<StructureDefinition xmlns="http://hl7.org/fhir">
  <meta>
    <lastUpdated value="2022-11-08T10:46:36.3860422+00:00" />
  </meta>
  <url value="https://hl7.pt/fhir/StructureDefinition/PT_Coverage" />
  <version value="1.1" />
  <name value="PT_Coverage" />
  <status value="draft" />
  <experimental value="false" />
  <date value="2022-11-08T10:47:34.3124993+00:00" />
  <description value="A generic Coverage resource for Portugal" />
  <fhirVersion value="4.0.1" />
  <kind value="resource" />
  <abstract value="false" />
  <type value="Coverage" />
  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Coverage" />
  <derivation value="constraint" />
  <differential>
    <element id="Coverage.meta">
      <path value="Coverage.meta" />
    </element>
    <element id="Coverage.meta.id">
      <path value="Coverage.meta.id" />
      <max value="0" />
    </element>
    <element id="Coverage.meta.versionId">
      <path value="Coverage.meta.versionId" />
      <max value="0" />
    </element>
    <element id="Coverage.meta.source">
      <path value="Coverage.meta.source" />
      <max value="0" />
    </element>
    <element id="Coverage.meta.profile">
      <path value="Coverage.meta.profile" />
      <max value="0" />
    </element>
    <element id="Coverage.meta.security">
      <path value="Coverage.meta.security" />
      <max value="0" />
    </element>
    <element id="Coverage.meta.tag">
      <path value="Coverage.meta.tag" />
      <max value="0" />
    </element>
    <element id="Coverage.implicitRules">
      <path value="Coverage.implicitRules" />
      <max value="0" />
    </element>
    <element id="Coverage.language">
      <path value="Coverage.language" />
      <max value="0" />
    </element>
    <element id="Coverage.text">
      <path value="Coverage.text" />
      <max value="0" />
    </element>
    <element id="Coverage.contained">
      <path value="Coverage.contained" />
      <max value="0" />
    </element>
    <element id="Coverage.extension">
      <path value="Coverage.extension" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="url" />
        </discriminator>
        <rules value="open" />
      </slicing>
      <min value="0" />
    </element>
    <element id="Coverage.extension:EconomicInsufficiency">
      <path value="Coverage.extension" />
      <sliceName value="EconomicInsufficiency" />
      <min value="0" />
      <max value="1" />
      <type>
        <code value="Extension" />
        <profile value="https://hl7.pt/fhir/StructureDefinition/EconomicInsufficiency" />
      </type>
    </element>
    <element id="Coverage.identifier">
      <path value="Coverage.identifier" />
      <mapping>
        <identity value="HL7v2.x" />
        <map value="IN1-2" />
      </mapping>
    </element>
    <element id="Coverage.identifier.id">
      <path value="Coverage.identifier.id" />
      <max value="0" />
    </element>
    <element id="Coverage.identifier.type">
      <path value="Coverage.identifier.type" />
      <max value="0" />
    </element>
    <element id="Coverage.identifier.system">
      <path value="Coverage.identifier.system" />
      <mapping>
        <identity value="HL7v2.x" />
        <map value="IN1-2.3" />
      </mapping>
    </element>
    <element id="Coverage.identifier.value">
      <path value="Coverage.identifier.value" />
      <mapping>
        <identity value="HL7v2.x" />
        <map value="IN1-2.1" />
      </mapping>
    </element>
    <element id="Coverage.identifier.period">
      <path value="Coverage.identifier.period" />
      <max value="0" />
    </element>
    <element id="Coverage.identifier.assigner.id">
      <path value="Coverage.identifier.assigner.id" />
      <max value="0" />
    </element>
    <element id="Coverage.identifier.assigner.reference">
      <path value="Coverage.identifier.assigner.reference" />
      <max value="0" />
    </element>
    <element id="Coverage.identifier.assigner.type">
      <path value="Coverage.identifier.assigner.type" />
      <max value="0" />
    </element>
    <element id="Coverage.identifier.assigner.identifier">
      <path value="Coverage.identifier.assigner.identifier" />
      <max value="0" />
    </element>
    <element id="Coverage.status">
      <path value="Coverage.status" />
      <mapping>
        <identity value="HL7v2.x" />
        <map value="IN1-45, but if this HL7 field is not sent, pay attention to the period element. When you only have period.start, should be &quot;active&quot;. When it has passed (period.end), should be &quot;cancelled&quot;." />
      </mapping>
    </element>
    <element id="Coverage.type">
