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Narrative

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Generated Narrative: StructureDefinition ext-R4-CoverageEligibilityRequest.item

Name	Flags	Card.	Type	Description & Constraints
Extension		0..*	Extension	R4: Item to be evaluated for eligibiity (new)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:supportingInfoSequence		0..*	Extension	R4: Applicable exception or supporting information (new)
url		1..1	uri	"supportingInfoSequence"
value[x]		0..1	positiveInt	Applicable exception or supporting information
extension:category		0..1	Extension	R4: Benefit classification (new)
url		1..1	uri	"category"
value[x]		0..1	CodeableConcept	Benefit classification Binding: R4ExBenefitcategoryForR3 (0.1.0) (example): Benefit categories such as: oral, medical, vision etc.
extension:productOrService		0..1	Extension	R4: Billing, service, product, or drug code (new)
url		1..1	uri	"productOrService"
value[x]		0..1	CodeableConcept	Billing, service, product, or drug code Binding: USCLS Codes (example): Allowable service and product codes.
extension:modifier		0..*	Extension	R4: Product or service billing modifiers (new)
url		1..1	uri	"modifier"
value[x]		0..1	CodeableConcept	Product or service billing modifiers Binding: Modifier type Codes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
extension:provider		0..1	Extension	R4: Perfoming practitioner (new)
url		1..1	uri	"provider"
value[x]		0..1	Reference(Cross-version Profile for R4.Practitioner for use in FHIR STU3(0.1.0) | Practitioner | Cross-version Profile for R4.PractitionerRole for use in FHIR STU3(0.1.0) | PractitionerRole)	Perfoming practitioner
extension:quantity		0..1	Extension	R4: Count of products or services (new)
url		1..1	uri	"quantity"
value[x]		0..1	SimpleQuantity	Count of products or services
extension:unitPrice		0..1	Extension	R4: Fee, charge or cost per item (new)
url		1..1	uri	"unitPrice"
value[x]		0..1	Money	Fee, charge or cost per item
extension:facility		0..1	Extension	R4: Servicing facility (new)
url		1..1	uri	"facility"
value[x]		0..1	Reference(Cross-version Profile for R4.Location for use in FHIR STU3(0.1.0) | Location | Cross-version Profile for R4.Organization for use in FHIR STU3(0.1.0) | Organization)	Servicing facility
extension:diagnosis		0..*	Extension	R4: Applicable diagnosis (new)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:diagnosis		0..1	Extension	R4: Nature of illness or problem (new)
url		1..1	uri	"diagnosis"
value[x]		0..1		Nature of illness or problem Binding: ICD-10 Codes (example): ICD10 Diagnostic codes.
valueCodeableConcept			CodeableConcept
valueReference			Reference(Cross-version Profile for R4.Condition for use in FHIR STU3(0.1.0) | Condition)
url		1..1	uri	"diagnosis"
value[x]		0..0		Value of extension
extension:detail		0..*	Extension	R4: Product or service details (new)
url		1..1	uri	"detail"
value[x]		0..1	Reference(Cross-version Profile for R4.Resource for use in FHIR STU3(0.1.0) | Resource)	Product or service details
url		1..1	uri	"http://hl7.org/fhir/4.0/StructureDefinition/extension-CoverageEligibilityRequest.item"
value[x]		0..0		Value of extension
Documentation for this format

Source1

{
  "resourceType": "StructureDefinition",
  "id": "ext-R4-CoverageEligibilityRequest.item",
  "text": {
    "status": "extensions",
    "div": "<!-- snip (see above) -->"
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode": "fhir"
    },
    {
      "extension": [
        {
          "url": "packageId",
          "valueId": "hl7.fhir.uv.xver-r4.r3"
        },
        {
          "url": "version",
          "valueString": "0.1.0"
        },
        {
          "url": "uri",
          "valueUri": "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r4.r3"
        }
      ],
      "url": "http://hl7.org/fhir/StructureDefinition/package-source"
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
      "valueInteger": 0,
      "_valueInteger": {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
            "valueUri": "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r4.r3"
          }
        ]
      }
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
      "valueCode": "trial-use",
      "_valueCode": {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
            "valueUri": "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r4.r3"
          }
        ]
      }
    }
  ],
  "url": "http://hl7.org/fhir/4.0/StructureDefinition/extension-CoverageEligibilityRequest.item",
  "version": "0.1.0",
  "name": "ExtensionCoverageEligibilityRequest_Item",
  "title": "R4: Item to be evaluated for eligibiity (new)",
  "status": "active",
  "experimental": false,
  "date": "2026-03-17T21:02:03.8104715+00:00",
  "publisher": "FHIR Infrastructure",
  "contact": [
    {
      "name": "FHIR Infrastructure",
      "telecom": [
        {
          "system": "url",
          "value": "http://www.hl7.org/Special/committees/fiwg"
        }
      ]
    }
  ],
  "description": "R4: `CoverageEligibilityRequest.item` (new:BackboneElement)",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code": "001",
          "display": "World"
        }
      ]
    }
  ],
  "purpose": "This extension is part of the cross-version definitions generated to enable use of the\r\nelement `CoverageEligibilityRequest.item` as defined in FHIR R4\r\nin FHIR STU3.\r\n\r\nThe source element is defined as:\r\n`CoverageEligibilityRequest.item` 0..* `BackboneElement`\r\n\r\nFollowing are the generation technical comments:\r\nElement `CoverageEligibilityRequest.item` has a context of EligibilityRequest based on following the parent source element upwards and mapping to `EligibilityRequest`.\nElement `CoverageEligibilityRequest.item` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
  "fhirVersion": "3.0.2",
  "mapping": [
    {
      "identity": "rim",
      "uri": "http://hl7.org/v3",
      "name": "RIM Mapping"
    }
  ],
  "kind": "complex-type",
  "abstract": false,
  "contextType": "resource",
  "context": [
    "EligibilityRequest"
  ],
  "type": "Extension",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Extension",
  "derivation": "constraint",
  "snapshot": {
    "element": [
      {
        "id": "Extension",
        "path": "Extension",
        "short": "R4: Item to be evaluated for eligibiity (new)",
        "definition": "R4: `CoverageEligibilityRequest.item` (new:BackboneElement)",
        "comment": "Element `CoverageEligibilityRequest.item` has a context of EligibilityRequest based on following the parent source element upwards and mapping to `EligibilityRequest`.\nElement `CoverageEligibilityRequest.item` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Extension",
          "min": 0,
          "max": "*"
        },
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() | (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": false
      },
      {
        "id": "Extension.id",
        "path": "Extension.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "xml:id (or equivalent in JSON)",
        "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension",
        "path": "Extension.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "ordered": false,
          "rules": "open"
        },
        "short": "Extension",
        "definition": "An Extension",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ]
      },
      {
        "id": "Extension.extension:supportingInfoSequence",
        "path": "Extension.extension",
        "sliceName": "supportingInfoSequence",
        "short": "R4: Applicable exception or supporting information (new)",
        "definition": "R4: `CoverageEligibilityRequest.item.supportingInfoSequence` (new:positiveInt)",
        "comment": "Element `CoverageEligibilityRequest.item.supportingInfoSequence` is part of an existing definition because parent element `CoverageEligibilityRequest.item` requires a cross-version extension.\nElement `CoverageEligibilityRequest.item.supportingInfoSequence` has a context of EligibilityRequest based on following the parent source element upwards and mapping to `EligibilityRequest`.\nElement `CoverageEligibilityRequest.item.supportingInfoSequence` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
        "requirements": "Needed to support or inform the consideration for eligibility. Element `CoverageEligibilityRequest.item.supportingInfoSequence` is part of an existing definition because parent element `CoverageEligibilityRequest.item` requires a cross-version extension.\nElement `CoverageEligibilityRequest.item.supportingInfoSequence` has a context of EligibilityRequest based on following the parent source element upwards and mapping to `EligibilityRequest`.\nElement `CoverageEligibilityRequest.item.supportingInfoSequence` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ]
      },
      {
        "id": "Extension.extension:supportingInfoSequence.id",
