{"resourceType":"StructureDefinition","id":"Claim-Condition","text":{"status":"extensions","div":"

Generated Narrative: StructureDefinition Claim-Condition

\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
NameFlagsCard.TypeDescription & Constraints\"doco\"
\".\"\".\" Extension 0..*ExtensionOutlines specific conditions and criteria that may be required to successfully claim benefits under a coverage within a insurance product.
\".\"\".\"\".\" Slices for extension Content/Rules for all slices
\".\"\".\"\".\"\".\" extension:claim-condition 0..*ExtensionExtension
\".\"\".\"\".\"\".\"\".\" extension 0..0
\".\"\".\"\".\"\".\"\".\" url 1..1uri"claim-condition"
\".\"\".\"\".\"\".\"\".\" value[x] 0..1stringValue of extension
\".\"\".\"\".\" url 1..1uri"https://nrces.in/ndhm/fhir/r4/StructureDefinition/Claim-Condition"
\".\"\".\"\".\" value[x] 0..0

\"doco\" Documentation for this format
"},"url":"https://nrces.in/ndhm/fhir/r4/StructureDefinition/Claim-Condition","version":"6.5.0","name":"ClaimCondition","status":"draft","date":"2025-03-18T17:41:18+05:30","publisher":"National Resource Center for EHR Standards","contact":[{"name":"National Resource Center for EHR Standards","telecom":[{"system":"url","value":"https://nrces.in/"}]}],"description":"This extension outlines specific conditions and criteria that may be required to successfully claim benefits under a coverage within a insurance plan.","jurisdiction":[{"coding":[{"system":"urn:iso:std:iso:3166","code":"IN","display":"India"}]}],"fhirVersion":"4.0.1","mapping":[{"identity":"rim","uri":"http://hl7.org/v3","name":"RIM Mapping"}],"kind":"complex-type","abstract":false,"context":[{"type":"element","expression":"https://nrces.in/ndhm/fhir/r4/StructureDefinition/InsurancePlan#InsurancePlan.coverage"},{"type":"element","expression":"https://nrces.in/ndhm/fhir/r4/StructureDefinition/InsurancePlan#InsurancePlan.coverage.benefit"},{"type":"element","expression":"https://nrces.in/ndhm/fhir/r4/StructureDefinition/InsurancePlan#InsurancePlan.plan"}],"type":"Extension","baseDefinition":"http://hl7.org/fhir/StructureDefinition/Extension","derivation":"constraint","snapshot":{"extension":[{"url":"http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version","valueString":"4.0.1"}],"element":[{"id":"Extension","path":"Extension","short":"Outlines specific conditions and criteria that may be required to successfully claim benefits under a coverage within a insurance product.","definition":"This extension outlines specific conditions and criteria that may be required to successfully claim benefits under a coverage within a insurance plan.","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() or (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":"Unique id for inter-element referencing","definition":"Unique id for the element within a resource (for internal references). 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