      <path value="Coverage.type" />
      <mapping>
        <identity value="HL7v2.x" />
        <map value="IN1-15" />
      </mapping>
    </element>
    <element id="Coverage.type.id">
      <path value="Coverage.type.id" />
      <max value="0" />
    </element>
    <element id="Coverage.type.coding.id">
      <path value="Coverage.type.coding.id" />
      <max value="0" />
    </element>
    <element id="Coverage.type.coding.version">
      <path value="Coverage.type.coding.version" />
      <max value="0" />
    </element>
    <element id="Coverage.type.coding.code">
      <path value="Coverage.type.coding.code" />
      <example>
        <label value="Code Example 1" />
        <valueCode value="EHCPOL" />
      </example>
      <example>
        <label value="Code Example 2" />
        <valueCode value="SUBSIDIZ" />
      </example>
      <mapping>
        <identity value="HL7v2.x" />
        <map value="IN1-15.1" />
      </mapping>
    </element>
    <element id="Coverage.type.coding.display">
      <path value="Coverage.type.coding.display" />
      <example>
        <label value="Display Example 1" />
        <valueString value="Extended Healthcare" />
      </example>
      <example>
        <label value="Display Example 2" />
        <valueString value="Subsidized Health Program" />
      </example>
    </element>
    <element id="Coverage.type.coding.userSelected">
      <path value="Coverage.type.coding.userSelected" />
      <max value="0" />
    </element>
    <element id="Coverage.type.text">
      <path value="Coverage.type.text" />
      <example>
        <label value="Text Example 1" />
        <valueString value="Apólice de Seguro Privado" />
      </example>
      <example>
        <label value="Text Example 2" />
        <valueString value="Programa de Saúde do Governo" />
      </example>
    </element>
    <element id="Coverage.policyHolder">
      <path value="Coverage.policyHolder" />
      <type>
        <code value="Reference" />
        <targetProfile value="https://hl7.pt/fhir/StructureDefinition/PT_Patient" />
        <targetProfile value="https://hl7.pt/fhir/StructureDefinition/PT_RelatedPerson" />
        <targetProfile value="https://hl7.pt/fhir/StructureDefinition/PT_Organization" />
      </type>
    </element>
    <element id="Coverage.policyHolder.id">
      <path value="Coverage.policyHolder.id" />
      <max value="0" />
    </element>
    <element id="Coverage.policyHolder.reference">
      <path value="Coverage.policyHolder.reference" />
      <max value="0" />
    </element>
    <element id="Coverage.policyHolder.type">
      <path value="Coverage.policyHolder.type" />
      <max value="0" />
    </element>
    <element id="Coverage.policyHolder.identifier">
      <path value="Coverage.policyHolder.identifier" />
      <max value="0" />
    </element>
    <element id="Coverage.policyHolder.display">
      <path value="Coverage.policyHolder.display" />
      <mapping>
        <identity value="HL7v2.x-Patient" />
        <map value="Patient/PID-3 c/ SNS; PID-18.1; PID-3 c/ SONHO" />
      </mapping>
      <mapping>
        <identity value="HL7v2.x-RelatedPerson" />
        <map value="RelatedPerson/NK1-33.1" />
      </mapping>
      <mapping>
        <identity value="HL7v2.x-Organization" />
        <map value="Organization/IN1-3.1; IN2-25; [ORG-2.1; MSH-6; ORC-17.1; ORC-21.3 or ORC-21.10]" />
      </mapping>
    </element>
    <element id="Coverage.subscriber">
      <path value="Coverage.subscriber" />
      <type>
        <code value="Reference" />
        <targetProfile value="https://hl7.pt/fhir/StructureDefinition/PT_Patient" />
        <targetProfile value="https://hl7.pt/fhir/StructureDefinition/PT_RelatedPerson" />
      </type>
    </element>
    <element id="Coverage.subscriber.id">
      <path value="Coverage.subscriber.id" />
      <max value="0" />
    </element>
    <element id="Coverage.subscriber.reference">
      <path value="Coverage.subscriber.reference" />
      <max value="0" />
    </element>
    <element id="Coverage.subscriber.type">
      <path value="Coverage.subscriber.type" />
      <max value="0" />
    </element>
    <element id="Coverage.subscriber.identifier">
      <path value="Coverage.subscriber.identifier" />
      <max value="0" />
    </element>
    <element id="Coverage.subscriber.display">
      <path value="Coverage.subscriber.display" />
      <mapping>
        <identity value="HL7v2.x-Patient" />
        <map value="Patient/PID-3 c/ SNS; PID-18.1; PID-3 c/ SONHO" />
      </mapping>
      <mapping>
        <identity value="HL7v2.x-RelatedPerson" />