        "path": "Extension.extension.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "xml:id (or equivalent in JSON)",
        "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:supportingInfoSequence.extension",
        "path": "Extension.extension.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "Additional Content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order 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 is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment": "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.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:supportingInfoSequence.url",
        "path": "Extension.extension.url",
        "representation": [
          "xmlAttr"
        ],
        "short": "identifies the meaning of the extension",
        "definition": "Source of the definition for the extension code - a logical name or a URL.",
        "comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "uri"
          }
        ],
        "fixedUri": "supportingInfoSequence",
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:supportingInfoSequence.value[x]",
        "path": "Extension.extension.value[x]",
        "short": "Applicable exception or supporting information",
        "definition": "Exceptions, special conditions and supporting information applicable for this service or product line.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "positiveInt"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:category",
        "path": "Extension.extension",
        "sliceName": "category",
        "short": "R4: Benefit classification (new)",
        "definition": "R4: `CoverageEligibilityRequest.item.category` (new:CodeableConcept)",
        "comment": "Element `CoverageEligibilityRequest.item.category` is part of an existing definition because parent element `CoverageEligibilityRequest.item` requires a cross-version extension.\nElement `CoverageEligibilityRequest.item.category` has a context of EligibilityRequest based on following the parent source element upwards and mapping to `EligibilityRequest`.\nElement `CoverageEligibilityRequest.item.category` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).\nExamples include Medical Care, Periodontics, Renal Dialysis, Vision Coverage.",
        "requirements": "Needed to convey the category of service or product for which eligibility is sought. Element `CoverageEligibilityRequest.item.category` is part of an existing definition because parent element `CoverageEligibilityRequest.item` requires a cross-version extension.\nElement `CoverageEligibilityRequest.item.category` has a context of EligibilityRequest based on following the parent source element upwards and mapping to `EligibilityRequest`.\nElement `CoverageEligibilityRequest.item.category` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ]
      },
      {
        "id": "Extension.extension:category.id",
        "path": "Extension.extension.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "xml:id (or equivalent in JSON)",
        "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:category.extension",
        "path": "Extension.extension.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "Additional Content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order 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 is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment": "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.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:category.url",
        "path": "Extension.extension.url",
        "representation": [
          "xmlAttr"
        ],
        "short": "identifies the meaning of the extension",
        "definition": "Source of the definition for the extension code - a logical name or a URL.",
        "comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "uri"
          }
        ],
        "fixedUri": "category",
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:category.value[x]",
        "path": "Extension.extension.value[x]",
        "short": "Benefit classification",
        "definition": "Code to identify the general type of benefits under which products and services are provided.",
        "comment": "Examples include Medical Care, Periodontics, Renal Dialysis, Vision Coverage.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "binding": {
          "strength": "example",
          "description": "Benefit categories such as: oral, medical, vision etc.",
          "valueSetUri": "http://hl7.org/fhir/uv/xver/ValueSet/R4-ex-benefitcategory-for-R3|0.1.0"
        },
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:productOrService",
        "path": "Extension.extension",
        "sliceName": "productOrService",
        "short": "R4: Billing, service, product, or drug code (new)",
        "definition": "R4: `CoverageEligibilityRequest.item.productOrService` (new:CodeableConcept)",
        "comment": "Element `CoverageEligibilityRequest.item.productOrService` is part of an existing definition because parent element `CoverageEligibilityRequest.item` requires a cross-version extension.\nElement `CoverageEligibilityRequest.item.productOrService` has a context of EligibilityRequest based on following the parent source element upwards and mapping to `EligibilityRequest`.\nElement `CoverageEligibilityRequest.item.productOrService` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).\nCode to indicate the Professional Service or Product supplied (e.g. CTP, HCPCS, USCLS, ICD10, NCPDP, DIN, RxNorm, ACHI, CCI).",
        "requirements": "Needed to convey the actual service or product for which eligibility is sought. Element `CoverageEligibilityRequest.item.productOrService` is part of an existing definition because parent element `CoverageEligibilityRequest.item` requires a cross-version extension.\nElement `CoverageEligibilityRequest.item.productOrService` has a context of EligibilityRequest based on following the parent source element upwards and mapping to `EligibilityRequest`.\nElement `CoverageEligibilityRequest.item.productOrService` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ]
      },
      {
        "id": "Extension.extension:productOrService.id",
        "path": "Extension.extension.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "xml:id (or equivalent in JSON)",
        "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:productOrService.extension",
        "path": "Extension.extension.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "Additional Content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order 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 is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment": "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.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:productOrService.url",
        "path": "Extension.extension.url",
        "representation": [
          "xmlAttr"
        ],
        "short": "identifies the meaning of the extension",
        "definition": "Source of the definition for the extension code - a logical name or a URL.",
        "comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "uri"
          }
        ],
        "fixedUri": "productOrService",
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:productOrService.value[x]",
        "path": "Extension.extension.value[x]",
        "short": "Billing, service, product, or drug code",
        "definition": "This contains the product, service, drug or other billing code for the item.",
        "comment": "Code to indicate the Professional Service or Product supplied (e.g. CTP, HCPCS, USCLS, ICD10, NCPDP, DIN, RxNorm, ACHI, CCI).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "binding": {
          "strength": "example",
          "description": "Allowable service and product codes.",
          "valueSetUri": "http://hl7.org/fhir/ValueSet/service-uscls|3.0.2"
        },
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:modifier",
        "path": "Extension.extension",
        "sliceName": "modifier",
        "short": "R4: Product or service billing modifiers (new)",
        "definition": "R4: `CoverageEligibilityRequest.item.modifier` (new:CodeableConcept)",
        "comment": "Element `CoverageEligibilityRequest.item.modifier` is part of an existing definition because parent element `CoverageEligibilityRequest.item` requires a cross-version extension.\nElement `CoverageEligibilityRequest.item.modifier` has a context of EligibilityRequest based on following the parent source element upwards and mapping to `EligibilityRequest`.\nElement `CoverageEligibilityRequest.item.modifier` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).\nFor example in Oral whether the treatment is cosmetic or associated with TMJ, or for Medical whether the treatment was outside the clinic or out of office hours.",
