description: Profile of Coverage for decision support/quality metrics. Defines the core set of elements and extensions for quality rule and measure authors.
package_name: hl7.fhir.us.quality-core
derivation: constraint
name: USQualityCoreCoverage
type: Coverage
elements:
  policyHolder:
    type: Reference
    refers: ['http://hl7.org/fhir/us/quality-core/StructureDefinition/us-quality-core-organization', 'http://hl7.org/fhir/us/quality-core/StructureDefinition/us-quality-core-patient', 'http://hl7.org/fhir/us/quality-core/StructureDefinition/us-quality-core-relatedperson']
    index: 5
  beneficiary:
    type: Reference
    short: (USCDI+ Quality) Plan beneficiary
    refers: ['http://hl7.org/fhir/us/quality-core/StructureDefinition/us-quality-core-patient']
    index: 7
  relationship: {short: (USCDI+ Quality) Beneficiary relationship to the subscriber, index: 8}
  type:
    short: (USCDI+ Quality) Coverage category such as medical or accident
    binding: {strength: extensible, valueSet: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591'}
    index: 4
  payor:
    type: Reference
    short: (USCDI+ Quality) Issuer of the policy
    refers: ['http://hl7.org/fhir/us/quality-core/StructureDefinition/us-quality-core-organization', 'http://hl7.org/fhir/us/quality-core/StructureDefinition/us-quality-core-patient', 'http://hl7.org/fhir/us/quality-core/StructureDefinition/us-quality-core-relatedperson']
    index: 10
  status: {short: (USCDI+ Quality) active | cancelled | draft | entered-in-error, index: 3}
  class:
    short: (USCDI+ Quality) Additional coverage classifications
    index: 11
    slicing:
      slices:
        group:
          match: {}
          schema:
            short: (USCDI+ Quality) Group
            index: 12
            elements:
              value: {short: (USCDI+ Quality) Group Identifier, index: 13}
              name: {short: (USCDI+ Quality) Human readable description of the type and value, index: 14}
        plan:
          match: {}
          schema:
            short: (USCDI+ Quality) Plan
            index: 15
            elements:
              value: {short: (USCDI+ Quality) Plan Number, index: 16}
              name: {short: (USCDI+ Quality) Plan Name, index: 17}
  identifier:
    short: (USCDI+ Quality) Member ID and other identifiers
    index: 0
    slicing:
      slices:
        memberid:
          match: {}
          schema:
            short: (USCDI+ Quality) Member ID
            index: 1
            elements:
              type: {short: (USCDI+ Quality) Member Number identifier type, index: 2}
  period: {short: (USCDI+ Quality) Coverage start and end dates, index: 9}
  subscriberId: {short: (USCDI+ Quality) ID assigned to the subscriber, index: 6}
package_version: 1.0.0-ballot
class: profile
kind: resource
url: http://hl7.org/fhir/us/quality-core/StructureDefinition/us-quality-core-coverage
base: http://hl7.org/fhir/us/core/StructureDefinition/us-core-coverage|9.0.0
version: 1.0.0-ballot