description: PAS constraints on Coverage resource mandating support for insurance elements relevant to the prior authorization request
package_name: hl7.fhir.us.davinci-pas
derivation: constraint
name: PASCoverage
type: Coverage
elements:
  status:
    pattern: {type: Code, value: active}
    index: 0
  subscriber:
    type: Reference
    mustSupport: true
    refers: ['http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-subscriber']
    index: 1
  beneficiary:
    type: Reference
    refers: ['http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-beneficiary']
    index: 2
  relationship:
    elements:
      coding:
        index: 3
        slicing:
          rules: open
          description: Send an X12 code along with the FHIR code.
          discriminator:
          - {path: $this, type: value}
          min: null
          slices:
            X12Code:
              match: {}
              schema:
                binding: {strength: required, valueSet: 'https://valueset.x12.org/x217/005010/request/2000D/INS/1/02/00/1069'}
                mustSupport: true
                index: 4
              min: 0
              max: 1
  payor:
    type: Reference
    refers: ['http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-insurer']
    index: 5
package_version: 2.1.0
class: profile
kind: resource
url: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-coverage
base: http://hl7.org/fhir/us/core/StructureDefinition/us-core-coverage
version: 2.1.0