        "requirements": "To support provision of the item or to charge an elevated fee. Element `CoverageEligibilityRequest.item.modifier` is part of an existing definition because parent element `CoverageEligibilityRequest.item` requires a cross-version extension.\nElement `CoverageEligibilityRequest.item.modifier` has a context of EligibilityRequest based on following the parent source element upwards and mapping to `EligibilityRequest`.\nElement `CoverageEligibilityRequest.item.modifier` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ]
      },
      {
        "id": "Extension.extension:modifier.id",
        "path": "Extension.extension.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "xml:id (or equivalent in JSON)",
        "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:modifier.extension",
        "path": "Extension.extension.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "Additional Content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order 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 is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment": "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.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:modifier.url",
        "path": "Extension.extension.url",
        "representation": [
          "xmlAttr"
        ],
        "short": "identifies the meaning of the extension",
        "definition": "Source of the definition for the extension code - a logical name or a URL.",
        "comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "uri"
          }
        ],
        "fixedUri": "modifier",
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:modifier.value[x]",
        "path": "Extension.extension.value[x]",
        "short": "Product or service billing modifiers",
        "definition": "Item typification or modifiers codes to convey additional context for the product or service.",
        "comment": "For example in Oral whether the treatment is cosmetic or associated with TMJ, or for Medical whether the treatment was outside the clinic or out of office hours.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "binding": {
          "strength": "example",
          "description": "Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.",
          "valueSetUri": "http://hl7.org/fhir/ValueSet/claim-modifiers|3.0.2"
        },
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:provider",
        "path": "Extension.extension",
        "sliceName": "provider",
        "short": "R4: Perfoming practitioner (new)",
        "definition": "R4: `CoverageEligibilityRequest.item.provider` (new:Reference(Practitioner,PractitionerRole))",
        "comment": "Element `CoverageEligibilityRequest.item.provider` is part of an existing definition because parent element `CoverageEligibilityRequest.item` requires a cross-version extension.\nElement `CoverageEligibilityRequest.item.provider` has a context of EligibilityRequest based on following the parent source element upwards and mapping to `EligibilityRequest`.\nElement `CoverageEligibilityRequest.item.provider` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
        "requirements": "Needed to support the evaluation of the eligibility. Element `CoverageEligibilityRequest.item.provider` is part of an existing definition because parent element `CoverageEligibilityRequest.item` requires a cross-version extension.\nElement `CoverageEligibilityRequest.item.provider` has a context of EligibilityRequest based on following the parent source element upwards and mapping to `EligibilityRequest`.\nElement `CoverageEligibilityRequest.item.provider` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ]
      },
      {
        "id": "Extension.extension:provider.id",
        "path": "Extension.extension.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "xml:id (or equivalent in JSON)",
        "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:provider.extension",
        "path": "Extension.extension.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "Additional Content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order 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 is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment": "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.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:provider.url",
        "path": "Extension.extension.url",
        "representation": [
          "xmlAttr"
        ],
        "short": "identifies the meaning of the extension",
        "definition": "Source of the definition for the extension code - a logical name or a URL.",
        "comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "uri"
          }
        ],
        "fixedUri": "provider",
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:provider.value[x]",
        "path": "Extension.extension.value[x]",
        "short": "Perfoming practitioner",
        "definition": "The practitioner who is responsible for the product or service to be rendered to the patient.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/4.0/StructureDefinition/profile-Practitioner|0.1.0"
          },
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/Practitioner"
          },
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/4.0/StructureDefinition/profile-PractitionerRole|0.1.0"
          },
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/PractitionerRole"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:quantity",
        "path": "Extension.extension",
        "sliceName": "quantity",
        "short": "R4: Count of products or services (new)",
        "definition": "R4: `CoverageEligibilityRequest.item.quantity` (new:Quantity[SimpleQuantity])",
        "comment": "Element `CoverageEligibilityRequest.item.quantity` is part of an existing definition because parent element `CoverageEligibilityRequest.item` requires a cross-version extension.\nElement `CoverageEligibilityRequest.item.quantity` has a context of EligibilityRequest based on following the parent source element upwards and mapping to `EligibilityRequest`.\nElement `CoverageEligibilityRequest.item.quantity` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
        "requirements": "Required when the product or service code does not convey the quantity provided. Element `CoverageEligibilityRequest.item.quantity` is part of an existing definition because parent element `CoverageEligibilityRequest.item` requires a cross-version extension.\nElement `CoverageEligibilityRequest.item.quantity` has a context of EligibilityRequest based on following the parent source element upwards and mapping to `EligibilityRequest`.\nElement `CoverageEligibilityRequest.item.quantity` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ]
      },
      {
        "id": "Extension.extension:quantity.id",
        "path": "Extension.extension.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "xml:id (or equivalent in JSON)",
        "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:quantity.extension",
        "path": "Extension.extension.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "Additional Content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order 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 is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment": "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.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:quantity.url",
        "path": "Extension.extension.url",
        "representation": [
          "xmlAttr"
        ],
        "short": "identifies the meaning of the extension",
        "definition": "Source of the definition for the extension code - a logical name or a URL.",
        "comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "uri"
          }
        ],
        "fixedUri": "quantity",
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:quantity.value[x]",
        "path": "Extension.extension.value[x]",
        "short": "Count of products or services",
        "definition": "The number of repetitions of a service or product.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Quantity",
            "profile": "http://hl7.org/fhir/StructureDefinition/SimpleQuantity"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:unitPrice",
        "path": "Extension.extension",
        "sliceName": "unitPrice",
        "short": "R4: Fee, charge or cost per item (new)",
        "definition": "R4: `CoverageEligibilityRequest.item.unitPrice` (new:Money)",
        "comment": "Element `CoverageEligibilityRequest.item.unitPrice` is part of an existing definition because parent element `CoverageEligibilityRequest.item` requires a cross-version extension.\nElement `CoverageEligibilityRequest.item.unitPrice` has a context of EligibilityRequest based on following the parent source element upwards and mapping to `EligibilityRequest`.\nElement `CoverageEligibilityRequest.item.unitPrice` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
