

                    Internal ID of patient used in non-clinical practice management data.

                    ShortPatient specific id for practice management data including financial information
                    Comments

                    Patient profile ID

                    Control1..1
                    TypeunsignedInt
                    Is Modifierfalse
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Must Supporttrue
                    16. athena-eligibility-profile.orderForClaims
                    Definition

                    Order of this visit insurance row relative to the other rows linked to this visit

                    ShortClaims-order link to the patient visit
                    Comments

                    Order of this visit insurance row relative to the other rows linked to this visit

                    Control0..1
                    Typeinteger
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    18. athena-eligibility-profile.patientInsuranceStatus
                    Definition

                    Status of Patient insurance

                    ShortStatus of Patient insurance
                    Comments

                    Status of Patient insurance

                    Control0..1
                    Typestring
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    20. athena-eligibility-profile.patientInsuranceGroupId
                    Definition

                    Policy group number assigned by the insurance carrier.

                    ShortPolicy group number
                    Comments

                    Policy number

                    Control0..1
                    Typestring
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    22. athena-eligibility-profile.patientInsuranceGroupName
                    Definition

                    Policy group name

                    ShortPolicy group name
                    Comments

                    Policy group name

                    Control0..1
                    Typestring
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    24. athena-eligibility-profile.claimOfficeNumber
                    Definition

                    Office number of Claim.

                    ShortOffice number of Claim.
                    Comments

                    Office number of Claim.

                    Control0..1
                    Typestring
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    26. athena-eligibility-profile.insuredId
                    Definition

                    Insured person's insurance ID

                    ShortInsured person's insurance ID
                    Comments

                    Insured person's insurance ID

                    Control0..1
                    Typestring
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    28. athena-eligibility-profile.patientInsuranceMediGapId
                    Definition

                    The Medigap ID for this insurance carrier if the policy type is set to Medigap.

                    ShortThe Medigap ID for this insurance carrier if the policy type is set to Medigap.
                    Control0..1
                    Typestring
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    30. athena-eligibility-profile.insuranceCardEffectiveDate
                    Definition

                    Effective date of this insurance policy.

                    ShortEffective date of this insurance policy.
                    Control0..1
                    TypedateTime
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    32. athena-eligibility-profile.insuranceCardTerminationDate
                    Definition

                    Termination date of this insurance policy.

                    ShortTermination date of this insurance policy.
                    Control0..1
                    TypedateTime
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    34. athena-eligibility-profile.patientCopayAmount
                    Definition

                    Patient copay for each Insurance Eligibility 271 parsed response

                    ShortPatient copay for each Insurance Eligibility 271 parsed response
                    Control0..1
                    TypeMoney
                    36. athena-eligibility-profile.patientCopayAmount.value
                    Definition

                    Amount of money for patient athena-payment-profile.

                    ShortMoney value
                    Comments

                    Payment amount.

                    Control0..1
                    Typedecimal
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    38. athena-eligibility-profile.patientCopayAmount.currency
                    Definition

                    Name of the the Currency

                    ShortCurrency
                    Comments

                    Currency in which the Payment payment has to been done.

                    Control0..1
                    Typecode
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    40. athena-eligibility-profile.patientInsuranceDeductible
                    Definition

                    Patient Insurance deductible 271 parsed response

                    ShortPatient Insurance deductible 271 parsed response
                    Control0..1
                    TypeMoney
                    42. athena-eligibility-profile.patientInsuranceDeductible.value
                    Definition

                    Amount of money for patient athena-payment-profile.

                    ShortMoney value
                    Comments

                    Payment amount.

                    Control0..1
                    Typedecimal
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    44. athena-eligibility-profile.patientInsuranceDeductible.currency
                    Definition

                    Name of the the Currency

                    ShortCurrency
                    Comments

                    Currency in which the Payment payment has to been done.

                    Control0..1
                    Typecode
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    46. athena-eligibility-profile.champusBranch
                    Definition

                    A CHAMPUS branch identifies and tracks the branch of the military to which a patient belongs.

                    ShortA CHAMPUS branch identifies and tracks the branch of the military to which a patient belongs.
                    Control0..1
                    Typestring
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    48. athena-eligibility-profile.champusGrade
                    Definition

                    A CHAMPUS Grade list option identifies and tracks the ranking of a patient in the military

                    ShortA CHAMPUS Grade list option identifies and tracks the ranking of a patient in the military
                    Control0..1
                    Typestring
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    50. athena-eligibility-profile.champusStatus
                    Definition

                    A CHAMPUS status identifies and tracks the status of a patient in the military (whether active or retired).

                    ShortA CHAMPUS status identifies and tracks the status of a patient in the military (whether active or retired).
                    Control0..1
                    Typestring
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    52. athena-eligibility-profile.patientRelatedToInsured
                    Definition

                    Relation of patient with the Insured person.

