Belgian MyCareNet Profiles
2.2.1 - STU Belgium flag

Belgian MyCareNet Profiles, published by eHealth Platform. This guide is not an authorized publication; it is the continuous build for version 2.2.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-be/mycarenet/ and changes regularly. See the Directory of published versions

Resource Profile: MyCareNet Coverage BE profile

Official URL: https://www.ehealth.fgov.be/standards/fhir/mycarenet/StructureDefinition/be-mycarenet-coverage Version: 2.2.1
Standards status: Trial-use Maturity Level: 1 Computable Name: BeMyCareNetCoverage
Other Identifiers: OID:2.16.840.1.113883.4.642.40.200.6.42.17

Coverage profile for use in the different MyCareNet flows

Usages:

  • This Profile is not used by any profiles in this Specification

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description Differentials, Snapshots, and other representations.

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Coverage C 0..* Coverage Insurance or medical plan or a payment agreement
Constraints: BeInvCT1CT2
Coverage.id This element must be supported. This element is included in summaries. 1..1 id Logical id of this artifact
Coverage.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
Coverage.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
Coverage.status This element is a modifier element. This element must be supported. This element is included in summaries. 1..1 code active | cancelled | draft | entered-in-error
Binding: FinancialResourceStatusCodes (required): A code specifying the state of the resource instance.
Coverage.type This element must be supported. This element is included in summaries. 1..1 CodeableConcept Coverage category such as medical or accident
Binding: CoverageTypeAndSelf-PayCodes (preferred): The type of insurance: public health, worker compensation; private accident, auto, private health, etc.) or a direct payment by an individual or organization.
Coverage.type.coding This element must be supported. This element is included in summaries. 1..1 Coding Code defined by a terminology system
Coverage.type.coding.system This element must be supported. This element is included in summaries. 1..1 uri Identity of the terminology system
Coverage.type.coding.code This element must be supported. This element is included in summaries. 1..1 code Symbol in syntax defined by the system
Coverage.beneficiary This element must be supported. This element is included in summaries. 1..1 Reference(BePatient) Plan beneficiary
Coverage.payor This element must be supported. This element is included in summaries. 1..1 Reference(BeOrganization) Issuer of the policy
Coverage.class This element must be supported. 2..* BackboneElement Additional coverage classifications
Coverage.class.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Coverage.class.type This element must be supported. This element is included in summaries. 1..1 CodeableConcept Type of class such as 'group' or 'plan'
Binding: CoverageClassCodes (extensible): The policy classifications, eg. Group, Plan, Class, etc.
Coverage.class.type.coding This element must be supported. This element is included in summaries. 1..1 Coding Code defined by a terminology system
Coverage.class.type.coding.system This element must be supported. This element is included in summaries. 1..1 uri Identity of the terminology system
Coverage.class.type.coding.code This element must be supported. This element is included in summaries. 1..1 code Symbol in syntax defined by the system
Coverage.class.value This element must be supported. This element is included in summaries. 1..1 string Value associated with the type
Coverage.class.value.Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
Coverage.class.value.Slices for extension.extension:system This element must be supported. 0..1 uri Extension
URL: https://www.ehealth.fgov.be/standards/fhir/mycarenet/StructureDefinition/be-ext-system

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Coverage.status Base required Financial Resource Status Codes 📍4.0.1 FHIR Std.
Coverage.type Base preferred Coverage Type and Self-Pay Codes 📍4.0.1 FHIR Std.
Coverage.class.type Base extensible Coverage Class Codes 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
BeInvCT1CT2 error Coverage Coverage.class SHALL contain at least a CT1 and a CT2 value Coverage.class.value.extension('https://www.ehealth.fgov.be/standards/fhir/mycarenet/StructureDefinition/be-ext-system').where(value is Uri).where(value = 'https://www.ehealth.fgov.be/standards/fhir/mycarenet/CodeSystem/be-cs-holder-code-1').empty().not() and Coverage.class.value.extension('https://www.ehealth.fgov.be/standards/fhir/mycarenet/StructureDefinition/be-ext-system').where(value is Uri).where(value = 'https://www.ehealth.fgov.be/standards/fhir/mycarenet/CodeSystem/be-cs-holder-code-2').empty().not() and Coverage.class.value.where(extension('https://www.ehealth.fgov.be/standards/fhir/mycarenet/StructureDefinition/be-ext-system').where(value = 'https://www.ehealth.fgov.be/standards/fhir/mycarenet/CodeSystem/be-cs-holder-code-1').exists()).memberOf('https://www.ehealth.fgov.be/standards/fhir/mycarenet/ValueSet/be-vs-holder-code-1') and Coverage.class.value.where(extension('https://www.ehealth.fgov.be/standards/fhir/mycarenet/StructureDefinition/be-ext-system').where(value = 'https://www.ehealth.fgov.be/standards/fhir/mycarenet/CodeSystem/be-cs-holder-code-2').exists()).memberOf('https://www.ehealth.fgov.be/standards/fhir/mycarenet/ValueSet/be-vs-holder-code-2')
dom-2 error Coverage If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Coverage If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Coverage If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Coverage If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Coverage A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