        "requirements": "Needed to support the evaluation of the eligibility. Element `CoverageEligibilityRequest.item.unitPrice` is part of an existing definition because parent element `CoverageEligibilityRequest.item` requires a cross-version extension.\nElement `CoverageEligibilityRequest.item.unitPrice` has a context of EligibilityRequest based on following the parent source element upwards and mapping to `EligibilityRequest`.\nElement `CoverageEligibilityRequest.item.unitPrice` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ]
      },
      {
        "id": "Extension.extension:unitPrice.id",
        "path": "Extension.extension.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "xml:id (or equivalent in JSON)",
        "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:unitPrice.extension",
        "path": "Extension.extension.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "Additional Content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order 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 is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment": "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.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:unitPrice.url",
        "path": "Extension.extension.url",
        "representation": [
          "xmlAttr"
        ],
        "short": "identifies the meaning of the extension",
        "definition": "Source of the definition for the extension code - a logical name or a URL.",
        "comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "uri"
          }
        ],
        "fixedUri": "unitPrice",
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:unitPrice.value[x]",
        "path": "Extension.extension.value[x]",
        "short": "Fee, charge or cost per item",
        "definition": "The amount charged to the patient by the provider for a single unit.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Money"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:facility",
        "path": "Extension.extension",
        "sliceName": "facility",
        "short": "R4: Servicing facility (new)",
        "definition": "R4: `CoverageEligibilityRequest.item.facility` (new:Reference(Location,Organization))",
        "comment": "Element `CoverageEligibilityRequest.item.facility` is part of an existing definition because parent element `CoverageEligibilityRequest.item` requires a cross-version extension.\nElement `CoverageEligibilityRequest.item.facility` has a context of EligibilityRequest based on following the parent source element upwards and mapping to `EligibilityRequest`.\nElement `CoverageEligibilityRequest.item.facility` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
        "requirements": "Needed to support the evaluation of the eligibility. Element `CoverageEligibilityRequest.item.facility` is part of an existing definition because parent element `CoverageEligibilityRequest.item` requires a cross-version extension.\nElement `CoverageEligibilityRequest.item.facility` has a context of EligibilityRequest based on following the parent source element upwards and mapping to `EligibilityRequest`.\nElement `CoverageEligibilityRequest.item.facility` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ]
      },
      {
        "id": "Extension.extension:facility.id",
        "path": "Extension.extension.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "xml:id (or equivalent in JSON)",
        "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:facility.extension",
        "path": "Extension.extension.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "Additional Content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order 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 is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment": "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.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:facility.url",
        "path": "Extension.extension.url",
        "representation": [
          "xmlAttr"
        ],
        "short": "identifies the meaning of the extension",
        "definition": "Source of the definition for the extension code - a logical name or a URL.",
        "comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "uri"
          }
        ],
        "fixedUri": "facility",
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:facility.value[x]",
        "path": "Extension.extension.value[x]",
        "short": "Servicing facility",
        "definition": "Facility where the services will be provided.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/4.0/StructureDefinition/profile-Location|0.1.0"
          },
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/Location"
          },
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/4.0/StructureDefinition/profile-Organization|0.1.0"
          },
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/Organization"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:diagnosis",
        "path": "Extension.extension",
        "sliceName": "diagnosis",
        "short": "R4: Applicable diagnosis (new)",
        "definition": "R4: `CoverageEligibilityRequest.item.diagnosis` (new:BackboneElement)",
        "comment": "Element `CoverageEligibilityRequest.item.diagnosis` is part of an existing definition because parent element `CoverageEligibilityRequest.item` requires a cross-version extension.\nElement `CoverageEligibilityRequest.item.diagnosis` has a context of EligibilityRequest based on following the parent source element upwards and mapping to `EligibilityRequest`.\nElement `CoverageEligibilityRequest.item.diagnosis` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
        "requirements": "Needed to support the evaluation of the eligibility. Element `CoverageEligibilityRequest.item.diagnosis` is part of an existing definition because parent element `CoverageEligibilityRequest.item` requires a cross-version extension.\nElement `CoverageEligibilityRequest.item.diagnosis` has a context of EligibilityRequest based on following the parent source element upwards and mapping to `EligibilityRequest`.\nElement `CoverageEligibilityRequest.item.diagnosis` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ]
      },
      {
        "id": "Extension.extension:diagnosis.id",
        "path": "Extension.extension.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "xml:id (or equivalent in JSON)",
        "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:diagnosis.extension",
        "path": "Extension.extension.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "ordered": false,
          "rules": "open"
        },
        "short": "Extension",
        "definition": "An Extension",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ]
      },
      {
        "id": "Extension.extension:diagnosis.extension:diagnosis",
        "path": "Extension.extension.extension",
        "sliceName": "diagnosis",
        "short": "R4: Nature of illness or problem (new)",
        "definition": "R4: `CoverageEligibilityRequest.item.diagnosis.diagnosis[x]` (new:CodeableConcept, Reference(Condition))",
        "comment": "Element `CoverageEligibilityRequest.item.diagnosis.diagnosis[x]` is part of an existing definition because parent element `CoverageEligibilityRequest.item.diagnosis` requires a cross-version extension.\nElement `CoverageEligibilityRequest.item.diagnosis.diagnosis[x]` has a context of EligibilityRequest based on following the parent source element upwards and mapping to `EligibilityRequest`.\nElement `CoverageEligibilityRequest.item.diagnosis.diagnosis[x]` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
        "requirements": "Provides health context for the evaluation of the products and/or services. Element `CoverageEligibilityRequest.item.diagnosis.diagnosis[x]` is part of an existing definition because parent element `CoverageEligibilityRequest.item.diagnosis` requires a cross-version extension.\nElement `CoverageEligibilityRequest.item.diagnosis.diagnosis[x]` has a context of EligibilityRequest based on following the parent source element upwards and mapping to `EligibilityRequest`.\nElement `CoverageEligibilityRequest.item.diagnosis.diagnosis[x]` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ]
      },
      {
        "id": "Extension.extension:diagnosis.extension:diagnosis.id",
        "path": "Extension.extension.extension.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "xml:id (or equivalent in JSON)",
        "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:diagnosis.extension:diagnosis.extension",
        "path": "Extension.extension.extension.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "Additional Content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order 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 is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment": "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.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:diagnosis.extension:diagnosis.url",