                    ShortRelation of patient with the Insured person.
                    Control0..1
                    Typestring
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    54. athena-eligibility-profile.employer
                    Definition

                    Employer details

                    ShortEmployer details
                    Control0..1
                    TypeReference(Organization)
                    56. athena-eligibility-profile.employer.reference
                    Definition

                    Reference to employer

                    ShortInsurance Carrier Id refering to employer
                    Comments

                    Insurance Carrier Id refering to employer

                    Control0..1
                    Typestring
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    58. athena-eligibility-profile.employer.display
                    Definition

                    Name of the the insurance Carrier

                    ShortInsurance carrier Name
                    Comments

                    Insurance carrier Name

                    Control0..1
                    Typestring
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    60. athena-eligibility-profile.employeeId
                    Definition

                    Identifier for Employee

                    ShortIdentifier for Employee
                    Control0..1
                    Typestring
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    62. athena-eligibility-profile.eligibilityVerified
                    Definition

                    Integer code for the eligibility status for this insurance carrier for this patient

                    ShortInteger code for the eligibility status for this insurance carrier for this patient
                    Control0..1
                    Typeinteger
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    64. athena-eligibility-profile.eligibilityVerifiedDate
                    Definition

                    Date the eligibility information was verified.

                    ShortDate the eligibility information was verified.
                    Control0..1
                    TypedateTime
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    66. athena-eligibility-profile.eligibilityVerifiedBy
                    Definition

                    Person who has verified Eligibility.

                    ShortPerson who has verified Eligibility.
                    Control0..1
                    Typestring
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    68. athena-eligibility-profile.eligibilityNotes
                    Definition

                    Notes from this insurance carrier about the eligibility for this patient.

                    ShortNotes from this insurance carrier about the eligibility for this patient.
                    Control0..1
                    Typestring
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    70. athena-eligibility-profile.patientInsuranceNotes
                    Definition

                    Patient InsuranceNotes

                    ShortInsuranceNotes related to patient
                    Control0..1
                    Typestring
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    72. athena-eligibility-profile.insurancePolicyTypes
                    Definition

                    Insurance policy type

                    ShortInsurance policy type
                    Control0..1
                    Typestring
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    74. athena-eligibility-profile.dateOfServiceFrom
                    Definition

                    Start date of service for this procedure

                    ShortStart date of service for this procedure
                    Control0..1
                    TypedateTime
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    76. athena-eligibility-profile.dateOfServiceTo
                    Definition

                    Stop date of service for this procedure.

                    ShortStop date of service for this procedure.
                    Control0..1
                    TypedateTime
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    78. athena-eligibility-profile.otherInsuredId
                    Definition

                    Insured person's another insurance ID

                    ShortInsured person's another insurance ID
                    Control0..1
                    Typestring
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    80. athena-eligibility-profile.otherIdQualifier
                    Definition

                    OtherId Qualifier

                    ShortOtherId Qualifier
                    Control0..1
                    Typestring
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    82. athena-eligibility-profile.otherCopayAmount
                    Definition

                    OtherCopayAmt for each Insurance Eligibility 271 parsed response

                    ShortOtherCopayAmt for each Insurance Eligibility 271 parsed response
                    Control0..1
                    TypeMoney
                    84. athena-eligibility-profile.otherCopayAmount.value
                    Definition

                    Amount of money for patient athena-payment-profile.

                    ShortMoney value
                    Comments

                    Payment amount.

                    Control0..1
                    Typedecimal
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    86. athena-eligibility-profile.otherCopayAmount.currency
                    Definition

                    Name of the the Currency

                    ShortCurrency
                    Comments

                    Currency in which the Payment payment has to been done.

                    Control0..1
                    Typecode
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    88. athena-eligibility-profile.familyDeductible
                    Definition

                    FamilyDeductible for each Insurance Eligibility 271 parsed response

                    ShortFamilyDeductible for each Insurance Eligibility 271 parsed response
                    Control0..1
                    TypeMoney
                    90. athena-eligibility-profile.familyDeductible.value
                    Definition

                    Amount of money for patient athena-payment-profile.

                    ShortMoney value
                    Comments

                    Payment amount.

                    Control0..1
                    Typedecimal
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    92. athena-eligibility-profile.familyDeductible.currency
                    Definition

                    Name of the the Currency

                    ShortCurrency
                    Comments

                    Currency in which the Payment payment has to been done.

                    Control0..1
                    Typecode
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    94. athena-eligibility-profile.coInsurance
                    Definition

                    CoInsurance for each Insurance Eligibility 271 parsed response

                    ShortCoInsurance for each Insurance Eligibility 271 parsed response
                    Control0..1
                    TypeMoney
                    96. athena-eligibility-profile.coInsurance.value
                    Definition

                    Amount of money for patient athena-payment-profile.

                    ShortMoney value
                    Comments

                    Payment amount.

                    Control0..1
                    Typedecimal
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    98. athena-eligibility-profile.coInsurance.currency
                    Definition

                    Name of the the Currency

                    ShortCurrency
                    Comments

                    Currency in which the Payment payment has to been done.

                    Control0..1
                    Typecode
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    100. athena-eligibility-profile.otherDeductible
                    Definition

                    OtherDeductible for each Insurance Eligibility 271 parsed response

                    ShortOtherDeductible for each Insurance Eligibility 271 parsed response
                    Control0..1
                    TypeMoney
                    102. athena-eligibility-profile.otherDeductible.value
                    Definition

                    Amount of money for patient athena-payment-profile.

