CH EMS (R4), published by IVR Interverband für Rettungswesen. This guide is not an authorized publication; it is the continuous build for version 2.1.0-ci-build built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7ch/ch-ems/ and changes regularly. See the Directory of published versions
Official URL: http://fhir.ch/ig/ch-ems/StructureDefinition/ch-ems-coverage | Version: 2.1.0-ci-build | |||
Active as of 2025-02-06 | Computable Name: CHEmsCoverage | |||
Copyright/Legal: CC0-1.0 |
This profile constrains the Coverage resource for representing the insurance information of the patient.
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
Name | Flags | Card. | Type | Description & Constraints![]() |
---|---|---|---|---|
![]() ![]() |
0..* | CHCoreCoverage | CH EMS Coverage 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 | |
![]() ![]() ![]() |
?!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 |
![]() ![]() ![]() |
S | 0..* | Resource | Contained, inline Resources |
![]() ![]() ![]() |
?! | 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 |
![]() ![]() ![]() |
Σ | 0..* | Identifier | Business Identifier for the coverage Slice: Unordered, Open by value:$this ele-1: All FHIR elements must have a @value or children |
![]() ![]() ![]() ![]() |
S | 0..1 | VEKAIdentifier | Insurance card number of the patient (20 digits) ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following |
![]() ![]() ![]() ![]() ![]() |
1..1 | uri | The namespace for the identifier value Fixed Value: urn:oid:2.16.756.5.30.1.123.100.1.1.1 | |
![]() ![]() ![]() |
?!Σ | 1..1 | code | active | cancelled | draft | entered-in-error Binding: FinancialResourceStatusCodes (required): A code specifying the state of the resource instance. ele-1: All FHIR elements must have a @value or children |
![]() ![]() ![]() |
SΣ | 1..1 | Reference(CH EMS Patient) | Insured patient ele-1: All FHIR elements must have a @value or children |
![]() ![]() ![]() ![]() |
ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL ele-1: All FHIR elements must have a @value or children |
![]() ![]() ![]() |
SΣ | 1..* | Reference(CH Core Organization | CH Core Patient | RelatedPerson) {c} | Insurance ele-1: All FHIR elements must have a @value or children |
![]() ![]() ![]() ![]() |
ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL ele-1: All FHIR elements must have a @value or children |
![]() |
Path | Conformance | ValueSet | URI |
Coverage.status | required | FinancialResourceStatusCodeshttp://hl7.org/fhir/ValueSet/fm-status|4.0.1 from the FHIR Standard |
Id | Grade | Path(s) | Details | Requirements |
dom-2 | error | Coverage | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-3 | error | Coverage | 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 : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
dom-4 | error | Coverage | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
dom-5 | error | Coverage | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
dom-6 | best practice | Coverage | A resource should have narrative for robust management : text.`div`.exists() | |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
This structure is derived from CHCoreCoverage
Name | Flags | Card. | Type | Description & Constraints![]() |
---|---|---|---|---|
![]() ![]() |
0..* | CHCoreCoverage | CH EMS Coverage | |
![]() ![]() ![]() |
S | 0..* | Resource | Contained, inline Resources |
![]() ![]() ![]() |
Content/Rules for all slices | |||
![]() ![]() ![]() ![]() |
S | 0..1 | VEKAIdentifier | Insurance card number of the patient (20 digits) |
![]() ![]() ![]() |
S | 1..1 | Reference(CH EMS Patient) | Insured patient |
![]() ![]() ![]() ![]() |
1..1 | string | Literal reference, Relative, internal or absolute URL | |
![]() ![]() ![]() |
S | 1..* | Reference(CH Core Organization | CH Core Patient | RelatedPerson) {c} | Insurance |
![]() ![]() ![]() ![]() |
1..1 | string | Literal reference, Relative, internal or absolute URL | |
![]() |
Name | Flags | Card. | Type | Description & Constraints![]() | ||||
---|---|---|---|---|---|---|---|---|
![]() ![]() |
0..* | CHCoreCoverage | CH EMS Coverage | |||||
![]() ![]() ![]() |
Σ | 0..1 | id | Logical id of this artifact | ||||
![]() ![]() ![]() |
Σ | 0..1 | Meta | Metadata about the resource | ||||
![]() ![]() ![]() |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
![]() ![]() ![]() |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