        "path": "Extension.extension.extension.url",
        "representation": [
          "xmlAttr"
        ],
        "short": "identifies the meaning of the extension",
        "definition": "Source of the definition for the extension code - a logical name or a URL.",
        "comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "uri"
          }
        ],
        "fixedUri": "diagnosis",
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:diagnosis.extension:diagnosis.value[x]",
        "path": "Extension.extension.extension.value[x]",
        "short": "Nature of illness or problem",
        "definition": "The nature of illness or problem in a coded form or as a reference to an external defined Condition.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          },
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/4.0/StructureDefinition/profile-Condition|0.1.0"
          },
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/Condition"
          }
        ],
        "binding": {
          "strength": "example",
          "description": "ICD10 Diagnostic codes.",
          "valueSetUri": "http://hl7.org/fhir/ValueSet/icd-10|3.0.2"
        },
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:diagnosis.url",
        "path": "Extension.extension.url",
        "representation": [
          "xmlAttr"
        ],
        "short": "identifies the meaning of the extension",
        "definition": "Source of the definition for the extension code - a logical name or a URL.",
        "comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "uri"
          }
        ],
        "fixedUri": "diagnosis",
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:diagnosis.value[x]",
        "path": "Extension.extension.value[x]",
        "short": "Value of extension",
        "definition": "Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "base64Binary"
          },
          {
            "code": "boolean"
          },
          {
            "code": "code"
          },
          {
            "code": "date"
          },
          {
            "code": "dateTime"
          },
          {
            "code": "decimal"
          },
          {
            "code": "id"
          },
          {
            "code": "instant"
          },
          {
            "code": "integer"
          },
          {
            "code": "markdown"
          },
          {
            "code": "oid"
          },
          {
            "code": "positiveInt"
          },
          {
            "code": "string"
          },
          {
            "code": "time"
          },
          {
            "code": "unsignedInt"
          },
          {
            "code": "uri"
          },
          {
            "code": "Address"
          },
          {
            "code": "Age"
          },
          {
            "code": "Annotation"
          },
          {
            "code": "Attachment"
          },
          {
            "code": "CodeableConcept"
          },
          {
            "code": "Coding"
          },
          {
            "code": "ContactPoint"
          },
          {
            "code": "Count"
          },
          {
            "code": "Distance"
          },
          {
            "code": "Duration"
          },
          {
            "code": "HumanName"
          },
          {
            "code": "Identifier"
          },
          {
            "code": "Money"
          },
          {
            "code": "Period"
          },
          {
            "code": "Quantity"
          },
          {
            "code": "Range"
          },
          {
            "code": "Ratio"
          },
          {
            "code": "Reference"
          },
          {
            "code": "SampledData"
          },
          {
            "code": "Signature"
          },
          {
            "code": "Timing"
          },
          {
            "code": "Meta"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:detail",
        "path": "Extension.extension",
        "sliceName": "detail",
        "short": "R4: Product or service details (new)",
        "definition": "R4: `CoverageEligibilityRequest.item.detail` (new:Reference(Resource))",
        "comment": "Element `CoverageEligibilityRequest.item.detail` is part of an existing definition because parent element `CoverageEligibilityRequest.item` requires a cross-version extension.\nElement `CoverageEligibilityRequest.item.detail` has a context of EligibilityRequest based on following the parent source element upwards and mapping to `EligibilityRequest`.\nElement `CoverageEligibilityRequest.item.detail` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
        "requirements": "Needed to provide complex service proposal such as a Device or a plan. Element `CoverageEligibilityRequest.item.detail` is part of an existing definition because parent element `CoverageEligibilityRequest.item` requires a cross-version extension.\nElement `CoverageEligibilityRequest.item.detail` has a context of EligibilityRequest based on following the parent source element upwards and mapping to `EligibilityRequest`.\nElement `CoverageEligibilityRequest.item.detail` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ]
      },
      {
        "id": "Extension.extension:detail.id",
        "path": "Extension.extension.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "xml:id (or equivalent in JSON)",
        "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:detail.extension",
        "path": "Extension.extension.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "Additional Content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order 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 is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment": "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.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:detail.url",
        "path": "Extension.extension.url",
        "representation": [
          "xmlAttr"
        ],
        "short": "identifies the meaning of the extension",
        "definition": "Source of the definition for the extension code - a logical name or a URL.",
        "comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "uri"
          }
        ],
        "fixedUri": "detail",
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:detail.value[x]",
        "path": "Extension.extension.value[x]",
        "short": "Product or service details",
        "definition": "The plan/proposal/order describing the proposed service in detail.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/4.0/StructureDefinition/profile-Resource|0.1.0"
          },
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/Resource"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.url",
        "path": "Extension.url",
        "representation": [
          "xmlAttr"
        ],
        "short": "identifies the meaning of the extension",
        "definition": "Source of the definition for the extension code - a logical name or a URL.",
        "comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "uri"
          }
        ],
        "fixedUri": "http://hl7.org/fhir/4.0/StructureDefinition/extension-CoverageEligibilityRequest.item",
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.value[x]",
        "path": "Extension.value[x]",
        "short": "Value of extension",
        "definition": "Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "base64Binary"
          },
          {
            "code": "boolean"
          },
          {
            "code": "code"
          },
          {
            "code": "date"
          },
          {
            "code": "dateTime"
          },
          {
            "code": "decimal"
          },
          {
            "code": "id"
          },
          {
            "code": "instant"
          },
          {
            "code": "integer"
          },
          {
            "code": "markdown"
          },
          {
            "code": "oid"
          },
          {
            "code": "positiveInt"
          },
          {
            "code": "string"
          },
          {
            "code": "time"
          },
          {
            "code": "unsignedInt"
          },
          {
            "code": "uri"
          },
          {
            "code": "Address"
          },
          {
            "code": "Age"
          },
          {
            "code": "Annotation"
          },
          {
            "code": "Attachment"
          },
          {
            "code": "CodeableConcept"
          },
          {
            "code": "Coding"
          },
          {
            "code": "ContactPoint"
          },
          {
            "code": "Count"
          },
          {
            "code": "Distance"
          },
