Quality Improvement Core Framework (v3.3.0: STU 4 Ballot 1). The current version is 3.2.0 based on FHIR R4. See the Directory of published versions
 
QDM defines Participation as a patient’s coverage by a program such as an insurance or medical plan or a payment agreement. Such programs can include patient-centered medical home, disease-specific programs, etc. Definitions modeled similar to the FHIR R4 Coverage resource.
| QDM Context | QI-Core R4 | Comments | 
| Participation | Coverage | |
| Coverage.status | Constrain to "active" | |
| QDM Attributes | ||
| code | Coverage.type | |
| id | Coverage.id | |
| Participation Period | Coverage.period | |
| Recorder |