This structure is derived from Coverage

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Coverage C 0..* Coverage Insurance or medical plan or a payment agreement
Constraints: BeInvCT1CT2
Coverage.id This element must be supported. 1..1 id Logical id of this artifact
Coverage.status This element must be supported. 1..1 code active | cancelled | draft | entered-in-error
Coverage.type This element must be supported. 1..1 CodeableConcept Coverage category such as medical or accident
Coverage.type.coding This element must be supported. 1..1 Coding Code defined by a terminology system
Coverage.type.coding.system This element must be supported. 1..1 uri Identity of the terminology system
Coverage.type.coding.code This element must be supported. 1..1 code Symbol in syntax defined by the system
Coverage.payor This element must be supported. 1..1 Reference(BeOrganization) Issuer of the policy
Coverage.class This element must be supported. 2..* BackboneElement Additional coverage classifications
Coverage.class.type This element must be supported. 1..1 CodeableConcept Type of class such as 'group' or 'plan'
Coverage.class.type.coding This element must be supported. 1..1 Coding Code defined by a terminology system
Coverage.class.type.coding.system This element must be supported. 1..1 uri Identity of the terminology system
Coverage.class.type.coding.code This element must be supported. 1..1 code Symbol in syntax defined by the system
Coverage.class.value This element must be supported. 1..1 string Value associated with the type
Coverage.class.value.Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
Coverage.class.value.Slices for extension.extension:system This element must be supported. 0..1 uri Extension
URL: https://www.ehealth.fgov.be/standards/fhir/mycarenet/StructureDefinition/be-ext-system

