This page is part of the FHIR Specification (v0.0.82: DSTU 1). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions

Coverage.questionnaire

This is an example form generated from the questionnaire. See also the XML or JSON format.

Coverage.questionnaire - FHIR v0.4.0 Form
Development Version

This is an example form generated from the questionnaire. See also the XML or JSON format

Insurance or medical plan

Coverage
Coverage.id
Coverage.id.value Logical id of this artefact
Coverage.id 1

Metadata about the resource

Coverage.meta
Coverage.meta 1
Coverage.implicitRules
Coverage.implicitRules.value A set of rules under which this content was created
Coverage.implicitRules 1
Coverage.language
Coverage.language.value language
Coverage.language 1

Text summary of the resource, for human interpretation

Coverage.text
Coverage.text 1

Contained, inline Resources

Coverage.contained
Coverage.contained 1
Coverage.issuer
Coverage.issuer.value An identifier for the plan issuer
Coverage.issuer 1

BIN Number

Coverage.bin
Coverage.bin.label label:
Coverage.bin.system system:
Coverage.bin.value value:
Coverage.bin 1

Coverage start and end dates

Coverage.period
Coverage.period.low start:
Coverage.period.end end:
Coverage.period 1
Coverage.type
Coverage.type.value Type of coverage
Coverage.type 1

Subscriber ID

Coverage.subscriberId
Coverage.subscriberId.label label:
Coverage.subscriberId.system system:
Coverage.subscriberId.value value:
Coverage.subscriberId 1

The primary coverage ID

Coverage.identifier
Coverage.identifier.label label:
Coverage.identifier.system system:
Coverage.identifier.value value:
Coverage.identifier 1
Coverage.group
Coverage.group.value An identifier for the group
Coverage.group 1
Coverage.plan
Coverage.plan.value An identifier for the plan
Coverage.plan 1
Coverage.subPlan
Coverage.subPlan.value An identifier for the subsection of the plan
Coverage.subPlan 1
Coverage.dependent
Coverage.dependent.value The dependent number
Coverage.dependent 1
Coverage.sequence
Coverage.sequence.value The plan instance or sequence counter
Coverage.sequence 1
Coverage.subscriber
Coverage.subscriber.value Plan holder information
Coverage.subscriber 1

Insurer network

Coverage.network
Coverage.network.label label:
Coverage.network.system system:
Coverage.network.value value:
Coverage.network 1
Coverage.contract
Coverage.contract.value Contract details
Coverage.contract 1
Coverage 1