| Name | Flags | Card. | Type |
Description & Constraints
|
|---|---|---|---|---|
Coverage
|
Coverage | |||
id
|
S | Unique resource identifier or contained resource access number, e.g. 1 | ||
Slices for identifier
|
Slice: Unordered, Open by pattern:type | |||
identifier:insurancemembernumber
|
S | 0..1 | Identifier | Fund member number |
|
status
|
S |
active | cancelled Binding: Diagnostic Coverage Status codes ( required ) |
||
|
type
|
S | 1.. |
Coverage Type and Self Payment code Binding: Diagnostic Coverage Type and Self Pay codes ( required ) |
|
|
coding
|
||||
|
code
|
pay | PUBLICPOL | VET | |||
display
|
Pay | public healthcare | veteran health program | |||
|
text
|
1.. | Self Funded | Bulk Billed | DVA | ||
beneficiary
|
Reference (AU Core Patient) | Patient | ||
|
reference
|
S | 1.. | ||
|
payor
|
..1 | Insurer of the policy (organization), or self funded payor (Patient or RelatedPerson) | ||
|
reference
|
S | Patient reference when self funded | ||
|
type
|
Organization | Patient | RelatedPerson | |||
|
identifier
|
S | National insurer identifier | ||
|
type
|
Required Pattern: At least the following | |||
coding
|
1..* | Coding |
Code defined by a terminology system Fixed Value: (complex) |
|
|
system
|
1..1 | uri |
Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203 |
|
|
code
|
1..1 | code |
Symbol in syntax defined by the system Fixed Value: NII |
|
|
text
|
Required Pattern: National Insurer identifier | |||
|
system
|
Required Pattern: https://privatehealth.gov.au/dynamic/insurer | |||
|
value
|
1.. | |||
|
display
|
S | 1.. | Name of insurer or self funded payor | |
|
class
|
..1 | Coverage classification | ||
type
|
Plan type Required Pattern: At least the following |
|||
|
coding
|
1..* | Coding |
Code defined by a terminology system Fixed Value: (complex) |
|
|
system
|
1..1 | uri |
Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/coverage-class |
|
|
code
|
1..1 | code |
Symbol in syntax defined by the system Fixed Value: plan |
|
|
value
|
S | Class type | ||
|
Documentation for this format
|
||||