doco Documentation for this format

Constraints

Id Grade Path(s) Description Expression
BeInvCT1CT2 error Coverage Coverage.class SHALL contain at least a CT1 and a CT2 value Coverage.class.value.extension('https://www.ehealth.fgov.be/standards/fhir/mycarenet/StructureDefinition/be-ext-system').where(value is Uri).where(value = 'https://www.ehealth.fgov.be/standards/fhir/mycarenet/CodeSystem/be-cs-holder-code-1').empty().not() and Coverage.class.value.extension('https://www.ehealth.fgov.be/standards/fhir/mycarenet/StructureDefinition/be-ext-system').where(value is Uri).where(value = 'https://www.ehealth.fgov.be/standards/fhir/mycarenet/CodeSystem/be-cs-holder-code-2').empty().not() and Coverage.class.value.where(extension('https://www.ehealth.fgov.be/standards/fhir/mycarenet/StructureDefinition/be-ext-system').where(value = 'https://www.ehealth.fgov.be/standards/fhir/mycarenet/CodeSystem/be-cs-holder-code-1').exists()).memberOf('https://www.ehealth.fgov.be/standards/fhir/mycarenet/ValueSet/be-vs-holder-code-1') and Coverage.class.value.where(extension('https://www.ehealth.fgov.be/standards/fhir/mycarenet/StructureDefinition/be-ext-system').where(value = 'https://www.ehealth.fgov.be/standards/fhir/mycarenet/CodeSystem/be-cs-holder-code-2').exists()).memberOf('https://www.ehealth.fgov.be/standards/fhir/mycarenet/ValueSet/be-vs-holder-code-2')
NameFlagsCard.TypeDescription & Constraints    Filter: doco
Coverage C 0..* Coverage Insurance or medical plan or a payment agreement
Constraints: BeInvCT1CT2
Coverage.id This element must be supported. This element is included in summaries. 1..1 id Logical id of this artifact
Coverage.meta This element is included in summaries. 0..1 Meta Metadata about the resource
Coverage.implicitRules This element is a modifier element. 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: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages 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 This element is included in summaries. 0..* Identifier Business Identifier for the coverage
Coverage.status This element is a modifier element. This element must be supported. This element is included in summaries. 1..1 code active | cancelled | draft | entered-in-error
Binding: FinancialResourceStatusCodes (required): A code specifying the state of the resource instance.
Coverage.type This element must be supported. This element is included in summaries. 1..1 CodeableConcept Coverage category such as medical or accident
Binding: CoverageTypeAndSelf-PayCodes (preferred): The type of insurance: public health, worker compensation; private accident, auto, private health, etc.) or a direct payment by an individual or organization.
Coverage.type.id 0..1 string Unique id for inter-element referencing
Coverage.type.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Coverage.type.coding This element must be supported. This element is included in summaries. 1..1 Coding Code defined by a terminology system
Coverage.type.coding.id 0..1 string Unique id for inter-element referencing
Coverage.type.coding.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Coverage.type.coding.system This element must be supported. This element is included in summaries. 1..1 uri Identity of the terminology system
Coverage.type.coding.version This element is included in summaries. 0..1 string Version of the system - if relevant
Coverage.type.coding.code This element must be supported. This element is included in summaries. 1..1 code Symbol in syntax defined by the system
Coverage.type.coding.display This element is included in summaries. 0..1 string Representation defined by the system
Coverage.type.coding.userSelected This element is included in summaries. 0..1 boolean If this coding was chosen directly by the user
Coverage.type.text This element is included in summaries. 0..1 string Plain text representation of the concept
Coverage.policyHolder This element is included in summaries. 0..1 Reference(Patient | RelatedPerson | Organization) Owner of the policy
Coverage.subscriber This element is included in summaries. 0..1 Reference(Patient | RelatedPerson) Subscriber to the policy
Coverage.subscriberId This element is included in summaries. 0..1 string ID assigned to the subscriber
Coverage.beneficiary This element must be supported. This element is included in summaries. 1..1 Reference(BePatient) Plan beneficiary
Coverage.dependent This element is included in summaries. 0..1 string Dependent number
Coverage.relationship 0..1 CodeableConcept Beneficiary relationship to the subscriber
Binding: SubscriberRelationshipCodes (extensible): The relationship between the Subscriber and the Beneficiary (insured/covered party/patient).
Coverage.period This element is included in summaries. 0..1 Period Coverage start and end dates
Coverage.payor This element must be supported. This element is included in summaries. 1..1 Reference(BeOrganization) Issuer of the policy
Coverage.class This element must be supported. 2..* BackboneElement Additional coverage classifications
Coverage.class.id 0..1 string Unique id for inter-element referencing
Coverage.class.extension 0..* Extension Additional content defined by implementations
Coverage.class.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Coverage.class.type This element must be supported. This element is included in summaries. 1..1 CodeableConcept Type of class such as 'group' or 'plan'
Binding: CoverageClassCodes (extensible): The policy classifications, eg. Group, Plan, Class, etc.
Coverage.class.type.id 0..1 string Unique id for inter-element referencing
Coverage.class.type.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Coverage.class.type.coding This element must be supported. This element is included in summaries. 1..1 Coding Code defined by a terminology system
Coverage.class.type.coding.id 0..1 string Unique id for inter-element referencing
Coverage.class.type.coding.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Coverage.class.type.coding.system This element must be supported. This element is included in summaries. 1..1 uri Identity of the terminology system
Coverage.class.type.coding.version This element is included in summaries. 0..1 string Version of the system - if relevant
Coverage.class.type.coding.code This element must be supported. This element is included in summaries. 1..1 code Symbol in syntax defined by the system
Coverage.class.type.coding.display This element is included in summaries. 0..1 string Representation defined by the system
Coverage.class.type.coding.userSelected This element is included in summaries. 0..1 boolean If this coding was chosen directly by the user
Coverage.class.type.text This element is included in summaries. 0..1 string Plain text representation of the concept
Coverage.class.value This element must be supported. This element is included in summaries. 1..1 string Value associated with the type
Coverage.class.value.id 0..1 string xml:id (or equivalent in JSON)
Coverage.class.value.Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
Coverage.class.value.Slices for extension.extension:system This element must be supported. 0..1 uri Extension
URL: https://www.ehealth.fgov.be/standards/fhir/mycarenet/StructureDefinition/be-ext-system
Coverage.class.value.value 0..1 string Primitive value for string
Max Length:1048576
Coverage.class.name This element is included in summaries. 0..1 string Human readable description of the type and value
Coverage.order This element is included in summaries. 0..1 positiveInt Relative order of the coverage
Coverage.network This element is included in summaries. 0..1 string Insurer network
Coverage.costToBeneficiary 0..* BackboneElement Patient payments for services/products
Coverage.costToBeneficiary.id 0..1 string Unique id for inter-element referencing
Coverage.costToBeneficiary.extension 0..* Extension Additional content defined by implementations
Coverage.costToBeneficiary.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Coverage.costToBeneficiary.type This element is included in summaries. 0..1 CodeableConcept Cost category
Binding: CoverageCopayTypeCodes (extensible): The types of services to which patient copayments are specified.
Coverage.costToBeneficiary.value[x] This element is included in summaries. 1..1 The amount or percentage due from the beneficiary
Coverage.costToBeneficiary.value[x].valueQuantity Quantity(SimpleQuantity)
Coverage.costToBeneficiary.value[x].valueMoney Money
Coverage.costToBeneficiary.exception 0..* BackboneElement Exceptions for patient payments
Coverage.costToBeneficiary.exception.id 0..1 string Unique id for inter-element referencing
Coverage.costToBeneficiary.exception.extension 0..* Extension Additional content defined by implementations
Coverage.costToBeneficiary.exception.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Coverage.costToBeneficiary.exception.type This element is included in summaries. 1..1 CodeableConcept Exception category
Binding: ExampleCoverageFinancialExceptionCodes (example): The types of exceptions from the part or full value of financial obligations such as copays.
Coverage.costToBeneficiary.exception.period 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

