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
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
|---|---|---|---|---|
![]() | 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 | |
![]() ![]() | Σ | 0..1 | Meta | Metadata about the resource |
![]() ![]() | ?!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 |
![]() ![]() | 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 | Additional content defined by implementations | |
![]() ![]() | ?! | 0..* | Extension | left: Extensions that cannot be ignored; right: 擴充內容可能會改變資源解釋方式 |
![]() ![]() | SΣ | 0..* | Identifier | left: Member ID and other identifiers; right: 會員 ID 及其他識別碼 |
![]() ![]() | ?!SΣ | 1..1 | code | active | cancelled | draft | entered-in-error Binding: ?? (required): A code specifying the state of the resource instance. |
![]() ![]() | SΣ | 0..1 | CodeableConcept | left: Coverage category such as medical or accident; right: 保險類型 Binding: ?? (extensible) |
![]() ![]() | 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 |
![]() ![]() | 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) |
![]() ![]() | SΣ | 0..1 | string | left: ID assigned to the subscriber; right: 被保險人 (訂閱者) ID |
![]() ![]() | SΣ | 1..1 | Reference(TW Core Patient | #sd+17-Patient-twcore-Patient-twcore) | left: Plan beneficiary; right: 受益人 |
![]() ![]() | Σ | 0..1 | string | Dependent number |
![]() ![]() | 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). |
![]() ![]() | SΣ | 0..1 | Period | left: Coverage start and end dates; right: 保險期間 |
![]() ![]() | SΣ | 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 |
![]() ![]() | S | 0..* | BackboneElement | left: Additional coverage classifications; right: 保險分類資訊 |
![]() ![]() ![]() | 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: ?? (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..* | Extension | Additional content defined by implementations | |
![]() ![]() ![]() | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
![]() ![]() ![]() | Σ | 0..1 | CodeableConcept | Cost category Binding: ?? (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..* | 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 | |
Documentation for this format | ||||