abstractbaseDefinitioncopyrightdescription- Values Differ
experimentalfhirVersionjurisdiction
jurisdiction[0]kindnamepublisherpurposestatustitletypeurl| Left: | Coverage Activity (http://hl7.org/cda/us/ccda/StructureDefinition/CoverageActivity) |
| Right: | Coverage Activity (http://hl7.org/cda/us/ccda/StructureDefinition/CoverageActivity) |
| Information | Act.typeId | StructureDefinition CoverageActivity has added constraint that is not found in CoverageActivity and it is uncertain whether they are compatible (root.exists() or nullFlavor.exists()) |
| Information | StructureDefinition.short | Values for short differ: 'Display: Payment sources. (USCDI) COVERAGE TYPE: Records the category of health care payers, insurance products, or benefits.' vs 'Payment sources' |
| Information | StructureDefinition.short | Values for short differ: '(USCDI) COVERAGE STATUS : Records the date and time when you checked and possibly updated the coverage for a patient, and applies for all policies within the coverage activity. Multiple Coverage Activity Acts would be needed to convey different times when coverage was checked and possibly updated. Details on a specific Policy coverage period, or self-pay period, systems can record an additional time inside the Policy Activity/coverage-target participant. Systems may prioritize Coverages using the sequenceNumber.' vs '𝗨𝗦𝗖𝗗𝗜: Coverage Status : Records the date and time when you checked and possibly updated the coverage for a patient, and applies for all policies within the coverage activity. Multiple Coverage Activity Acts would be needed to convey different times when coverage was checked and possibly updated. Details on a specific Policy coverage period, or self-pay period, systems can record an additional time inside the Policy Activity/coverage-target participant. Systems may prioritize Coverages using the sequenceNumber.' |
| Name | Value | Comments | |
|---|---|---|---|
| abstract | false | ||
| baseDefinition | http://hl7.org/cda/stds/core/StructureDefinition/Act | ||
| copyright | |||
| description | A Coverage Activity groups the policy and authorization acts within a Payers Section to order the payment sources. A Coverage Activity contains one or more Policy Activities, each of which contains zero or more Authorization Activities. The sequenceNumber/@value shows the policy order of preference. The Member Identifier is described in the contained Policy Activity Template 2.16.840.1.113883.10.20.22.4.61. | A Coverage Activity groups the policy and authorization acts within a Payers Section to order the payment sources. A Coverage Activity contains one or more Policy Activities, each of which contains zero or more Authorization Activities. The sequenceNumber/@value shows the policy order of preference. The Member Identifier is described in the contained Policy Activity Template 2.16.840.1.113883.10.20.22.4.61. #### Templates Used Although open templates may contain any valid CDA content, the following templates are specifically called out by this template: **Required EntryRelationships**: [PolicyActivity](StructureDefinition-PolicyActivity.html) |
|
| experimental | |||
| fhirVersion | 5.0.0 | ||
| jurisdiction | |||
| jurisdiction[0] | urn:iso:std:iso:3166#US | ||
| kind | logical | ||
| name | CoverageActivity | ||
| publisher | Health Level Seven | ||
| purpose | |||
| status | draft | ||
| title | Coverage Activity | ||
| type | http://hl7.org/cda/stds/core/StructureDefinition/Act | ||
| url | http://hl7.org/cda/us/ccda/StructureDefinition/CoverageActivity | ||
| Name | L Flags | L Card. | L Type | L Description & Constraints | R Flags | R Card. | R Type | R Description & Constraints | Comments |