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Coverage.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Coverage.status Base required Financial Resource Status Codes 📍4.0.1 FHIR Std.
Coverage.type Base preferred Coverage Type and Self-Pay Codes 📍4.0.1 FHIR Std.
Coverage.relationship Base extensible SubscriberPolicyholder Relationship Codes 📍4.0.1 FHIR Std.
Coverage.class.type Base extensible Coverage Class Codes 📍4.0.1 FHIR Std.
Coverage.costToBeneficiary.​type Base extensible Coverage Copay Type Codes 📍4.0.1 FHIR Std.
Coverage.costToBeneficiary.​exception.type Base example Example Coverage Financial Exception Codes 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
BeInvCT1CT2 error Coverage Coverage.class SHALL contain at least a CT1 and a CT2 value Coverage.class.value.extension('https://www.ehealth.fgov.be/standards/fhir/mycarenet/StructureDefinition/be-ext-system').where(value is Uri).where(value = 'https://www.ehealth.fgov.be/standards/fhir/mycarenet/CodeSystem/be-cs-holder-code-1').empty().not() and Coverage.class.value.extension('https://www.ehealth.fgov.be/standards/fhir/mycarenet/StructureDefinition/be-ext-system').where(value is Uri).where(value = 'https://www.ehealth.fgov.be/standards/fhir/mycarenet/CodeSystem/be-cs-holder-code-2').empty().not() and Coverage.class.value.where(extension('https://www.ehealth.fgov.be/standards/fhir/mycarenet/StructureDefinition/be-ext-system').where(value = 'https://www.ehealth.fgov.be/standards/fhir/mycarenet/CodeSystem/be-cs-holder-code-1').exists()).memberOf('https://www.ehealth.fgov.be/standards/fhir/mycarenet/ValueSet/be-vs-holder-code-1') and Coverage.class.value.where(extension('https://www.ehealth.fgov.be/standards/fhir/mycarenet/StructureDefinition/be-ext-system').where(value = 'https://www.ehealth.fgov.be/standards/fhir/mycarenet/CodeSystem/be-cs-holder-code-2').exists()).memberOf('https://www.ehealth.fgov.be/standards/fhir/mycarenet/ValueSet/be-vs-holder-code-2')
dom-2 error Coverage If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Coverage If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Coverage If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Coverage If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Coverage A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

