Intersection of http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-coverage and http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-coverage

This is the set of resources that conform to both PAS Coverage (http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-coverage) and PAS Coverage (http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-coverage).

Structure

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Coverage	C	0..*		Insurance or medical plan or a payment agreement Constraints: us-core-15, self-beneficiary
Coverage.meta	Σ This element is included in summaries.	0..1	Meta	Metadata about the resource
Coverage.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
Coverage.language		0..1	code	Language of the resource content Binding: ?? (preferred): A human language. Additional Bindings Purpose ?? Max Binding
Coverage.text		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
Coverage.contained		0..*	Resource	Contained, inline Resources
Coverage.extension		0..*	Extension	Additional content defined by implementations
Coverage.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
Coverage.identifier	S This element must be supported. Σ This element is included in summaries.	1..*	Identifier	Member ID and other identifiers
Coverage.status	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	1..1	code	active | cancelled | draft | entered-in-error Binding: ?? (required): A code specifying the state of the resource instance.
Coverage.type	S This element must be supported. Σ This element is included in summaries.	0..1	CodeableConcept	Coverage category such as medical or accident Binding: ?? (extensible): US Public Health Data Consortium Source of Payment Codes
Coverage.policyHolder	Σ This element is included in summaries.	0..1	Reference(Patient | RelatedPerson | Organization)	Owner of the policy
Coverage.subscriber	S This element must be supported. Σ This element is included in summaries.	0..1	Reference(PAS Subscriber Patient | #sd-87-profile-subscriber-profile-subscriber)	Subscriber to the policy
Coverage.subscriberId	S This element must be supported. Σ This element is included in summaries.	0..1	string	ID assigned to the subscriber
Coverage.beneficiary	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(PAS Beneficiary Patient | #sd-49-profile-beneficiary-profile-beneficiary)	Plan beneficiary
Coverage.dependent	Σ This element is included in summaries.	0..1	string	Dependent number
Coverage.relationship	S This element must be supported.	1..1	CodeableConcept	Beneficiary relationship to the subscriber Binding: ?? (extensible)
Coverage.relationship.extension		0..*	Extension	Additional content defined by implementations
Coverage.relationship.coding	Σ This element is included in summaries.	0..*	Coding	Code defined by a terminology system
Coverage.relationship.text	Σ This element is included in summaries.	0..1	string	Plain text representation of the concept
Coverage.period	S This element must be supported. Σ This element is included in summaries.	0..1	Period	Coverage start and end dates
Coverage.payor	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(PAS Insurer Organization | #sd-69-profile-insurer-profile-insurer)	Issuer of the policy
Coverage.class	S This element must be supported.	0..*	BackboneElement	Additional coverage classifications
Coverage.class.extension		0..*	Extension	Additional content defined by implementations
Coverage.class.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Coverage.class.type	Σ This element is included in summaries.	1..1	CodeableConcept	Type of class such as 'group' or 'plan' Binding: ?? (extensible): The policy classifications, eg. Group, Plan, Class, etc.
Coverage.class.value	Σ This element is included in summaries.	1..1	string	Value associated with the type
Coverage.class.name	Σ This element is included in summaries.	0..1	string	Human readable description of the type and value
Coverage.order	Σ This element is included in summaries.	0..1	positiveInt	Relative order of the coverage
Coverage.network	Σ This element is included in summaries.	0..1	string	Insurer network
Coverage.costToBeneficiary		0..*	BackboneElement	Patient payments for services/products
Coverage.costToBeneficiary.extension		0..*	Extension	Additional content defined by implementations
Coverage.costToBeneficiary.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Coverage.costToBeneficiary.type	Σ This element is included in summaries.	0..1	CodeableConcept	Cost category Binding: ?? (extensible): The types of services to which patient copayments are specified.
Coverage.costToBeneficiary.value[x]	Σ This element is included in summaries.	1..1		The amount or percentage due from the beneficiary
Coverage.costToBeneficiary.value[x].valueQuantity			Quantity(SimpleQuantity | ?gen-e2?)
Coverage.costToBeneficiary.value[x].valueMoney			Money(SimpleQuantity)
Coverage.costToBeneficiary.exception		0..*	BackboneElement	Exceptions for patient payments
Coverage.costToBeneficiary.exception.extension		0..*	Extension	Additional content defined by implementations
Coverage.costToBeneficiary.exception.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Coverage.costToBeneficiary.exception.type	Σ This element is included in summaries.	1..1	CodeableConcept	Exception category Binding: ?? (example): The types of exceptions from the part or full value of financial obligations such as copays.
Coverage.costToBeneficiary.exception.period	Σ This element is included in summaries.	0..1	Period	The effective period of the exception
Coverage.subrogation		0..1	boolean	Reimbursement to insurer
Coverage.contract		0..*	Reference(Contract)	Contract details
Documentation for this format