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Coverage Profile

Canonical../StructureDefinition/nexus-emr-core-coverage
Statusdraft (experimental) · 1.26.0
BaseCoverage (constraint)
SourceFSH · 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 / Key elements

The working view: must-support, required, modifier and sliced elements from the effective (snapshot) definition.

Element Flags Card. Type Description & Constraints
Coverage 0..* Nexus EMR Coverage Core i
Invariants: dom-2, dom-3, dom-4, dom-5, dom-6
implicitRules ?! 0..1 uri A set of rules under which this content was created i
Invariants: ele-1
status S ?! 1..1 code active | cancelled | draft | entered-in-error i
Binding: fm-status (required)
Invariants: ele-1
type S 0..1 CodeableConcept Kind of coverage (public provincial plan, private, ...) i
Binding: coverage-type (preferred)
Invariants: ele-1
subscriberId S 0..1 string The patient's identifier with the insurance plan i
Invariants: ele-1
beneficiary S 1..1 Reference(Patient Profile) The patient covered
Invariants: ele-1
period S 0..1 Period Coverage validity period, when the source records one
Invariants: ele-1
payor S 1..* Reference(Organization | Patient | RelatedPerson) Who pays -- typically a LOGICAL Organization reference (e.g. OHIP) i
Invariants: ele-1
class 0..* BackboneElement Additional coverage classifications i
Invariants: ele-1
type 1..1 CodeableConcept Type of class such as 'group' or 'plan'
Binding: coverage-class (extensible)
Invariants: ele-1
value 1..1 string Value associated with the type i
Invariants: ele-1
costToBeneficiary 0..* BackboneElement Patient payments for services/products i
Invariants: ele-1
value[x] 1..1 Quantity(SimpleQuantity), Money The amount or percentage due from the beneficiary i
Invariants: ele-1
exception 0..* BackboneElement Exceptions for patient payments
Invariants: ele-1
type 1..1 CodeableConcept Exception category
Binding: coverage-financial-exception (example)
Invariants: ele-1