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.
TypedFhir API / C#
The typed accessor surface Coverage exposes for Coverage — generated from this IG's compiled profile; each typed accessor has a validating raw-FHIR twin (xRaw) where marked. The three ports are parity-enforced.
class Coverage : ClinicalResource — generated source
| Accessor | Type | Access | Notes |
|---|---|---|---|
| EffectiveDate | FuzzyDate? |
read-only | The resource's effective date — the first present of this profile's date elements (precedence), normalized to the canonical FuzzyDatetime f… |
| Display | string? |
read-only | The resource's human headline — a coded concept's label, else a title / name, else undefined. |
| Status | string? |
read/write | active | cancelled | draft | entered-in-error |
| Type | Concept? |
read/write · raw twin | Kind of coverage (public provincial plan, private, ...) |
| SubscriberId | string? |
read/write | The patient's identifier with the insurance plan |
| Beneficiary | Reference? |
read/write · raw twin | The patient covered |
| Relationship | Concept? |
read/write · raw twin | Beneficiary relationship to the subscriber |
| Period | JsonNode? |
read/write | Coverage validity period, when the source records one |
| Payor | References |
read/write · raw twin | Who pays -- typically a LOGICAL Organization reference (e.g. OHIP) |