                    ShortMoney value
                    Comments

                    Payment amount.

                    Control0..1
                    Typedecimal
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    104. athena-eligibility-profile.otherDeductible.currency
                    Definition

                    Name of the the Currency

                    ShortCurrency
                    Comments

                    Currency in which the Payment payment has to been done.

                    Control0..1
                    Typecode
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    106. athena-eligibility-profile.masterInsuranceCarriersId
                    Definition

                    If this carrier was imported from the master list, then this is the ID of the carrier that was imported.

                    ShortIf this carrier was imported from the master list, then this is the ID of the carrier that was imported.
                    Control0..1
                    Typeinteger
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    108. athena-eligibility-profile.inactiveInsuranceCarrier
                    Definition

                    Flag for insurance carrier is marked inactive.

                    ShortFlag for insurance carrier is marked inactive.
                    Control0..1
                    Typeboolean
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    110. athena-eligibility-profile.insuranceCarrier
                    Definition

                    insurance Carrier details

                    Shortinsurance Carrier details
                    Control0..1
                    TypeReference(Organization)
                    112. athena-eligibility-profile.insuranceCarrier.reference
                    Definition

                    Reference to Organization

                    ShortInsurance Carrier Id refering to Organization
                    Comments

                    Insurance Carrier Id refering to Organization

                    Control0..1
                    Typestring
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    114. athena-eligibility-profile.insuranceCarrier.display
                    Definition

                    Name of the the insurance Carrier

                    ShortInsurance carrier Name
                    Comments

                    Insurance carrier Name

                    Control0..1
                    Typestring
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    116. athena-eligibility-profile.collectionsGroup
                    Definition

                    Collections group to which this insurance carrier belongs.

                    ShortCollections group to which this insurance carrier belongs.
                    Control0..1
                    Typestring
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    118. athena-eligibility-profile.carrierType
                    Definition

                    Carrier type of this insurance carrier.

                    ShortCarrier type of this insurance carrier.
                    Control0..1
                    Typestring
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    120. athena-eligibility-profile.carrierTypeANSI
                    Definition

                    Carrier type ANSI of this insurance carrier

                    ShortCarrier type ANSI of this insurance carrier
                    Control0..1
                    Typestring
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    122. athena-eligibility-profile.patientFinancialClass
                    Definition

                    Financial class of this insurance carrier.

                    ShortFinancial class of this insurance carrier.
                    Control0..1
                    Typestring
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    124. athena-eligibility-profile.insuranceGroupName
                    Definition

                    Insurance Group Name.

                    ShortInsurance Group Name.
                    Control0..1
                    Typestring
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension

                    Guidance on how to interpret the contents of this table can be found here

                    0. athena-eligibility-profile
                    Control0..*
                    Is Modifierfalse
                    Logical ModelInstances of this logical model are not marked to be the target of a Reference
                    2. athena-eligibility-profile.id
                    Definition

                    The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

                    ShortLogical id of this artifact
                    Comments

                    The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

                    Control1..1
                    Typeid
                    Is Modifierfalse
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Must Supporttrue
                    Summarytrue
                    4. athena-eligibility-profile.meta
                    Definition

                    The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.

                    ShortMetadata about the resource
                    Comments

                    Unique Id for this particular athena-eligibility-profile.

                    Control0..1
                    TypeMeta
                    Is Modifierfalse
                    Must Supportfalse
                    Summarytrue
                    6. athena-eligibility-profile.pid
                    Definition

                    PatientId for Eligibility

                    ShortPID is internal numeric value used in the Chart module and clinical data. This will be the same as the resource id in the Patient resource.
                    Comments

                    PID is internal numeric value used in the Chart module and clinical data. This will be the same as the resource id in the Patient resource.

                    Control1..1
                    Typeinteger
                    Is Modifierfalse
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Must Supporttrue
                    Summarytrue
                    8. athena-eligibility-profile.patient
                    Definition

                    Who or what the athena-eligibility-profile is about. The athena-eligibility-profile can be about a person.

                    ShortWho/what is the patient for Eligibility
                    Control0..1
                    TypeReference(Patient)
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    ref-1: SHALL have a contained resource if a local reference is provided (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')))
                    10. athena-eligibility-profile.patient.id
                    Definition

                    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                    ShortUnique id for inter-element referencing
                    Control0..1
                    Typestring
                    Is Modifierfalse
                    XML FormatIn the XML format, this property is represented as an attribute.
                    Summaryfalse
                    12. athena-eligibility-profile.patient.extension
                    Definition

                    May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                    ShortAdditional content defined by implementations
                    Comments

                    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                    Control0..*
                    TypeExtension
                    Is Modifierfalse
                    Summaryfalse
                    Alternate Namesextensions, user content
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                    SlicingThis element introduces a set of slices on athena-eligibility-profile.patient.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                    • value @ url
                    • 14. athena-eligibility-profile.patient.reference
                      Definition

                      Who or what the athena-eligibility-profile is about. The athena-eligibility-profile can be about a person.