This structure is derived from Coverage

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Coverage C 0..* Coverage Insurance or medical plan or a payment agreement
Constraints: BeInvCT1CT2
Coverage.id This element must be supported. This element is included in summaries. 1..1 id Logical id of this artifact
Coverage.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
Coverage.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
Coverage.status This element is a modifier element. This element must be supported. This element is included in summaries. 1..1 code active | cancelled | draft | entered-in-error
Binding: FinancialResourceStatusCodes (required): A code specifying the state of the resource instance.
Coverage.type This element must be supported. This element is included in summaries. 1..1 CodeableConcept Coverage category such as medical or accident
Binding: CoverageTypeAndSelf-PayCodes (preferred): The type of insurance: public health, worker compensation; private accident, auto, private health, etc.) or a direct payment by an individual or organization.
Coverage.type.coding This element must be supported. This element is included in summaries. 1..1 Coding Code defined by a terminology system
Coverage.type.coding.system This element must be supported. This element is included in summaries. 1..1 uri Identity of the terminology system
Coverage.type.coding.code This element must be supported. This element is included in summaries. 1..1 code Symbol in syntax defined by the system
Coverage.beneficiary This element must be supported. This element is included in summaries. 1..1 Reference(BePatient) Plan beneficiary
Coverage.payor This element must be supported. This element is included in summaries. 1..1 Reference(BeOrganization) Issuer of the policy
Coverage.class This element must be supported. 2..* BackboneElement Additional coverage classifications
Coverage.class.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Coverage.class.type This element must be supported. This element is included in summaries. 1..1 CodeableConcept Type of class such as 'group' or 'plan'
Binding: CoverageClassCodes (extensible): The policy classifications, eg. Group, Plan, Class, etc.
Coverage.class.type.coding This element must be supported. This element is included in summaries. 1..1 Coding Code defined by a terminology system
Coverage.class.type.coding.system This element must be supported. This element is included in summaries. 1..1 uri Identity of the terminology system
Coverage.class.type.coding.code This element must be supported. This element is included in summaries. 1..1 code Symbol in syntax defined by the system
Coverage.class.value This element must be supported. This element is included in summaries. 1..1 string Value associated with the type
Coverage.class.value.Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
Coverage.class.value.Slices for extension.extension:system This element must be supported. 0..1 uri Extension
URL: https://www.ehealth.fgov.be/standards/fhir/mycarenet/StructureDefinition/be-ext-system

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Coverage.status Base required Financial Resource Status Codes 📍4.0.1 FHIR Std.
Coverage.type Base preferred Coverage Type and Self-Pay Codes 📍4.0.1 FHIR Std.
Coverage.class.type Base extensible Coverage Class Codes 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
BeInvCT1CT2 error Coverage Coverage.class SHALL contain at least a CT1 and a CT2 value Coverage.class.value.extension('https://www.ehealth.fgov.be/standards/fhir/mycarenet/StructureDefinition/be-ext-system').where(value is Uri).where(value = 'https://www.ehealth.fgov.be/standards/fhir/mycarenet/CodeSystem/be-cs-holder-code-1').empty().not() and Coverage.class.value.extension('https://www.ehealth.fgov.be/standards/fhir/mycarenet/StructureDefinition/be-ext-system').where(value is Uri).where(value = 'https://www.ehealth.fgov.be/standards/fhir/mycarenet/CodeSystem/be-cs-holder-code-2').empty().not() and Coverage.class.value.where(extension('https://www.ehealth.fgov.be/standards/fhir/mycarenet/StructureDefinition/be-ext-system').where(value = 'https://www.ehealth.fgov.be/standards/fhir/mycarenet/CodeSystem/be-cs-holder-code-1').exists()).memberOf('https://www.ehealth.fgov.be/standards/fhir/mycarenet/ValueSet/be-vs-holder-code-1') and Coverage.class.value.where(extension('https://www.ehealth.fgov.be/standards/fhir/mycarenet/StructureDefinition/be-ext-system').where(value = 'https://www.ehealth.fgov.be/standards/fhir/mycarenet/CodeSystem/be-cs-holder-code-2').exists()).memberOf('https://www.ehealth.fgov.be/standards/fhir/mycarenet/ValueSet/be-vs-holder-code-2')
dom-2 error Coverage If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Coverage If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Coverage If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Coverage If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Coverage A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