|---|---|---|---|---|---|---|---|---|---|
 Act | C | 1..1 | Act | Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) Constraints: should-text-ref-value, should-effectiveTime | C | 1..1 | Act | Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) Constraints: should-text-ref-value, should-effectiveTime | |
 nullFlavor | 0..1 | ?? | Binding: ?? (required) | 0..1 | ?? | Binding: ?? (required) | |||
| realmCode | 0..* | CS | 0..* | CS | |||||
 typeId | 0..1 | II | C | 0..1 | II |
| |||
 nullFlavor | 0..1 | ?? | Binding: ?? (required) | 0..1 | ?? | Binding: ?? (required) | |||
| assigningAuthorityName | 0..1 | ?? | 0..1 | ?? | |||||
| displayable | 0..1 | ?? | 0..1 | ?? | |||||
| root | 1..1 | ??, ??, ?? | Fixed Value: 2.16.840.1.113883.1.3 | 1..1 | ??, ??, ?? | Fixed Value: 2.16.840.1.113883.1.3 | |||
 extension | 1..1 | string | Primitive Type string URL: http://hl7.org/cda/stds/core/StructureDefinition/st-simple | 1..1 | string | Primitive Type string URL: http://hl7.org/cda/stds/core/StructureDefinition/st-simple | |||
| Slices for templateId | 1..* | II | Slice: Unordered, Open by value:root, value:extension | 1..* | II | Slice: Unordered, Open by value:root, value:extension | |||
| classCode | 1..1 | ?? | Binding: ?? (required) Fixed Value: ACT | 1..1 | ?? | Binding: ?? (required) Fixed Value: ACT | |||
| moodCode | 1..1 | ?? | Binding: ?? (required) Fixed Value: EVN | 1..1 | ?? | Binding: ?? (required) Fixed Value: EVN | |||
| negationInd | 0..1 | ?? | 0..1 | ?? | |||||
| id | 1..* | II | 1..* | II | |||||
| code | 1..1 | CD | Display: Payment sources. (USCDI) COVERAGE TYPE: Records the category of health care payers, insurance products, or benefits. Binding: ?? (example) | 1..1 | CD | Payment sources Binding: ?? (example) | |||
| nullFlavor | 0..1 | ?? | Binding: ?? (required) | 0..1 | ?? | Binding: ?? (required) | |||
| code | 1..1 | ?? | Required Pattern: 52556-8 | 1..1 | ?? | Required Pattern: 52556-8 | |||
| codeSystem | 1..1 | ??, ??, ?? | LOINC Required Pattern: 2.16.840.1.113883.6.1 | 1..1 | ??, ??, ?? | LOINC Required Pattern: 2.16.840.1.113883.6.1 | |||
| codeSystemName | 0..1 | ?? | 0..1 | ?? | |||||
| codeSystemVersion | 0..1 | ?? | 0..1 | ?? | |||||
| displayName | 0..1 | ?? | 0..1 | ?? | |||||
| sdtcValueSet | 0..1 | ?? | XML: valueSet (urn:hl7-org:sdtc) | 0..1 | ?? | XML: valueSet (urn:hl7-org:sdtc) | |||
| sdtcValueSetVersion | 0..1 | ?? | XML: valueSetVersion (urn:hl7-org:sdtc) | 0..1 | ?? | XML: valueSetVersion (urn:hl7-org:sdtc) | |||
| originalText | 0..1 | ED | 0..1 | ED | |||||
| qualifier | 0..* | CR | 0..* | CR | |||||
| translation | 0..* | CD | 0..* | CD | |||||
| text | 0..1 | ED | SHOULD reference the portion of section narrative text corresponding to this entry | 0..1 | ED | SHOULD reference the portion of section narrative text corresponding to this entry | |||
| nullFlavor | 0..1 | ?? | Binding: ?? (required) | 0..1 | ?? | Binding: ?? (required) | |||
| compression | 0..1 | ?? | Binding: ?? (required) | 0..1 | ?? | Binding: ?? (required) | |||
| integrityCheck | 0..1 | ?? | 0..1 | ?? | |||||
| integrityCheckAlgorithm | 0..1 | ?? | Binding: ?? (required) | 0..1 | ?? | Binding: ?? (required) | |||
| language | 0..1 | ?? | 0..1 | ?? | |||||
| mediaType | 0..1 | ?? | Binding: ?? (example) | 0..1 | ?? | Binding: ?? (example) | |||
| representation | 0..1 | ?? | Binding: ?? (required) | 0..1 | ?? | Binding: ?? (required) | |||
| xmlText | 0..1 | ?? | Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string. | 0..1 | ?? | Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string. | |||
| reference | C | 0..1 | TEL | Constraints: value-starts-octothorpe | C | 0..1 | TEL | Constraints: value-starts-octothorpe | |
