| Name | Flags | Card. | Type |
Description & Constraints
|
|---|---|---|---|---|
Coverage
|
C | Coverage | us-core-15: Member Id in Coverage.identifier or Coverage.subscriberId SHALL be present | |
Slices for identifier
|
S | Slice: Unordered, Open by pattern:type | ||
identifier:MBIdentifier
|
S | 0..1 | EMR Identifier for MB | |
type
|
S | 1.. | 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: MB |
|
|
status
|
S | |||
|
type
|
S | Binding: Payer Type ( extensible ) | ||
policyHolder
|
S | Reference (CRD Patient | CRD Organization) | ||
|
subscriber
|
S | Reference (CRD Patient) | ||
|
subscriberId
|
S | |||
|
beneficiary
|
S | Reference (CRD Patient) | ||
|
dependent
|
S | |||
|
relationship
|
S | |||
|
period
|
S | |||
|
payor
|
S | Reference (CRD Patient | CRD Organization) | ||
|
Slices for class
|
S | Slice: Unordered, Open by pattern:type | ||
class:group
|
S | 0..1 | ||
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 | ||
|
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 | ||
|
order
|
S | |||
|
network
|
S | |||
|
costToBeneficiary
|
.. 0 | |||
|
Documentation for this format
|
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