Source | hl7.fhir.us.davinci-pas#current:Da Vinci Prior Authorization Support (PAS) FHIR IG (v4.0.1) |
resourceType | StructureDefinition |
id | profile-coverage |
canonical | http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-coverage |
version | 1.2.0 |
status | active |
publisher | HL7 International - Financial Management Work Group |
name | PASCoverage |
title | PAS Coverage |
date | 2023-09-05T15:43:16+00:00 |
description | PAS constraints on Coverage resource mandating support for insurance elements relevant to the prior authorization request |
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 | Coverage | |||
identifier | S | |||
status | S | Required Pattern: active | ||
subscriber | S | Reference (PAS Subscriber Patient) | ||
subscriberId | S | |||
beneficiary | S | Reference (PAS Beneficiary Patient) | ||
relationship | S | |||
Slices for coding | Slice: Unordered, Open by value:$this | |||
coding:X12Code | S | 0..1 |
Binding:
todo
( required
): Codes indicating the relationship between two individuals or entities. These codes are listed within an X12 implementation guide (TR3) and maintained by X12. All X12 work products are copyrighted. See their website for licensing terms and conditions. |
|
payor | S | Reference (PAS Insurer Organization) | ||
Documentation for this format |
Produced 08 Sep 2023