## Union of https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Coverage-twcore and https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Coverage-twcore

This is the set of resources that conform to either of the profiles TW Core Coverage (https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Coverage-twcore) and TW Core Coverage (https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Coverage-twcore). E.g. what you have to deal with if you get resources conforming to one of them

### Structure

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Coverage | C | 0..* |  | left: Insurance or medical plan or a payment agreement; right: 保險、醫療計畫或付款協議 Constraints: tw-core-9
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | left: A set of rules under which this content was created; right: 本資源內容的處理規則
language |  | 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language.
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
contained |  | 0..* | Resource | Contained, inline Resources
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?! | 0..* | Extension | left: Extensions that cannot be ignored; right: 擴充內容可能會改變資源解釋方式
identifier | S Σ | 0..* | Identifier | left: Member ID and other identifiers; right: 會員 ID 及其他識別碼
status | ?!S Σ | 1..1 | code | active | cancelled | draft | entered-in-error Binding: ?? (required): A code specifying the state of the resource instance.
type | S Σ | 0..1 | CodeableConcept | left: Coverage category such as medical or accident; right: 保險類型 Binding: ?? (extensible)
policyHolder | Σ | 0..1 | Reference(TW Core Patient | TW Core RelatedPerson | TW Core Organization | #sd+17-Patient-twcore-Patient-twcore) | left: Owner of the policy; right: 保單持有人
subscriber | Σ | 0..1 | Reference(TW Core Patient | TW Core RelatedPerson | #sd+17-Patient-twcore-Patient-twcore) | left: Subscriber to the policy; right: 被保險人 (訂閱者)
subscriberId | S Σ | 0..1 | string | left: ID assigned to the subscriber; right: 被保險人 (訂閱者) ID
beneficiary | S Σ | 1..1 | Reference(TW Core Patient | #sd+17-Patient-twcore-Patient-twcore) | left: Plan beneficiary; right: 受益人
dependent | Σ | 0..1 | string | Dependent number
relationship | S | 1..1 | CodeableConcept | left: Beneficiary relationship to the subscriber; right: 與被保險人關係 Binding: ?? (extensible): The relationship between the Subscriber and the Beneficiary (insured/covered party/patient).
period | S Σ | 0..1 | Period | left: Coverage start and end dates; right: 保險期間
payor | S Σ | 1..1 | Reference(TW Core Organization S | TW Core Patient | TW Core RelatedPerson | #sd+16-Organization-twcore-Organization-twcore) | left: Issuer of the policy; right: 保險給付者
class | S | 0..* | BackboneElement | left: Additional coverage classifications; right: 保險分類資訊
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
type | Σ | 1..1 | CodeableConcept | Type of class such as 'group' or 'plan' Binding: ?? (extensible): The policy classifications, eg. Group, Plan, Class, etc.
value | Σ | 1..1 | string | Value associated with the type
name | Σ | 0..1 | string | Human readable description of the type and value
order | Σ | 0..1 | positiveInt | Relative order of the coverage
network | Σ | 0..1 | string | Insurer network
costToBeneficiary |  | 0..* | BackboneElement | Patient payments for services/products
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
type | Σ | 0..1 | CodeableConcept | Cost category Binding: ?? (extensible): The types of services to which patient copayments are specified.
value[x] | Σ | 1..1 |  | The amount or percentage due from the beneficiary
valueQuantity |  |  | Quantity(SimpleQuantity) |
valueMoney |  |  | Money |
exception |  | 0..* | BackboneElement | Exceptions for patient payments
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
type | Σ | 1..1 | CodeableConcept | Exception category Binding: ?? (example): The types of exceptions from the part or full value of financial obligations such as copays.
period | Σ | 0..1 | Period | The effective period of the exception
subrogation |  | 0..1 | boolean | Reimbursement to insurer
contract |  | 0..* | Reference(Contract) | Contract details
Documentation for this format