Resource Profile: DXP Coverage

The Coverage resource is intended to provide the high-level identifiers and descriptors of an insurance plan, typically the information which would appear on an insurance card, which may be used to pay, in part or in whole, for the provision of health care products and services.

Differential View of Profile Content

identifierΣ0..*Identifier
statusΣ ?!1..1codeBinding
typeΣ0..1CodeableConceptBinding
policyHolderΣ I0..1Reference(Patient | RelatedPerson | Organization)
subscriberΣ I0..1Reference(Patient | RelatedPerson)
subscriberIdΣ0..1string
beneficiaryΣ I1..1Reference(Patient)
dependentΣ0..1string
relationship0..1CodeableConceptBinding
periodΣ I0..1Period
payorΣ I1..*Reference(Organization | Patient | RelatedPerson)
typeΣ1..1CodeableConceptBinding
valueΣ1..1string
nameΣ0..1string
orderΣ0..1positiveInt
networkΣ0..1string
typeΣ0..1CodeableConceptBinding
valueQuantitySimpleQuantity
valueMoneyMoney
typeΣ1..1CodeableConcept
periodΣ I0..1Period
subrogation0..1boolean
contractI0..*Reference(Contract)

Hybrid View of Profile Content

identifierΣ0..*Identifier
statusΣ ?!1..1codeBinding
typeΣ0..1CodeableConceptBinding
policyHolderΣ I0..1Reference(Patient | RelatedPerson | Organization)
subscriberΣ I0..1Reference(Patient | RelatedPerson)
subscriberIdΣ0..1string
beneficiaryΣ I1..1Reference(Patient)
dependentΣ0..1string
relationship0..1CodeableConceptBinding
periodΣ I0..1Period
payorΣ I1..*Reference(Organization | Patient | RelatedPerson)
typeΣ1..1CodeableConceptBinding
valueΣ1..1string
nameΣ0..1string
orderΣ0..1positiveInt
networkΣ0..1string
typeΣ0..1CodeableConceptBinding
valueQuantitySimpleQuantity
valueMoneyMoney
typeΣ1..1CodeableConcept
periodΣ I0..1Period
subrogation0..1boolean
contractI0..*Reference(Contract)

Snapshot View of Profile Content

identifierΣ0..*Identifier
statusΣ ?!1..1codeBinding
typeΣ0..1CodeableConceptBinding
policyHolderΣ I0..1Reference(Patient | RelatedPerson | Organization)
subscriberΣ I0..1Reference(Patient | RelatedPerson)
subscriberIdΣ0..1string
beneficiaryΣ I1..1Reference(Patient)
dependentΣ0..1string
relationship0..1CodeableConceptBinding
periodΣ I0..1Period
payorΣ I1..*Reference(Organization | Patient | RelatedPerson)
typeΣ1..1CodeableConceptBinding
valueΣ1..1string
nameΣ0..1string
orderΣ0..1positiveInt
networkΣ0..1string
typeΣ0..1CodeableConceptBinding
valueQuantitySimpleQuantity
valueMoneyMoney
typeΣ1..1CodeableConcept
periodΣ I0..1Period
subrogation0..1boolean
contractI0..*Reference(Contract)

Tabular View of Profile Content

Coverage0..*
Coverage.idSystem.String0..1
Coverage.metaMeta0..1
Coverage.implicitRulesuri0..1
Coverage.languagecode0..1
Coverage.textNarrative0..1
Coverage.containedResource0..*
Coverage.extensionExtension0..*
Coverage.modifierExtensionExtension0..*
Coverage.identifierIdentifier0..*
Coverage.statuscode1..1
Coverage.typeCodeableConcept0..1
Coverage.policyHolderReference(Patient | RelatedPerson | Organization)0..1
Coverage.subscriberReference(Patient | RelatedPerson)0..1
Coverage.subscriberIdstring0..1
Coverage.beneficiaryReference(Patient)1..1
Coverage.dependentstring0..1
Coverage.relationshipCodeableConcept0..1
Coverage.periodPeriod0..1
Coverage.payorReference(Organization | Patient | RelatedPerson)1..*
Coverage.classBackboneElement0..*
Coverage.class.idSystem.String0..1
Coverage.class.extensionExtension0..*
Coverage.class.modifierExtensionExtension0..*
Coverage.class.typeCodeableConcept1..1
Coverage.class.valuestring1..1
Coverage.class.namestring0..1
Coverage.orderpositiveInt0..1
Coverage.networkstring0..1
Coverage.costToBeneficiaryBackboneElement0..*
Coverage.costToBeneficiary.idSystem.String0..1
Coverage.costToBeneficiary.extensionExtension0..*
Coverage.costToBeneficiary.modifierExtensionExtension0..*
Coverage.costToBeneficiary.typeCodeableConcept0..1
Coverage.costToBeneficiary.value[x]SimpleQuantity, Money1..1
Coverage.costToBeneficiary.exceptionBackboneElement0..*
Coverage.costToBeneficiary.exception.idSystem.String0..1
Coverage.costToBeneficiary.exception.extensionExtension0..*
Coverage.costToBeneficiary.exception.modifierExtensionExtension0..*
Coverage.costToBeneficiary.exception.typeCodeableConcept1..1
Coverage.costToBeneficiary.exception.periodPeriod0..1
Coverage.subrogationboolean0..1
Coverage.contractReference(Contract)0..*