Nictiz FHIR NL STU3 Zib2017
1.3.15 - CI Build

Nictiz FHIR NL STU3 Zib2017 - Local Development build (v1.3.15) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: Zib Payer - Detailed Descriptions

Active as of 2024-04-09

Definitions for the zib-Payer resource profile.

Guidance on how to interpret the contents of this table can be found here

0. Coverage
ShortCoverage
Alternate NamesVerzekering
2. Coverage.type
Definition

Type of insurance policy. Codes as returned in the Check for Right to Insurance

ShortInsuranceType
BindingUnless not suitable, these codes SHALL be taken from VerzekeringssoortCodelijst
(extensible to http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.1.1.1--20171231000000)

InsuranceTypeCodelist

Alternate NamesVerzekeringsSoort
4. Coverage.policyHolder
TypeReference(nl-core-patient, nl-core-relatedperson, nl-core-organization)
6. Coverage.subscriber
TypeReference(nl-core-patient, nl-core-relatedperson)
8. Coverage.subscriberId
Definition

Number under which the insured person is registered at the insurance company This item maps the ‘Identification number of the card’ on EHIC field 8

ShortInsurantNumber
Alternate NamesVerzekerdeNummer
10. Coverage.beneficiary
TypeReference(nl-core-patient)
12. Coverage.period
14. Coverage.period.start
Definition

Date from which the insurance policy coverage applies.

ShortStartDateTime
Alternate NamesBeginDatumTijd
16. Coverage.period.end
Definition

Date until which the insurance policy coverage applies. This item maps the ‘Expiry date’ on EHIC field 9.

ShortEndDateTime
Control1..?
Alternate NamesEindDatumTijd
18. Coverage.payor
ShortInsuranceCompany / PayerPerson
Control1..?
TypeReference(nl-core-organization, nl-core-patient, nl-core-relatedperson)
Alternate NamesVerzekeraar, BetalerPersoon
20. Coverage.payor.extension
SlicingThis element introduces a set of slices on Coverage.payor.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ url
  • 22. Coverage.payor.extension:bankInformation
    Slice NamebankInformation
    TypeExtension(HCIM Payer BankInformation) (Complex Extension)
    24. Coverage.payor.extension:bankInformation.extension:BankName
    Slice NameBankName
    Definition

    Name of the financial organization.

    ShortBankName
    Alternate NamesBankNaam
    26. Coverage.payor.extension:bankInformation.extension:AccountNumber
    Slice NameAccountNumber
    Definition

    The payer’s bank account number at the listed organization. For European countries, this is the IBAN.

    ShortAccountNumber
    Alternate NamesRekeningnummer
    28. Coverage.payor.extension:bankInformation.extension:Bankcode
    Slice NameBankcode
    Definition

    Code indicating the bank and branch. For European countries, this is the organization’s BIC or SWIFT code.

    ShortBankcode
    Alternate NamesBankcode

    Guidance on how to interpret the contents of this table can be found here

    0. Coverage
    Definition

    Financial instrument which may be used to reimburse or pay for health care products and services.

    ShortCoverageInsurance or medical plan or a payment agreement
    Control0..*
    Alternate NamesVerzekering
    Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
    dom-1: If the resource is contained in another resource, it SHALL NOT contain any narrative (contained.text.empty())
    dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty())
    dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource (contained.where(('#'+id in %resource.descendants().reference).not()).empty())
    dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
    dom-1: If the resource is contained in another resource, it SHALL NOT contain any narrative (contained.text.empty())
    dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty())
    dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource (contained.where(('#'+id in %resource.descendants().reference).not()).empty())
    2. Coverage.implicitRules
    Definition

    A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content.

    ShortA set of rules under which this content was created
    Comments

    Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element.

    This element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation.

    Control0..1
    Typeuri
    Is Modifiertrue because No Modifier Reason provideed in previous versions of FHIR
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summarytrue
    4. Coverage.modifierExtension
    Definition

    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. Usually modifier elements provide negation or qualification. In order 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.

