Left: | DEQM Coverage Profile (http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/coverage-deqm) |
Right: | DEQM Coverage Profile (http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/coverage-deqm) |
Name | Value | Comments | |
---|---|---|---|
abstract | false | ||
baseDefinition | http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-coverage | ||
copyright | |||
date | 2018-06-19T00:00:00-07:00 | ||
description | The DEQM Coverage Profile defines the constraints for representing the subscriber information to the Payer. This along with the patient first name, last name, date of birth and gender allows the payer to identify the member in their system. | ||
experimental | false | ||
fhirVersion | 4.0.1 | ||
jurisdiction | |||
jurisdiction[0] | urn:iso:std:iso:3166#US | ||
kind | resource | ||
name | DEQMCoverageProfile | ||
publisher | HL7 International - Clinical Quality Information Work Group | ||
purpose | |||
status | active | ||
title | DEQM Coverage Profile | ||
type | Coverage | ||
url | http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/coverage-deqm | ||
version | 2.1.0 |
Name | L Flags | L Card. | L Type | L Description & Constraints | R Flags | R Card. | L Type | L Description & Constraints | Comments |
---|---|---|---|---|---|---|---|---|---|
Coverage | I | I | |||||||
id | Σ | Σ | |||||||
meta | ΣI | ΣI | |||||||
implicitRules | ?!ΣI | ?!ΣI | |||||||
language | I | I | |||||||
text | I | I | |||||||
contained | |||||||||
extension | I | Extension | I | Extension | |||||
modifierExtension | ?!I | ?!I | |||||||
identifier | ΣI | ΣI | |||||||
status | ?!ΣI | ?!ΣI | |||||||
type | ΣI | ΣI | |||||||
policyHolder | SΣI | SΣI | |||||||
subscriber | ΣI | ΣI | |||||||
subscriberId | SΣI | SΣI | |||||||
beneficiary | SΣI | SΣI | |||||||
dependent | ΣI | ΣI | |||||||
relationship | I | I | |||||||
period | ΣI | ΣI | |||||||
payor | SΣI | SΣI | |||||||
class | I | I | |||||||
id | |||||||||
extension | I | Extension | I | Extension | |||||
modifierExtension | ?!ΣI | ?!ΣI | |||||||
type | ΣI | ΣI | |||||||
value | ΣI | ΣI | |||||||
name | ΣI | ΣI | |||||||
order | ΣI | ΣI | |||||||
network | ΣI | ΣI | |||||||
costToBeneficiary | I | I | |||||||
id | |||||||||
extension | I | Extension | I | Extension | |||||
modifierExtension | ?!ΣI | ?!ΣI | |||||||
type | ΣI | ΣI | |||||||
value[x] | ΣI | ΣI | |||||||
exception | I | I | |||||||
id | |||||||||
extension | I | Extension | I | Extension | |||||
modifierExtension | ?!ΣI | ?!ΣI | |||||||
type | ΣI | ΣI | |||||||
period | ΣI | ΣI | |||||||
subrogation | I | I | |||||||
contract | I | I | |||||||
Documentation for this format |