description: Profile of Coverage for decision support/quality metrics. Defines the core set of elements and extensions for quality rule and measure authors.
package_name: hl7.fhir.us.qicore
derivation: constraint
name: QICoreCoverage
type: Coverage
elements:
  type:
    short: (QI) Coverage category such as medical or accident
    binding: {strength: extensible, valueSet: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591'}
    index: 0
  policyHolder:
    type: Reference
    short: (QI-Core) Owner of the policy
    refers: ['http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-organization', 'http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient', 'http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-relatedperson']
    index: 1
  subscriberId: {short: (QI) ID assigned to the subscriber, index: 2}
  beneficiary:
    type: Reference
    short: (QI) Plan beneficiary
    refers: ['http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient']
    index: 3
  period: {short: (QI) Coverage start and end dates, index: 4}
  payor:
    type: Reference
    short: (QI) Issuer of the policy
    refers: ['http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-organization', 'http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient', 'http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-relatedperson']
    index: 5
package_version: 7.0.0-ballot
class: profile
kind: resource
url: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-coverage
base: http://hl7.org/fhir/us/core/StructureDefinition/us-core-coverage
version: 7.0.0-ballot
required: [payor]