| thumbnail | 0..1 | ED | 0..1 | ED | |||||
| statusCode | 1..1 | CS | Binding: ?? (required) | 1..1 | CS | Binding: ?? (required) | |||
| nullFlavor | 0..1 | ?? | Binding: ?? (required) | 0..1 | ?? | Binding: ?? (required) | |||
| code | 1..1 | ?? | Fixed Value: completed | 1..1 | ?? | Fixed Value: completed | |||
| codeSystem | 0..0 | 0..0 | |||||||
| codeSystemName | 0..0 | 0..0 | |||||||
| codeSystemVersion | 0..0 | 0..0 | |||||||
| displayName | 0..0 | 0..0 | |||||||
| sdtcValueSet | 0..1 | ?? | XML: valueSet (urn:hl7-org:sdtc) | 0..1 | ?? | XML: valueSet (urn:hl7-org:sdtc) | |||
| sdtcValueSetVersion | 0..1 | ?? | XML: valueSetVersion (urn:hl7-org:sdtc) | 0..1 | ?? | XML: valueSetVersion (urn:hl7-org:sdtc) | |||
| originalText | 0..0 | 0..0 | |||||||
| qualifier | 0..0 | 0..0 | |||||||
| translation | 0..0 | 0..0 | |||||||
| effectiveTime | 0..1 | IVL_TS | (USCDI) COVERAGE STATUS : Records the date and time when you checked and possibly updated the coverage for a patient, and applies for all policies within the coverage activity. Multiple Coverage Activity Acts would be needed to convey different times when coverage was checked and possibly updated. Details on a specific Policy coverage period, or self-pay period, systems can record an additional time inside the Policy Activity/coverage-target participant. Systems may prioritize Coverages using the sequenceNumber. | 0..1 | IVL_TS | 𝗨𝗦𝗖𝗗𝗜: Coverage Status : Records the date and time when you checked and possibly updated the coverage for a patient, and applies for all policies within the coverage activity. Multiple Coverage Activity Acts would be needed to convey different times when coverage was checked and possibly updated. Details on a specific Policy coverage period, or self-pay period, systems can record an additional time inside the Policy Activity/coverage-target participant. Systems may prioritize Coverages using the sequenceNumber. | |||
| nullFlavor | 0..1 | ?? | Binding: ?? (required) | 0..1 | ?? | Binding: ?? (required) | |||
| value | 1..1 | ?? | Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz] | 1..1 | ?? | Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz] | |||
| operator | 0..1 | ?? | Binding: ?? (required) | 0..1 | ?? | Binding: ?? (required) | |||
| low | 0..1 | IVXB_TS | 0..1 | IVXB_TS | |||||
| center | 0..1 | TS | 0..1 | TS | |||||
| width | 0..1 | PQ | 0..1 | PQ | |||||
| high | 0..1 | IVXB_TS | 0..1 | IVXB_TS | |||||
| priorityCode | 0..1 | CE | Binding: ?? (example) | 0..1 | CE | Binding: ?? (example) | |||
| languageCode | 0..1 | CS | Binding: ?? (required) | 0..1 | CS | Binding: ?? (required) | |||
| subject | 0..1 | Subject | 0..1 | Subject | |||||
| specimen | 0..* | Specimen | 0..* | Specimen | |||||
| performer | 0..* | Performer2 | 0..* | Performer2 | |||||
| author | 0..* | Author | 0..* | Author | |||||
| informant | 0..* | Informant | 0..* | Informant | |||||
| participant | 0..* | Participant2 | 0..* | Participant2 | |||||
| Slices for entryRelationship | 1..* | EntryRelationship | Slice: Unordered, Open by profile:act, value:typeCode | 1..* | EntryRelationship | Slice: Unordered, Open by profile:act, value:typeCode | |||
| reference | 0..* | Reference | 0..* | Reference | |||||
| precondition | 0..* | Precondition | 0..* | Precondition | |||||
| sdtcPrecondition2 | 0..* | Precondition2 | XML: precondition2 (urn:hl7-org:sdtc) | 0..* | Precondition2 | XML: precondition2 (urn:hl7-org:sdtc) | |||
| sdtcInFulfillmentOf1 | 0..* | InFulfillmentOf1 | XML: inFulfillmentOf1 (urn:hl7-org:sdtc) | 0..* | InFulfillmentOf1 | XML: inFulfillmentOf1 (urn:hl7-org:sdtc) | |||
| Documentation for this format | |||||||||