          {
            "code": "Duration"
          },
          {
            "code": "HumanName"
          },
          {
            "code": "Identifier"
          },
          {
            "code": "Money"
          },
          {
            "code": "Period"
          },
          {
            "code": "Quantity"
          },
          {
            "code": "Range"
          },
          {
            "code": "Ratio"
          },
          {
            "code": "Reference"
          },
          {
            "code": "SampledData"
          },
          {
            "code": "Signature"
          },
          {
            "code": "Timing"
          },
          {
            "code": "Meta"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      }
    ]
  },
  "differential": {
    "element": [
      {
        "id": "Extension",
        "path": "Extension",
        "short": "R4: Item to be evaluated for eligibiity (new)",
        "definition": "R4: `CoverageEligibilityRequest.item` (new:BackboneElement)",
        "comment": "Element `CoverageEligibilityRequest.item` has a context of EligibilityRequest based on following the parent source element upwards and mapping to `EligibilityRequest`.\nElement `CoverageEligibilityRequest.item` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Extension",
          "min": 0,
          "max": "*"
        },
        "isModifier": false
      },
      {
        "id": "Extension.extension",
        "path": "Extension.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "ordered": false,
          "rules": "open"
        },
        "min": 0,
        "max": "*",
        "base": {
          "path": "Extension.extension",
          "min": 0,
          "max": "*"
        }
      },
      {
        "id": "Extension.extension:supportingInfoSequence",
        "path": "Extension.extension",
        "sliceName": "supportingInfoSequence",
        "short": "R4: Applicable exception or supporting information (new)",
        "definition": "R4: `CoverageEligibilityRequest.item.supportingInfoSequence` (new:positiveInt)",
        "comment": "Element `CoverageEligibilityRequest.item.supportingInfoSequence` is part of an existing definition because parent element `CoverageEligibilityRequest.item` requires a cross-version extension.\nElement `CoverageEligibilityRequest.item.supportingInfoSequence` has a context of EligibilityRequest based on following the parent source element upwards and mapping to `EligibilityRequest`.\nElement `CoverageEligibilityRequest.item.supportingInfoSequence` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
        "requirements": "Needed to support or inform the consideration for eligibility. Element `CoverageEligibilityRequest.item.supportingInfoSequence` is part of an existing definition because parent element `CoverageEligibilityRequest.item` requires a cross-version extension.\nElement `CoverageEligibilityRequest.item.supportingInfoSequence` has a context of EligibilityRequest based on following the parent source element upwards and mapping to `EligibilityRequest`.\nElement `CoverageEligibilityRequest.item.supportingInfoSequence` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Extension.extension",
          "min": 0,
          "max": "*"
        }
      },
      {
        "id": "Extension.extension:supportingInfoSequence.url",
        "path": "Extension.extension.url",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "fixedUri": "supportingInfoSequence"
      },
      {
        "id": "Extension.extension:supportingInfoSequence.value[x]",
        "path": "Extension.extension.value[x]",
        "short": "Applicable exception or supporting information",
        "definition": "Exceptions, special conditions and supporting information applicable for this service or product line.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "positiveInt"
          }
        ]
      },
      {
        "id": "Extension.extension:category",
        "path": "Extension.extension",
        "sliceName": "category",
        "short": "R4: Benefit classification (new)",
        "definition": "R4: `CoverageEligibilityRequest.item.category` (new:CodeableConcept)",
        "comment": "Element `CoverageEligibilityRequest.item.category` is part of an existing definition because parent element `CoverageEligibilityRequest.item` requires a cross-version extension.\nElement `CoverageEligibilityRequest.item.category` has a context of EligibilityRequest based on following the parent source element upwards and mapping to `EligibilityRequest`.\nElement `CoverageEligibilityRequest.item.category` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).\nExamples include Medical Care, Periodontics, Renal Dialysis, Vision Coverage.",
        "requirements": "Needed to convey the category of service or product for which eligibility is sought. Element `CoverageEligibilityRequest.item.category` is part of an existing definition because parent element `CoverageEligibilityRequest.item` requires a cross-version extension.\nElement `CoverageEligibilityRequest.item.category` has a context of EligibilityRequest based on following the parent source element upwards and mapping to `EligibilityRequest`.\nElement `CoverageEligibilityRequest.item.category` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.extension",
          "min": 0,
          "max": "*"
        }
      },
      {
        "id": "Extension.extension:category.url",
        "path": "Extension.extension.url",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "fixedUri": "category"
      },
      {
        "id": "Extension.extension:category.value[x]",
        "path": "Extension.extension.value[x]",
        "short": "Benefit classification",
        "definition": "Code to identify the general type of benefits under which products and services are provided.",
        "comment": "Examples include Medical Care, Periodontics, Renal Dialysis, Vision Coverage.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "binding": {
          "strength": "example",
          "description": "Benefit categories such as: oral, medical, vision etc.",
          "valueSetUri": "http://hl7.org/fhir/uv/xver/ValueSet/R4-ex-benefitcategory-for-R3|0.1.0"
        }
      },
      {
        "id": "Extension.extension:productOrService",
        "path": "Extension.extension",
        "sliceName": "productOrService",
        "short": "R4: Billing, service, product, or drug code (new)",
        "definition": "R4: `CoverageEligibilityRequest.item.productOrService` (new:CodeableConcept)",
        "comment": "Element `CoverageEligibilityRequest.item.productOrService` is part of an existing definition because parent element `CoverageEligibilityRequest.item` requires a cross-version extension.\nElement `CoverageEligibilityRequest.item.productOrService` has a context of EligibilityRequest based on following the parent source element upwards and mapping to `EligibilityRequest`.\nElement `CoverageEligibilityRequest.item.productOrService` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).\nCode to indicate the Professional Service or Product supplied (e.g. CTP, HCPCS, USCLS, ICD10, NCPDP, DIN, RxNorm, ACHI, CCI).",
        "requirements": "Needed to convey the actual service or product for which eligibility is sought. Element `CoverageEligibilityRequest.item.productOrService` is part of an existing definition because parent element `CoverageEligibilityRequest.item` requires a cross-version extension.\nElement `CoverageEligibilityRequest.item.productOrService` has a context of EligibilityRequest based on following the parent source element upwards and mapping to `EligibilityRequest`.\nElement `CoverageEligibilityRequest.item.productOrService` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.extension",
          "min": 0,
          "max": "*"
        }
      },
      {
        "id": "Extension.extension:productOrService.url",
        "path": "Extension.extension.url",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "fixedUri": "productOrService"
      },
      {
        "id": "Extension.extension:productOrService.value[x]",
        "path": "Extension.extension.value[x]",
        "short": "Billing, service, product, or drug code",
        "definition": "This contains the product, service, drug or other billing code for the item.",
        "comment": "Code to indicate the Professional Service or Product supplied (e.g. CTP, HCPCS, USCLS, ICD10, NCPDP, DIN, RxNorm, ACHI, CCI).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "binding": {
          "strength": "example",
          "description": "Allowable service and product codes.",
          "valueSetUri": "http://hl7.org/fhir/ValueSet/service-uscls|3.0.2"
        }
      },
      {
        "id": "Extension.extension:modifier",
        "path": "Extension.extension",
        "sliceName": "modifier",
        "short": "R4: Product or service billing modifiers (new)",
