description: This profile specifies constraints on the Coverage resource to support coverage requirements discovery.
package_name: hl7.fhir.us.davinci
derivation: constraint
name: Coverage
type: Coverage
elements:
  policyHolder:
    type: Reference
    mustSupport: true
    refers: ['http://hl7.org/fhir/us/davinci-crd/StructureDefinition/profile-organization', 'http://hl7.org/fhir/us/davinci-crd/StructureDefinition/profile-patient']
    index: 5
  beneficiary:
    type: Reference
    mustSupport: true
    refers: ['http://hl7.org/fhir/us/davinci-crd/StructureDefinition/profile-patient']
    index: 8
  relationship: {mustSupport: true, index: 10}
  type:
    binding: {strength: extensible, valueSet: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591'}
    mustSupport: true
    index: 4
  costToBeneficiary: {index: 24}
  subscriber:
    type: Reference
    mustSupport: true
    refers: ['http://hl7.org/fhir/us/davinci-crd/StructureDefinition/profile-patient']
    index: 6
  payor:
    type: Reference
    mustSupport: true
    refers: ['http://hl7.org/fhir/us/davinci-crd/StructureDefinition/profile-organization', 'http://hl7.org/fhir/us/davinci-crd/StructureDefinition/profile-patient']
    index: 12
  status: {mustSupport: true, index: 3}
  class:
    mustSupport: true
    index: 13
    slicing:
      rules: open
      discriminator:
      - {path: type, type: pattern}
      min: null
      slices:
        group:
          match:
            type:
              coding:
              - {code: group, system: 'http://terminology.hl7.org/CodeSystem/coverage-class'}
          schema:
            mustSupport: true
            index: 14
            elements:
              type:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: group, system: 'http://terminology.hl7.org/CodeSystem/coverage-class'}
                index: 15
              value: {short: Group Number, mustSupport: true, index: 16}
              name: {short: Group Name, mustSupport: true, index: 17}
        plan:
          match:
            type:
              coding:
              - {code: plan, system: 'http://terminology.hl7.org/CodeSystem/coverage-class'}
          schema:
            mustSupport: true
            index: 18
            elements:
              type:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: plan, system: 'http://terminology.hl7.org/CodeSystem/coverage-class'}
                index: 19
              value: {short: Plan Number, mustSupport: true, index: 20}
              name: {short: Plan Name, mustSupport: true, index: 21}
  identifier:
    mustSupport: true
    index: 0
    slicing:
      rules: open
      discriminator:
      - {path: type, type: pattern}
      min: null
      slices:
        MBIdentifier:
          match:
            type:
              coding:
              - {code: MB, system: 'http://terminology.hl7.org/CodeSystem/v2-0203'}
          schema:
            short: EMR Identifier for MB
            mustSupport: true
            index: 1
            elements:
              type:
                mustSupport: true
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: MB, system: 'http://terminology.hl7.org/CodeSystem/v2-0203'}
                index: 2
            required: [type]
  order: {mustSupport: true, index: 22}
  network: {mustSupport: true, index: 23}
  period: {mustSupport: true, index: 11}
  dependent: {mustSupport: true, index: 9}
  subscriberId: {mustSupport: true, index: 7}
package_version: crd-2.0.1
class: profile
kind: resource
url: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/profile-coverage
base: http://hl7.org/fhir/StructureDefinition/Coverage
version: 2.0.1