This is the set of resources that conform to either of the profiles C4DIC Coverage (http://hl7.org/fhir/us/insurance-card/StructureDefinition/C4DIC-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
Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
---|---|---|---|---|
![]() ![]() | 0..* | Insurance or medical plan or a payment agreement | ||
![]() ![]() ![]() | SΣ | 1..1 | Meta | Metadata about the resource |
![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations | |
![]() ![]() ![]() ![]() | Σ | 0..1 | id | Version specific identifier |
![]() ![]() ![]() ![]() | SΣ | 1..1 | instant | When the resource version last changed |
![]() ![]() ![]() ![]() | Σ | 0..1 | uri | Identifies where the resource comes from |
![]() ![]() ![]() ![]() | Σ | 1..* | canonical(StructureDefinition) | Profiles this resource claims to conform to |
![]() ![]() ![]() ![]() | Σ | 0..* | Coding | Security Labels applied to this resource Binding: ?? (extensible): Security Labels from the Healthcare Privacy and Security Classification System. |
![]() ![]() ![]() ![]() | 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". |
![]() ![]() ![]() | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
![]() ![]() ![]() | 0..1 | code | Language of the resource content Binding: ?? (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 | Extension | |
![]() ![]() ![]() | ?! | 0..* | Extension | Extensions that cannot be ignored |
![]() ![]() ![]() | SΣ | 0..* | Identifier | left: Business Identifier for the coverage; right: Member ID and other identifiers |
![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations | |
![]() ![]() ![]() ![]() | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: ?? (required): Identifies the purpose for this identifier, if known . |
![]() ![]() ![]() ![]() | Σ | 0..1 | CodeableConcept | Description of identifier Binding: ?? (extensible) |
![]() ![]() ![]() ![]() | Σ | 0..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient |
![]() ![]() ![]() ![]() | Σ | 0..1 | string | The value that is unique Example General: 123456 |
![]() ![]() ![]() ![]() | Σ | 0..1 | Period | Time period when id is/was valid for use |
![]() ![]() ![]() ![]() | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text) |
![]() ![]() ![]() | ?!SΣ | 1..1 | code | active | cancelled | draft | entered-in-error Binding: ?? (required): A code specifying the state of the resource instance. |
![]() ![]() ![]() | SΣ | 1..1 | CodeableConcept | Coverage category such as medical or accident Binding: ?? (extensible): left: The type of insurance: public health, worker compensation; private accident, auto, private health, etc.) or a direct payment by an individual or organization.; right: US Public Health Data Consortium Source of Payment Codes |
![]() ![]() ![]() | Σ | 0..1 | Reference(Patient | RelatedPerson | Organization) | Owner of the policy |
![]() ![]() ![]() | SΣ | 1..1 | Reference(Patient | RelatedPerson) | Subscriber to the policy |
![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations | |
![]() ![]() ![]() ![]() | SΣ | 1..1 | string | Literal reference, Relative, internal or absolute URL |
![]() ![]() ![]() ![]() | 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). |
![]() ![]() ![]() ![]() | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known |
![]() ![]() ![]() ![]() | Σ | 0..1 | string | Text alternative for the resource |
![]() ![]() ![]() | SΣ | 1..1 | string | ID assigned to the subscriber |
![]() ![]() ![]() | SΣ | 1..1 | Reference(C4DIC Patient | #sd-C4DIC-Patient-C4DIC-Patient) | Plan beneficiary |
![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations | |
![]() ![]() ![]() ![]() | SΣ | 1..1 | string | Literal reference, Relative, internal or absolute URL |
![]() ![]() ![]() ![]() | 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). |
![]() ![]() ![]() ![]() | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known |
![]() ![]() ![]() ![]() | Σ | 0..1 | string | Text alternative for the resource |
![]() ![]() ![]() | SΣ | 0..1 | string | Dependent number |
![]() ![]() ![]() | S | 1..1 | CodeableConcept | Beneficiary relationship to the subscriber Binding: ?? (required) |
![]() ![]() ![]() | SΣ | 0..1 | Period | Coverage start and end dates |
![]() ![]() ![]() | SΣ | 1..1 | Reference(C4DIC Organization), Reference(C4DIC Organization) | Issuer of the policy |
![]() ![]() ![]() | S | 0..* | BackboneElement | Additional coverage classifications |
![]() ![]() ![]() ![]() | 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: ?? (required) |
![]() ![]() ![]() ![]() | 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 |
![]() ![]() ![]() | S | 0..* | BackboneElement | Patient payments for services/products |
![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations | |
![]() ![]() ![]() ![]() | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
![]() ![]() ![]() ![]() | SΣ | 1..1 | CodeableConcept | Cost category Binding: ?? (extensible) |
![]() ![]() ![]() ![]() | SΣC | 1..1 | Money | The amount or percentage due from the beneficiary Constraints: ValueMoney-details-or-extension |
![]() ![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations | |
![]() ![]() ![]() ![]() ![]() | SΣ | 0..1 | decimal | Numerical value (with implicit precision) |
![]() ![]() ![]() ![]() ![]() | SΣ | 0..1 | code | ISO 4217 Currency Code Binding: ?? (required): A code indicating the currency, taken from ISO 4217. |
![]() ![]() ![]() ![]() | 0..* | BackboneElement | Exceptions for patient payments | |
![]() ![]() ![]() ![]() ![]() | 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: ?? (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 | |
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