description: PCT Coverage is a profile for capturing data that reflect a payer’s coverage that was effective as of the proposed date of service or the date of admission of the GFE.
package_name: hl7.fhir.us.davinci
derivation: constraint
name: PCTCoverage
type: Coverage
elements:
  subscriber:
    type: Reference
    mustSupport: true
    refers: ['http://hl7.org/fhir/us/davinci-pct/StructureDefinition/davinci-pct-patient']
    index: 0
  subscriberId: {index: 1}
  beneficiary:
    type: Reference
    refers: ['http://hl7.org/fhir/us/davinci-pct/StructureDefinition/davinci-pct-patient']
    index: 2
  relationship: {mustSupport: true, index: 3}
  period: {mustSupport: true, index: 4}
  payor:
    type: Reference
    refers: ['http://hl7.org/fhir/us/davinci-pct/StructureDefinition/davinci-pct-organization']
    index: 5
  class:
    mustSupport: true
    index: 6
    elements:
      name: {mustSupport: true, index: 7}
    required: [name]
  costToBeneficiary:
    mustSupport: true
    index: 8
    elements:
      type:
        binding: {strength: required, valueSet: 'http://hl7.org/fhir/us/davinci-pct/ValueSet/pct-coverage-copay-codes'}
        index: 9
package_version: pct-0.1.0
class: profile
kind: resource
url: http://hl7.org/fhir/us/davinci-pct/StructureDefinition/davinci-pct-coverage
base: http://hl7.org/fhir/us/davinci-hrex/StructureDefinition/hrex-coverage
version: 0.1.0
required: [class, subscriberId, relationship, period]