                      ShortReference to the Patient
                      Comments

                      Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.

                      Control0..1
                      This element is affected by the following invariants: ref-1
                      Typestring
                      Is Modifierfalse
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Summarytrue
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      16. athena-eligibility-profile.patient.type
                      Definition

                      The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.

                      The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).

                      ShortType the reference refers to (e.g. "Patient")
                      Comments

                      This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.

                      Control0..1
                      BindingUnless not suitable, these codes SHALL be taken from ResourceType
                      (extensible to http://hl7.org/fhir/ValueSet/resource-types)

                      Aa resource (or, for logical models, the URI of the logical model).

                      Typeuri
                      Is Modifierfalse
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Summarytrue
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      18. athena-eligibility-profile.patient.identifier
                      Definition

                      An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.

                      ShortLogical reference, when literal reference is not known
                      Comments

                      When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy.

                      When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

                      Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

                      Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).

                      NoteThis is a business identifier, not a resource identifier (see discussion)
                      Control0..1
                      TypeIdentifier
                      Is Modifierfalse
                      Summarytrue
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      20. athena-eligibility-profile.patient.display
                      Definition

                      Patient name for the athena-eligibility-profile is about.

                      ShortPatient name
                      Comments

                      This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.

                      Control0..1
                      Typestring
                      Is Modifierfalse
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Summarytrue
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      22. athena-eligibility-profile.patientProfileId
                      Definition

                      Internal ID of patient used in non-clinical practice management data.

                      ShortPatient specific id for practice management data including financial information
                      Comments

                      Patient profile ID

                      Control1..1
                      TypeunsignedInt
                      Is Modifierfalse
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Must Supporttrue
                      Summarytrue
                      24. athena-eligibility-profile.orderForClaims
                      Definition

                      Order of this visit insurance row relative to the other rows linked to this visit

                      ShortClaims-order link to the patient visit
                      Comments

                      Order of this visit insurance row relative to the other rows linked to this visit

                      Control0..1
                      Typeinteger
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      26. athena-eligibility-profile.patientInsuranceStatus
                      Definition

                      Status of Patient insurance

                      ShortStatus of Patient insurance
                      Comments

                      Status of Patient insurance

                      Control0..1
                      Typestring
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      28. athena-eligibility-profile.patientInsuranceGroupId
                      Definition

                      Policy group number assigned by the insurance carrier.

                      ShortPolicy group number
                      Comments

                      Policy number

                      Control0..1
                      Typestring
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      30. athena-eligibility-profile.patientInsuranceGroupName
                      Definition

                      Policy group name

                      ShortPolicy group name
                      Comments

                      Policy group name

                      Control0..1
                      Typestring
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      32. athena-eligibility-profile.claimOfficeNumber
                      Definition

                      Office number of Claim.

                      ShortOffice number of Claim.
                      Comments

                      Office number of Claim.

                      Control0..1
                      Typestring
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      34. athena-eligibility-profile.insuredId
                      Definition

                      Insured person's insurance ID

                      ShortInsured person's insurance ID
                      Comments

                      Insured person's insurance ID

                      Control0..1
                      Typestring
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      36. athena-eligibility-profile.patientInsuranceMediGapId
                      Definition

                      The Medigap ID for this insurance carrier if the policy type is set to Medigap.

                      ShortThe Medigap ID for this insurance carrier if the policy type is set to Medigap.
                      Control0..1
                      Typestring
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      38. athena-eligibility-profile.insuranceCardEffectiveDate
                      Definition

                      Effective date of this insurance policy.

                      ShortEffective date of this insurance policy.
                      Control0..1
                      TypedateTime
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      40. athena-eligibility-profile.insuranceCardTerminationDate
                      Definition

                      Termination date of this insurance policy.

                      ShortTermination date of this insurance policy.
                      Control0..1
                      TypedateTime
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      42. athena-eligibility-profile.patientCopayAmount
                      Definition

                      Patient copay for each Insurance Eligibility 271 parsed response

                      ShortPatient copay for each Insurance Eligibility 271 parsed response
                      Control0..1
                      TypeMoney
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      44. athena-eligibility-profile.patientCopayAmount.id
                      Definition

                      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                      ShortUnique id for inter-element referencing
                      Control0..1
                      Typestring
                      Is Modifierfalse
                      XML FormatIn the XML format, this property is represented as an attribute.
                      Summaryfalse
                      46. athena-eligibility-profile.patientCopayAmount.extension
                      Definition

                      May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                      ShortAdditional content defined by implementations
                      Comments

                      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                      Control0..*
                      TypeExtension
                      Is Modifierfalse
                      Summaryfalse
                      Alternate Namesextensions, user content
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                      SlicingThis element introduces a set of slices on athena-eligibility-profile.patientCopayAmount.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                      • value @ url
                      • 48. athena-eligibility-profile.patientCopayAmount.value
                        Definition

                        Amount of money for patient athena-payment-profile.

                        ShortMoney value
                        Comments

                        Payment amount.

                        Control0..1
                        Typedecimal
                        Is Modifierfalse
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Summarytrue
                        Requirements

                        The amount of the currency. The value includes an implicit precision in the presentation of the value.

