description: MedNet Interface (MNI) - Coverage Profile
package_name: swiss.mednet.fhir
derivation: constraint
name: MNICoverage
type: Coverage
elements:
  id: {short: 'The id is unique within the space of all resources of the same type on the same server It can be any combination of upper- or lower-case ASCII letters ''A''..''Z'', and ''a''..''z'', numerals (''0''..''9''), ''-'' and ''.'' with a length limit of 64 characters. (This might be an integer, an un-prefixed OID, UUID or any other identifier pattern that meets these constraints.)', index: 0}
  contained: {short: It is possible to include payors as embedded resources in this contained object. This way it is not needed to include them in the Bundle, mustSupport: true, index: 1}
  identifier:
    mustSupport: true
    index: 2
    slicing:
      rules: open
      discriminator:
      - {path: system, type: value}
      min: null
      slices:
        insurancecardnumber:
          match: {system: 'urn:oid:2.16.756.5.30.1.123.100.1.1.1'}
          schema:
            short: insurancecardnumber
            mustSupport: true
            index: 3
            elements:
              system:
                short: oid of the insurance card number
                pattern: {type: Uri, value: 'urn:oid:2.16.756.5.30.1.123.100.1.1.1'}
                mustSupport: true
                index: 4
              value: {short: Insurance card number of the patient (20 digits), mustSupport: true, index: 5}
            required: [value, system]
  status:
    short: Fixed value:active. Only uptodate coverage data are usefull
    pattern: {type: Code, value: active}
    mustSupport: true
    index: 6
  type:
    short: Coverage category such as medical or accident
    binding: {strength: required, valueSet: 'http://fhir.ch/ig/ch-orf/ValueSet/ch-orf-vs-coveragetype'}
    mustSupport: true
    index: 7
  beneficiary:
    type: Reference
    mustSupport: true
    refers: ['https://mednet.swiss/fhir/StructureDefinition/mni-patient']
    index: 8
  payor:
    type: Reference
    short: If the reference is a Patient, this means that the payor is the patient itself.    If the reference is an Organization, we assume that the payor is an insurance.    If the reference is a relatedPerson we assume that the payor is another person like the parents or someone else
    mustSupport: true
    refers: ['https://mednet.swiss/fhir/StructureDefinition/mni-organization', 'https://mednet.swiss/fhir/StructureDefinition/mni-patient', 'https://mednet.swiss/fhir/StructureDefinition/mni-relatedPerson']
    index: 9
  contract:
    type: Reference
    mustSupport: true
    refers: ['https://mednet.swiss/fhir/StructureDefinition/mni-contract']
    index: 10
package_version: 0.17.0
class: profile
kind: resource
url: https://mednet.swiss/fhir/StructureDefinition/mni-coverage
base: http://hl7.org/fhir/StructureDefinition/Coverage
version: 0.17.0