Union of http://hl7.org/fhir/us/davinci-hrex/StructureDefinition/hrex-coverage and http://hl7.org/fhir/us/davinci-hrex/StructureDefinition/hrex-coverage

This is the set of resources that conform to either of the profiles HRex Member Match Coverage Profile (http://hl7.org/fhir/us/davinci-hrex/StructureDefinition/hrex-coverage) and HRex Member Match Coverage Profile (http://hl7.org/fhir/us/davinci-hrex/StructureDefinition/hrex-coverage). E.g. what you have to deal with if you get resources conforming to one of them

Structure

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Coverage C0..*Insurance or medical plan or a payment agreement
Constraints: us-core-15
Coverage.meta This element is included in summaries. 0..1MetaMetadata about the resource
Coverage.implicitRules This element is a modifier element. This element is included in summaries. 0..1uriA set of rules under which this content was created
Coverage.language 0..1codeLanguage of the resource content
Binding: ?? (preferred): A human language.
Coverage.text 0..1NarrativeText summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
Coverage.contained 0..*ResourceContained, inline Resources
Coverage.extension 0..*ExtensionAdditional content defined by implementations
Coverage.modifierExtension This element is a modifier element. 0..*ExtensionExtensions that cannot be ignored
Coverage.identifier This element must be supported. This element is included in summaries. 0..*IdentifierMember ID and other identifiers
Coverage.status This element is a modifier element. This element must be supported. This element is included in summaries. 1..1codeactive | cancelled | draft | entered-in-error
Binding: ?? (required): A code specifying the state of the resource instance.
Coverage.type This element must be supported. This element is included in summaries. 0..1CodeableConceptCoverage category such as medical or accident
Binding: ?? (extensible): US Public Health Data Consortium Source of Payment Codes
Coverage.policyHolder This element must be supported. This element is included in summaries. 0..1Reference(US Core Patient Profile(7.0.0) | HRex Organization Profile(1.1.0) | US Core RelatedPerson Profile(7.0.0))Owner of the policy
Coverage.subscriber This element is included in summaries. 0..1Reference(Patient | RelatedPerson)Subscriber to the policy
Coverage.subscriberId This element must be supported. This element is included in summaries. 0..1stringSubscriber ID
Coverage.beneficiary This element must be supported. This element is included in summaries. 1..1Reference(HRex Member Match Patient(1.1.0) | #sd-73-hrex-patient-demographics-hrex-patient-demographics)Plan beneficiary
Coverage.dependent This element must be supported. This element is included in summaries. 0..1stringDependent number
Coverage.relationship This element must be supported. 1..1CodeableConceptBeneficiary relationship to the subscriber
Binding: ?? (required)
Coverage.period This element must be supported. This element is included in summaries. 0..1PeriodCoverage start and end dates
Coverage.payor This element must be supported. This element is included in summaries. 1..1Reference(HRex Organization Profile(1.1.0) | #sd-74-hrex-organization-hrex-organization)Issuer of the policy
Coverage.class 0..*BackboneElementAdditional coverage classifications
Coverage.class.extension 0..*ExtensionAdditional content defined by implementations
Coverage.class.modifierExtension This element is a modifier element. This element is included in summaries. 0..*ExtensionExtensions that cannot be ignored even if unrecognized
Coverage.class.type This element is included in summaries. 1..1CodeableConceptType of class such as 'group' or 'plan'
Binding: ?? (extensible): The policy classifications, eg. Group, Plan, Class, etc.
Coverage.class.value This element is included in summaries. 1..1stringValue associated with the type
Coverage.class.name This element is included in summaries. 0..1stringHuman readable description of the type and value
Coverage.order This element is included in summaries. 0..1positiveIntRelative order of the coverage
Coverage.network This element is included in summaries. 0..1stringInsurer network
Coverage.costToBeneficiary 0..*BackboneElementPatient payments for services/products
Coverage.costToBeneficiary.extension 0..*ExtensionAdditional content defined by implementations
Coverage.costToBeneficiary.modifierExtension This element is a modifier element. This element is included in summaries. 0..*ExtensionExtensions that cannot be ignored even if unrecognized
Coverage.costToBeneficiary.type This element is included in summaries. 0..1CodeableConceptCost category
Binding: ?? (extensible): The types of services to which patient copayments are specified.
Coverage.costToBeneficiary.value[x] This element is included in summaries. 1..1The amount or percentage due from the beneficiary
Coverage.costToBeneficiary.value[x].valueQuantityQuantity(SimpleQuantity)
Coverage.costToBeneficiary.value[x].valueMoneyMoney
Coverage.costToBeneficiary.exception 0..*BackboneElementExceptions for patient payments
Coverage.costToBeneficiary.exception.extension 0..*ExtensionAdditional content defined by implementations
Coverage.costToBeneficiary.exception.modifierExtension This element is a modifier element. This element is included in summaries. 0..*ExtensionExtensions that cannot be ignored even if unrecognized
Coverage.costToBeneficiary.exception.type This element is included in summaries. 1..1CodeableConceptException category
Binding: ?? (example): The types of exceptions from the part or full value of financial obligations such as copays.
Coverage.costToBeneficiary.exception.period This element is included in summaries. 0..1PeriodThe effective period of the exception
Coverage.subrogation 0..1booleanReimbursement to insurer
Coverage.contract 0..*Reference(Contract)Contract details

doco Documentation for this format