                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        50. athena-eligibility-profile.patientCopayAmount.currency
                        Definition

                        Name of the the Currency

                        ShortCurrency
                        Comments

                        Currency in which the Payment payment has to been done.

                        Control0..1
                        BindingThe codes SHALL be taken from Currencies
                        (required to http://hl7.org/fhir/ValueSet/currencies|4.0.1)

                        A code indicating the currency, taken from ISO 4217.

                        Typecode
                        Is Modifierfalse
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Summarytrue
                        Requirements

                        A code indicating the currency, taken from ISO 4217.

                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        52. athena-eligibility-profile.patientInsuranceDeductible
                        Definition

                        Patient Insurance deductible 271 parsed response

                        ShortPatient Insurance deductible 271 parsed response
                        Control0..1
                        TypeMoney
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        54. athena-eligibility-profile.patientInsuranceDeductible.id
                        Definition

                        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                        ShortUnique id for inter-element referencing
                        Control0..1
                        Typestring
                        Is Modifierfalse
                        XML FormatIn the XML format, this property is represented as an attribute.
                        Summaryfalse
                        56. athena-eligibility-profile.patientInsuranceDeductible.extension
                        Definition

                        May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                        ShortAdditional content defined by implementations
                        Comments

                        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                        Control0..*
                        TypeExtension
                        Is Modifierfalse
                        Summaryfalse
                        Alternate Namesextensions, user content
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                        SlicingThis element introduces a set of slices on athena-eligibility-profile.patientInsuranceDeductible.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                        • value @ url
                        • 58. athena-eligibility-profile.patientInsuranceDeductible.value
                          Definition

                          Amount of money for patient athena-payment-profile.

                          ShortMoney value
                          Comments

                          Payment amount.

                          Control0..1
                          Typedecimal
                          Is Modifierfalse
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          Summarytrue
                          Requirements

                          The amount of the currency. The value includes an implicit precision in the presentation of the value.

                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          60. athena-eligibility-profile.patientInsuranceDeductible.currency
                          Definition

                          Name of the the Currency

                          ShortCurrency
                          Comments

                          Currency in which the Payment payment has to been done.

                          Control0..1
                          BindingThe codes SHALL be taken from Currencies
                          (required to http://hl7.org/fhir/ValueSet/currencies|4.0.1)

                          A code indicating the currency, taken from ISO 4217.

                          Typecode
                          Is Modifierfalse
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          Summarytrue
                          Requirements

                          A code indicating the currency, taken from ISO 4217.

                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          62. athena-eligibility-profile.champusBranch
                          Definition

                          A CHAMPUS branch identifies and tracks the branch of the military to which a patient belongs.

                          ShortA CHAMPUS branch identifies and tracks the branch of the military to which a patient belongs.
                          Control0..1
                          Typestring
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          64. athena-eligibility-profile.champusGrade
                          Definition

                          A CHAMPUS Grade list option identifies and tracks the ranking of a patient in the military

                          ShortA CHAMPUS Grade list option identifies and tracks the ranking of a patient in the military
                          Control0..1
                          Typestring
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          66. athena-eligibility-profile.champusStatus
                          Definition

                          A CHAMPUS status identifies and tracks the status of a patient in the military (whether active or retired).

                          ShortA CHAMPUS status identifies and tracks the status of a patient in the military (whether active or retired).
                          Control0..1
                          Typestring
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          68. athena-eligibility-profile.patientRelatedToInsured
                          Definition

                          Relation of patient with the Insured person.

                          ShortRelation of patient with the Insured person.
                          Control0..1
                          Typestring
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          70. athena-eligibility-profile.employer
                          Definition

                          Employer details

                          ShortEmployer details
                          Control0..1
                          TypeReference(Organization)
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          ref-1: SHALL have a contained resource if a local reference is provided (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')))
                          72. athena-eligibility-profile.employer.id
                          Definition

                          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                          ShortUnique id for inter-element referencing
                          Control0..1
                          Typestring
                          Is Modifierfalse
                          XML FormatIn the XML format, this property is represented as an attribute.
                          Summaryfalse
                          74. athena-eligibility-profile.employer.extension
                          Definition

                          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                          ShortAdditional content defined by implementations
                          Comments

                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                          Control0..*
                          TypeExtension
                          Is Modifierfalse
                          Summaryfalse
                          Alternate Namesextensions, user content
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                          SlicingThis element introduces a set of slices on athena-eligibility-profile.employer.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                          • value @ url
                          • 76. athena-eligibility-profile.employer.reference
                            Definition

                            Reference to employer

                            ShortInsurance Carrier Id refering to employer
                            Comments

                            Insurance Carrier Id refering to employer

                            Control0..1
                            This element is affected by the following invariants: ref-1
                            Typestring
                            Is Modifierfalse
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            Summarytrue
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            78. athena-eligibility-profile.employer.type
                            Definition

                            The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.

                            The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).

                            ShortType the reference refers to (e.g. "Patient")
                            Comments

                            This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.

