Struct CoverageEligibilityRequestInner

pub struct CoverageEligibilityRequestInner {

    pub id: Option<String>,
    pub meta: Option<Meta>,
    pub implicit_rules: Option<String>,
    pub language: Option<String>,
    pub text: Option<Narrative>,
    pub contained: Vec<Resource>,
    pub extension: Vec<Extension>,
    pub modifier_extension: Vec<Extension>,
    pub identifier: Vec<Option<Identifier>>,
    pub identifier_ext: Vec<Option<FieldExtension>>,
    pub status: String,
    pub status_ext: Option<FieldExtension>,
    pub priority: Option<CodeableConcept>,
    pub priority_ext: Option<FieldExtension>,
    pub purpose: Vec<Option<EligibilityRequestPurpose>>,
    pub purpose_ext: Vec<Option<FieldExtension>>,
    pub patient: Reference,
    pub patient_ext: Option<FieldExtension>,
    pub event: Vec<Option<CoverageEligibilityRequestEvent>>,
    pub event_ext: Vec<Option<FieldExtension>>,
    pub serviced: Option<CoverageEligibilityRequestServiced>,
    pub serviced_ext: Option<CoverageEligibilityRequestServicedExtension>,
    pub created: DateTime,
    pub created_ext: Option<FieldExtension>,
    pub enterer: Option<Reference>,
    pub enterer_ext: Option<FieldExtension>,
    pub provider: Option<Reference>,
    pub provider_ext: Option<FieldExtension>,
    pub insurer: Reference,
    pub insurer_ext: Option<FieldExtension>,
    pub facility: Option<Reference>,
    pub facility_ext: Option<FieldExtension>,
    pub supporting_info: Vec<Option<CoverageEligibilityRequestSupportingInfo>>,
    pub supporting_info_ext: Vec<Option<FieldExtension>>,
    pub insurance: Vec<Option<CoverageEligibilityRequestInsurance>>,
    pub insurance_ext: Vec<Option<FieldExtension>>,
    pub item: Vec<Option<CoverageEligibilityRequestItem>>,
    pub item_ext: Vec<Option<FieldExtension>>,
    /* private fields */
}

The CoverageEligibilityRequest provides patient and insurance coverage information to an insurer for them to respond, in the form of an CoverageEligibilityResponse, with information regarding whether the stated coverage is valid and in-force and optionally to provide the insurance details of the policy.

CoverageEligibilityRequest v5.0.0

CoverageEligibilityRequest resource

The CoverageEligibilityRequest provides patient and insurance coverage information to an insurer for them to respond, in the form of an CoverageEligibilityResponse, with information regarding whether the stated coverage is valid and in-force and optionally to provide the insurance details of the policy.

Fields

id: Option<String>

Logical id of this artifact

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

Within the context of the FHIR RESTful interactions, the resource has an id except for cases like the create and conditional update. Otherwise, the use of the resouce id depends on the given use case.

meta: Option<Meta>

Metadata about the resource

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.

implicit_rules: Option<String>

A set of rules under which this content was created

A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of its narrative along with other profiles, value sets, etc.

language: Option<String>

Language; Language of the resource content

The base language in which the resource is written.

Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).

text: Option<Narrative>

Text summary of the resource, for human interpretation

A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it “clinically safe” for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.

Contained resources do not have a narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a “text blob” or where text is additionally entered raw or narrated and encoded information is added later.

contained: Vec<Resource>

Contained, inline Resources

These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, nor can they have their own independent transaction scope. This is allowed to be a Parameters resource if and only if it is referenced by a resource that provides context/meaning.

This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags in their meta elements, but SHALL NOT have security labels.

extension: Vec<Extension>

Additional content defined by implementations

May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and managable, 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.

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.

modifier_extension: Vec<Extension>

Extensions that cannot be ignored

May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element’s descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

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.

identifier: Vec<Option<Identifier>>

Business Identifier for coverage eligiblity request

A unique identifier assigned to this coverage eligiblity request.

identifier_ext: Vec<Option<FieldExtension>>

Extension field.

status: String

EligibilityRequestStatus; active | cancelled | draft | entered-in-error

The status of the resource instance.

This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.

status_ext: Option<FieldExtension>

Extension field.

priority: Option<CodeableConcept>

ProcessPriority; Desired processing priority

When the requestor expects the processor to complete processing.

priority_ext: Option<FieldExtension>

Extension field.

purpose: Vec<Option<EligibilityRequestPurpose>>

EligibilityRequestPurpose; auth-requirements | benefits | discovery | validation

Code to specify whether requesting: prior authorization requirements for some service categories or billing codes; benefits for coverages specified or discovered; discovery and return of coverages for the patient; and/or validation that the specified coverage is in-force at the date/period specified or ‘now’ if not specified.

purpose_ext: Vec<Option<FieldExtension>>

Extension field.

patient: Reference

Intended recipient of products and services

The party who is the beneficiary of the supplied coverage and for whom eligibility is sought.

