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

This is the set of resources that conform to both QICore Coverage (http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-coverage) and QICore Coverage (http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-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
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier SΣ0..*IdentifierMember ID and other identifiers
... status ?!SΣ1..1codeactive | cancelled | draft | entered-in-error
Binding: ?? (required): A code specifying the state of the resource instance.
... type SΣ0..1CodeableConcept(QI) Coverage category such as medical or accident
Binding: ?? (extensible): Categories of types of health care payor entities as defined by the US Public Health Data Consortium SOP code system
... policyHolder Σ0..1Reference(QICore Patient | QICore Organization | QICore RelatedPerson | #sd-qicore-patient-qicore-patient)left: (QI-Core) Owner of the policy; right: (QI) Owner of the policy
... subscriber Σ0..1Reference(Patient | RelatedPerson)Subscriber to the policy
... subscriberId SΣ0..1string(QI) ID assigned to the subscriber
... beneficiary SΣ1..1Reference(QICore Patient | #sd-qicore-patient-qicore-patient)(QI) Plan beneficiary
... dependent Σ0..1stringDependent number
... relationship S1..1CodeableConceptBeneficiary relationship to the subscriber
Binding: ?? (extensible)
... period SΣ0..1Period(QI) Coverage start and end dates
... payor SΣ1..1Reference(QICore Patient | QICore Organization | QICore RelatedPerson | #sd-qicore-patient-qicore-patient)(QI) Issuer of the policy
... class S0..*BackboneElementAdditional 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