Coverage
Coverage view.
Columns
| Name | Type | Description |
| id | String | The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. |
| lastUpdated | Datetime | The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource. |
| implicitRules | String | A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc. |
| language | String | The base language in which the resource is written. |
| text_div | String | The div of the text. A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it 'clinically safe' for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety. |
| text_status | String | The status of the text. A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it 'clinically safe' for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety. |
| contained | String | These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope. |
| extension | String | May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
| modifierExtension | String | May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). |
| identifier_value | String | The value of the identifier. A unique identifier assigned to this coverage. |
| identifier_use | String | The identifier-use of the identifier-use. A unique identifier assigned to this coverage. |
| identifier_type_coding | String | The coding of the identifier-type. A unique identifier assigned to this coverage. |
| identifier_type_text | String | The text of the identifier-type. A unique identifier assigned to this coverage. |
| identifier_system | String | The identifier-system of the identifier-system. A unique identifier assigned to this coverage. |
| identifier_period_start | String | The start of the identifier-period. A unique identifier assigned to this coverage. |
| identifier_period_end | String | The end of the identifier-period. A unique identifier assigned to this coverage. |
| status | String | The status of the resource instance. |
| type_coding | String | The coding of the type. The type of coverage: social program, medical plan, accident coverage (workers compensation, auto), group health or payment by an individual or organization. |
| type_text | String | The text of the type. The type of coverage: social program, medical plan, accident coverage (workers compensation, auto), group health or payment by an individual or organization. |
| policyHolder_display | String | The display of the policyHolder. The party who 'owns' the insurance policy. |
| policyHolder_reference | String | The reference of the policyHolder. The party who 'owns' the insurance policy. |
| policyHolder_identifier_value | String | The value of the policyHolder-identifier. The party who 'owns' the insurance policy. |
| policyHolder_type | String | The policyHolder-type of the policyHolder-type. The party who 'owns' the insurance policy. |
| subscriber_display | String | The display of the subscriber. The party who has signed-up for or 'owns' the contractual relationship to the policy or to whom the benefit of the policy for services rendered to them or their family is due. |
| subscriber_reference | String | The reference of the subscriber. The party who has signed-up for or 'owns' the contractual relationship to the policy or to whom the benefit of the policy for services rendered to them or their family is due. |
| subscriber_identifier_value | String | The value of the subscriber-identifier. The party who has signed-up for or 'owns' the contractual relationship to the policy or to whom the benefit of the policy for services rendered to them or their family is due. |
| subscriber_type | String | The subscriber-type of the subscriber-type. The party who has signed-up for or 'owns' the contractual relationship to the policy or to whom the benefit of the policy for services rendered to them or their family is due. |
| subscriberId | String | The insurer assigned ID for the Subscriber. |
| beneficiary_display | String | The display of the beneficiary. The party who benefits from the insurance coverage; the patient when products and/or services are provided. |
| beneficiary_reference | String | The reference of the beneficiary. The party who benefits from the insurance coverage; the patient when products and/or services are provided. |
| beneficiary_identifier_value | String | The value of the beneficiary-identifier. The party who benefits from the insurance coverage; the patient when products and/or services are provided. |
| beneficiary_type | String | The beneficiary-type of the beneficiary-type. The party who benefits from the insurance coverage; the patient when products and/or services are provided. |
| dependent | String | A unique identifier for a dependent under the coverage. |
| relationship_coding | String | The coding of the relationship. The relationship of beneficiary (patient) to the subscriber. |
| relationship_text | String | The text of the relationship. The relationship of beneficiary (patient) to the subscriber. |
| period_start | Datetime | The start of the period. Time period during which the coverage is in force. A missing start date indicates the start date isn't known, a missing end date means the coverage is continuing to be in force. |
| period_end | Datetime | The end of the period. Time period during which the coverage is in force. A missing start date indicates the start date isn't known, a missing end date means the coverage is continuing to be in force. |
| payor_display | String | The display of the payor. The program or plan underwriter or payor including both insurance and non-insurance agreements, such as patient-pay agreements. |
| payor_reference | String | The reference of the payor. The program or plan underwriter or payor including both insurance and non-insurance agreements, such as patient-pay agreements. |
| payor_identifier_value | String | The value of the payor-identifier. The program or plan underwriter or payor including both insurance and non-insurance agreements, such as patient-pay agreements. |
| payor_type | String | The payor-type of the payor-type. The program or plan underwriter or payor including both insurance and non-insurance agreements, such as patient-pay agreements. |
| class_id | String | The class-id of the class-id. Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
| class_extension | String | The class-extension of the class-extension. May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
