description: Data that reflect a payer’s coverage that was effective as of the date of service or the date of admission of the claim.
package_name: hl7.fhir.us.carin
derivation: constraint
name: C4BBCoverage
type: Coverage
elements:
  meta:
    mustSupport: true
    index: 0
    elements:
      lastUpdated: {mustSupport: true, index: 1}
      profile: {index: 2}
    required: [lastUpdated, profile]
  beneficiary:
    type: Reference
    mustSupport: true
    refers: ['http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Patient']
    index: 7
  relationship:
    binding: {strength: required, valueSet: 'http://hl7.org/fhir/ValueSet/subscriber-relationship'}
    mustSupport: true
    index: 8
  type: {index: 5}
  payor:
    type: Reference
    mustSupport: true
    refers: ['http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Organization']
    index: 10
  status: {mustSupport: true, index: 4}
  class:
    mustSupport: true
    index: 11
    slicing:
      rules: open
      ordered: false
      description: Slice based on value pattern
      discriminator:
      - {path: type, type: pattern}
      min: null
      slices:
        group:
          match:
            type:
              coding:
              - {code: group, system: 'http://terminology.hl7.org/CodeSystem/coverage-class'}
          schema:
            short: Group
            mustSupport: true
            index: 12
            elements:
              type:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: group, system: 'http://terminology.hl7.org/CodeSystem/coverage-class'}
                index: 13
              value: {short: Group Number, mustSupport: true, index: 14}
              name: {short: Group Name, mustSupport: true, index: 15}
        plan:
          match:
            type:
              coding:
              - {code: plan, system: 'http://terminology.hl7.org/CodeSystem/coverage-class'}
          schema:
            short: Plan
            mustSupport: true
            index: 16
            elements:
              type:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: plan, system: 'http://terminology.hl7.org/CodeSystem/coverage-class'}
                index: 17
              value: {short: Plan Number, mustSupport: true, index: 18}
              name: {short: Plan Name, mustSupport: true, index: 19}
  identifier: {short: Member ID and other identifiers, mustSupport: true, index: 3}
  period: {mustSupport: true, index: 9}
  subscriberId: {mustSupport: true, index: 6}
package_version: bb-2.0.0
class: profile
kind: resource
url: http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Coverage
base: http://hl7.org/fhir/StructureDefinition/Coverage
version: 2.0.0
required: [subscriberId, relationship, meta]