Union of http://hl7.org/fhir/us/core/StructureDefinition/us-core-coverage and http://hl7.org/fhir/us/insurance-card/StructureDefinition/C4DIC-Coverage

This is the set of resources that conform to either of the profiles US Core Coverage Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-coverage) and C4DIC Coverage (http://hl7.org/fhir/us/insurance-card/StructureDefinition/C4DIC-Coverage). E.g. what you have to deal with if you get resources conforming to one of them

Structure

Name	Flags	Card.	Type	Description & Constraints
Coverage	C	0..*		Insurance or medical plan or a payment agreement dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management us-core-15: Member Id in Coverage.identifier or Coverage.subscriberId SHALL be present
meta	SΣ	0..1	Meta	Metadata about the resource ele-1: All FHIR elements must have a @value or children
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
versionId	Σ	0..1	id	Version specific identifier ele-1: All FHIR elements must have a @value or children
lastUpdated	SΣ	1..1	instant	When the resource version last changed ele-1: All FHIR elements must have a @value or children
source	Σ	0..1	uri	Identifies where the resource comes from ele-1: All FHIR elements must have a @value or children
profile	Σ	1..*	canonical(StructureDefinition)	Profiles this resource claims to conform to Slice: Unordered, Open by pattern:$this ele-1: All FHIR elements must have a @value or children
security	Σ	0..*	Coding	Security Labels applied to this resource Binding: ?? (extensible): Security Labels from the Healthcare Privacy and Security Classification System. ele-1: All FHIR elements must have a @value or children
tag	Σ	0..*	Coding	Tags applied to this resource Binding: ?? (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones". ele-1: All FHIR elements must have a @value or children
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
language		0..1	code	Language of the resource content Binding: ?? (preferred): A human language. ele-1: All FHIR elements must have a @value or children
text		0..1	Narrative	Text summary of the resource, for human interpretation ele-1: All FHIR elements must have a @value or children
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	left: Additional content defined by implementations; right: Extension ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
identifier	SΣ	0..*	Identifier	left: Member ID and other identifiers; right: Business Identifier for the coverage ele-1: All FHIR elements must have a @value or children
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: ?? (required): Identifies the purpose for this identifier, if known . ele-1: All FHIR elements must have a @value or children
type	Σ	0..1	CodeableConcept	Description of identifier Binding: ?? (extensible) ele-1: All FHIR elements must have a @value or children
system	Σ	0..1	uri	The namespace for the identifier value ele-1: All FHIR elements must have a @value or children Example General: http://www.acme.com/identifiers/patient
value	Σ	0..1	string	The value that is unique ele-1: All FHIR elements must have a @value or children Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use ele-1: All FHIR elements must have a @value or children
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text) ele-1: All FHIR elements must have a @value or children
status	?!SΣ	1..1	code	active | cancelled | draft | entered-in-error Binding: ?? (required): A code specifying the state of the resource instance. ele-1: All FHIR elements must have a @value or children
type	SΣ	0..1	CodeableConcept	Coverage category such as medical or accident Binding: ?? (extensible): left: US Public Health Data Consortium Source of Payment Codes; right: The type of insurance: public health, worker compensation; private accident, auto, private health, etc.) or a direct payment by an individual or organization. ele-1: All FHIR elements must have a @value or children
policyHolder	Σ	0..1	Reference(Patient | RelatedPerson | Organization)	Owner of the policy ele-1: All FHIR elements must have a @value or children
subscriber	SΣ	0..1	Reference(Patient | RelatedPerson)	Subscriber to the policy ele-1: All FHIR elements must have a @value or children
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL ele-1: All FHIR elements must have a @value or children
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ?? (extensible): Aa resource (or, for logical models, the URI of the logical model). ele-1: All FHIR elements must have a @value or children
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known ele-1: All FHIR elements must have a @value or children
display	Σ	0..1	string	Text alternative for the resource ele-1: All FHIR elements must have a @value or children
subscriberId	SΣ	0..1	string	ID assigned to the subscriber ele-1: All FHIR elements must have a @value or children
beneficiary	SΣ	1..1	Reference(US Core Patient Profile | #sd-us-core-patient-C4DIC-Patient)	Plan beneficiary ele-1: All FHIR elements must have a @value or children
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL ele-1: All FHIR elements must have a @value or children
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ?? (extensible): Aa resource (or, for logical models, the URI of the logical model). ele-1: All FHIR elements must have a @value or children
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known ele-1: All FHIR elements must have a @value or children
display	Σ	0..1	string	Text alternative for the resource ele-1: All FHIR elements must have a @value or children
dependent	SΣ	0..1	string	Dependent number ele-1: All FHIR elements must have a @value or children
relationship	S	1..1	CodeableConcept	Beneficiary relationship to the subscriber Binding: ?? (extensible) ele-1: All FHIR elements must have a @value or children
period	SΣ	0..1	Period	Coverage start and end dates ele-1: All FHIR elements must have a @value or children
payor	SΣ	1..1	Reference(US Core Organization Profile S | US Core Patient Profile | US Core RelatedPerson Profile)	Issuer of the policy ele-1: All FHIR elements must have a @value or children
class	S	0..*	BackboneElement	Additional coverage classifications ele-1: All FHIR elements must have a @value or children
extension		0..*	Extension	Additional content defined by implementations ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
type	Σ	1..1	CodeableConcept	Type of class such as 'group' or 'plan' Binding: ?? (extensible): The policy classifications, eg. Group, Plan, Class, etc. ele-1: All FHIR elements must have a @value or children
value	Σ	1..1	string	Value associated with the type ele-1: All FHIR elements must have a @value or children
name	Σ	0..1	string	Human readable description of the type and value ele-1: All FHIR elements must have a @value or children
order	Σ	0..1	positiveInt	Relative order of the coverage ele-1: All FHIR elements must have a @value or children
network	Σ	0..1	string	Insurer network ele-1: All FHIR elements must have a @value or children
costToBeneficiary	S	0..*	BackboneElement	Patient payments for services/products ele-1: All FHIR elements must have a @value or children
extension		0..*	Extension	Additional content defined by implementations ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
type	SΣ	0..1	CodeableConcept	Cost category Binding: ?? (extensible): The types of services to which patient copayments are specified. ele-1: All FHIR elements must have a @value or children
value[x]	SΣ	1..1		The amount or percentage due from the beneficiary ele-1: All FHIR elements must have a @value or children
value[x]:All Types				Content/Rules for all Types
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
value	SΣ	0..1	decimal	Numerical value (with implicit precision) ele-1: All FHIR elements must have a @value or children
currency	SΣ	0..1	code	ISO 4217 Currency Code Binding: ?? (required): A code indicating the currency, taken from ISO 4217. ele-1: All FHIR elements must have a @value or children
valueQuantity			Quantity(SimpleQuantity)
valueMoney			Money
exception		0..*	BackboneElement	Exceptions for patient payments ele-1: All FHIR elements must have a @value or children
extension		0..*	Extension	Additional content defined by implementations ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
type	Σ	1..1	CodeableConcept	Exception category Binding: ?? (example): The types of exceptions from the part or full value of financial obligations such as copays. ele-1: All FHIR elements must have a @value or children
period	Σ	0..1	Period	The effective period of the exception ele-1: All FHIR elements must have a @value or children
subrogation		0..1	boolean	Reimbursement to insurer ele-1: All FHIR elements must have a @value or children
contract		0..*	Reference(Contract)	Contract details ele-1: All FHIR elements must have a @value or children
Documentation for this format