Differential View

This structure is derived from Coverage

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Coverage C 0..* Coverage Insurance or medical plan or a payment agreement
Constraints: BeInvCT1CT2
Coverage.id This element must be supported. 1..1 id Logical id of this artifact
Coverage.status This element must be supported. 1..1 code active | cancelled | draft | entered-in-error
Coverage.type This element must be supported. 1..1 CodeableConcept Coverage category such as medical or accident
Coverage.type.coding This element must be supported. 1..1 Coding Code defined by a terminology system
Coverage.type.coding.system This element must be supported. 1..1 uri Identity of the terminology system
Coverage.type.coding.code This element must be supported. 1..1 code Symbol in syntax defined by the system
Coverage.beneficiary This element must be supported. 1..1 Reference(BePatient) Plan beneficiary
Coverage.payor This element must be supported. 1..1 Reference(BeOrganization) Issuer of the policy
Coverage.class This element must be supported. 2..* BackboneElement Additional coverage classifications
Coverage.class.type This element must be supported. 1..1 CodeableConcept Type of class such as 'group' or 'plan'
Coverage.class.type.coding This element must be supported. 1..1 Coding Code defined by a terminology system
Coverage.class.type.coding.system This element must be supported. 1..1 uri Identity of the terminology system
Coverage.class.type.coding.code This element must be supported. 1..1 code Symbol in syntax defined by the system
Coverage.class.value This element must be supported. 1..1 string Value associated with the type
Coverage.class.value.Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
Coverage.class.value.Slices for extension.extension:system This element must be supported. 0..1 uri Extension
URL: https://www.ehealth.fgov.be/standards/fhir/mycarenet/StructureDefinition/be-ext-system

doco Documentation for this format

Constraints

Id Grade Path(s) Description Expression
BeInvCT1CT2 error Coverage Coverage.class SHALL contain at least a CT1 and a CT2 value Coverage.class.value.extension('https://www.ehealth.fgov.be/standards/fhir/mycarenet/StructureDefinition/be-ext-system').where(value is Uri).where(value = 'https://www.ehealth.fgov.be/standards/fhir/mycarenet/CodeSystem/be-cs-holder-code-1').empty().not() and Coverage.class.value.extension('https://www.ehealth.fgov.be/standards/fhir/mycarenet/StructureDefinition/be-ext-system').where(value is Uri).where(value = 'https://www.ehealth.fgov.be/standards/fhir/mycarenet/CodeSystem/be-cs-holder-code-2').empty().not() and Coverage.class.value.where(extension('https://www.ehealth.fgov.be/standards/fhir/mycarenet/StructureDefinition/be-ext-system').where(value = 'https://www.ehealth.fgov.be/standards/fhir/mycarenet/CodeSystem/be-cs-holder-code-1').exists()).memberOf('https://www.ehealth.fgov.be/standards/fhir/mycarenet/ValueSet/be-vs-holder-code-1') and Coverage.class.value.where(extension('https://www.ehealth.fgov.be/standards/fhir/mycarenet/StructureDefinition/be-ext-system').where(value = 'https://www.ehealth.fgov.be/standards/fhir/mycarenet/CodeSystem/be-cs-holder-code-2').exists()).memberOf('https://www.ehealth.fgov.be/standards/fhir/mycarenet/ValueSet/be-vs-holder-code-2')

