NameFlagsCard.TypeDescription & Constraintsdoco
.. Coverage TUDomainResourceInsurance or medical plan or a payment agreement
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
... identifier Σ0..*IdentifierThe primary coverage ID
... status ?!Σ0..1codeactive | cancelled | draft | entered-in-error
Financial Resource Status Codes (Required)
... type Σ0..1CodeableConceptType of coverage such as medical or accident
Coverage Type and Self-Pay Codes (Preferred)
... policyHolder Σ0..1Reference(Patient | RelatedPerson | Organization)Owner of the policy
... subscriber Σ0..1Reference(Patient | RelatedPerson)Subscriber to the policy
... subscriberId Σ0..1stringID assigned to the Subscriber
... beneficiary Σ0..1Reference(Patient)Plan Beneficiary
... dependent Σ0..1stringDependent number
... relationship 0..1CodeableConceptBeneficiary relationship to the Subscriber
Policyholder Relationship Codes (Example)
... period Σ0..1PeriodCoverage start and end dates
... payor Σ0..*Reference(Organization | Patient | RelatedPerson)Identifier for the plan or agreement issuer
... class 0..*BackboneElementAdditional coverage classifications
.... type Σ1..1CodingType of class such as 'group' or 'plan'
Coverage Class Codes (Extensible)
.... value Σ1..1stringThe tag or value under the classification
.... name Σ0..1stringDisplay text for an identifier for the group
... order Σ0..1positiveIntRelative order of the coverage
... network Σ0..1stringInsurer network
... copay 0..*BackboneElementPatient payments for services/products
.... type Σ0..1CodingThe type of service or product
Coverage Copay Type Codes (Extensible)
.... value Σ1..1QuantityThe amount or percentage of the copayment
... contract 0..*Reference(Contract)Contract details

doco Documentation for this format