        <map value="RelatedPerson/NK1-33.1" />
      </mapping>
    </element>
    <element id="Coverage.beneficiary">
      <path value="Coverage.beneficiary" />
      <type>
        <code value="Reference" />
        <targetProfile value="https://hl7.pt/fhir/StructureDefinition/PT_Patient" />
      </type>
    </element>
    <element id="Coverage.beneficiary.id">
      <path value="Coverage.beneficiary.id" />
      <max value="0" />
    </element>
    <element id="Coverage.beneficiary.type">
      <path value="Coverage.beneficiary.type" />
      <max value="0" />
    </element>
    <element id="Coverage.beneficiary.identifier">
      <path value="Coverage.beneficiary.identifier" />
      <max value="0" />
    </element>
    <element id="Coverage.beneficiary.display">
      <path value="Coverage.beneficiary.display" />
      <max value="0" />
      <mapping>
        <identity value="HL7v2.x" />
        <map value="Patient/PID-3 c/ SNS; PID-18.1; PID-3 c/ SONHO" />
      </mapping>
    </element>
    <element id="Coverage.dependent">
      <path value="Coverage.dependent" />
      <max value="0" />
    </element>
    <element id="Coverage.relationship.id">
      <path value="Coverage.relationship.id" />
      <max value="0" />
    </element>
    <element id="Coverage.relationship.coding.id">
      <path value="Coverage.relationship.coding.id" />
      <max value="0" />
    </element>
    <element id="Coverage.relationship.coding.system">
      <path value="Coverage.relationship.coding.system" />
      <mapping>
        <identity value="HL7v2.x" />
        <map value="IN1-17.3" />
      </mapping>
    </element>
    <element id="Coverage.relationship.coding.version">
      <path value="Coverage.relationship.coding.version" />
      <max value="0" />
    </element>
    <element id="Coverage.relationship.coding.code">
      <path value="Coverage.relationship.coding.code" />
      <mapping>
        <identity value="HL7v2.x" />
        <map value="IN1-17.1" />
      </mapping>
    </element>
    <element id="Coverage.relationship.coding.display">
      <path value="Coverage.relationship.coding.display" />
      <mapping>
        <identity value="HL7v2.x" />
        <map value="IN1-17.2" />
      </mapping>
    </element>
    <element id="Coverage.relationship.coding.userSelected">
      <path value="Coverage.relationship.coding.userSelected" />
      <max value="0" />
    </element>
    <element id="Coverage.relationship.text">
      <path value="Coverage.relationship.text" />
      <mapping>
        <identity value="HL7v2.x" />
        <map value="Translation to [PT] of the display field" />
      </mapping>
    </element>
    <element id="Coverage.period.id">
      <path value="Coverage.period.id" />
      <max value="0" />
    </element>
    <element id="Coverage.period.start">
      <path value="Coverage.period.start" />
      <mapping>
        <identity value="HL7v2.x" />
        <map value="IN1-12" />
      </mapping>
    </element>
    <element id="Coverage.period.end">
      <path value="Coverage.period.end" />
      <mapping>
        <identity value="HL7v2.x" />
        <map value="IN1-13" />
      </mapping>
    </element>
    <element id="Coverage.payor">
      <path value="Coverage.payor" />
      <definition value="The program or plan underwriter or payor including both insurance and non-insurance agreements, such as patient-pay agreements.&#xD;&#xA;PT - it is necessary to create a list of responsible entities ​​for a correct mapping" />
      <type>
        <code value="Reference" />
        <targetProfile value="https://hl7.pt/fhir/StructureDefinition/PT_Organization" />
        <targetProfile value="https://hl7.pt/fhir/StructureDefinition/PT_RelatedPerson" />
        <targetProfile value="https://hl7.pt/fhir/StructureDefinition/PT_Patient" />
      </type>
    </element>
    <element id="Coverage.payor.id">
      <path value="Coverage.payor.id" />
      <max value="0" />
    </element>
    <element id="Coverage.payor.type">
      <path value="Coverage.payor.type" />
      <max value="0" />
    </element>
    <element id="Coverage.payor.identifier">
      <path value="Coverage.payor.identifier" />
      <max value="0" />
    </element>
    <element id="Coverage.payor.display">
      <path value="Coverage.payor.display" />
      <max value="0" />
      <mapping>
        <identity value="HL7v2.x-Organization" />
        <map value="Organization/IN1-3.1; IN2-25" />
      </mapping>
      <mapping>
        <identity value="HL7v2.x-RelatedPerson" />
        <map value="RelatedPerson/NK1-33.1" />
      </mapping>
      <mapping>
        <identity value="HL7v2.x-Patient" />