                            Control0..1
                            BindingUnless not suitable, these codes SHALL be taken from ResourceType
                            (extensible to http://hl7.org/fhir/ValueSet/resource-types)

                            Aa resource (or, for logical models, the URI of the logical model).

                            Typeuri
                            Is Modifierfalse
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            Summarytrue
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            80. athena-eligibility-profile.employer.identifier
                            Definition

                            An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.

                            ShortLogical reference, when literal reference is not known
                            Comments

                            When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy.

                            When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

                            Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

                            Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).

                            NoteThis is a business identifier, not a resource identifier (see discussion)
                            Control0..1
                            TypeIdentifier
                            Is Modifierfalse
                            Summarytrue
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            82. athena-eligibility-profile.employer.display
                            Definition

                            Name of the the insurance Carrier

                            ShortInsurance carrier Name
                            Comments

                            Insurance carrier Name

                            Control0..1
                            Typestring
                            Is Modifierfalse
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            Summarytrue
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            84. athena-eligibility-profile.employeeId
                            Definition

                            Identifier for Employee

                            ShortIdentifier for Employee
                            Control0..1
                            Typestring
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            86. athena-eligibility-profile.eligibilityVerified
                            Definition

                            Integer code for the eligibility status for this insurance carrier for this patient

                            ShortInteger code for the eligibility status for this insurance carrier for this patient
                            Control0..1
                            Typeinteger
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            88. athena-eligibility-profile.eligibilityVerifiedDate
                            Definition

                            Date the eligibility information was verified.

                            ShortDate the eligibility information was verified.
                            Control0..1
                            TypedateTime
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            90. athena-eligibility-profile.eligibilityVerifiedBy
                            Definition

                            Person who has verified Eligibility.

                            ShortPerson who has verified Eligibility.
                            Control0..1
                            Typestring
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            92. athena-eligibility-profile.eligibilityNotes
                            Definition

                            Notes from this insurance carrier about the eligibility for this patient.

                            ShortNotes from this insurance carrier about the eligibility for this patient.
                            Control0..1
                            Typestring
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            94. athena-eligibility-profile.patientInsuranceNotes
                            Definition

                            Patient InsuranceNotes

                            ShortInsuranceNotes related to patient
                            Control0..1
                            Typestring
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            96. athena-eligibility-profile.insurancePolicyTypes
                            Definition

                            Insurance policy type

                            ShortInsurance policy type
                            Control0..1
                            Typestring
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            98. athena-eligibility-profile.dateOfServiceFrom
                            Definition

                            Start date of service for this procedure

                            ShortStart date of service for this procedure
                            Control0..1
                            TypedateTime
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            100. athena-eligibility-profile.dateOfServiceTo
                            Definition

                            Stop date of service for this procedure.

                            ShortStop date of service for this procedure.
                            Control0..1
                            TypedateTime
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            102. athena-eligibility-profile.otherInsuredId
                            Definition

                            Insured person's another insurance ID

                            ShortInsured person's another insurance ID
                            Control0..1
                            Typestring
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            104. athena-eligibility-profile.otherIdQualifier
                            Definition

                            OtherId Qualifier

                            ShortOtherId Qualifier
                            Control0..1
                            Typestring
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            106. athena-eligibility-profile.otherCopayAmount
                            Definition

                            OtherCopayAmt for each Insurance Eligibility 271 parsed response

                            ShortOtherCopayAmt for each Insurance Eligibility 271 parsed response
                            Control0..1
                            TypeMoney
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            108. athena-eligibility-profile.otherCopayAmount.id
                            Definition

                            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                            ShortUnique id for inter-element referencing
                            Control0..1
                            Typestring
                            Is Modifierfalse
                            XML FormatIn the XML format, this property is represented as an attribute.
                            Summaryfalse
                            110. athena-eligibility-profile.otherCopayAmount.extension
                            Definition

                            May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                            ShortAdditional content defined by implementations
                            Comments

                            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                            Control0..*
                            TypeExtension
                            Is Modifierfalse
                            Summaryfalse
                            Alternate Namesextensions, user content
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                            SlicingThis element introduces a set of slices on athena-eligibility-profile.otherCopayAmount.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                            • value @ url
                            • 112. athena-eligibility-profile.otherCopayAmount.value
                              Definition

                              Amount of money for patient athena-payment-profile.

                              ShortMoney value
                              Comments

                              Payment amount.

                              Control0..1
                              Typedecimal
                              Is Modifierfalse
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              Summarytrue
                              Requirements

                              The amount of the currency. The value includes an implicit precision in the presentation of the value.

                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              114. athena-eligibility-profile.otherCopayAmount.currency
                              Definition

                              Name of the the Currency

                              ShortCurrency
                              Comments

                              Currency in which the Payment payment has to been done.

                              Control0..1
                              BindingThe codes SHALL be taken from Currencies
                              (required to http://hl7.org/fhir/ValueSet/currencies|4.0.1)

                              A code indicating the currency, taken from ISO 4217.

                              Typecode
                              Is Modifierfalse
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              Summarytrue
                              Requirements

                              A code indicating the currency, taken from ISO 4217.

