HL7 Czech Base and Core Implementation Guide
0.3.0-ballot - ci-build
HL7 Czech Base and Core Implementation Guide, published by HL7 Czech Republic. This guide is not an authorized publication; it is the continuous build for version 0.3.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7-cz/cz-core/ and changes regularly. See the Directory of published versions
Official URL: https://hl7.cz/fhir/core/StructureDefinition/cz-coverage | Version: 0.3.0-ballot | |||
Standards status: Draft | Maturity Level: 0 | Computable Name: CZ_Coverage |
Czech national profile for a coverage.The coverage is intended to provide identifiers of information that would appear on an insured card that can be used to partially or fully pay for the provision of healthcare products and services. At the same time, this resource can also be used to register for “SelfPay,” where an individual or organization other than the insurer assumes responsibility for paying part or all of the healthcare costs.
Usages:
You can also check for usages in the FHIR IG Statistics
Description of Profiles, Differentials, Snapshots and how the different presentations work.
Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
---|---|---|---|---|
![]() ![]() |
0..* | Coverage | Czech coverage | |
![]() ![]() ![]() |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
![]() ![]() ![]() |
?! | 0..* | Extension | Extensions that cannot be ignored |
![]() ![]() ![]() |
?!Σ | 1..1 | code | active | cancelled | draft | entered-in-error Binding: FinancialResourceStatusCodes (required): A code specifying the state of the resource instance. |
![]() ![]() ![]() |
SΣ | 0..1 | CodeableConcept | Coverage category such as medical or accident Binding: CoverageTypeAndSelf-PayCodes (preferred): The type of insurance: public health, worker compensation; private accident, auto, private health, etc.) or a direct payment by an individual or organization. |
![]() ![]() ![]() ![]() |
Σ | 0..* | Coding | Code defined by a terminology system Binding: CoverageTypeAndSelf-PayCodes (required) |
![]() ![]() ![]() |
Σ | 0..1 | Reference(Patient (CZ core) | Related Person (CZ core) | Organization (CZ core)) | Owner of the policy |
![]() ![]() ![]() |
Σ | 0..1 | Reference(Patient (CZ core) | Related Person (CZ core)) | Subscriber to the policy |
![]() ![]() ![]() |
Σ | 1..1 | Reference(Patient (CZ core)) | Plan beneficiary |
![]() ![]() ![]() |
Σ | 1..* | Reference(Patient (CZ core) | Organization (CZ core)) | Issuer of the policy |
![]() |
Path | Conformance | ValueSet | URI |
Coverage.status | required | FinancialResourceStatusCodeshttp://hl7.org/fhir/ValueSet/fm-status|4.0.1 From the FHIR Standard | |
Coverage.type | preferred | CoverageTypeAndSelf-PayCodeshttp://hl7.org/fhir/ValueSet/coverage-type From the FHIR Standard | |
Coverage.type.coding | required | CoverageTypeAndSelf-PayCodeshttp://hl7.org/fhir/ValueSet/coverage-type 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 Coverage
Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
---|---|---|---|---|
![]() ![]() |
0..* | Coverage | Czech coverage | |
![]() ![]() ![]() |
S | 0..1 | CodeableConcept | Coverage category such as medical or accident |
![]() ![]() ![]() ![]() |
0..* | Coding | Code defined by a terminology system Binding: CoverageTypeAndSelf-PayCodes (required) | |
![]() ![]() ![]() |
0..1 | Reference(Patient (CZ core) | Related Person (CZ core) | Organization (CZ core)) | Owner of the policy | |
![]() ![]() ![]() |
0..1 | Reference(Patient (CZ core) | Related Person (CZ core)) | Subscriber to the policy | |
![]() ![]() ![]() |
1..1 | Reference(Patient (CZ core)) | Plan beneficiary | |
![]() ![]() ![]() |
1..* | Reference(Patient (CZ core) | Organization (CZ core)) | Issuer of the policy | |
![]() |
Path | Conformance | ValueSet | URI |
Coverage.type.coding | required | CoverageTypeAndSelf-PayCodeshttp://hl7.org/fhir/ValueSet/coverage-type From the FHIR Standard |
Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() | ||||
---|---|---|---|---|---|---|---|---|
![]() ![]() |