![]() ![]() ![]() |
0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
![]() ![]() ![]() |
S | 0..* | Resource | Contained, inline Resources | ||||
![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
![]() ![]() ![]() |
Σ | 0..* | Identifier | Business Identifier for the coverage Slice: Unordered, Open by value:$this | ||||
![]() ![]() ![]() ![]() |
S | 0..1 | VEKAIdentifier | Insurance card number of the patient (20 digits) Required Pattern: At least the following | ||||
![]() ![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() ![]() |
0..1 | code | usual | official | temp | secondary | old (If known) | |||||
![]() ![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Description of identifier | |||||
![]() ![]() ![]() ![]() ![]() |
1..1 | uri | The namespace for the identifier value Fixed Value: urn:oid:2.16.756.5.30.1.123.100.1.1.1 | |||||
![]() ![]() ![]() ![]() ![]() |
0..1 | string | The value that is unique | |||||
![]() ![]() ![]() ![]() ![]() |
0..1 | Period | Time period when id is/was valid for use | |||||
![]() ![]() ![]() ![]() ![]() |
0..1 | Reference(Organization) | Organization that issued id (may be just text) | |||||
![]() ![]() ![]() |
?!Σ | 1..1 | code | active | cancelled | draft | entered-in-error Binding: FinancialResourceStatusCodes (required): A code specifying the state of the resource instance. | ||||
![]() ![]() ![]() |
Σ | 0..1 | CodeableConcept | Coverage category such as medical or accident Binding: Main Guarantor (preferred) | ||||
![]() ![]() ![]() |
Σ | 0..1 | Reference(CH Core Patient | RelatedPerson | CH Core Organization) | Owner of the policy | ||||
![]() ![]() ![]() |
Σ | 0..1 | Reference(CH Core Patient | RelatedPerson) | Subscriber to the policy | ||||
![]() ![]() ![]() |
Σ | 0..1 | string | ID assigned to the subscriber | ||||
![]() ![]() ![]() |
SΣ | 1..1 | Reference(CH EMS Patient) | Insured patient | ||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() |
ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
![]() ![]() ![]() ![]() |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
![]() ![]() ![]() ![]() |
Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
![]() ![]() ![]() ![]() |
Σ | 0..1 | string | Text alternative for the resource | ||||
![]() ![]() ![]() |
Σ | 0..1 | string | Dependent number | ||||
![]() ![]() ![]() |
0..1 | CodeableConcept | Beneficiary relationship to the subscriber Binding: SubscriberRelationshipCodes (extensible): The relationship between the Subscriber and the Beneficiary (insured/covered party/patient). | |||||
![]() ![]() ![]() |
Σ | 0..1 | Period | Coverage start and end dates | ||||
![]() ![]() ![]() |
SΣ | 1..* | Reference(CH Core Organization | CH Core Patient | RelatedPerson) {c} | Insurance | ||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() |
ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
![]() ![]() ![]() ![]() |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
![]() ![]() ![]() ![]() |
Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
![]() ![]() ![]() ![]() |
Σ | 0..1 | string | Text alternative for the resource | ||||
![]() ![]() ![]() |
0..* | BackboneElement | Additional coverage classifications | |||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() |
Σ | 1..1 | CodeableConcept | Type of class such as 'group' or 'plan' Binding: BFS Medizinische Statistik - 21 1.3.V02 - Klasse / Classe / Classe (extensible) | ||||
![]() ![]() ![]() ![]() |
Σ | 1..1 | string | Value associated with the type | ||||
![]() ![]() ![]() ![]() |
Σ | 0..1 | string | Human readable description of the type and value | ||||
![]() ![]() ![]() |
Σ | 0..1 | positiveInt | Relative order of the coverage | ||||
![]() ![]() ![]() |
Σ | 0..1 | string | Insurer network | ||||
![]() ![]() ![]() |
0..* | BackboneElement | Patient payments for services/products | |||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() |
Σ | 0..1 | CodeableConcept | Cost category Binding: CoverageCopayTypeCodes (extensible): The types of services to which patient copayments are specified. | ||||
![]() ![]() ![]() ![]() |
Σ | 1..1 | The amount or percentage due from the beneficiary | |||||
![]() ![]() ![]() ![]() ![]() |
Quantity(SimpleQuantity) | |||||||
![]() ![]() ![]() ![]() ![]() |
Money | |||||||
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0..* | BackboneElement | Exceptions for patient payments | |||||
![]() ![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() ![]() |