Snapshot ViewView

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Coverage C 0..* Coverage Insurance or medical plan or a payment agreement
Constraints: BeInvCT1CT2
Coverage.id This element must be supported. This element is included in summaries. 1..1 id Logical id of this artifact
Coverage.meta This element is included in summaries. 0..1 Meta Metadata about the resource
Coverage.implicitRules This element is a modifier element. 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: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages 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 This element is included in summaries. 0..* Identifier Business Identifier for the coverage
Coverage.status This element is a modifier element. This element must be supported. This element is included in summaries. 1..1 code active | cancelled | draft | entered-in-error
Binding: FinancialResourceStatusCodes (required): A code specifying the state of the resource instance.
Coverage.type This element must be supported. This element is included in summaries. 1..1 CodeableConcept Coverage category such as medical or accident
Binding: CoverageTypeAndSelf-PayCodes (preferred): The type of insurance: public health, worker compensation; private accident, auto, private health, etc.) or a direct payment by an individual or organization.
Coverage.type.id 0..1 string Unique id for inter-element referencing
Coverage.type.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Coverage.type.coding This element must be supported. This element is included in summaries. 1..1 Coding Code defined by a terminology system
Coverage.type.coding.id 0..1 string Unique id for inter-element referencing
Coverage.type.coding.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Coverage.type.coding.system This element must be supported. This element is included in summaries. 1..1 uri Identity of the terminology system
Coverage.type.coding.version This element is included in summaries. 0..1 string Version of the system - if relevant
Coverage.type.coding.code This element must be supported. This element is included in summaries. 1..1 code Symbol in syntax defined by the system
Coverage.type.coding.display This element is included in summaries. 0..1 string Representation defined by the system
Coverage.type.coding.userSelected This element is included in summaries. 0..1 boolean If this coding was chosen directly by the user
Coverage.type.text This element is included in summaries. 0..1 string Plain text representation of the concept
Coverage.policyHolder This element is included in summaries. 0..1 Reference(Patient | RelatedPerson | Organization) Owner of the policy
Coverage.subscriber This element is included in summaries. 0..1 Reference(Patient | RelatedPerson) Subscriber to the policy
Coverage.subscriberId This element is included in summaries. 0..1 string ID assigned to the subscriber
Coverage.beneficiary This element must be supported. This element is included in summaries. 1..1 Reference(BePatient) Plan beneficiary
Coverage.dependent This element is included in summaries. 0..1 string Dependent number
Coverage.relationship 0..1 CodeableConcept Beneficiary relationship to the subscriber
Binding: SubscriberRelationshipCodes (extensible): The relationship between the Subscriber and the Beneficiary (insured/covered party/patient).
Coverage.period This element is included in summaries. 0..1 Period Coverage start and end dates
Coverage.payor This element must be supported. This element is included in summaries. 1..1 Reference(BeOrganization) Issuer of the policy
Coverage.class This element must be supported. 2..* BackboneElement Additional coverage classifications
Coverage.class.id 0..1 string Unique id for inter-element referencing
Coverage.class.extension 0..* Extension Additional content defined by implementations
Coverage.class.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Coverage.class.type This element must be supported. This element is included in summaries. 1..1 CodeableConcept Type of class such as 'group' or 'plan'
Binding: CoverageClassCodes (extensible): The policy classifications, eg. Group, Plan, Class, etc.
Coverage.class.type.id 0..1 string Unique id for inter-element referencing
Coverage.class.type.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Coverage.class.type.coding This element must be supported. This element is included in summaries. 1..1 Coding Code defined by a terminology system
Coverage.class.type.coding.id 0..1 string Unique id for inter-element referencing
Coverage.class.type.coding.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Coverage.class.type.coding.system This element must be supported. This element is included in summaries. 1..1 uri Identity of the terminology system
Coverage.class.type.coding.version This element is included in summaries. 0..1 string Version of the system - if relevant
Coverage.class.type.coding.code This element must be supported. This element is included in summaries. 1..1 code Symbol in syntax defined by the system
Coverage.class.type.coding.display This element is included in summaries. 0..1 string Representation defined by the system
Coverage.class.type.coding.userSelected This element is included in summaries. 0..1 boolean If this coding was chosen directly by the user
Coverage.class.type.text This element is included in summaries. 0..1 string Plain text representation of the concept
Coverage.class.value This element must be supported. This element is included in summaries. 1..1 string Value associated with the type
Coverage.class.value.id 0..1 string xml:id (or equivalent in JSON)
Coverage.class.value.Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
Coverage.class.value.Slices for extension.extension:system This element must be supported. 0..1 uri Extension
URL: https://www.ehealth.fgov.be/standards/fhir/mycarenet/StructureDefinition/be-ext-system
Coverage.class.value.value 0..1 string Primitive value for string
Max Length:1048576
Coverage.class.name This element is included in summaries. 0..1 string Human readable description of the type and value
Coverage.order This element is included in summaries. 0..1 positiveInt Relative order of the coverage
Coverage.network This element is included in summaries. 0..1 string Insurer network
Coverage.costToBeneficiary 0..* BackboneElement Patient payments for services/products
Coverage.costToBeneficiary.id 0..1 string Unique id for inter-element referencing
Coverage.costToBeneficiary.extension 0..* Extension Additional content defined by implementations
Coverage.costToBeneficiary.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Coverage.costToBeneficiary.type This element is included in summaries. 0..1 CodeableConcept Cost category
Binding: CoverageCopayTypeCodes (extensible): The types of services to which patient copayments are specified.
Coverage.costToBeneficiary.value[x] This element is included in summaries. 1..1 The amount or percentage due from the beneficiary
Coverage.costToBeneficiary.value[x].valueQuantity Quantity(SimpleQuantity)
Coverage.costToBeneficiary.value[x].valueMoney Money
Coverage.costToBeneficiary.exception 0..* BackboneElement Exceptions for patient payments
Coverage.costToBeneficiary.exception.id 0..1 string Unique id for inter-element referencing
Coverage.costToBeneficiary.exception.extension 0..* Extension Additional content defined by implementations
Coverage.costToBeneficiary.exception.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Coverage.costToBeneficiary.exception.type This element is included in summaries. 1..1 CodeableConcept Exception category
Binding: ExampleCoverageFinancialExceptionCodes (example): The types of exceptions from the part or full value of financial obligations such as copays.
Coverage.costToBeneficiary.exception.period 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