0..* | Coverage | Czech 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 This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
![]() ![]() ![]() |
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 | ||||
![]() ![]() ![]() |
?!Σ | 1..1 | code | active | cancelled | draft | entered-in-error Binding: FinancialResourceStatusCodes (required): A code specifying the state of the resource instance. | ||||
![]() ![]() ![]() |
SΣ | 0..1 | CodeableConcept | Coverage category such as medical or accident Binding: CoverageTypeAndSelf-PayCodes (preferred): The type of insurance: public health, worker compensation; private accident, auto, private health, etc.) or a direct payment by an individual or organization. | ||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() |
Σ | 0..* | Coding | Code defined by a terminology system Binding: CoverageTypeAndSelf-PayCodes (required) | ||||
![]() ![]() ![]() ![]() |
Σ | 0..1 | string | Plain text representation of the concept | ||||
![]() ![]() ![]() |
Σ | 0..1 | Reference(Patient (CZ core) | Related Person (CZ core) | Organization (CZ core)) | Owner of the policy | ||||
![]() ![]() ![]() |
Σ | 0..1 | Reference(Patient (CZ core) | Related Person (CZ core)) | Subscriber to the policy | ||||
![]() ![]() ![]() |
Σ | 0..1 | string | ID assigned to the subscriber | ||||
![]() ![]() ![]() |
Σ | 1..1 | Reference(Patient (CZ core)) | Plan beneficiary | ||||
![]() ![]() ![]() |
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 | ||||
![]() ![]() ![]() |
Σ | 1..* | Reference(Patient (CZ core) | Organization (CZ core)) | Issuer of the policy | ||||
![]() ![]() ![]() |
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: CoverageClassCodes (extensible): The policy classifications, eg. Group, Plan, Class, etc. | ||||
![]() ![]() ![]() ![]() |
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 | |||||||
![]() ![]() ![]() ![]() |
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 | CoverageTypeAndSelf-PayCodeshttp://hl7.org/fhir/ValueSet/coverage-type From the FHIR Standard | ||||
Coverage.type.coding | required | CoverageTypeAndSelf-PayCodeshttp://hl7.org/fhir/ValueSet/coverage-type From the FHIR Standard | ||||
Coverage.relationship | extensible | SubscriberRelationshipCodeshttp://hl7.org/fhir/ValueSet/subscriber-relationship From the FHIR Standard | ||||
Coverage.class.type | extensible | CoverageClassCodeshttp://hl7.org/fhir/ValueSet/coverage-class From the FHIR Standard | ||||
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 Coverage
Summary
Must-Support: 1 element
Structures
This structure refers to these other structures:
Maturity: 0
Key Elements View
Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
---|---|---|---|---|
![]() ![]() |
0..* | Coverage | Czech coverage | |
![]() ![]() ![]() |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
![]() ![]() ![]() |
?! | 0..* | Extension | Extensions that cannot be ignored |
![]() ![]() ![]() |
?!Σ | 1..1 | code | active | cancelled | draft | entered-in-error Binding: FinancialResourceStatusCodes (required): A code specifying the state of the resource instance. |
![]() ![]() ![]() |
SΣ | 0..1 | CodeableConcept | Coverage category such as medical or accident Binding: CoverageTypeAndSelf-PayCodes (preferred): The type of insurance: public health, worker compensation; private accident, auto, private health, etc.) or a direct payment by an individual or organization. |
![]() ![]() ![]() ![]() |
Σ | 0..* | Coding | Code defined by a terminology system Binding: CoverageTypeAndSelf-PayCodes (required) |
![]() ![]() ![]() |
Σ | 0..1 | Reference(Patient (CZ core) | Related Person (CZ core) | Organization (CZ core)) | Owner of the policy |
![]() ![]() ![]() |
Σ | 0..1 | Reference(Patient (CZ core) | Related Person (CZ core)) | Subscriber to the policy |
![]() ![]() ![]() |
Σ | 1..1 | Reference(Patient (CZ core)) | Plan beneficiary |
![]() ![]() ![]() |
Σ | 1..* | Reference(Patient (CZ core) | Organization (CZ core)) | Issuer of the policy |
![]() |
Path | Conformance | ValueSet | URI |
Coverage.status | required | FinancialResourceStatusCodeshttp://hl7.org/fhir/ValueSet/fm-status|4.0.1 From the FHIR Standard | |
