Coverage

Coverage

draftFHIR Core package4.3.0resource7 key elements

Financial instrument which may be used to reimburse or pay for health care products and services. Includes both insurance and self-payment.

Metadata

hl7.org/fhir
Canonical URL
http://hl7.org/fhir/StructureDefinition/Coverage
ID
Coverage
Type
Coverage
Base Definition
DomainResource
Derivation
specialization
Mandatory and Must-Support Elements

Elements with cardinality > 0 or marked as Must Support (S)

PathCard.TypeFlagsDescription
status1..1
code
1+
active | cancelled | draft | entered-in-error
beneficiary1..1
Reference
1+
Plan beneficiary
payor1..*
Reference
1+
Issuer of the policy
class.type1..1
CodeableConcept
1+
Type of class such as 'group' or 'plan'
class.value1..1
string
1+
Value associated with the type
costToBeneficiary.value[x]1..1
QuantityMoney
1+
The amount or percentage due from the beneficiary
costToBeneficiary.exception.type1..1
CodeableConcept
1+
Exception category