Σ | 1..1 | CodeableConcept | Exception category Binding: ExampleCoverageFinancialExceptionCodes (example): The types of exceptions from the part or full value of financial obligations such as copays. | ||||
![]() ![]() ![]() ![]() ![]() |
Σ | 0..1 | Period | The effective period of the exception | ||||
![]() ![]() ![]() |
0..1 | boolean | Reimbursement to insurer | |||||
![]() ![]() ![]() |
0..* | Reference(Contract) | Contract details | |||||
![]() |
Path | Conformance | ValueSet | URI | |||
Coverage.language | preferred | CommonLanguageshttp://hl7.org/fhir/ValueSet/languages from the FHIR Standard
| ||||
Coverage.status | required | FinancialResourceStatusCodeshttp://hl7.org/fhir/ValueSet/fm-status|4.0.1 from the FHIR Standard | ||||
Coverage.type | preferred | MainGuarantorhttp://fhir.ch/ig/ch-term/ValueSet/mainguarantor | ||||
Coverage.beneficiary.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard | ||||
Coverage.relationship | extensible | SubscriberRelationshipCodeshttp://hl7.org/fhir/ValueSet/subscriber-relationship from the FHIR Standard | ||||
Coverage.payor.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard | ||||
Coverage.class.type | extensible | BfsMedstats21Encountertypehttp://fhir.ch/ig/ch-core/ValueSet/bfs-medstats-21-encountertype | ||||
Coverage.costToBeneficiary.type | extensible | CoverageCopayTypeCodeshttp://hl7.org/fhir/ValueSet/coverage-copay-type from the FHIR Standard | ||||
Coverage.costToBeneficiary.exception.type | example | ExampleCoverageFinancialExceptionCodeshttp://hl7.org/fhir/ValueSet/coverage-financial-exception from the FHIR Standard |
Id | Grade | Path(s) | Details | Requirements |
dom-2 | error | Coverage | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-3 | error | Coverage | 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 : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
dom-4 | error | Coverage | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
dom-5 | error | Coverage | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
dom-6 | best practice | Coverage | A resource should have narrative for robust management : text.`div`.exists() | |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
This structure is derived from CHCoreCoverage
Key Elements View
Name | Flags | Card. | Type | Description & Constraints![]() |
---|---|---|---|---|
![]() ![]() |
0..* | CHCoreCoverage | CH EMS Coverage 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 | |
![]() ![]() ![]() |
?!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 |
![]() ![]() ![]() |
S | 0..* | Resource | Contained, inline Resources |
![]() ![]() ![]() |
?! | 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 |
![]() ![]() ![]() |
Σ | 0..* | Identifier | Business Identifier for the coverage Slice: Unordered, Open by value:$this ele-1: All FHIR elements must have a @value or children |
![]() ![]() ![]() ![]() |
S | 0..1 | VEKAIdentifier | Insurance card number of the patient (20 digits) ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following |
![]() ![]() ![]() ![]() ![]() |
1..1 | uri | The namespace for the identifier value Fixed Value: urn:oid:2.16.756.5.30.1.123.100.1.1.1 | |
![]() ![]() ![]() |
?!Σ | 1..1 | code | active | cancelled | draft | entered-in-error Binding: FinancialResourceStatusCodes (required): A code specifying the state of the resource instance. ele-1: All FHIR elements must have a @value or children |
![]() ![]() ![]() |
SΣ | 1..1 | Reference(CH EMS Patient) | Insured patient ele-1: All FHIR elements must have a @value or children |
![]() ![]() ![]() ![]() |
ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL ele-1: All FHIR elements must have a @value or children |
![]() ![]() ![]() |
SΣ | 1..* | Reference(CH Core Organization | CH Core Patient | RelatedPerson) {c} | Insurance ele-1: All FHIR elements must have a @value or children |
![]() ![]() ![]() ![]() |
ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL ele-1: All FHIR elements must have a @value or children |
![]() |
Path | Conformance | ValueSet | URI |
Coverage.status | required | FinancialResourceStatusCodeshttp://hl7.org/fhir/ValueSet/fm-status|4.0.1 from the FHIR Standard |
Id | Grade | Path(s) | Details | Requirements |
dom-2 | error | Coverage | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-3 | error | Coverage | 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 : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
