{ "description": "Fresenius Insurance Coverage Profile", "_filename": "StructureDefinition-fmc-coverage-profile.json", "package_name": "fmcna.caredata.fhir.ig.r4", "date": null, "derivation": "constraint", "publisher": null, "fhirVersion": "4.0.1", "name": "FreseniusCoverage", "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": "Fresenius Insurance Coverage Profile", "package_version": "1.1.6", "status": "active", "id": "ac2886a6-b2a2-4aec-9796-404fcec07bc8", "kind": "resource", "url": "http://fkcfhir.org/fhir/StructureDefinition/fmc-coverage-profile", "version": null, "differential": { "element": [ { "id": "Coverage.extension", "path": "Coverage.extension", "slicing": { "rules": "open", "discriminator": [ { "path": "url", "type": "value" } ] } }, { "id": "Coverage.extension:finClearance", "max": "1", "min": 0, "path": "Coverage.extension", "type": [ { "code": "Extension", "profile": [ "http://fkcfhir.org/fhir/StructureDefinition/fmc-fin-clearance-extn" ] } ], "sliceName": "finClearance", "mustSupport": true }, { "id": "Coverage.extension:tpaCode", "max": "1", "min": 0, "path": "Coverage.extension", "type": [ { "code": "Extension", "profile": [ "http://fkcfhir.org/fhir/StructureDefinition/fmc-tpa-code-extn" ] } ], "sliceName": "tpaCode", "mustSupport": true }, { "id": "Coverage.identifier:PMOIdentifier", "max": "1", "min": 0, "path": "Coverage.identifier", "sliceName": "PMOIdentifier", "mustSupport": true }, { "id": "Coverage.identifier:PMOIdentifier.type", "path": "Coverage.identifier.type", "binding": { "strength": "required", "valueSet": "http://fkcfhir.org/fhir/ValueSet/fmc-specific-identifier-type-vs" } }, { "id": "Coverage.identifier:PMOIdentifier.system", "path": "Coverage.identifier.system", "patternUri": "urn:oid:2.16.840.1.113883.3.7418.26.2" }, { "id": "Coverage.type", "path": "Coverage.type", "binding": { "strength": "required", "valueSet": "http://fkcfhir.org/fhir/ValueSet/fmc-coverage-type-vs" } }, { "id": "Coverage.beneficiary", "path": "Coverage.beneficiary", "type": [ { "code": "Reference", "targetProfile": [ "http://fkcfhir.org/fhir/StructureDefinition/fmc-patient-profile" ] } ] }, { "id": "Coverage.relationship", "path": "Coverage.relationship", "binding": { "strength": "required", "valueSet": "http://fkcfhir.org/fhir/ValueSet/fmc-subscriber-relationship-vs" } }, { "id": "Coverage.class:groupingclass", "max": "1", "min": 0, "path": "Coverage.class", "short": "Class", "sliceName": "groupingclass", "mustSupport": true }, { "id": "Coverage.class:groupingclass.type", "path": "Coverage.class.type", "patternCodeableConcept": { "coding": [ { "code": "class", "system": "http://terminology.hl7.org/CodeSystem/coverage-class" } ] } }, { "id": "Coverage.class:groupingclass.value", "path": "Coverage.class.value", "short": "Class Number", "comment": "Class Number", "mustSupport": true }, { "id": "Coverage.class:groupingclass.name", "path": "Coverage.class.name", "short": "Benefit class Name", "comment": "Benefit class Name", "mustSupport": true } ] }, "baseDefinition": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-coverage" }