description: A Coverage Activity groups the policy and authorization acts within a Payers Section to order the payment sources. A Coverage Activity contains one or more Policy Activities, each of which contains zero or more Authorization Activities. \nThe sequenceNumber/@value shows the policy order of preference. \nThe Member Identifier is described in the contained Policy Activity Template 2.16.840.1.113883.10.20.22.4.61.
package_name: hl7.cda.us.ccda
derivation: constraint
name: CoverageActivity
type: http://hl7.org/cda/stds/core/StructureDefinition/Act
elements:
  entryRelationship:
    index: 16
    slicing:
      rules: open
      discriminator:
      - {path: act, type: profile}
      - {path: typeCode, type: value}
      min: 1
      slices:
        entryRelationship1:
          match: {typeCode: COMP}
          schema:
            short: entryRelationship
            array: true
            min: 1
            _required: true
            index: 17
            elements:
              typeCode:
                pattern: {type: Code, value: COMP}
                index: 18
              sequenceNumber:
                index: 19
                elements:
                  value: {index: 20}
                required: [value]
              act: {type: 'http://hl7.org/cda/stds/core/StructureDefinition/Act', index: 21}
            required: [act]
  classCode:
    pattern: {type: Code, value: ACT}
    index: 4
  id: {index: 6}
  code:
    short: Payment sources
    index: 7
    elements:
      code:
        pattern: {type: Code, value: 52556-8}
        index: 8
      codeSystem:
        short: LOINC
        pattern: {type: String, value: 2.16.840.1.113883.6.1}
        index: 9
    required: [codeSystem, code]
  moodCode:
    pattern: {type: Code, value: EVN}
    index: 5
  effectiveTime:
    short: '(USCDI) **Coverage Status** : Records the date and time when you checked and possibly updated the coverage for a patient, and applies for all policies within the coverage activity. Multiple Coverage Activity Acts would be needed to convey different times when coverage was checked and possibly updated. Details on a specific Policy coverage period, or self-pay period, systems can record an additional effectiveTime inside the Policy Activity. Systems may prioritize Coverages using the sequenceNumber.'
    index: 14
    elements:
      value: {index: 15}
    required: [value]
  templateId:
    index: 0
    slicing:
      rules: open
      discriminator:
      - {path: root, type: value}
      - {path: extension, type: value}
      min: 1
      slices:
        coverage-activity:
          match: {root: 2.16.840.1.113883.10.20.22.4.60, extension: '2024-05-01'}
          schema:
            _required: true
            index: 1
            elements:
              root:
                pattern: {type: String, value: 2.16.840.1.113883.10.20.22.4.60}
                index: 2
              extension:
                pattern: {type: String, value: '2024-05-01'}
                index: 3
            required: [root, extension]
            extensions: {}
  statusCode:
    index: 12
    elements:
      code:
        pattern: {type: Code, value: completed}
        index: 13
    required: [code]
  text:
    short: SHOULD reference the portion of section narrative text corresponding to this entry
    index: 10
    elements:
      reference:
        constraint:
          value-starts-octothorpe: {human: 'If reference/@value is present, it SHALL begin with a ''#'' and SHALL point to its corresponding narrative', source: 'http://hl7.org/cda/us/ccda/StructureDefinition/CoverageActivity', severity: error, expression: value.exists() implies value.startsWith('#')}
        index: 11
package_version: 3.0.0-ballot
class: logical
kind: logical
url: http://hl7.org/cda/us/ccda/StructureDefinition/CoverageActivity
base: http://hl7.org/cda/stds/core/StructureDefinition/Act
version: 3.0.0-ballot
required: [id, statusCode, templateId, entryRelationship]