{
"description": "Israel Core proposed constraints and extensions on the Coverage Resource",
"_filename": "StructureDefinition-il-core-coverage.json",
"package_name": "il.core.fhir.r4.2023",
"date": "2023-08-31",
"derivation": "constraint",
"publisher": "Israel Core Team",
"fhirVersion": "4.0.1",
"name": "ILCoreCoverage",
"mapping": [ {
"uri": "http://hl7.org/fhir/workflow",
"name": "Workflow Pattern",
"identity": "workflow"
}, {
"uri": "http://hl7.org/v3",
"name": "RIM Mapping",
"identity": "rim"
}, {
"uri": "http://hl7.org/fhir/fivews",
"name": "FiveWs Pattern Mapping",
"identity": "w5"
}, {
"uri": "http://www.cda-adc.ca/en/services/cdanet/",
"name": "Canadian Dental Association eclaims standard",
"identity": "cdanetv4"
}, {
"uri": "http://hl7.org/v2",
"name": "HL7 v2 Mapping",
"identity": "v2"
}, {
"uri": "http://www.pharmacists.ca/",
"name": "Canadian Pharmacy Associaiton eclaims standard",
"identity": "cpha3pharm"
} ],
"abstract": false,
"type": "Coverage",
"experimental": null,
"resourceType": "StructureDefinition",
"title": "ILCore Coverage Profile",
"package_version": "0.1.0",
"status": "draft",
"id": "86aca52c-984d-425e-84b6-f77c72035421",
"kind": "resource",
"url": "http://fhir.health.gov.il/StructureDefinition/il-core-coverage",
"version": "0.12.1",
"differential": {
"element": [ {
"id": "Coverage",
"path": "Coverage",
"short": "ILCore Coverage Profile",
"definition": "Definitions for the profile-Coverage resource profile."
}, {
"id": "Coverage.policyHolder",
"path": "Coverage.policyHolder",
"type": [ {
"code": "Reference",
"targetProfile": [ "http://fhir.health.gov.il/StructureDefinition/il-core-patient", "http://fhir.health.gov.il/StructureDefinition/il-core-related-person", "http://fhir.health.gov.il/StructureDefinition/il-core-organization" ]
} ]
}, {
"id": "Coverage.subscriber",
"path": "Coverage.subscriber",
"type": [ {
"code": "Reference",
"targetProfile": [ "http://fhir.health.gov.il/StructureDefinition/il-core-patient", "http://fhir.health.gov.il/StructureDefinition/il-core-related-person" ]
} ]
}, {
"id": "Coverage.beneficiary",
"path": "Coverage.beneficiary",
"type": [ {
"code": "Reference",
"targetProfile": [ "http://fhir.health.gov.il/StructureDefinition/il-core-patient" ]
} ]
}, {
"id": "Coverage.payor",
"path": "Coverage.payor",
"type": [ {
"code": "Reference",
"targetProfile": [ "http://fhir.health.gov.il/StructureDefinition/il-core-patient", "http://fhir.health.gov.il/StructureDefinition/il-core-related-person", "http://fhir.health.gov.il/StructureDefinition/il-core-organization" ]
} ]
}, {
"id": "Coverage.class",
"path": "Coverage.class",
"slicing": {
"rules": "open",
"ordered": false,
"description": "הסדרת סלייס לטובת ביטוי של פוליסת ביטוח ספציפית, לדוגמה \"כללית פלטינום\" או \"הפניקס חברה לביטוח - קו ראשון\"",
"discriminator": [ {
"path": "type",
"type": "pattern"
} ]
}
}, {
"id": "Coverage.class:plan",
"max": "1",
"min": 0,
"path": "Coverage.class",
"sliceName": "plan"
}, {
"id": "Coverage.class:plan.type.coding.system",
"min": 1,
"path": "Coverage.class.type.coding.system",
"patternUri": "http://terminology.hl7.org/CodeSystem/coverage-class"
}, {
"id": "Coverage.class:plan.type.coding.code",
"min": 1,
"path": "Coverage.class.type.coding.code",
"patternCode": "plan"
}, {
"id": "Coverage.class:plan.value",
"path": "Coverage.class.value",
"definition": "מזהה עבור הפוליסה. אלמנט זה יוסב בגרסה 5 ל identifier"
}, {
"id": "Coverage.class:plan.name",
"path": "Coverage.class.name",
"definition": "שם הפוליסה"
} ]
},
"contact": [ {
"telecom": [ {
"value": "ido.levin@moh.gov.il",
"system": "email"
} ]
} ],
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/Coverage"
}