Clinical
Summary
This
page
is
continuing
to
be
in
force
period
:
Period
0..1
The
type
of
coverage:
social
program,
medical
plan,
accident
coverage
(workers
compensation,
auto),
group
health
type
:
Coding
0..1
«
(
The
type
part
of
insurance:
public
health,
worker
compensation;
private
accident,
auto,
private
health,
etc.)
CoverageType
)
»
The
id
issued
to
the
subscriber
subscriberId
:
Identifier
0..1
The
main
(and
possibly
only)
identifier
for
the
coverage
FHIR
Specification
(v5.0.0-ballot:
R5
Ballot
-
often
referred
to
as
a
Member
Id,
Subscriber
Id,
Certificate
number
or
Personal
Health
Number
or
Case
ID
identifier
:
Identifier
0..*
Identifies
a
style
or
collective
of
coverage
issues
by
the
underwriter,
for
example
may
be
used
to
identify
a
class
of
coverage
or
employer
group.
May
also
be
referred
to
as
a
Policy
or
Group
ID
group
:
string
0..1
Identifies
a
style
or
collective
of
coverage
issues
by
the
underwriter,
for
example
may
be
used
to
identify
a
class
of
coverage
or
employer
group.
May
also
be
referred
to
as
a
Policy
or
Group
ID
plan
:
string
0..1
Identifies
a
sub-style
or
sub-collective
of
coverage
issues
by
the
underwriter,
for
example
may
be
used
to
identify
a
specific
employer
group
within
a
class
of
employers.
May
be
referred
to
as
a
Section
or
Division
ID
subPlan
:
string
0..1
A
unique
identifier
for
a
dependent
under
the
coverage
dependent
:
integer
0..1
An
optional
counter
for
a
particular
instance
of
the
identified
coverage
which
increments
upon
each
renewal
sequence
:
integer
0..1
The
party
who
'owns'
the
insurance
contractual
relationship
to
the
policy
or
to
whom
the
benefit
of
the
policy
is
due
(this
element
modifies
the
meaning
of
other
elements)
subscriber
:
Reference
(
Patient
)
0..1
The
identifier
for
a
community
of
providers
network
:
Identifier
see
ballot
notes
0..1
).
The
policy(s)
current
version
which
constitute
supercedes
this
insurance
coverage
contract
:
Reference
(
Contract
)
0..*
XML
Template
<
<!-- from -->
<!-- from -->
<</issuer>
<</bin>
<</period>
<</type>
<</subscriberId>
<</identifier>
<
<
<
<
<
<</subscriber>
<</network>
<</contract>
</Coverage>
JSON
Template
{
"resourceType" : "",
// from
// from
"
"
"
"
"
"
"
"
"
"
"
"
"
"
}
Structure
Name
Flags
Card.
Type
Description
&
Constraints
Coverage
DomainResource
Insurance
or
medical
plan
issuer
Σ
0..1
Organization
An
identifier
for
the
plan
issuer
bin
0..1
Identifier
BIN
Number
period
Σ
0..1
Period
Coverage
start
and
end
dates
type
Σ
0..1
Coding
Type
version
is
5.0.0
.
For
a
full
list
of
coverage
CoverageType
(
Example
)
subscriberId
Σ
0..1
Identifier
Subscriber
ID
identifier
Σ
0..*
Identifier
The
primary
coverage
ID
group
Σ
0..1
string
An
identifier
for
the
group
plan
Σ
0..1
string
An
identifier
for
the
plan
subPlan
Σ
0..1
string
An
identifier
for
available
versions,
see
the
subsection
Directory
of
the
plan
dependent
Σ
0..1
integer
The
dependent
number
sequence
published
versions
.
Page
versions:
R5
Σ
0..1
integer
R4B
The
plan
instance
or
sequence
counter
subscriber
R4
R3
?!
|
Patient
Care
|
Maturity Level : N/A |
|
|
Raw
Turtle
0..1
Identifies
a
style
or
collective
of
coverage
issues
by
the
underwriter,
for
example
may
be
used
to
identify
a
class
of
coverage
or
employer
group.
May
(+
also
be
referred
to
as
a
Policy
or
Group
ID
plan
:
string
0..1
Identifies
a
sub-style
or
sub-collective
of
coverage
issues
by
the
underwriter,
for
example
may
be
used
to
identify
a
specific
employer
group
within
a
class
of
employers.
May
be
referred
to
as
a
Section
or
Division
ID
subPlan
:
string
0..1
A
unique
identifier
for
a
dependent
under
the
coverage
dependent
:
integer
0..1
An
optional
counter
for
a
particular
instance
of
the
identified
coverage
which
increments
upon
each
renewal
sequence
:
integer
0..1
The
party
who
'owns'
the
insurance
contractual
relationship
to
the
policy
or
to
whom
the
benefit
of
the
policy
is
due
(this
element
modifies
the
meaning
of
other
elements)
subscriber
:
Reference
(
Patient
)
0..1
The
identifier
for
a
community
of
providers
network
:
Identifier
0..1
The
policy(s)
which
constitute
this
insurance
coverage
contract
:
Reference
(
Contract
see
Turtle/RDF
Format
Specification
)
0..*
XML
Template
JSON
Template
Real-word
condition
example
(Bacterial
Infection)
Search
parameters
for
this
resource.
The
common
parameters
also
apply.
See
Searching
for
more
information
about
searching
in
REST,
messaging,
and
services.
Name
Type
Description
Paths
dependent
token
Dependent
number
Coverage.dependent
group
token
Group
identifier
Coverage.group
identifier
token
The
primary
identifier
of
Usage
note:
every
effort
has
been
made
to
ensure
that
the
insured
Coverage.identifier
issuer
reference
The
identity
examples
are
correct
and
useful,
but
they
are
not
a
normative
part
of
the
insurer
Coverage.issuer
(
Organization
)
plan
token
A
plan
or
policy
identifier
Coverage.plan
sequence
token
Sequence
number
Coverage.sequence
subplan
token
Sub-plan
identifier
Coverage.subPlan
type
token
The
kind
of
coverage
Coverage.type
specification.
©
FHIR
®©
HL7.org
2011+.
FHIR
DSTU
(v0.4.0-4902)
R5
Ballot
hl7.fhir.core#5.0.0-ballot
generated
on
Fri,
Mar
27,
2015
00:19+1100.
Sat,
Sep
10,
2022
05:02+1000.
Links:
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a
DSTU?
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|
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|
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|
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|
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to
DSTU1
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|
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to
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|
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