                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              116. athena-eligibility-profile.familyDeductible
                              Definition

                              FamilyDeductible for each Insurance Eligibility 271 parsed response

                              ShortFamilyDeductible for each Insurance Eligibility 271 parsed response
                              Control0..1
                              TypeMoney
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              118. athena-eligibility-profile.familyDeductible.id
                              Definition

                              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                              ShortUnique id for inter-element referencing
                              Control0..1
                              Typestring
                              Is Modifierfalse
                              XML FormatIn the XML format, this property is represented as an attribute.
                              Summaryfalse
                              120. athena-eligibility-profile.familyDeductible.extension
                              Definition

                              May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                              ShortAdditional content defined by implementations
                              Comments

                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                              Control0..*
                              TypeExtension
                              Is Modifierfalse
                              Summaryfalse
                              Alternate Namesextensions, user content
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                              SlicingThis element introduces a set of slices on athena-eligibility-profile.familyDeductible.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                              • value @ url
                              • 122. athena-eligibility-profile.familyDeductible.value
                                Definition

                                Amount of money for patient athena-payment-profile.

                                ShortMoney value
                                Comments

                                Payment amount.

                                Control0..1
                                Typedecimal
                                Is Modifierfalse
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                Summarytrue
                                Requirements

                                The amount of the currency. The value includes an implicit precision in the presentation of the value.

                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                124. athena-eligibility-profile.familyDeductible.currency
                                Definition

                                Name of the the Currency

                                ShortCurrency
                                Comments

                                Currency in which the Payment payment has to been done.

                                Control0..1
                                BindingThe codes SHALL be taken from Currencies
                                (required to http://hl7.org/fhir/ValueSet/currencies|4.0.1)

                                A code indicating the currency, taken from ISO 4217.

                                Typecode
                                Is Modifierfalse
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                Summarytrue
                                Requirements

                                A code indicating the currency, taken from ISO 4217.

                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                126. athena-eligibility-profile.coInsurance
                                Definition

                                CoInsurance for each Insurance Eligibility 271 parsed response

                                ShortCoInsurance for each Insurance Eligibility 271 parsed response
                                Control0..1
                                TypeMoney
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                128. athena-eligibility-profile.coInsurance.id
                                Definition

                                Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                ShortUnique id for inter-element referencing
                                Control0..1
                                Typestring
                                Is Modifierfalse
                                XML FormatIn the XML format, this property is represented as an attribute.
                                Summaryfalse
                                130. athena-eligibility-profile.coInsurance.extension
                                Definition

                                May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                ShortAdditional content defined by implementations
                                Comments

                                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                Control0..*
                                TypeExtension
                                Is Modifierfalse
                                Summaryfalse
                                Alternate Namesextensions, user content
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                SlicingThis element introduces a set of slices on athena-eligibility-profile.coInsurance.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                • value @ url
                                • 132. athena-eligibility-profile.coInsurance.value
                                  Definition

                                  Amount of money for patient athena-payment-profile.

                                  ShortMoney value
                                  Comments

                                  Payment amount.

                                  Control0..1
                                  Typedecimal
                                  Is Modifierfalse
                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                  Summarytrue
                                  Requirements

                                  The amount of the currency. The value includes an implicit precision in the presentation of the value.

                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  134. athena-eligibility-profile.coInsurance.currency
                                  Definition

                                  Name of the the Currency

                                  ShortCurrency
                                  Comments

                                  Currency in which the Payment payment has to been done.

                                  Control0..1
                                  BindingThe codes SHALL be taken from Currencies
                                  (required to http://hl7.org/fhir/ValueSet/currencies|4.0.1)

                                  A code indicating the currency, taken from ISO 4217.

                                  Typecode
                                  Is Modifierfalse
                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                  Summarytrue
                                  Requirements

                                  A code indicating the currency, taken from ISO 4217.

                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  136. athena-eligibility-profile.otherDeductible
                                  Definition

                                  OtherDeductible for each Insurance Eligibility 271 parsed response

                                  ShortOtherDeductible for each Insurance Eligibility 271 parsed response
                                  Control0..1
                                  TypeMoney
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  138. athena-eligibility-profile.otherDeductible.id
                                  Definition

                                  Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                  ShortUnique id for inter-element referencing
                                  Control0..1
                                  Typestring
                                  Is Modifierfalse
                                  XML FormatIn the XML format, this property is represented as an attribute.
                                  Summaryfalse
                                  140. athena-eligibility-profile.otherDeductible.extension
                                  Definition

                                  May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                  ShortAdditional content defined by implementations
                                  Comments

                                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                  Control0..*
                                  TypeExtension
                                  Is Modifierfalse
                                  Summaryfalse
                                  Alternate Namesextensions, user content
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                  SlicingThis element introduces a set of slices on athena-eligibility-profile.otherDeductible.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                  • value @ url
                                  • 142. athena-eligibility-profile.otherDeductible.value
                                    Definition

                                    Amount of money for patient athena-payment-profile.

                                    ShortMoney value
                                    Comments

                                    Payment amount.

