Source | hl7.fhir.us.davinci-pct#current:Patient Cost Transparency Implementation Guide (v4.0.1) |
resourceType | StructureDefinition |
id | davinci-pct-coverage |
canonical | http://hl7.org/fhir/us/davinci-pct/StructureDefinition/davinci-pct-coverage |
version | 1.0.0 |
status | active |
publisher | HL7 International - Financial Management Work Group |
name | PCTCoverage |
title | PCT Coverage |
date | 2023-03-29T20:18:58+00:00 |
description | PCT Coverage is a profile for capturing data that reflect a payer’s coverage that was effective as of the proposed date of service or the date of admission of the GFE. |
jurisdictions | us |
fhirVersion | 4.0.1 |
kind | resource |
abstract | false |
sdTtype | Coverage |
derivation | constraint |
base | http://hl7.org/fhir/us/davinci-hrex/StructureDefinition/hrex-coverage |
Usages |
|
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Coverage | HRexCoverage | |||
subscriber | Required if subscriber is a person that is not the beneficiary. When date of birth or gender are not known, omit Patient.birthDate and set Patient.gender to unknown. | |||
display | 1.. | Provide the name of the subscriber in Coverage.subscriber.display concatenating the subscriber’s prefix, given name, family name and suffix (in this order), each separated by a single space. If discrete name parts are required, a Patient resource SHALL be pointed to in Coverage.subscriber.reference. | ||
subscriberId | 1.. | |||
relationship | 1.. | |||
period | 1.. | |||
payor | Reference (PCT Organization) | |||
Slices for class | 1 .. | Slice: Unordered, Open by pattern:type | ||
class:All Slices | Content/Rules for all slices | |||
name | 1.. | |||
class:group | ||||
name | 1.. | |||
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 |
|
coding | 1.. | |||
costToBeneficiary | ||||
type | Binding: todo ( required ) | |||
Documentation for this format |
Produced 06 Apr 2023