Intersection of http://hl7.org/fhir/us/core/StructureDefinition/us-core-coverage and http://hl7.org/fhir/us/core/StructureDefinition/us-core-coverage

This is the set of resources that conform to both US Core Coverage Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-coverage) and US Core Coverage Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-coverage).

Structure

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Coverage C0..*Insurance or medical plan or a payment agreement
Constraints: us-core-15
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: ?? (preferred): A human language.
Additional BindingsPurpose
??Max Binding
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier SΣ0..*Identifierleft: (USCDI) Member ID and other identifiers; right: Member ID and other identifiers
... status ?!SΣ1..1codeleft: (USCDI) active | cancelled | draft | entered-in-error; right: active | cancelled | draft | entered-in-error
Binding: ?? (required): A code specifying the state of the resource instance.
... type SΣ0..1CodeableConceptleft: (USCDI) Coverage category such as medical or accident; right: Coverage category such as medical or accident
Binding: ?? (extensible): US Public Health Data Consortium Source of Payment Codes
... policyHolder Σ0..1Reference(Patient | RelatedPerson | Organization)Owner of the policy
... subscriber Σ0..1Reference(Patient | RelatedPerson)Subscriber to the policy
... subscriberId SΣ0..1stringleft: (USCDI) ID assigned to the subscriber; right: ID assigned to the subscriber
... beneficiary SΣ1..1Reference(US Core Patient Profile | #sd-us-core-patient-us-core-patient)left: (USCDI) Plan beneficiary; right: Plan beneficiary
... dependent Σ0..1stringDependent number
... relationship S1..1CodeableConceptleft: (USCDI) Beneficiary relationship to the subscriber; right: Beneficiary relationship to the subscriber
Binding: ?? (extensible)
... period SΣ0..1Periodleft: (USCDI) Coverage start and end dates; right: Coverage start and end dates
... payor SΣ1..1Reference(US Core Organization Profile S | US Core Patient Profile | US Core RelatedPerson Profile | #sd-us-core-organization-us-core-organization)left: (USCDI) Issuer of the policy; right: Issuer of the policy
... class S0..*BackboneElementleft: (USCDI) Additional coverage classifications; right: Additional coverage classifications
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... type Σ1..1CodeableConceptType of class such as 'group' or 'plan'
Binding: ?? (extensible): The policy classifications, eg. Group, Plan, Class, etc.
.... value Σ1..1stringValue associated with the type
.... name Σ0..1stringHuman readable description of the type and value
... order Σ0..1positiveIntRelative order of the coverage
... network Σ0..1stringInsurer network
... costToBeneficiary 0..*BackboneElementPatient payments for services/products
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... type Σ0..1CodeableConceptCost category
Binding: ?? (extensible): The types of services to which patient copayments are specified.
.... value[x] Σ1..1The amount or percentage due from the beneficiary
..... valueQuantityQuantity(SimpleQuantity | ?gen-e2?)
..... valueMoneyMoney(SimpleQuantity)
.... exception 0..*BackboneElementExceptions for patient payments
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... type Σ1..1CodeableConceptException category
Binding: ?? (example): The types of exceptions from the part or full value of financial obligations such as copays.
..... period Σ0..1PeriodThe effective period of the exception
... subrogation 0..1booleanReimbursement to insurer
... contract 0..*Reference(Contract)Contract details

doco Documentation for this format