Name | Flags | Card. | Type | Description & Constraints![]() |
---|---|---|---|---|
TU | DomainResource | Insurance or medical plan or a payment agreement Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension | ||
Σ | 0..* | Identifier | The primary coverage ID | |
?!Σ | 0..1 | code | active | cancelled | draft | entered-in-error Financial Resource Status Codes (Required) | |
Σ | 0..1 | CodeableConcept | Type of coverage such as medical or accident Coverage Type and Self-Pay Codes (Preferred) | |
Σ | 0..1 | Reference(Patient | RelatedPerson | Organization) | Owner of the policy | |
Σ | 0..1 | Reference(Patient | RelatedPerson) | Subscriber to the policy | |
Σ | 0..1 | string | ID assigned to the Subscriber | |
Σ | 0..1 | Reference(Patient) | Plan Beneficiary | |
Σ | 0..1 | string | Dependent number | |
0..1 | CodeableConcept | Beneficiary relationship to the Subscriber Policyholder Relationship Codes (Example) | ||
Σ | 0..1 | Period | Coverage start and end dates | |
Σ | 0..* | Reference(Organization | Patient | RelatedPerson) | Identifier for the plan or agreement issuer | |
0..* | BackboneElement | Additional coverage classifications | ||
Σ | 1..1 | Coding | Type of class such as 'group' or 'plan' Coverage Class Codes (Extensible) | |
Σ | 1..1 | string | The tag or value under the classification | |
Σ | 0..1 | string | Display text for an identifier for the group | |
Σ | 0..1 | positiveInt | Relative order of the coverage | |
Σ | 0..1 | string | Insurer network | |
0..* | BackboneElement | Patient payments for services/products | ||
Σ | 0..1 | Coding | The type of service or product Coverage Copay Type Codes (Extensible) | |
Σ | 1..1 | Quantity | The amount or percentage of the copayment | |
0..* | Reference(Contract) | Contract details | ||
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