    ShortExtensions that cannot be ignored
    Comments

    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

    Control0..*
    TypeExtension
    Is Modifiertrue because No Modifier Reason provideed in previous versions of FHIR
    Alternate Namesextensions, user content
    6. Coverage.status
    Definition

    The status of the resource instance.

    Shortactive | cancelled | draft | entered-in-error
    Comments

    This element is labeled as a modifier because the status contains the code entered-in-error that marks the coverage as not currently valid.

    Control0..1
    BindingThe codes SHALL be taken from Financial Resource Status Codeshttp://hl7.org/fhir/ValueSet/fm-status
    (required to http://hl7.org/fhir/ValueSet/fm-status)

    A code specifying the state of the resource instance.

    Typecode
    Is Modifiertrue because No Modifier Reason provideed in previous versions of FHIR
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summarytrue
    8. Coverage.type
    Definition

    Type of insurance policy. Codes as returned in the Check for Right to Insurance


    The type of coverage: social program, medical plan, accident coverage (workers compensation, auto), group health or payment by an individual or organization.

    ShortInsuranceTypeType of coverage such as medical or accident
    Control0..1
    BindingUnless not suitable, these codes SHALL be taken from The codes SHOULD be taken from VerzekeringssoortCodelijsthttp://hl7.org/fhir/ValueSet/coverage-type
    (extensible to http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.1.1.1--20171231000000)

    InsuranceTypeCodelist


    The type of insurance: public health, worker compensation; private accident, auto, private health, etc.) or a direct payment by an individual or organization.

    TypeCodeableConcept
    Summarytrue
    Requirements

    The order of application of coverages is dependent on the types of coverage.

    Alternate NamesVerzekeringsSoort
    10. Coverage.policyHolder
    Definition

    The party who 'owns' the insurance policy, may be an individual, corporation or the subscriber's employer.

    ShortOwner of the policy
    Control0..1
    TypeReference(nl-core-patient, nl-core-relatedperson, nl-core-organization, Patient, RelatedPerson, Organization)
    Summarytrue
    12. Coverage.subscriber
    Definition

    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.

    ShortSubscriber to the policy
    Control0..1
    TypeReference(nl-core-patient, nl-core-relatedperson, Patient, RelatedPerson)
    Summarytrue
    14. Coverage.subscriberId
    Definition

    Number under which the insured person is registered at the insurance company This item maps the ‘Identification number of the card’ on EHIC field 8


    The insurer assigned ID for the Subscriber.

    ShortInsurantNumberID assigned to the Subscriber
    Control0..1
    Typestring
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summarytrue
    Alternate NamesVerzekerdeNummer
    16. Coverage.beneficiary
    Definition

    The party who benefits from the insurance coverage., the patient when services are provided.

    ShortPlan Beneficiary
    Control0..1
    TypeReference(nl-core-patient, Patient)
    Summarytrue
    18. Coverage.period
    Definition

    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.

    ShortCoverage start and end dates
    Control0..1
    TypePeriod
    Summarytrue
    20. Coverage.period.start
    Definition

    Date from which the insurance policy coverage applies.


    The start of the period. The boundary is inclusive.

    ShortStartDateTimeStarting time with inclusive boundary
    Comments

    If the low element is missing, the meaning is that the low boundary is not known.

    Control0..1
    This element is affected by the following invariants: per-1
    TypedateTime
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summarytrue
    Alternate NamesBeginDatumTijd
    22. Coverage.period.end
    Definition

    Date until which the insurance policy coverage applies. This item maps the ‘Expiry date’ on EHIC field 9.


    The end of the period. If the end of the period is missing, it means that the period is ongoing. The start may be in the past, and the end date in the future, which means that period is expected/planned to end at that time.

    ShortEndDateTimeEnd time with inclusive boundary, if not ongoing
    Comments

    The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has a end value of 2012-02-03.

