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EOrders Coverage

EOrders Coverage profile

draft
URLhttp://fhir.geniesolutions.io/StructureDefinition/eorders-coverage
TypeCoverage
Basegs-coverage
Derivation:
Coveragegs-coverageEOrdersCoverage
Element
Flags
Card.
Type
Description
id
MSΣ
1..1
String
Unique resource identifier generated from genie bookings service or contained resource access number, e.g. 1
meta
Σ
0..1
Meta
Metadata about the resource
implicitRules
?!Σ
0..1
uri
A set of rules under which this content was created
language
0..1
code
Language of the resource content
text
0..1
Narrative
Text summary of the resource, for human interpretation
contained
0..*
Resource
Contained, inline Resources
extension
0..*
Extension
Additional content defined by implementations
modifierExtension
?!
0..*
Extension
Extensions that cannot be ignored
identifier
0..*
Identifier
An identifier intended for computation
identifier:mcnslice
MS
0..1
Identifier
Medicare card number should be provided when Coverage type is PUBLICPOL (Bulk Billed)
identifier:dvaslice
MS
0..1
Identifier
DVA number should be provided when Coverage type is VET (DVA)
identifier:insurancemembernumberslice
MS
0..0
Identifier
Private insurance member number should be provided when Coverage type is HIP
status
MS?!Σ
1..1
code
active | cancelled
type
MSΣ
1..1
CodeableConcept
Coverage Type or Self Payment code
policyHolder
Σ
0..1
Reference
Owner of the policy
subscriber
Σ
0..1
Reference
Subscriber to the policy
subscriberId
Σ
0..1
string
ID assigned to the subscriber
beneficiary
Σ
1..1
Reference
Patient
dependent
Σ
0..1
string
Dependent number
relationship
0..1
CodeableConcept
Beneficiary relationship to the subscriber
period
Σ
0..1
Period
Coverage start and end dates
payor
Σ
1..1
Reference
Insurer of the policy (organization), or self funded payor (Patient or RelatedPerson)
class
0..1
BackboneElement
Coverage classification
order
Σ
0..1
positiveInt
Relative order of the coverage
network
Σ
0..1
string
Insurer network
costToBeneficiary
0..*
BackboneElement
Patient payments for services/products
subrogation
0..1
boolean
Reimbursement to insurer
contract
0..*
Reference
Contract details