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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.

TypedFhir API / Python

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
effective_date FuzzyDate | None read-only The resource's effective date — the first present of this profile's date elements (precedence), normalized to the canonical FuzzyDatetime f…
display str | None read-only The resource's human headline — a coded concept's label, else a title / name, else undefined.
status str | None read/write active | cancelled | draft | entered-in-error
type Concept | None read/write · raw twin Kind of coverage (public provincial plan, private, ...)
subscriber_id str | None read/write The patient's identifier with the insurance plan
beneficiary Reference | None read/write · raw twin The patient covered
relationship Concept | None read/write · raw twin Beneficiary relationship to the subscriber
period dict | None 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)