    Control10..1
    This element is affected by the following invariants: per-1
    TypedateTime
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summarytrue
    Alternate NamesEindDatumTijd
    Meaning if MissingIf the end of the period is missing, it means that the period is ongoing
    24. Coverage.payor
    Definition

    The program or plan underwriter or payor including both insurance and non-insurance agreements, such as patient-pay agreements. May provide multiple identifiers such as insurance company identifier or business identifier (BIN number).

    ShortInsuranceCompany / PayerPersonIdentifier for the plan or agreement issuer
    Control10..*
    TypeReference(nl-core-organization, nl-core-patient, nl-core-relatedperson, Organization, Patient, RelatedPerson)
    Summarytrue
    Requirements

    Need to identify the issuer to target for processing and for coordination of benefit processing.

    Alternate NamesVerzekeraar, BetalerPersoon
    26. Coverage.payor.extension
    Definition

    An Extension


    May be used to represent additional information that is not part of the basic definition of the element. In order 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.

    ShortExtensionAdditional Content defined by implementations
    Comments

    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

    Control0..*
    TypeExtension
    Alternate Namesextensions, user content
    SlicingThis element introduces a set of slices on Coverage.payor.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
    • value @ url
    • 28. Coverage.payor.extension:bankInformation
      Slice NamebankInformation
      Definition

      An Extension

      ShortBankInformation
      Control0..*
      TypeExtension(HCIM Payer BankInformation) (Complex Extension)
      Alternate NamesBankgegevens
      30. Coverage.payor.extension:bankInformation.extension
      Definition

      An Extension


      May be used to represent additional information that is not part of the basic definition of the element. In order 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.

      ShortExtensionAdditional Content defined by implementations
      Comments

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

      Control10..*
      TypeExtension
      Alternate Namesextensions, user content
      SlicingThis element introduces a set of slices on Coverage.payor.extension.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
      • value @ url
      • 32. Coverage.payor.extension:bankInformation.extension:BankName
        Slice NameBankName
        Definition

        Name of the financial organization.

        ShortBankNameAdditional Content defined by implementations
        Control0..1*
        TypeExtension
        Alternate NamesBankNaam
        34. Coverage.payor.extension:bankInformation.extension:BankName.url
        Definition

        Source of the definition for the extension code - a logical name or a URL.

        Shortidentifies the meaning of the extension
        Comments

        The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

        Control1..1
        Typeuri
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        XML FormatIn the XML format, this property is represented as an attribute.
        Fixed ValueBankName
        36. Coverage.payor.extension:bankInformation.extension:BankName.value[x]
        Definition

        Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).

        ShortValue of extension
        Control0..1
        Typestring, date, dateTime, Meta, code, Address, Attachment, integer, oid, Count, instant, ContactPoint, HumanName, Money, Identifier, Coding, markdown, SampledData, Ratio, id, positiveInt, Age, Distance, Reference, Period, Quantity, Duration, Range, uri, Annotation, boolean, base64Binary, Signature, unsignedInt, time, Timing, decimal, CodeableConcept
        [x] NoteSee Choice of Data Types for further information about how to use [x]
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        SlicingThis element introduces a set of slices on Coverage.payor.extension.extension.value[x]. The slices are unordered and Closed, and can be differentiated using the following discriminators:
        • type @ $this
        • 38. Coverage.payor.extension:bankInformation.extension:BankName.value[x]:valueString
          Slice NamevalueString
          Definition

          Name of the financial organization.


          Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).

          ShortBankNameValue of extension
          Control0..1
          Typestring, date, dateTime, Meta, code, Address, Attachment, integer, oid, Count, instant, ContactPoint, HumanName, Money, Identifier, Coding, markdown, SampledData, Ratio, id, positiveInt, Age, Distance, Reference, Period, Quantity, Duration, Range, uri, Annotation, boolean, base64Binary, Signature, unsignedInt, time, Timing, decimal, CodeableConcept
          [x] NoteSee Choice of Data Types for further information about how to use [x]
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Alternate NamesBankNaam
          40. Coverage.payor.extension:bankInformation.extension:AccountNumber
          Slice NameAccountNumber
          Definition

          The payer’s bank account number at the listed organization. For European countries, this is the IBAN.