        "definition": "R4: `CoverageEligibilityRequest.item.modifier` (new:CodeableConcept)",
        "comment": "Element `CoverageEligibilityRequest.item.modifier` is part of an existing definition because parent element `CoverageEligibilityRequest.item` requires a cross-version extension.\nElement `CoverageEligibilityRequest.item.modifier` has a context of EligibilityRequest based on following the parent source element upwards and mapping to `EligibilityRequest`.\nElement `CoverageEligibilityRequest.item.modifier` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).\nFor example in Oral whether the treatment is cosmetic or associated with TMJ, or for Medical whether the treatment was outside the clinic or out of office hours.",
        "requirements": "To support provision of the item or to charge an elevated fee. Element `CoverageEligibilityRequest.item.modifier` is part of an existing definition because parent element `CoverageEligibilityRequest.item` requires a cross-version extension.\nElement `CoverageEligibilityRequest.item.modifier` has a context of EligibilityRequest based on following the parent source element upwards and mapping to `EligibilityRequest`.\nElement `CoverageEligibilityRequest.item.modifier` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Extension.extension",
          "min": 0,
          "max": "*"
        }
      },
      {
        "id": "Extension.extension:modifier.url",
        "path": "Extension.extension.url",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "fixedUri": "modifier"
      },
      {
        "id": "Extension.extension:modifier.value[x]",
        "path": "Extension.extension.value[x]",
        "short": "Product or service billing modifiers",
        "definition": "Item typification or modifiers codes to convey additional context for the product or service.",
        "comment": "For example in Oral whether the treatment is cosmetic or associated with TMJ, or for Medical whether the treatment was outside the clinic or out of office hours.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "binding": {
          "strength": "example",
          "description": "Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.",
          "valueSetUri": "http://hl7.org/fhir/ValueSet/claim-modifiers|3.0.2"
        }
      },
      {
        "id": "Extension.extension:provider",
        "path": "Extension.extension",
        "sliceName": "provider",
        "short": "R4: Perfoming practitioner (new)",
        "definition": "R4: `CoverageEligibilityRequest.item.provider` (new:Reference(Practitioner,PractitionerRole))",
        "comment": "Element `CoverageEligibilityRequest.item.provider` is part of an existing definition because parent element `CoverageEligibilityRequest.item` requires a cross-version extension.\nElement `CoverageEligibilityRequest.item.provider` has a context of EligibilityRequest based on following the parent source element upwards and mapping to `EligibilityRequest`.\nElement `CoverageEligibilityRequest.item.provider` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
        "requirements": "Needed to support the evaluation of the eligibility. Element `CoverageEligibilityRequest.item.provider` is part of an existing definition because parent element `CoverageEligibilityRequest.item` requires a cross-version extension.\nElement `CoverageEligibilityRequest.item.provider` has a context of EligibilityRequest based on following the parent source element upwards and mapping to `EligibilityRequest`.\nElement `CoverageEligibilityRequest.item.provider` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.extension",
          "min": 0,
          "max": "*"
        }
      },
      {
        "id": "Extension.extension:provider.url",
        "path": "Extension.extension.url",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "fixedUri": "provider"
      },
      {
        "id": "Extension.extension:provider.value[x]",
        "path": "Extension.extension.value[x]",
        "short": "Perfoming practitioner",
        "definition": "The practitioner who is responsible for the product or service to be rendered to the patient.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/4.0/StructureDefinition/profile-Practitioner|0.1.0"
          },
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/Practitioner"
          },
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/4.0/StructureDefinition/profile-PractitionerRole|0.1.0"
          },
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/PractitionerRole"
          }
        ]
      },
      {
        "id": "Extension.extension:quantity",
        "path": "Extension.extension",
        "sliceName": "quantity",
        "short": "R4: Count of products or services (new)",
        "definition": "R4: `CoverageEligibilityRequest.item.quantity` (new:Quantity[SimpleQuantity])",
        "comment": "Element `CoverageEligibilityRequest.item.quantity` is part of an existing definition because parent element `CoverageEligibilityRequest.item` requires a cross-version extension.\nElement `CoverageEligibilityRequest.item.quantity` has a context of EligibilityRequest based on following the parent source element upwards and mapping to `EligibilityRequest`.\nElement `CoverageEligibilityRequest.item.quantity` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
        "requirements": "Required when the product or service code does not convey the quantity provided. Element `CoverageEligibilityRequest.item.quantity` is part of an existing definition because parent element `CoverageEligibilityRequest.item` requires a cross-version extension.\nElement `CoverageEligibilityRequest.item.quantity` has a context of EligibilityRequest based on following the parent source element upwards and mapping to `EligibilityRequest`.\nElement `CoverageEligibilityRequest.item.quantity` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.extension",
          "min": 0,
          "max": "*"
        }
      },
      {
        "id": "Extension.extension:quantity.url",
        "path": "Extension.extension.url",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "fixedUri": "quantity"
      },
      {
        "id": "Extension.extension:quantity.value[x]",
        "path": "Extension.extension.value[x]",
        "short": "Count of products or services",
        "definition": "The number of repetitions of a service or product.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Quantity",
            "profile": "http://hl7.org/fhir/StructureDefinition/SimpleQuantity"
          }
        ]
      },
      {
        "id": "Extension.extension:unitPrice",
        "path": "Extension.extension",
        "sliceName": "unitPrice",
        "short": "R4: Fee, charge or cost per item (new)",
        "definition": "R4: `CoverageEligibilityRequest.item.unitPrice` (new:Money)",
        "comment": "Element `CoverageEligibilityRequest.item.unitPrice` is part of an existing definition because parent element `CoverageEligibilityRequest.item` requires a cross-version extension.\nElement `CoverageEligibilityRequest.item.unitPrice` has a context of EligibilityRequest based on following the parent source element upwards and mapping to `EligibilityRequest`.\nElement `CoverageEligibilityRequest.item.unitPrice` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
        "requirements": "Needed to support the evaluation of the eligibility. Element `CoverageEligibilityRequest.item.unitPrice` is part of an existing definition because parent element `CoverageEligibilityRequest.item` requires a cross-version extension.\nElement `CoverageEligibilityRequest.item.unitPrice` has a context of EligibilityRequest based on following the parent source element upwards and mapping to `EligibilityRequest`.\nElement `CoverageEligibilityRequest.item.unitPrice` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.extension",
          "min": 0,
          "max": "*"
        }
      },
      {
        "id": "Extension.extension:unitPrice.url",
        "path": "Extension.extension.url",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "fixedUri": "unitPrice"
      },
      {
        "id": "Extension.extension:unitPrice.value[x]",
        "path": "Extension.extension.value[x]",
        "short": "Fee, charge or cost per item",
        "definition": "The amount charged to the patient by the provider for a single unit.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Money"
          }
        ]
      },
      {
        "id": "Extension.extension:facility",
        "path": "Extension.extension",
        "sliceName": "facility",
        "short": "R4: Servicing facility (new)",
        "definition": "R4: `CoverageEligibilityRequest.item.facility` (new:Reference(Location,Organization))",
