{ "resourceType": "StructureDefinition", "id": "argo-coverage", "text": { "status": "generated", "div": "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
NameFlagsCard.TypeDescription & Constraints\"doco\"
\".\"\".\" Coverage 0..*
\".\"\".\"\".\" id S0..1id
\".\"\".\"\".\" identifier S0..*Identifier
\".\"\".\"\".\" status S1..1code
\".\"\".\"\".\" type S0..1CodeableConceptBinding: Coverage Type and Self-Pay Codes (extensible)
\".\"\".\"\".\" subscriber S0..1Reference(US Core Patient Profile | RelatedPerson)Suscriber (in case dependent is patient)
\".\"\".\"\".\" subscriberId S0..1stringSubscriber ID
\".\"\".\"\".\" relationship S0..1CodeableConceptBinding: Policyholder Relationship Codes (extensible)
\".\"\".\"\".\" period S0..1Period
\".\"\".\"\".\" payor S1..*Reference(US Core Organization Profile | US Core Patient Profile | RelatedPerson)Payer
\".\"\".\"\".\" grouping S1..1BackboneElement
\".\"\".\"\".\"\".\" plan S1..1stringPlan ID
\".\"\".\"\".\"\".\" planDisplay S1..1stringPlan Name

\"doco\" Documentation for this format
" }, "url": "http://fhir.org/guides/argonaut-scheduling/StructureDefinition/argo-coverage", "version": "1.0.0", "name": "Argonaut_Coverage_Profile", "title": "Argonaut Coverage Profile", "status": "active", "date": "2017-11-06T13:00:00+00:00", "publisher": "Argonaut Project", "contact": [ { "telecom": [ { "system": "url", "value": "http://argonautwiki.hl7.org" } ] } ], "description": "The Argonaut Coverage Profile profile is used to provide insurance information for scheduling an appointment and or registering a patient.", "jurisdiction": [ { "coding": [ { "system": "urn:iso:std:iso:3166", "code": "US", "display": "United States of America" } ] } ], "fhirVersion": "3.0.1", "mapping": [ { "identity": "workflow", "uri": "http://hl7.org/fhir/workflow", "name": "Workflow Mapping" }, { "identity": "rim", "uri": "http://hl7.org/v3", "name": "RIM Mapping" }, { "identity": "w5", "uri": "http://hl7.org/fhir/w5", "name": "W5 Mapping" }, { "identity": "cdanetv4", "uri": "http://www.cda-adc.ca/en/services/cdanet/", "name": "Canadian Dental Association eclaims standard" }, { "identity": "v2", "uri": "http://hl7.org/v2", "name": "HL7 v2 Mapping" }, { "identity": "cpha3pharm", "uri": "http://www.pharmacists.ca/", "name": "Canadian Pharmacy Associaiton eclaims standard" } ], "kind": "resource", "abstract": false, "type": "Coverage", "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Coverage", "derivation": "constraint", "differential": { "element": [ { "id": "Coverage", "path": "Coverage", "definition": "This is the Coverage profile which is used to provide insurance information for scheduling an appointment and or registering a patient.", "mustSupport": false }, { "id": "Coverage.id", "path": "Coverage.id", "comment": "This may be the same as the SubscriberID or the Concatenetation of the SubscriberID + the Subscriber suffix.", "mustSupport": true }, { "id": "Coverage.identifier", "path": "Coverage.identifier", "comment": "This may be the same as the SubscriberID or the Concatenetation of the SubscriberID + the Subscriber suffix.", "alias": [ "SubscriberID" ], "mustSupport": true }, { "id": "Coverage.status", "path": "Coverage.status", "min": 1, "max": "1", "type": [ { "code": "code" } ], "mustSupport": true }, { "id": "Coverage.type", "path": "Coverage.type", "type": [ { "code": "CodeableConcept" } ], "mustSupport": true, "binding": { "strength": "extensible", "valueSetReference": { "reference": "http://hl7.org/fhir/ValueSet/coverage-type" } } }, { "id": "Coverage.subscriber", "path": "Coverage.subscriber", "short": "Suscriber (in case dependent is patient)", "min": 0, "max": "1", "type": [ { "code": "Reference", "targetProfile": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient" }, { "code": "Reference", "targetProfile": "http://hl7.org/fhir/StructureDefinition/RelatedPerson" } ], "mustSupport": true }, { "id": "Coverage.subscriberId", "path": "Coverage.subscriberId", "short": "Subscriber ID", "min": 0, "max": "1", "mustSupport": true }, { "id": "Coverage.relationship", "path": "Coverage.relationship", "min": 0, "max": "1", "type": [ { "code": "CodeableConcept" } ], "mustSupport": true, "binding": { "strength": "extensible", "valueSetReference": { "reference": "http://hl7.org/fhir/ValueSet/policyholder-relationship" } } }, { "id": "Coverage.period", "path": "Coverage.period", "mustSupport": true }, { "id": "Coverage.payor", "path": "Coverage.payor", "short": "Payer", "min": 1, "max": "*", "type": [ { "code": "Reference", "targetProfile": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization" }, { "code": "Reference", "targetProfile": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient" }, { "code": "Reference", "targetProfile": "http://hl7.org/fhir/StructureDefinition/RelatedPerson" } ], "mustSupport": true }, { "id": "Coverage.grouping", "path": "Coverage.grouping", "min": 1, "max": "1", "mustSupport": true }, { "id": "Coverage.grouping.plan", "path": "Coverage.grouping.plan", "short": "Plan ID", "min": 1, "max": "1", "mustSupport": true }, { "id": "Coverage.grouping.planDisplay", "path": "Coverage.grouping.planDisplay", "short": "Plan Name", "min": 1, "max": "1", "mustSupport": true } ] } }