{
"description": "Input Coverage Parameter supplied for the individual member match. When the same patient is submitted with multiple different coverage plans, this optional extension allows the responder to include the submitted Coverage resource alongside the submitted Patient resource, enabling the requester to unambiguously identify which (patient + coverage) pair each Group member entry corresponds to.",
"_filename": "StructureDefinition-base-ext-match-coverage.json",
"package_name": "hl7.fhir.us.davinci-pdex",
"date": "2026-08-22T03:20:18+10:00",
"derivation": "constraint",
"publisher": "HL7 International / Financial Management",
"fhirVersion": "4.0.1",
"jurisdiction": [ {
"coding": [ {
"code": "US",
"system": "urn:iso:std:iso:3166",
"display": "United States of America"
} ]
} ],
"name": "MatchCoverage",
"mapping": [ {
"uri": "http://hl7.org/v3",
"name": "RIM Mapping",
"identity": "rim"
} ],
"abstract": false,
"copyright": "Used by permission of HL7 International, all rights reserved Creative Commons License",
"type": "Extension",
"experimental": null,
"resourceType": "StructureDefinition",
"title": "Member-Match Input Coverage Parameter",
"package_version": "2.2.0",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
"valueCode": "fm"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
"valueInteger": 2,
"_valueInteger": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
"valueCanonical": "http://hl7.org/fhir/us/davinci-pdex/ImplementationGuide/hl7.fhir.us.davinci-pdex"
} ]
}
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "trial-use",
"_valueCode": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
"valueCanonical": "http://hl7.org/fhir/us/davinci-pdex/ImplementationGuide/hl7.fhir.us.davinci-pdex"
} ]
}
} ],
"snapshot": {
"element": [ {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Extension",
"min": 0,
"definition": "Input Coverage Parameter supplied for the individual member match. When the same patient is submitted with multiple different coverage plans, this optional extension allows the responder to include the submitted Coverage resource alongside the submitted Patient resource, enabling the requester to unambiguously identify which (patient + coverage) pair each Group member entry corresponds to.",
"isModifier": false,
"short": "Member-Match Input Coverage Parameter",
"max": "*",
"id": "Extension",
"condition": [ "ele-1" ],
"base": {
"max": "*",
"min": 0,
"path": "Extension"
}
}, {
"path": "Extension.id",
"min": 0,
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"isModifier": false,
"short": "Unique id for inter-element referencing",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "http://hl7.org/fhirpath/System.String",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
} ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Extension.id",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Extension.extension",
"min": 0,
"definition": "An Extension",
"isModifier": false,
"short": "Extension",
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"max": "0",
"id": "Extension.extension",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
},
"isSummary": false
}, {
"path": "Extension.url",
"min": 1,
"definition": "Source of the definition for the extension code - a logical name or a URL.",
"isModifier": false,
"short": "identifies the meaning of the extension",
"fixedUri": "http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/base-ext-match-coverage",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "http://hl7.org/fhirpath/System.String",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "uri"
} ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Extension.url",
"comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
"base": {
"max": "1",
"min": 1,
"path": "Extension.url"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Extension.value[x]",
"min": 0,
"definition": "Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/R4/extensibility.html) for a list).",
"isModifier": false,
"short": "Value of extension",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Reference",
"targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Coverage" ]
} ],
"max": "1",
"id": "Extension.value[x]",
"base": {
"max": "1",
"min": 0,
"path": "Extension.value[x]"
},
"isSummary": false
} ],
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version",
"valueString": "4.0.1"
} ]
},
"status": "active",
"id": "38927ffa-1646-4324-9862-668ead30bca3",
"kind": "complex-type",
"url": "http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/base-ext-match-coverage",
"identifier": [ {
"value": "urn:oid:2.16.840.1.113883.4.642.40.8.42.39",
"system": "urn:ietf:rfc:3986"
} ],
"context": [ {
"type": "element",
"expression": "Group.member.entity"
} ],
"version": "2.2.0",
"differential": {
"element": [ {
"id": "Extension",
"path": "Extension",
"short": "Member-Match Input Coverage Parameter",
"definition": "Input Coverage Parameter supplied for the individual member match. When the same patient is submitted with multiple different coverage plans, this optional extension allows the responder to include the submitted Coverage resource alongside the submitted Patient resource, enabling the requester to unambiguously identify which (patient + coverage) pair each Group member entry corresponds to."
}, {
"id": "Extension.extension",
"max": "0",
"path": "Extension.extension"
}, {
"id": "Extension.url",
"path": "Extension.url",
"fixedUri": "http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/base-ext-match-coverage"
}, {
"id": "Extension.value[x]",
"path": "Extension.value[x]",
"type": [ {
"code": "Reference",
"targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Coverage" ]
} ]
} ]
},
"contact": [ {
"name": "HL7 International / Financial Management",
"telecom": [ {
"value": "http://www.hl7.org/Special/committees/fm",
"system": "url"
}, {
"value": "fm@lists.HL7.org",
"system": "email"
} ]
}, {
"name": "Mark Scrimshire (mark.scrimshire@onyxhealth.io)",
"telecom": [ {
"value": "mailto:mark.scrimshire@onyxhealth.io",
"system": "email"
} ]
}, {
"name": "HL7 International - Financial Management",
"telecom": [ {
"value": "http://www.hl7.org/Special/committees/fm",
"system": "url"
} ]
} ],
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/Extension"
}