Coverage Profile

Canonical	../StructureDefinition/nexus-emr-core-coverage
Status	draft (experimental) · 1.26.0
Base	Coverage (constraint)
Source	FSH · JSON

Nexus EMR profile for Coverage -- the payor context for billing and the demo dataset. First pass: the Ontario-GP shape (public plan keyed by the patient's health-card number, payor as a logical Organization reference). Private/extended plans and coordination of benefits are deliberately unmodelled. Closed to SMART apps pending an exposure decision.

Examples

Example

Coverage/nexus-emr-coverage-example — claims conformance to Coverage Profile

{
  "resourceType": "Coverage",
  "id": "nexus-emr-coverage-example",
  "meta": {
    "profile": [
      "../StructureDefinition/nexus-emr-core-coverage"
    ]
  },
  "status": "active",
  "type": {
    "text": "Provincial health plan (OHIP)"
  },
  "subscriberId": "9876543217",
  "beneficiary": {
    "reference": "Patient/nexus-emr-patient-attachment-example",
    "display": "Avery Linwood"
  },
  "period": {
    "start": "2020-01-01"
  },
  "payor": [
    {
      "type": "Organization",
      "identifier": {
        "system": "../NamingSystem/organization-identifier",
        "value": "on-ohip"
      },
      "display": "Ontario Health Insurance Plan"
    }
  ]
}