Coverage.type | preferred | CoverageTypeAndSelf-PayCodeshttp://hl7.org/fhir/ValueSet/coverage-type From the FHIR Standard | |
Coverage.type.coding | required | CoverageTypeAndSelf-PayCodeshttp://hl7.org/fhir/ValueSet/coverage-type 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 Coverage
Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
---|---|---|---|---|
![]() ![]() |
0..* | Coverage | Czech coverage | |
![]() ![]() ![]() |
S | 0..1 | CodeableConcept | Coverage category such as medical or accident |
![]() ![]() ![]() ![]() |
0..* | Coding | Code defined by a terminology system Binding: CoverageTypeAndSelf-PayCodes (required) | |
![]() ![]() ![]() |
0..1 | Reference(Patient (CZ core) | Related Person (CZ core) | Organization (CZ core)) | Owner of the policy | |
![]() ![]() ![]() |
0..1 | Reference(Patient (CZ core) | Related Person (CZ core)) | Subscriber to the policy | |
![]() ![]() ![]() |
1..1 | Reference(Patient (CZ core)) | Plan beneficiary | |
![]() ![]() ![]() |
1..* | Reference(Patient (CZ core) | Organization (CZ core)) | Issuer of the policy | |
![]() |
Path | Conformance | ValueSet | URI |
Coverage.type.coding | required | CoverageTypeAndSelf-PayCodeshttp://hl7.org/fhir/ValueSet/coverage-type From the FHIR Standard |
Snapshot View
Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() | ||||
---|---|---|---|---|---|---|---|---|
![]() ![]() |
0..* | Coverage | Czech 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 This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
![]() ![]() ![]() |
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 | ||||
![]() ![]() ![]() |
?!Σ | 1..1 | code | active | cancelled | draft | entered-in-error Binding: FinancialResourceStatusCodes (required): A code specifying the state of the resource instance. | ||||
![]() ![]() ![]() |
SΣ | 0..1 | CodeableConcept | Coverage category such as medical or accident Binding: CoverageTypeAndSelf-PayCodes (preferred): The type of insurance: public health, worker compensation; private accident, auto, private health, etc.) or a direct payment by an individual or organization. | ||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() |
Σ | 0..* | Coding | Code defined by a terminology system Binding: CoverageTypeAndSelf-PayCodes (required) | ||||
![]() ![]() ![]() ![]() |
Σ | 0..1 | string | Plain text representation of the concept | ||||
![]() ![]() ![]() |
Σ | 0..1 | Reference(Patient (CZ core) | Related Person (CZ core) | Organization (CZ core)) | Owner of the policy | ||||
![]() ![]() ![]() |
Σ | 0..1 | Reference(Patient (CZ core) | Related Person (CZ core)) | Subscriber to the policy | ||||
![]() ![]() ![]() |
Σ | 0..1 | string | ID assigned to the subscriber | ||||
![]() ![]() ![]() |
Σ | 1..1 | Reference(Patient (CZ core)) | Plan beneficiary | ||||
![]() ![]() ![]() |
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 | ||||
![]() ![]() ![]() |
Σ | 1..* | Reference(Patient (CZ core) | Organization (CZ core)) | Issuer of the policy | ||||
![]() ![]() ![]() |
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: CoverageClassCodes (extensible): The policy classifications, eg. Group, Plan, Class, etc. | ||||
![]() ![]() ![]() ![]() |
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 | |||||||
![]() ![]() ![]() ![]() |
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 | CoverageTypeAndSelf-PayCodeshttp://hl7.org/fhir/ValueSet/coverage-type From the FHIR Standard | ||||
Coverage.type.coding | required | CoverageTypeAndSelf-PayCodeshttp://hl7.org/fhir/ValueSet/coverage-type From the FHIR Standard | ||||
Coverage.relationship | extensible | SubscriberRelationshipCodeshttp://hl7.org/fhir/ValueSet/subscriber-relationship From the FHIR Standard | ||||
Coverage.class.type | extensible | CoverageClassCodeshttp://hl7.org/fhir/ValueSet/coverage-class From the FHIR Standard | ||||
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 Coverage
Summary
Must-Support: 1 element
Structures
This structure refers to these other structures:
Maturity: 0
Other representations of profile: CSV, Excel, Schematron