| class_modifierExtension | String | The class-modifierExtension of the class-modifierExtension. May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). |
| class_type_coding | String | The coding of the class-type. The type of classification for which an insurer-specific class label or number and optional name is provided, for example may be used to identify a class of coverage or employer group, Policy, Plan. |
| class_type_text | String | The text of the class-type. The type of classification for which an insurer-specific class label or number and optional name is provided, for example may be used to identify a class of coverage or employer group, Policy, Plan. |
| class_value | String | The class-value of the class-value. The alphanumeric string value associated with the insurer issued label. |
| class_name | String | The class-name of the class-name. A short description for the class. |
| order | Int | The order of applicability of this coverage relative to other coverages which are currently in force. Note, there may be gaps in the numbering and this does not imply primary, secondary etc. as the specific positioning of coverages depends upon the episode of care. |
| network | String | The insurer-specific identifier for the insurer-defined network of providers to which the beneficiary may seek treatment which will be covered at the 'in-network' rate, otherwise 'out of network' terms and conditions apply. |
| costToBeneficiary_id | String | The costToBeneficiary-id of the costToBeneficiary-id. Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
| costToBeneficiary_extension | String | The costToBeneficiary-extension of the costToBeneficiary-extension. May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
| costToBeneficiary_modifierExtension | String | The costToBeneficiary-modifierExtension of the costToBeneficiary-modifierExtension. May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). |
| costToBeneficiary_type_coding | String | The coding of the costToBeneficiary-type. The category of patient centric costs associated with treatment. |
| costToBeneficiary_type_text | String | The text of the costToBeneficiary-type. The category of patient centric costs associated with treatment. |
| costToBeneficiary_value_x_value | Decimal | The value of the costToBeneficiary-value[x]. The amount due from the patient for the cost category. |
| costToBeneficiary_value_x_unit | String | The unit of the costToBeneficiary-value[x]. The amount due from the patient for the cost category. |
| costToBeneficiary_value_x_system | String | The system of the costToBeneficiary-value[x]. The amount due from the patient for the cost category. |
| costToBeneficiary_value_x_comparator | String | The costToBeneficiary-value[x]-comparator of the costToBeneficiary-value[x]-comparator. The amount due from the patient for the cost category. |
| costToBeneficiary_value_x_code | String | The costToBeneficiary-value[x]-code of the costToBeneficiary-value[x]-code. The amount due from the patient for the cost category. |
| costToBeneficiary_exception_id | String | The costToBeneficiary-exception-id of the costToBeneficiary-exception-id. Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
| costToBeneficiary_exception_extension | String | The costToBeneficiary-exception-extension of the costToBeneficiary-exception-extension. May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
| costToBeneficiary_exception_modifierExtension | String | The costToBeneficiary-exception-modifierExtension of the costToBeneficiary-exception-modifierExtension. May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). |
| costToBeneficiary_exception_type_coding | String | The coding of the costToBeneficiary-exception-type. The code for the specific exception. |
| costToBeneficiary_exception_type_text | String | The text of the costToBeneficiary-exception-type. The code for the specific exception. |
| costToBeneficiary_exception_period_start | Datetime | The start of the costToBeneficiary-exception-period. The timeframe during when the exception is in force. |
| costToBeneficiary_exception_period_end | Datetime | The end of the costToBeneficiary-exception-period. The timeframe during when the exception is in force. |
| subrogation | Bool | When 'subrogation=true' this insurance instance has been included not for adjudication but to provide insurers with the details to recover costs. |
| contract_display | String | The display of the contract. The policy(s) which constitute this insurance coverage. |
| contract_reference | String | The reference of the contract. The policy(s) which constitute this insurance coverage. |
| contract_identifier_value | String | The value of the contract-identifier. The policy(s) which constitute this insurance coverage. |
| contract_type | String | The contract-type of the contract-type. The policy(s) which constitute this insurance coverage. |
| SP_source | String | The SP_source search parameter. |
| SP_text | String | The SP_text search parameter. |
| SP_content | String | The SP_content search parameter. |
| SP_securitySP_start | String | The SP_securitySP_start search parameter. |
| SP_tagSP_start | String | The SP_tagSP_start search parameter. |
| SP_policy_holder | String | The SP_policy_holder search parameter. |
| SP_identifier_start | String | The SP_identifier_start search parameter. |
| SP_type_start | String | The SP_type_start search parameter. |
| SP_list | String | The SP_list search parameter. |
| SP_type_end | String | The SP_type_end search parameter. |
| SP_identifier_end | String | The SP_identifier_end search parameter. |
| SP_subscriber | String | The SP_subscriber search parameter. |
| SP_profile | String | The SP_profile search parameter. |
| SP_tagSP_end | String | The SP_tagSP_end search parameter. |
| SP_patient | String | The SP_patient search parameter. |
| SP_securitySP_end | String | The SP_securitySP_end search parameter. |
| SP_class_type_end | String | The SP_class_type_end search parameter. |
| SP_payor | String | The SP_payor search parameter. |
| SP_filter | String | The SP_filter search parameter. |
| SP_class_type_start | String | The SP_class_type_start search parameter. |
| SP_beneficiary | String | The SP_beneficiary search parameter. |