<del class="diff-old">
This
page
is
part
of
the
FHIR
Specification
(v0.0.82:
DSTU
1).
The
current
version
which
supercedes
this
version
is
5.0.0
.
For
a
full
list
of
available
versions,
see
the
Directory
of
published
versions
Coverage.questionnaire
This
is
an
example
form
generated
from
the
questionnaire.
See
also
the
XML
or
JSON
format.
Coverage.questionnaire
-
FHIR
v0.4.0
 
 
 
 
 
 
 
 
 
 
 
 
 
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Form
Development
Version
FHIR
Home
Documentation
Implementation
Resources
Clinical
Administrative
Infrastructure
Financial
Home
Financial
Coverage
Generated
Questionnaire
This
is
an
example
form
generated
from
the
questionnaire.
See
also
the
XML
or
JSON
format
Insurance
or
medical
plan
Coverage
Coverage.id
Coverage.id.value
Logical
id
of
this
artefact
Coverage.id
1
Metadata
about
the
resource
Coverage.meta
Coverage.meta
1
Coverage.implicitRules
Coverage.implicitRules.value
A
set
of
rules
under
which
this
content
was
created
Coverage.implicitRules
1
Coverage.language
Coverage.language.value
language
Coverage.language
1
Text
summary
of
the
resource,
for
human
interpretation
Coverage.text
Coverage.text
1
Contained,
inline
Resources
Coverage.contained
Coverage.contained
1
Coverage.issuer
Coverage.issuer.value
An
identifier
for
the
plan
issuer
Edit
Coverage.issuer
1
BIN
Number
Coverage.bin
Coverage.bin.label
label:
Coverage.bin.system
system:
Coverage.bin.value
value:
Coverage.bin
1
Coverage
start
and
end
dates
Coverage.period
Coverage.period.low
start:
Coverage.period.end
end:
Coverage.period
1
Coverage.type
Coverage.type.value
Type
of
coverage
Coverage.type
1
Subscriber
ID
Coverage.subscriberId
Coverage.subscriberId.label
label:
Coverage.subscriberId.system
system:
Coverage.subscriberId.value
value:
Coverage.subscriberId
1
The
primary
coverage
ID
Coverage.identifier
Coverage.identifier.label
label:
Coverage.identifier.system
system:
Coverage.identifier.value
value:
Coverage.identifier
1
Coverage.group
Coverage.group.value
An
identifier
for
the
group
Coverage.group
1
Coverage.plan
Coverage.plan.value
An
identifier
for
the
plan
Coverage.plan
1
Coverage.subPlan
Coverage.subPlan.value
An
identifier
for
the
subsection
of
the
plan
Coverage.subPlan
1
Coverage.dependent
Coverage.dependent.value
The
dependent
number
Coverage.dependent
1
Coverage.sequence
Coverage.sequence.value
The
plan
instance
or
sequence
counter
Coverage.sequence
1
Coverage.subscriber
Coverage.subscriber.value
Plan
holder
information
Edit
Coverage.subscriber
1
Insurer
network
Coverage.network
Coverage.network.label
label:
Coverage.network.system
system:
Coverage.network.value
value:
Coverage.network
1
Coverage.contract
Coverage.contract.value
Contract
details
Edit
Coverage.contract
1
Coverage
1
Save
as
Draft
Save
as
Complete
©
HL7.org
2011+.
FHIR
DSTU
(v0.4.0-4902)
generated
on
Fri,
Mar
27,
2015
00:19+1100.
Links:
What's
a
DSTU?
|
Version
History
|
Specification
Map
|
Compare
to
DSTU1
|
|
Propose
a
change
&nbsp;
©
HL7.org
2011+.
FHIR
DSTU
(v0.4.0-4902)
generated
on
Fri,
Mar
27,
2015
00:19+1100.
Links:
What's
a
DSTU?
|
Version
History
|
Specification
Map
|
Compare
to
DSTU1
|
|
Propose
a
change
</del>