Source | hl7.fhir.us.davinci-hrex#current:Da Vinci Health Record Exchange (HRex) (v4.0.1) |
resourceType | StructureDefinition |
id | hrex-coverage |
canonical | http://hl7.org/fhir/us/davinci-hrex/StructureDefinition/hrex-coverage |
version | 1.0.0 |
status | active |
publisher | HL7 International - Clinical Interoperability Council |
name | HRexCoverage |
title | HRex Coverage Profile |
date | 2023-07-23T22:24:56+00:00 |
experimental | false |
description | The HRex Coverage Profile defines the constraints for representing a member's healthcare insurance information to the Payer. Coverage instances complying with this profile, sometimes together with the Patient which this profile references via `beneficiary`, allows a payer to identify a member in their system. |
jurisdictions | us |
fhirVersion | 4.0.1 |
kind | resource |
abstract | false |
sdTtype | Coverage |
derivation | constraint |
base | http://hl7.org/fhir/StructureDefinition/Coverage |
Usages |
|
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Coverage | C | Coverage | hrex-cov-1: Coverage.identifier or Coverage.subscriberId SHALL be present | |
identifier | S | ..1 | Also known as Member identifier | |
value | S | 1.. | The value that is unique within the system. | |
policyHolder | Reference (US Core Patient Profile | HRex Organization Profile | RelatedPerson ) | |||
subscriber | Reference (US Core Patient Profile) | |||
subscriberId | S | Subscriber ID | ||
beneficiary | S | Reference (HRex Patient Demographics) | ||
dependent | S | |||
payor | S | ..1 | Reference (HRex Organization Profile) | |
Slices for class | Slice: Unordered, Open by pattern:type | |||
class:group | S | 0..1 | ||
type | S | 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 | |||
Documentation for this format |
Produced 08 Sep 2023