          ShortAccountNumberAdditional Content defined by implementations
          Control10..1*
          TypeExtension
          Alternate NamesRekeningnummer
          42. Coverage.payor.extension:bankInformation.extension:AccountNumber.url
          Definition

          Source of the definition for the extension code - a logical name or a URL.

          Shortidentifies the meaning of the extension
          Comments

          The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

          Control1..1
          Typeuri
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          Fixed ValueAccountNumber
          44. Coverage.payor.extension:bankInformation.extension:AccountNumber.value[x]
          Definition

          Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).

          ShortValue of extension
          Control0..1
          Typestring, date, dateTime, Meta, code, Address, Attachment, integer, oid, Count, instant, ContactPoint, HumanName, Money, Identifier, Coding, markdown, SampledData, Ratio, id, positiveInt, Age, Distance, Reference, Period, Quantity, Duration, Range, uri, Annotation, boolean, base64Binary, Signature, unsignedInt, time, Timing, decimal, CodeableConcept
          [x] NoteSee Choice of Data Types for further information about how to use [x]
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          SlicingThis element introduces a set of slices on Coverage.payor.extension.extension.value[x]. The slices are unordered and Closed, and can be differentiated using the following discriminators:
          • type @ $this
          • 46. Coverage.payor.extension:bankInformation.extension:AccountNumber.value[x]:valueString
            Slice NamevalueString
            Definition

            The payer’s bank account number at the listed organization. For European countries, this is the IBAN.


            Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).

            ShortAccountNumberValue of extension
            Control0..1
            Typestring, date, dateTime, Meta, code, Address, Attachment, integer, oid, Count, instant, ContactPoint, HumanName, Money, Identifier, Coding, markdown, SampledData, Ratio, id, positiveInt, Age, Distance, Reference, Period, Quantity, Duration, Range, uri, Annotation, boolean, base64Binary, Signature, unsignedInt, time, Timing, decimal, CodeableConcept
            [x] NoteSee Choice of Data Types for further information about how to use [x]
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Alternate NamesRekeningnummer
            48. Coverage.payor.extension:bankInformation.extension:Bankcode
            Slice NameBankcode
            Definition

            Code indicating the bank and branch. For European countries, this is the organization’s BIC or SWIFT code.

            ShortBankcodeAdditional Content defined by implementations
            Control0..1*
            TypeExtension
            Alternate NamesBankcode
            50. Coverage.payor.extension:bankInformation.extension:Bankcode.url
            Definition

            Source of the definition for the extension code - a logical name or a URL.

            Shortidentifies the meaning of the extension
            Comments

            The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

            Control1..1
            Typeuri
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            XML FormatIn the XML format, this property is represented as an attribute.
            Fixed ValueBankcode
            52. Coverage.payor.extension:bankInformation.extension:Bankcode.value[x]
            Definition

            Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).

            ShortValue of extension
            Control0..1
            Typestring, date, dateTime, Meta, code, Address, Attachment, integer, oid, Count, instant, ContactPoint, HumanName, Money, Identifier, Coding, markdown, SampledData, Ratio, id, positiveInt, Age, Distance, Reference, Period, Quantity, Duration, Range, uri, Annotation, boolean, base64Binary, Signature, unsignedInt, time, Timing, decimal, CodeableConcept
            [x] NoteSee Choice of Data Types for further information about how to use [x]
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            SlicingThis element introduces a set of slices on Coverage.payor.extension.extension.value[x]. The slices are unordered and Closed, and can be differentiated using the following discriminators:
            • type @ $this
            • 54. Coverage.payor.extension:bankInformation.extension:Bankcode.value[x]:valueString
              Slice NamevalueString
              Definition

              Code indicating the bank and branch. For European countries, this is the organization’s BIC or SWIFT code.


              Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).