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Coverage.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Coverage.status Base required Financial Resource Status Codes 📍4.0.1 FHIR Std.
Coverage.type Base preferred Coverage Type and Self-Pay Codes 📍4.0.1 FHIR Std.
Coverage.relationship Base extensible SubscriberPolicyholder Relationship Codes 📍4.0.1 FHIR Std.
Coverage.class.type Base extensible Coverage Class Codes 📍4.0.1 FHIR Std.
Coverage.costToBeneficiary.​type Base extensible Coverage Copay Type Codes 📍4.0.1 FHIR Std.
Coverage.costToBeneficiary.​exception.type Base example Example Coverage Financial Exception Codes 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
BeInvCT1CT2 error Coverage Coverage.class SHALL contain at least a CT1 and a CT2 value Coverage.class.value.extension('https://www.ehealth.fgov.be/standards/fhir/mycarenet/StructureDefinition/be-ext-system').where(value is Uri).where(value = 'https://www.ehealth.fgov.be/standards/fhir/mycarenet/CodeSystem/be-cs-holder-code-1').empty().not() and Coverage.class.value.extension('https://www.ehealth.fgov.be/standards/fhir/mycarenet/StructureDefinition/be-ext-system').where(value is Uri).where(value = 'https://www.ehealth.fgov.be/standards/fhir/mycarenet/CodeSystem/be-cs-holder-code-2').empty().not() and Coverage.class.value.where(extension('https://www.ehealth.fgov.be/standards/fhir/mycarenet/StructureDefinition/be-ext-system').where(value = 'https://www.ehealth.fgov.be/standards/fhir/mycarenet/CodeSystem/be-cs-holder-code-1').exists()).memberOf('https://www.ehealth.fgov.be/standards/fhir/mycarenet/ValueSet/be-vs-holder-code-1') and Coverage.class.value.where(extension('https://www.ehealth.fgov.be/standards/fhir/mycarenet/StructureDefinition/be-ext-system').where(value = 'https://www.ehealth.fgov.be/standards/fhir/mycarenet/CodeSystem/be-cs-holder-code-2').exists()).memberOf('https://www.ehealth.fgov.be/standards/fhir/mycarenet/ValueSet/be-vs-holder-code-2')
dom-2 error Coverage If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Coverage If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Coverage If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Coverage If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Coverage A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

This structure is derived from Coverage

 

Other representations of profile: CSV, Excel, Schematron