        <map value="Patient/PID-3 c/ SNS; PID-18.1; PID-3 c/ SONHO" />
      </mapping>
    </element>
    <element id="Coverage.class">
      <path value="Coverage.class" />
      <mapping>
        <identity value="HL7v2.x" />
        <map value="ZID-2; ZID-3; ZID-6" />
      </mapping>
    </element>
    <element id="Coverage.class.id">
      <path value="Coverage.class.id" />
      <max value="0" />
    </element>
    <element id="Coverage.class.type.id">
      <path value="Coverage.class.type.id" />
      <max value="0" />
    </element>
    <element id="Coverage.class.type.coding.id">
      <path value="Coverage.class.type.coding.id" />
      <max value="0" />
    </element>
    <element id="Coverage.class.type.coding.system">
      <path value="Coverage.class.type.coding.system" />
      <mapping>
        <identity value="HL7v2.x" />
        <map value="ZID-2.3; ZID-3.3; ZID-6.3" />
      </mapping>
    </element>
    <element id="Coverage.class.type.coding.version">
      <path value="Coverage.class.type.coding.version" />
      <max value="0" />
    </element>
    <element id="Coverage.class.type.coding.code">
      <path value="Coverage.class.type.coding.code" />
      <mapping>
        <identity value="HL7v2.x" />
        <map value="ZID-2.1; ZID-3.1; ZID-6.1" />
      </mapping>
    </element>
    <element id="Coverage.class.type.coding.display">
      <path value="Coverage.class.type.coding.display" />
      <mapping>
        <identity value="HL7v2.x" />
        <map value="ZID-2.2; ZID-3.2; ZID-6.2" />
      </mapping>
    </element>
    <element id="Coverage.class.type.coding.userSelected">
      <path value="Coverage.class.type.coding.userSelected" />
      <max value="0" />
    </element>
    <element id="Coverage.class.type.text">
      <path value="Coverage.class.type.text" />
      <mapping>
        <identity value="HL7v2.x" />
        <map value="if necessary - Translation to [PT] of the display field" />
      </mapping>
    </element>
    <element id="Coverage.class.value">
      <path value="Coverage.class.value" />
      <mapping>
        <identity value="HL7v2.x" />
        <map value="ZID-2.4; ZID-3.4; ZID-6.4" />
      </mapping>
    </element>
    <element id="Coverage.class.name">
      <path value="Coverage.class.name" />
      <mapping>
        <identity value="HL7v2.x" />
        <map value="ZID-2.5; ZID-3.5; ZID-6.5" />
      </mapping>
    </element>
    <element id="Coverage.order">
      <path value="Coverage.order" />
      <mapping>
        <identity value="HL7v2.x" />
        <map value="IN1-1 = 1 (priority)" />
      </mapping>
    </element>
    <element id="Coverage.network">
      <path value="Coverage.network" />
      <max value="0" />
    </element>
    <element id="Coverage.costToBeneficiary">
      <path value="Coverage.costToBeneficiary" />
      <mapping>
        <identity value="HL7v2.x" />
        <map value="IN1-37" />
      </mapping>
    </element>
    <element id="Coverage.costToBeneficiary.id">
      <path value="Coverage.costToBeneficiary.id" />
      <max value="0" />
    </element>
    <element id="Coverage.costToBeneficiary.type">
      <path value="Coverage.costToBeneficiary.type" />
      <mapping>
        <identity value="HL7v2.x" />
        <map value="IN1-37.2" />
      </mapping>
    </element>
    <element id="Coverage.costToBeneficiary.type.id">
      <path value="Coverage.costToBeneficiary.type.id" />
      <max value="0" />
    </element>
    <element id="Coverage.costToBeneficiary.type.coding.id">
      <path value="Coverage.costToBeneficiary.type.coding.id" />
      <max value="0" />
    </element>
    <element id="Coverage.costToBeneficiary.type.coding.version">
      <path value="Coverage.costToBeneficiary.type.coding.version" />
      <max value="0" />
    </element>
    <element id="Coverage.costToBeneficiary.type.coding.code">
      <path value="Coverage.costToBeneficiary.type.coding.code" />
      <mapping>
        <identity value="HL7v2.x" />
        <map value="IN1-37.2.1" />
      </mapping>
    </element>
    <element id="Coverage.costToBeneficiary.type.coding.userSelected">
      <path value="Coverage.costToBeneficiary.type.coding.userSelected" />
      <max value="0" />
    </element>
    <element id="Coverage.costToBeneficiary.value[x]">
      <path value="Coverage.costToBeneficiary.value[x]" />
      <mapping>
        <identity value="HL7v2.x" />
        <map value="IN1-37.1.1" />
      </mapping>
    </element>
    <element id="Coverage.subrogation">
      <path value="Coverage.subrogation" />
      <max value="0" />
    </element>
  </differential>
</StructureDefinition>