              ShortBankcodeValue of extension
              Control0..1
              Typestring, date, dateTime, Meta, code, Address, Attachment, integer, oid, Count, instant, ContactPoint, HumanName, Money, Identifier, Coding, markdown, SampledData, Ratio, id, positiveInt, Age, Distance, Reference, Period, Quantity, Duration, Range, uri, Annotation, boolean, base64Binary, Signature, unsignedInt, time, Timing, decimal, CodeableConcept
              [x] NoteSee Choice of Data Types for further information about how to use [x]
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Alternate NamesBankcode
              56. Coverage.payor.extension:bankInformation.url
              Definition

              Source of the definition for the extension code - a logical name or a URL.

              Shortidentifies the meaning of the extension
              Comments

              The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

              Control1..1
              Typeuri
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              XML FormatIn the XML format, this property is represented as an attribute.
              Fixed Valuehttp://nictiz.nl/fhir/StructureDefinition/zib-Payer-BankInformation
              58. Coverage.payor.extension:bankInformation.value[x]
              Definition

              Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).

              ShortValue of extension
              Control0..01
              TypeChoice of: base64Binary, boolean, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, Meta
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension

              Guidance on how to interpret the contents of this table can be found here

              0. Coverage
              Definition

              Financial instrument which may be used to reimburse or pay for health care products and services.

              ShortCoverage
              Control0..*
              Alternate NamesVerzekering
              Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
              dom-1: If the resource is contained in another resource, it SHALL NOT contain any narrative (contained.text.empty())
              dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty())
              dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource (contained.where(('#'+id in %resource.descendants().reference).not()).empty())
              2. Coverage.id
              Definition

              The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

              ShortLogical id of this artifact
              Comments

              The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

              Control0..1
              Typeid
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Summarytrue
              4. Coverage.meta
              Definition

              The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource.

              ShortMetadata about the resource
              Control0..1
              TypeMeta
              Summarytrue
              6. Coverage.implicitRules
              Definition

              A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content.

              ShortA set of rules under which this content was created
              Comments

              Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element.

              This element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation.

              Control0..1
              Typeuri
              Is Modifiertrue because No Modifier Reason provideed in previous versions of FHIR
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Summarytrue
              8. Coverage.language
              Definition

              The base language in which the resource is written.

              ShortLanguage of the resource content
              Comments

              Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).

              Control0..1
              BindingUnless not suitable, these codes SHALL be taken from Common Languages
              (extensible to http://hl7.org/fhir/ValueSet/languages)

              A human language.

              Additional BindingsPurpose
              AllLanguagesMax Binding
              Typecode
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              10. Coverage.text
              Definition

              A human-readable narrative that contains a summary of the resource, and may 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.

              ShortText summary of the resource, for human interpretation
              Comments

              Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded in formation is added later.

              Control0..1
              This element is affected by the following invariants: dom-1
              TypeNarrative
              Alternate Namesnarrative, html, xhtml, display
              12. Coverage.contained
              Definition

              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.

              ShortContained, inline Resources
              Comments

              This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again.

              Control0..*
              TypeResource
              Alternate Namesinline resources, anonymous resources, contained resources
              14. Coverage.extension
              Definition

              May be used to represent additional information that is not part of the basic definition of the resource. In order 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.

              ShortAdditional Content defined by implementations
              Comments

              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

              Control0..*
              TypeExtension
              Alternate Namesextensions, user content
              16. Coverage.modifierExtension
              Definition

              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. Usually modifier elements provide negation or qualification. In order 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.

              ShortExtensions that cannot be ignored
              Comments

              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

              Control0..*
              TypeExtension
              Is Modifiertrue because No Modifier Reason provideed in previous versions of FHIR
              Alternate Namesextensions, user content
              18. Coverage.identifier
              Definition

              The main (and possibly only) identifier for the coverage - often referred to as a Member Id, Certificate number, Personal Health Number or Case ID. May be constructed as the concatination of the Coverage.SubscriberID and the Coverage.dependant.

              ShortThe primary coverage ID
              NoteThis is a business identifier, not a resource identifier (see discussion)
              Control0..*
              TypeIdentifier
              Summarytrue
              Requirements

              This value may uniquely identify the coverage or it may be used in conjunction with the additional identifiers below.

