Consolidated CDA Release 2.2, published by Health Level Seven. This is not an authorized publication; it is the continuous build for version 2.2). This version is based on the current content of https://github.com/HL7/CDA-ccda-2.2/ and changes regularly. See the Directory of published versions
Official URL: http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.60 | Version: 2.2 | |||
Active as of 2022-05-13 | Computable Name: CoverageActivity | |||
Other Identifiers: : urn:hl7ii:2.16.840.1.113883.10.20.22.4.60:2015-08-01 |
A Coverage Activity groups the policy and authorization acts within a Payers Section to order the payment sources. A Coverage Activity contains one or more Policy Activities, each of which contains zero or more Authorization Activities. The Coverage Activity id is the ID from the patient’s insurance card. The sequenceNumber/@value shows the policy order of preference.
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from CDAR2.Act
Summary
Mandatory: 14 elements (1 nested mandatory element)
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
This structure is derived from CDAR2.Act
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Act | 1..1 | CDAR2.Act | ||
classCode | 1..1 | code | Required Pattern: ACT | |
moodCode | 1..1 | code | Required Pattern: EVN | |
Slices for templateId | 0..* | II | Slice: Unordered, Open by value:root, value:extension | |
templateId:primary | 1..1 | II | ||
root | 1..1 | string | Required Pattern: 2.16.840.1.113883.10.20.22.4.60 | |
extension | 1..1 | string | Required Pattern: 2015-08-01 | |
id | 1..* | II | ||
code | 1..1 | CD | ||
code | 1..1 | string | Required Pattern: 48768-6 | |
codeSystem | 1..1 | string | Required Pattern: 2.16.840.1.113883.6.1 | |
statusCode | 1..1 | CS | ||
code | 1..1 | string | Required Pattern: completed | |
Slices for entryRelationship | 0..* | Element | Slice: Unordered, Open by profile:act | |
entryRelationship:policyActivity | 1..* | Element | ||
typeCode | 1..1 | code | Required Pattern: COMP | |
sequenceNumber | 0..1 | INT | ||
value | 1..1 | integer | ||
act | 1..1 | PolicyActivity | ||
Documentation for this format |
This structure is derived from CDAR2.Act
Summary
Mandatory: 14 elements (1 nested mandatory element)
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Differential View
This structure is derived from CDAR2.Act
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Act | 1..1 | CDAR2.Act | ||
classCode | 1..1 | code | Required Pattern: ACT | |
moodCode | 1..1 | code | Required Pattern: EVN | |
Slices for templateId | 0..* | II | Slice: Unordered, Open by value:root, value:extension | |
templateId:primary | 1..1 | II | ||
root | 1..1 | string | Required Pattern: 2.16.840.1.113883.10.20.22.4.60 | |
extension | 1..1 | string | Required Pattern: 2015-08-01 | |
id | 1..* | II | ||
code | 1..1 | CD | ||
code | 1..1 | string | Required Pattern: 48768-6 | |
codeSystem | 1..1 | string | Required Pattern: 2.16.840.1.113883.6.1 | |
statusCode | 1..1 | CS | ||
code | 1..1 | string | Required Pattern: completed | |
Slices for entryRelationship | 0..* | Element | Slice: Unordered, Open by profile:act | |
entryRelationship:policyActivity | 1..* | Element | ||
typeCode | 1..1 | code | Required Pattern: COMP | |
sequenceNumber | 0..1 | INT | ||
value | 1..1 | integer | ||
act | 1..1 | PolicyActivity | ||
Documentation for this format |
Snapshot View
Other representations of profile: CSV, Excel, Schematron
Path | Conformance | ValueSet / Code |
Act.templateId:primary.nullFlavor | required | NullFlavor |
Act.code | extensible | ActCode |
Act.code.nullFlavor | required | NullFlavor |
Act.statusCode | required | ActStatus |
Act.statusCode.nullFlavor | required | NullFlavor |
Act.priorityCode | extensible | ActPriority |
Act.languageCode | required | HumanLanguage |
Act.subject.typeCode | required | Fixed Value: SBJ |
Act.subject.contextControlCode | required | Fixed Value: OP |
Act.subject.awarenessCode | extensible | TargetAwareness |
Act.informant.typeCode | required | Fixed Value: INF |
Act.informant.contextControlCode | required | Fixed Value: OP |
Act.entryRelationship:policyActivity.sequenceNumber.nullFlavor | required | NullFlavor |
Id | Grade | Path | Details | Requirements |
act-er-1 | error | Act.entryRelationship | Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act : (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1 | |
act-er-1 | error | Act.entryRelationship:policyActivity | Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act : (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1 |