| Name | Flags | Card. | Type |
Description & Constraints
|
|---|---|---|---|---|
Coverage
|
C | Coverage | coverage-meta-profile-version: Coverage: meta.profile with canonical and major.minor. version required. | |
meta
|
S | 1.. | ||
lastUpdated
|
S | 1.. | ||
profile
|
1.. | |||
|
identifier
|
S | Member ID and other identifiers | ||
|
status
|
S | |||
|
type
|
||||
|
subscriberId
|
S | 1.. | ||
beneficiary
|
S | Reference (C4BB Patient) | ||
|
relationship
|
S | 1.. | Binding: SubscriberPolicyholder Relationship Codes ( required ) | |
|
period
|
S | |||
|
payor
|
S | ..1 | Reference (C4BB Organization) | |
Slices for class
|
S | Slice: Unordered, Open by pattern:type | ||
class:group
|
S | 0..1 | Group | |
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: group |
|
|
value
|
S | Group Number | ||
name
|
S | Group Name | ||
class:plan
|
S | 0..1 | 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 | Plan Number | ||
|
name
|
S | Plan Name | ||
|
Documentation for this format
|
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