Name | Flags | Card. | Type | Description & Constraints![]() |
---|---|---|---|---|
DomainResource | Insurance or medical plan | |||
Σ | 1..1 | Identifier for the plan issuer | ||
Identifier | ||||
Reference(Organization) | ||||
0..1 | string | BIN Number | ||
Σ | 0..1 | Period | Coverage start and end dates | |
Σ | 0..1 | Coding | Type of coverage ActCoverageTypeCode (Example) | |
?! | 1..1 | Plan holder | ||
Identifier | ||||
Reference(Patient | Organization) | ||||
?! | 1..1 | Plan Beneficiary | ||
Identifier | ||||
Reference(Patient) | ||||
1..1 | Coding | Patient relationship to planholder Beneficiary Relationship Codes (Example) | ||
Σ | 0..* | Identifier | The primary coverage ID | |
Σ | 0..1 | string | An identifier for the group | |
Σ | 0..1 | string | An identifier for the plan | |
Σ | 0..1 | string | An identifier for the subsection of the plan | |
Σ | 0..1 | positiveInt | Dependent number | |
Σ | 0..1 | positiveInt | The plan instance or sequence counter | |
0..* | Coding | Eligibility exceptions Exception Codes (Example) | ||
0..1 | string | Name of School | ||
Σ | 0..1 | string | Insurer network | |
0..* | Reference(Contract) | Contract details | ||
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