1..1.

patient_ext: Option<FieldExtension>

Extension field.

event: Vec<Option<CoverageEligibilityRequestEvent>>

Event information

Information code for an event with a corresponding date or period.

event_ext: Vec<Option<FieldExtension>>

Extension field.

serviced: Option<CoverageEligibilityRequestServiced>

Estimated date or dates of service

The date or dates when the enclosed suite of services were performed or completed.

serviced_ext: Option<CoverageEligibilityRequestServicedExtension>

Extension field.

created: DateTime

Creation date

The date when this resource was created.

created_ext: Option<FieldExtension>

Extension field.

enterer: Option<Reference>

Author

Person who created the request.

enterer_ext: Option<FieldExtension>

Extension field.

provider: Option<Reference>

Party responsible for the request

The provider which is responsible for the request.

Typically this field would be 1..1 where this party is accountable for the data content within the claim but is not necessarily the facility, provider group or practitioner who provided the products and services listed within this claim resource. This field is the Billing Provider, for example, a facility, provider group, lab or practitioner.

provider_ext: Option<FieldExtension>

Extension field.

insurer: Reference

Coverage issuer

The Insurer who issued the coverage in question and is the recipient of the request.

insurer_ext: Option<FieldExtension>

Extension field.

facility: Option<Reference>

Servicing facility

Facility where the services are intended to be provided.

facility_ext: Option<FieldExtension>

Extension field.

supporting_info: Vec<Option<CoverageEligibilityRequestSupportingInfo>>

Supporting information

Additional information codes regarding exceptions, special considerations, the condition, situation, prior or concurrent issues.

Often there are multiple jurisdiction specific valuesets which are required.

supporting_info_ext: Vec<Option<FieldExtension>>

Extension field.

insurance: Vec<Option<CoverageEligibilityRequestInsurance>>

Patient insurance information

Financial instruments for reimbursement for the health care products and services.

All insurance coverages for the patient which may be applicable for reimbursement, of the products and services listed in the claim, are typically provided in the claim to allow insurers to confirm the ordering of the insurance coverages relative to local ‘coordination of benefit’ rules. One coverage (and only one) with ‘focal=true’ is to be used in the adjudication of this claim. Coverages appearing before the focal Coverage in the list, and where ‘subrogation=false’, should provide a reference to the ClaimResponse containing the adjudication results of the prior claim.

insurance_ext: Vec<Option<FieldExtension>>

Extension field.

item: Vec<Option<CoverageEligibilityRequestItem>>

Item to be evaluated for eligibiity

Service categories or billable services for which benefit details and/or an authorization prior to service delivery may be required by the payor.

item_ext: Vec<Option<FieldExtension>>

Extension field.

Trait Implementations

impl Clone for CoverageEligibilityRequestInner

fn clone(&self) -> CoverageEligibilityRequestInner

Returns a duplicate of the value.

fn clone_from(&mut self, source: &Self)

Performs copy-assignment from source.

impl Debug for CoverageEligibilityRequestInner

fn fmt(&self, f: &mut Formatter<'_>) -> Result<(), Error>

Formats the value using the given formatter.

impl<'de> Deserialize<'de> for CoverageEligibilityRequestInner

fn deserialize<__D>( __deserializer: __D, ) -> Result<CoverageEligibilityRequestInner, <__D as Deserializer<'de>>::Error>

where __D: Deserializer<'de>,

Deserialize this value from the given Serde deserializer.

impl From<CoverageEligibilityRequestInner> for CoverageEligibilityRequest

fn from(inner: CoverageEligibilityRequestInner) -> CoverageEligibilityRequest

Converts to this type from the input type.

impl PartialEq for CoverageEligibilityRequestInner

fn eq(&self, other: &CoverageEligibilityRequestInner) -> bool

Tests for self and other values to be equal, and is used by ==.

fn ne(&self, other: &Rhs) -> bool

Tests for !=. The default implementation is almost always sufficient, and should not be overridden without very good reason.

impl Serialize for CoverageEligibilityRequestInner

fn serialize<__S>( &self, __serializer: __S, ) -> Result<<__S as Serializer>::Ok, <__S as Serializer>::Error>

where __S: Serializer,

Serialize this value into the given Serde serializer.

impl StructuralPartialEq for CoverageEligibilityRequestInner