StructureDefinition-davinci-pct-coverage

Sourcehl7.fhir.us.davinci-pct#current:Patient Cost Transparency Implementation Guide (v4.0.1)
resourceTypeStructureDefinition
iddavinci-pct-coverage
canonicalhttp://hl7.org/fhir/us/davinci-pct/StructureDefinition/davinci-pct-coverage
version1.0.0
statusactive
publisherHL7 International - Financial Management Work Group
namePCTCoverage
titlePCT Coverage
date2023-03-29T20:18:58+00:00
descriptionPCT 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.
jurisdictionsus
fhirVersion4.0.1
kindresource
abstractfalse
sdTtypeCoverage
derivationconstraint
basehttp://hl7.org/fhir/us/davinci-hrex/StructureDefinition/hrex-coverage
Usages
Name Flags Card. Type Description & Constraints doco
. . 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 )

doco Documentation for this format

Produced 06 Apr 2023