        "comment": "Element `CoverageEligibilityRequest.item.facility` is part of an existing definition because parent element `CoverageEligibilityRequest.item` requires a cross-version extension.\nElement `CoverageEligibilityRequest.item.facility` has a context of EligibilityRequest based on following the parent source element upwards and mapping to `EligibilityRequest`.\nElement `CoverageEligibilityRequest.item.facility` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
        "requirements": "Needed to support the evaluation of the eligibility. Element `CoverageEligibilityRequest.item.facility` is part of an existing definition because parent element `CoverageEligibilityRequest.item` requires a cross-version extension.\nElement `CoverageEligibilityRequest.item.facility` has a context of EligibilityRequest based on following the parent source element upwards and mapping to `EligibilityRequest`.\nElement `CoverageEligibilityRequest.item.facility` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.extension",
          "min": 0,
          "max": "*"
        }
      },
      {
        "id": "Extension.extension:facility.url",
        "path": "Extension.extension.url",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "fixedUri": "facility"
      },
      {
        "id": "Extension.extension:facility.value[x]",
        "path": "Extension.extension.value[x]",
        "short": "Servicing facility",
        "definition": "Facility where the services will be provided.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/4.0/StructureDefinition/profile-Location|0.1.0"
          },
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/Location"
          },
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/4.0/StructureDefinition/profile-Organization|0.1.0"
          },
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/Organization"
          }
        ]
      },
      {
        "id": "Extension.extension:diagnosis",
        "path": "Extension.extension",
        "sliceName": "diagnosis",
        "short": "R4: Applicable diagnosis (new)",
        "definition": "R4: `CoverageEligibilityRequest.item.diagnosis` (new:BackboneElement)",
        "comment": "Element `CoverageEligibilityRequest.item.diagnosis` is part of an existing definition because parent element `CoverageEligibilityRequest.item` requires a cross-version extension.\nElement `CoverageEligibilityRequest.item.diagnosis` has a context of EligibilityRequest based on following the parent source element upwards and mapping to `EligibilityRequest`.\nElement `CoverageEligibilityRequest.item.diagnosis` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
        "requirements": "Needed to support the evaluation of the eligibility. Element `CoverageEligibilityRequest.item.diagnosis` is part of an existing definition because parent element `CoverageEligibilityRequest.item` requires a cross-version extension.\nElement `CoverageEligibilityRequest.item.diagnosis` has a context of EligibilityRequest based on following the parent source element upwards and mapping to `EligibilityRequest`.\nElement `CoverageEligibilityRequest.item.diagnosis` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Extension.extension",
          "min": 0,
          "max": "*"
        }
      },
      {
        "id": "Extension.extension:diagnosis.extension",
        "path": "Extension.extension.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "ordered": false,
          "rules": "open"
        },
        "min": 0,
        "max": "*",
        "base": {
          "path": "Extension.extension",
          "min": 0,
          "max": "*"
        }
      },
      {
        "id": "Extension.extension:diagnosis.extension:diagnosis",
        "path": "Extension.extension.extension",
        "sliceName": "diagnosis",
        "short": "R4: Nature of illness or problem (new)",
        "definition": "R4: `CoverageEligibilityRequest.item.diagnosis.diagnosis[x]` (new:CodeableConcept, Reference(Condition))",
        "comment": "Element `CoverageEligibilityRequest.item.diagnosis.diagnosis[x]` is part of an existing definition because parent element `CoverageEligibilityRequest.item.diagnosis` requires a cross-version extension.\nElement `CoverageEligibilityRequest.item.diagnosis.diagnosis[x]` has a context of EligibilityRequest based on following the parent source element upwards and mapping to `EligibilityRequest`.\nElement `CoverageEligibilityRequest.item.diagnosis.diagnosis[x]` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
        "requirements": "Provides health context for the evaluation of the products and/or services. Element `CoverageEligibilityRequest.item.diagnosis.diagnosis[x]` is part of an existing definition because parent element `CoverageEligibilityRequest.item.diagnosis` requires a cross-version extension.\nElement `CoverageEligibilityRequest.item.diagnosis.diagnosis[x]` has a context of EligibilityRequest based on following the parent source element upwards and mapping to `EligibilityRequest`.\nElement `CoverageEligibilityRequest.item.diagnosis.diagnosis[x]` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.extension",
          "min": 0,
          "max": "*"
        }
      },
      {
        "id": "Extension.extension:diagnosis.extension:diagnosis.url",
        "path": "Extension.extension.extension.url",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "fixedUri": "diagnosis"
      },
      {
        "id": "Extension.extension:diagnosis.extension:diagnosis.value[x]",
        "path": "Extension.extension.extension.value[x]",
        "short": "Nature of illness or problem",
        "definition": "The nature of illness or problem in a coded form or as a reference to an external defined Condition.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          },
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/4.0/StructureDefinition/profile-Condition|0.1.0"
          },
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/Condition"
          }
        ],
        "binding": {
          "strength": "example",
          "description": "ICD10 Diagnostic codes.",
          "valueSetUri": "http://hl7.org/fhir/ValueSet/icd-10|3.0.2"
        }
      },
      {
        "id": "Extension.extension:diagnosis.url",
        "path": "Extension.extension.url",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "fixedUri": "diagnosis"
      },
      {
        "id": "Extension.extension:diagnosis.value[x]",
        "path": "Extension.extension.value[x]",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Extension.extension:detail",
        "path": "Extension.extension",
        "sliceName": "detail",
        "short": "R4: Product or service details (new)",
        "definition": "R4: `CoverageEligibilityRequest.item.detail` (new:Reference(Resource))",
        "comment": "Element `CoverageEligibilityRequest.item.detail` is part of an existing definition because parent element `CoverageEligibilityRequest.item` requires a cross-version extension.\nElement `CoverageEligibilityRequest.item.detail` has a context of EligibilityRequest based on following the parent source element upwards and mapping to `EligibilityRequest`.\nElement `CoverageEligibilityRequest.item.detail` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
        "requirements": "Needed to provide complex service proposal such as a Device or a plan. Element `CoverageEligibilityRequest.item.detail` is part of an existing definition because parent element `CoverageEligibilityRequest.item` requires a cross-version extension.\nElement `CoverageEligibilityRequest.item.detail` has a context of EligibilityRequest based on following the parent source element upwards and mapping to `EligibilityRequest`.\nElement `CoverageEligibilityRequest.item.detail` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Extension.extension",
          "min": 0,
          "max": "*"
        }
      },
      {
        "id": "Extension.extension:detail.url",
        "path": "Extension.extension.url",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "fixedUri": "detail"
      },
      {
        "id": "Extension.extension:detail.value[x]",
        "path": "Extension.extension.value[x]",
        "short": "Product or service details",
        "definition": "The plan/proposal/order describing the proposed service in detail.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
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        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/4.0/StructureDefinition/profile-Resource|0.1.0"
          },
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/Resource"
          }
        ]
      },
      {
        "id": "Extension.url",
        "path": "Extension.url",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "fixedUri": "http://hl7.org/fhir/4.0/StructureDefinition/extension-CoverageEligibilityRequest.item"
      },
      {
        "id": "Extension.value[x]",
        "path": "Extension.value[x]",
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        "max": "0",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        }
      }
    ]
  }
}