Intersection of https://hl7.cz/fhir/core/StructureDefinition/cz-coverage and https://hl7.cz/fhir/core/StructureDefinition/cz-coverage

This is the set of resources that conform to both Coverage (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-coverage) and Coverage (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-coverage).

Structure

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Coverage 0..*Czech coverage
... 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..*ExtensionExtension
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierBusiness identifier of the coverage. In the event of payment by an insurance company, enter the insurance assignment number (also known as Číslo pojistné smlouvy).
... status ?!Σ1..1codeactive | cancelled | draft | entered-in-error
Binding: ?? (required): A code specifying the state of the resource instance.
... type Σ0..1CodeableConceptCoverage category such as medical or accident
Binding: ?? (preferred): The type of insurance: public health, worker compensation; private accident, auto, private health, etc.) or a direct payment by an individual or organization.
.... extension 0..*ExtensionAdditional content defined by implementations
.... coding Σ0..*CodingCode defined by a terminology system
Binding: ?? (required)
.... text Σ0..1stringPlain text representation of the concept
... policyHolder Σ0..1Reference(Patient (CZ core) | Related Person (CZ core) | Organization (CZ core) | #sd+7-cz-patient-core-cz-patient-core)Owner of the policy
... subscriber Σ0..1Reference(Patient (CZ core) | Related Person (CZ core) | #sd+7-cz-patient-core-cz-patient-core)Subscriber to the policy
... subscriberId Σ0..1stringIdentifier of the subscriber (patient or related person). In the event of payment by an insurance company, enter the insured person's number (also known as Číslo pojištěnce).
... beneficiary Σ1..1Reference(Patient (CZ core) | #sd+7-cz-patient-core-cz-patient-core)Plan beneficiary
... dependent Σ0..1stringDependent number
... relationship 0..1CodeableConceptBeneficiary relationship to the subscriber
Binding: ?? (extensible): The relationship between the Subscriber and the Beneficiary (insured/covered party/patient).
... period Σ0..1PeriodCoverage start and end dates
... payor Σ1..*Reference(Patient (CZ core) | Organization (CZ core) | Related Person (CZ core) | #sd+7-cz-patient-core-cz-patient-core)Information about the payor of the treatment. This could be an insurance company, a patient, a related person of patient or an another organisation.
... class 0..*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..*BackboneElementInformation about the extra costs that are paid for by the payor (also known as Samoplátce).
.... 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