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.
Elements / Differential
What this profile constrains beyond Coverage. Anything not listed is unchanged from the base; muted type/cardinality values are the base's, shown for context.
| Element | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Coverage | Nexus EMR Coverage Core i | |||
| status | S | 1..1 | code | i |
| type | S | 0..1 | CodeableConcept | Kind of coverage (public provincial plan, private, ...) i |
| subscriberId | S | 0..1 | string | The patient's identifier with the insurance plan i |
| beneficiary | S | 1..1 | Reference(Patient Profile) | The patient covered |
| period | S | 0..1 | Period | Coverage validity period, when the source records one |
| payor | S | 1..* | Reference(Organization | Patient | RelatedPerson) | Who pays -- typically a LOGICAL Organization reference (e.g. OHIP) i |