dom-4 | error | Coverage | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
dom-5 | error | Coverage | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
dom-6 | best practice | Coverage | A resource should have narrative for robust management : text.`div`.exists() | |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
Differential View
This structure is derived from CHCoreCoverage
Name | Flags | Card. | Type | Description & Constraints![]() |
---|---|---|---|---|
![]() ![]() |
0..* | CHCoreCoverage | CH EMS Coverage | |
![]() ![]() ![]() |
S | 0..* | Resource | Contained, inline Resources |
![]() ![]() ![]() |
Content/Rules for all slices | |||
![]() ![]() ![]() ![]() |
S | 0..1 | VEKAIdentifier | Insurance card number of the patient (20 digits) |
![]() ![]() ![]() |
S | 1..1 | Reference(CH EMS Patient) | Insured patient |
![]() ![]() ![]() ![]() |
1..1 | string | Literal reference, Relative, internal or absolute URL | |
![]() ![]() ![]() |
S | 1..* | Reference(CH Core Organization | CH Core Patient | RelatedPerson) {c} | Insurance |
![]() ![]() ![]() ![]() |
1..1 | string | Literal reference, Relative, internal or absolute URL | |
![]() |
Snapshot View
Name | Flags | Card. | Type | Description & Constraints![]() | ||||
---|---|---|---|---|---|---|---|---|
![]() ![]() |
0..* | CHCoreCoverage | CH EMS Coverage | |||||
![]() ![]() ![]() |
Σ | 0..1 | id | Logical id of this artifact | ||||
![]() ![]() ![]() |
Σ | 0..1 | Meta | Metadata about the resource | ||||
![]() ![]() ![]() |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
![]() ![]() ![]() |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
![]() ![]() ![]() |
0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
![]() ![]() ![]() |
S | 0..* | Resource | Contained, inline Resources | ||||
![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
![]() ![]() ![]() |
Σ | 0..* | Identifier | Business Identifier for the coverage Slice: Unordered, Open by value:$this | ||||
![]() ![]() ![]() ![]() |
S | 0..1 | VEKAIdentifier | Insurance card number of the patient (20 digits) Required Pattern: At least the following | ||||
![]() ![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() ![]() |
0..1 | code | usual | official | temp | secondary | old (If known) | |||||
![]() ![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Description of identifier | |||||
![]() ![]() ![]() ![]() ![]() |
1..1 | uri | The namespace for the identifier value Fixed Value: urn:oid:2.16.756.5.30.1.123.100.1.1.1 | |||||
![]() ![]() ![]() ![]() ![]() |
0..1 | string | The value that is unique | |||||
![]() ![]() ![]() ![]() ![]() |
0..1 | Period | Time period when id is/was valid for use | |||||
![]() ![]() ![]() ![]() ![]() |
0..1 | Reference(Organization) | Organization that issued id (may be just text) | |||||
![]() ![]() ![]() |
?!Σ | 1..1 | code | active | cancelled | draft | entered-in-error Binding: FinancialResourceStatusCodes (required): A code specifying the state of the resource instance. | ||||
![]() ![]() ![]() |
Σ | 0..1 | CodeableConcept | Coverage category such as medical or accident Binding: Main Guarantor (preferred) | ||||
![]() ![]() ![]() |
Σ | 0..1 | Reference(CH Core Patient | RelatedPerson | CH Core Organization) | Owner of the policy | ||||
![]() ![]() ![]() |
Σ | 0..1 | Reference(CH Core Patient | RelatedPerson) | Subscriber to the policy | ||||
![]() ![]() ![]() |
Σ | 0..1 | string | ID assigned to the subscriber | ||||
![]() ![]() ![]() |
SΣ | 1..1 | Reference(CH EMS Patient) | Insured patient | ||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() |
ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
![]() ![]() ![]() ![]() |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
![]() ![]() ![]() ![]() |
Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
![]() ![]() ![]() ![]() |
Σ | 0..1 | string | Text alternative for the resource | ||||
![]() ![]() ![]() |
Σ | 0..1 | string | Dependent number | ||||
![]() ![]() ![]() |
0..1 | CodeableConcept | Beneficiary relationship to the subscriber Binding: SubscriberRelationshipCodes (extensible): The relationship between the Subscriber and the Beneficiary (insured/covered party/patient). | |||||
![]() ![]() ![]() |
Σ | 0..1 | Period | Coverage start and end dates | ||||
![]() ![]() ![]() |
SΣ | 1..* | Reference(CH Core Organization | CH Core Patient | RelatedPerson) {c} | Insurance | ||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() |
ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
![]() ![]() ![]() ![]() |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
![]() ![]() ![]() ![]() |
Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
![]() ![]() ![]() ![]() |
Σ | 0..1 | string | Text alternative for the resource | ||||
![]() ![]() ![]() |
0..* | BackboneElement | Additional coverage classifications | |||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() |
Σ | 1..1 | CodeableConcept | Type of class such as 'group' or 'plan' Binding: BFS Medizinische Statistik - 21 1.3.V02 - Klasse / Classe / Classe (extensible) | ||||
![]() ![]() ![]() ![]() |
Σ | 1..1 | string | Value associated with the type | ||||
![]() ![]() ![]() ![]() |
Σ | 0..1 | string | Human readable description of the type and value | ||||
![]() ![]() ![]() |
Σ | 0..1 | positiveInt | Relative order of the coverage | ||||
![]() ![]() ![]() |
Σ | 0..1 | string | Insurer network | ||||
![]() ![]() ![]() |
0..* | BackboneElement | Patient payments for services/products | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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Σ | 0..1 | CodeableConcept | Cost category Binding: CoverageCopayTypeCodes (extensible): The types of services to which patient copayments are specified. | ||||
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Σ | 1..1 | The amount or percentage due from the beneficiary | |||||
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Quantity(SimpleQuantity) | |||||||
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Money | |||||||
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0..* | BackboneElement | Exceptions for patient payments | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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Σ | 1..1 | CodeableConcept | Exception category Binding: ExampleCoverageFinancialExceptionCodes (example): The types of exceptions from the part or full value of financial obligations such as copays. | ||||
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Σ | 0..1 | Period | The effective period of the exception | ||||
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0..1 | boolean | Reimbursement to insurer | |||||
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0..* | Reference(Contract) | Contract details | |||||
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Path | Conformance | ValueSet | URI | |||
Coverage.language | preferred | CommonLanguageshttp://hl7.org/fhir/ValueSet/languages from the FHIR Standard
| ||||
Coverage.status | required | FinancialResourceStatusCodeshttp://hl7.org/fhir/ValueSet/fm-status|4.0.1 from the FHIR Standard | ||||
Coverage.type | preferred | MainGuarantorhttp://fhir.ch/ig/ch-term/ValueSet/mainguarantor | ||||
Coverage.beneficiary.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard | ||||
Coverage.relationship | extensible | SubscriberRelationshipCodeshttp://hl7.org/fhir/ValueSet/subscriber-relationship from the FHIR Standard | ||||
Coverage.payor.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard | ||||
Coverage.class.type | extensible | BfsMedstats21Encountertypehttp://fhir.ch/ig/ch-core/ValueSet/bfs-medstats-21-encountertype | ||||
Coverage.costToBeneficiary.type | extensible | CoverageCopayTypeCodeshttp://hl7.org/fhir/ValueSet/coverage-copay-type from the FHIR Standard | ||||
Coverage.costToBeneficiary.exception.type | example | ExampleCoverageFinancialExceptionCodeshttp://hl7.org/fhir/ValueSet/coverage-financial-exception from the FHIR Standard |
Id | Grade | Path(s) | Details | Requirements |
dom-2 | error | Coverage | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-3 | error | Coverage | 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 : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
dom-4 | error | Coverage | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
dom-5 | error | Coverage | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
dom-6 | best practice | Coverage | A resource should have narrative for robust management : text.`div`.exists() | |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
This structure is derived from CHCoreCoverage
Other representations of profile: CSV, Excel, Schematron
IG © 2020+ IVR Interverband für Rettungswesen. Package ch.fhir.ig.ch-ems#2.1.0-ci-build based on FHIR 4.0.1. Generated 2025-02-06
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