                                    Control0..1
                                    Typedecimal
                                    Is Modifierfalse
                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                    Summarytrue
                                    Requirements

                                    The amount of the currency. The value includes an implicit precision in the presentation of the value.

                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    144. athena-eligibility-profile.otherDeductible.currency
                                    Definition

                                    Name of the the Currency

                                    ShortCurrency
                                    Comments

                                    Currency in which the Payment payment has to been done.

                                    Control0..1
                                    BindingThe codes SHALL be taken from Currencies
                                    (required to http://hl7.org/fhir/ValueSet/currencies|4.0.1)

                                    A code indicating the currency, taken from ISO 4217.

                                    Typecode
                                    Is Modifierfalse
                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                    Summarytrue
                                    Requirements

                                    A code indicating the currency, taken from ISO 4217.

                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    146. athena-eligibility-profile.masterInsuranceCarriersId
                                    Definition

                                    If this carrier was imported from the master list, then this is the ID of the carrier that was imported.

                                    ShortIf this carrier was imported from the master list, then this is the ID of the carrier that was imported.
                                    Control0..1
                                    Typeinteger
                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                    148. athena-eligibility-profile.inactiveInsuranceCarrier
                                    Definition

                                    Flag for insurance carrier is marked inactive.

                                    ShortFlag for insurance carrier is marked inactive.
                                    Control0..1
                                    Typeboolean
                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                    150. athena-eligibility-profile.insuranceCarrier
                                    Definition

                                    insurance Carrier details

                                    Shortinsurance Carrier details
                                    Control0..1
                                    TypeReference(Organization)
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    ref-1: SHALL have a contained resource if a local reference is provided (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')))
                                    152. athena-eligibility-profile.insuranceCarrier.id
                                    Definition

                                    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                    ShortUnique id for inter-element referencing
                                    Control0..1
                                    Typestring
                                    Is Modifierfalse
                                    XML FormatIn the XML format, this property is represented as an attribute.
                                    Summaryfalse
                                    154. athena-eligibility-profile.insuranceCarrier.extension
                                    Definition

                                    May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                    ShortAdditional content defined by implementations
                                    Comments

                                    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                    Control0..*
                                    TypeExtension
                                    Is Modifierfalse
                                    Summaryfalse
                                    Alternate Namesextensions, user content
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                    SlicingThis element introduces a set of slices on athena-eligibility-profile.insuranceCarrier.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                    • value @ url
                                    • 156. athena-eligibility-profile.insuranceCarrier.reference
                                      Definition

                                      Reference to Organization

                                      ShortInsurance Carrier Id refering to Organization
                                      Comments

                                      Insurance Carrier Id refering to Organization

                                      Control0..1
                                      This element is affected by the following invariants: ref-1
                                      Typestring
                                      Is Modifierfalse
                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                      Summarytrue
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      158. athena-eligibility-profile.insuranceCarrier.type
                                      Definition

                                      The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.

                                      The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).

                                      ShortType the reference refers to (e.g. "Patient")
                                      Comments

                                      This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.

                                      Control0..1
                                      BindingUnless not suitable, these codes SHALL be taken from ResourceType
                                      (extensible to http://hl7.org/fhir/ValueSet/resource-types)

                                      Aa resource (or, for logical models, the URI of the logical model).

                                      Typeuri
                                      Is Modifierfalse
                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                      Summarytrue
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      160. athena-eligibility-profile.insuranceCarrier.identifier
                                      Definition

                                      An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.

                                      ShortLogical reference, when literal reference is not known
                                      Comments

                                      When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy.

                                      When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

                                      Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

                                      Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).

                                      NoteThis is a business identifier, not a resource identifier (see discussion)
                                      Control0..1
                                      TypeIdentifier
                                      Is Modifierfalse
                                      Summarytrue
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      162. athena-eligibility-profile.insuranceCarrier.display
                                      Definition

                                      Name of the the insurance Carrier

                                      ShortInsurance carrier Name
                                      Comments

                                      Insurance carrier Name

                                      Control0..1
                                      Typestring
                                      Is Modifierfalse
                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                      Summarytrue
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      164. athena-eligibility-profile.collectionsGroup
                                      Definition

                                      Collections group to which this insurance carrier belongs.

                                      ShortCollections group to which this insurance carrier belongs.
                                      Control0..1
                                      Typestring
                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                      166. athena-eligibility-profile.carrierType
                                      Definition

                                      Carrier type of this insurance carrier.

                                      ShortCarrier type of this insurance carrier.
                                      Control0..1
                                      Typestring
                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                      168. athena-eligibility-profile.carrierTypeANSI
                                      Definition

                                      Carrier type ANSI of this insurance carrier

                                      ShortCarrier type ANSI of this insurance carrier
                                      Control0..1
                                      Typestring
                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                      170. athena-eligibility-profile.patientFinancialClass
                                      Definition

                                      Financial class of this insurance carrier.

                                      ShortFinancial class of this insurance carrier.
                                      Control0..1
                                      Typestring
                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                      172. athena-eligibility-profile.insuranceGroupName
                                      Definition

                                      Insurance Group Name.

                                      ShortInsurance Group Name.
                                      Control0..1
                                      Typestring
                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension