StructureDefinition-C4DIC-Coverage

Sourcehl7.fhir.us.insurance-card#current:CARIN Digital Insurance Card (v4.0.1)
resourceTypeStructureDefinition
idC4DIC-Coverage
canonicalhttp://hl7.org/fhir/us/insurance-card/StructureDefinition/C4DIC-Coverage
version1.0.1
statusactive
publisherHL7 Payer/Provider Information Exchange Working Group (PIE WG)
nameC4DICCoverage
titleC4DIC Coverage
date2023-09-06T14:15:55+00:00
descriptionData that reflect a payer’s coverage of the member.
jurisdictionsus
fhirVersion4.0.1
kindresource
abstractfalse
sdTtypeCoverage
derivationconstraint
basehttp://hl7.org/fhir/StructureDefinition/Coverage
Usages
Name Flags Card. Type Description & Constraints doco
. . Coverage Coverage
. . . meta S 1..
. . . . lastUpdated S 1..
. . . . Slices for profile 1 .. Slice: Unordered, Open by pattern:$this
. . . . . profile:supportedProfile 1..1 Required Pattern: http://hl7.org/fhir/us/insurance-card/StructureDefinition/C4DIC-Coverage
. . . Slices for extension Slice: Unordered, Open by value:url
. . . C4DIC-PlanBeneficiaries-extension 0..* (Complex) Plan Beneficiaries
URL: http://hl7.org/fhir/us/insurance-card/StructureDefinition/C4DIC-PlanBeneficiaries-extension
. . . C4DIC-AdditionalCardInformation-extension 0..* Annotation Additional Insurance Card Information
URL: http://hl7.org/fhir/us/insurance-card/StructureDefinition/C4DIC-AdditionalCardInformation-extension
. . . C4DIC-BackgroundColor-extension 0..1 CodeableConcept Background Color
URL: http://hl7.org/fhir/us/insurance-card/StructureDefinition/C4DIC-BackgroundColor-extension
Binding: C4DIC ISO Color ( required )
. . . C4DIC-HighlightColor-extension 0..1 CodeableConcept Highlight Color
URL: http://hl7.org/fhir/us/insurance-card/StructureDefinition/C4DIC-HighlightColor-extension
Binding: C4DIC ISO Color ( required )
. . . C4DIC-Logo-extension 0..1 (Complex) Logo
URL: http://hl7.org/fhir/us/insurance-card/StructureDefinition/C4DIC-Logo-extension
. . . C4DIC-QRCode-extension 0..* (Complex) QR Code
URL: http://hl7.org/fhir/us/insurance-card/StructureDefinition/C4DIC-QRCode-extension
. . . C4DIC-Barcode-extension 0..* (Complex) Barcode
URL: http://hl7.org/fhir/us/insurance-card/StructureDefinition/C4DIC-Barcode-extension
. . . C4DIC-SupportingImage-extension 0..* (Complex) Supporting image
URL: http://hl7.org/fhir/us/insurance-card/StructureDefinition/C4DIC-SupportingImage-extension
. . . C4DIC-CardIssueDate-extension 0..1 date Card Issue Date
URL: http://hl7.org/fhir/us/insurance-card/StructureDefinition/C4DIC-CardIssueDate-extension
. . . Slices for identifier S 1 .. Slice: Unordered, Open by pattern:type
. . . . identifier:All Slices Content/Rules for all slices
. . . . . type Binding: C4DIC Coverage Identifier Type ( extensible )
. . . . identifier:memberid S 1..1 Member ID
. . . . . type 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
. . . . . system S 1..
. . . . . value S 1..
. . . . . assigner S 1..
. . . status S
. . . type S 1..
. . . subscriber S 1..
. . . . reference S 1..
. . . subscriberId S 1..
. . . beneficiary S Reference (C4DIC Patient)
. . . . reference S 1..
. . . dependent S
. . . relationship S 1.. Binding: SubscriberPolicyholder Relationship Codes ( required )
. . . period S
. . . payor S ..1 Reference (C4DIC Organization)
. . . Slices for class S Slice: Unordered, Open by pattern:type
. . . . class:All Slices Content/Rules for all slices
. . . . . type Binding: C4DIC Coverage Class ( required )
. . . . 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
. . . . . 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
. . . . . name
. . . . class:division 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://hl7.org/fhir/us/insurance-card/CodeSystem/C4DICExtendedCoverageClassCS
. . . . . . . code 1..1 code Symbol in syntax defined by the system
Fixed Value: division
. . . . class:network 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://hl7.org/fhir/us/insurance-card/CodeSystem/C4DICExtendedCoverageClassCS
. . . . . . . code 1..1 code Symbol in syntax defined by the system
Fixed Value: network
. . . . class:rxbin 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: rxbin
. . . . class:rxpcn 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: rxpcn
. . . . class:rxgroup 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: rxgroup
. . . . class:rxid 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: rxid
. . . . class:rxiin 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://hl7.org/fhir/us/insurance-card/CodeSystem/C4DICExtendedCoverageClassCS
. . . . . . . code 1..1 code Symbol in syntax defined by the system
Fixed Value: rxiin
. . . costToBeneficiary S
. . . . type S 1.. Binding: C4DIC Copay Type ( extensible )
. . . . value[x] S C Money ValueMoney-details-or-extension: costToBeneficiary SHALL have (value AND currency) OR Beneficiary Cost String extension, but not both
. . . . . C4DIC-BeneficiaryCostString-extension S 0..1 string Beneficiary Cost as String
URL: http://hl7.org/fhir/us/insurance-card/StructureDefinition/C4DIC-BeneficiaryCostString-extension
. . . . . value S
. . . . . currency S

doco Documentation for this format

Produced 08 Sep 2023