              20. Coverage.status
              Definition

              The status of the resource instance.

              Shortactive | cancelled | draft | entered-in-error
              Comments

              This element is labeled as a modifier because the status contains the code entered-in-error that marks the coverage as not currently valid.

              Control0..1
              BindingThe codes SHALL be taken from Financial Resource Status Codes
              (required to http://hl7.org/fhir/ValueSet/fm-status)

              A code specifying the state of the resource instance.

              Typecode
              Is Modifiertrue because No Modifier Reason provideed in previous versions of FHIR
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Summarytrue
              22. Coverage.type
              Definition

              Type of insurance policy. Codes as returned in the Check for Right to Insurance

              ShortInsuranceType
              Control0..1
              BindingUnless not suitable, these codes SHALL be taken from VerzekeringssoortCodelijst
              (extensible to http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.1.1.1--20171231000000)

              InsuranceTypeCodelist

              TypeCodeableConcept
              Summarytrue
              Requirements

              The order of application of coverages is dependent on the types of coverage.

              Alternate NamesVerzekeringsSoort
              24. Coverage.policyHolder
              Definition

              The party who 'owns' the insurance policy, may be an individual, corporation or the subscriber's employer.

              ShortOwner of the policy
              Control0..1
              TypeReference(nl-core-patient, nl-core-relatedperson, nl-core-organization)
              Summarytrue
              26. Coverage.subscriber
              Definition

              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.

              ShortSubscriber to the policy
              Control0..1
              TypeReference(nl-core-patient, nl-core-relatedperson)
              Summarytrue
              28. Coverage.subscriberId
              Definition

              Number under which the insured person is registered at the insurance company This item maps the ‘Identification number of the card’ on EHIC field 8

              ShortInsurantNumber
              Control0..1
              Typestring
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Summarytrue
              Alternate NamesVerzekerdeNummer
              30. Coverage.beneficiary
              Definition

              The party who benefits from the insurance coverage., the patient when services are provided.

              ShortPlan Beneficiary
              Control0..1
              TypeReference(nl-core-patient)
              Summarytrue
              32. Coverage.relationship
              Definition

              The relationship of beneficiary (patient) to the subscriber.

              ShortBeneficiary relationship to the Subscriber
              Control0..1
              BindingFor example codes, see Policyholder Relationship Codes
              (example to http://hl7.org/fhir/ValueSet/policyholder-relationship)

              The relationship between the Policyholder and the Beneficiary (insured/covered party/patient).

              TypeCodeableConcept
              Requirements

              To determine relationship between the patient and the subscriber.

              34. Coverage.period
              Definition

              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.

              ShortCoverage start and end dates
              Control0..1
              TypePeriod
              Summarytrue
              36. Coverage.period.id
              Definition

              unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

              Shortxml:id (or equivalent in JSON)
              Control0..1
              Typestring
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              XML FormatIn the XML format, this property is represented as an attribute.
              38. Coverage.period.extension
              Definition

              May be used to represent additional information that is not part of the basic definition of the element. In order 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.

              ShortAdditional Content defined by implementations
              Comments

              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

              Control0..*
              TypeExtension
              Alternate Namesextensions, user content
              SlicingThis element introduces a set of slices on Coverage.period.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
              • value @ url
              • 40. Coverage.period.start
                Definition

                Date from which the insurance policy coverage applies.

                ShortStartDateTime
                Comments

                If the low element is missing, the meaning is that the low boundary is not known.

                Control0..1
                This element is affected by the following invariants: per-1
                TypedateTime
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Summarytrue
                Alternate NamesBeginDatumTijd
                42. Coverage.period.end
                Definition

                Date until which the insurance policy coverage applies. This item maps the ‘Expiry date’ on EHIC field 9.

                ShortEndDateTime
                Comments

                The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has a end value of 2012-02-03.

                Control1..1
                This element is affected by the following invariants: per-1
                TypedateTime
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Summarytrue
                Alternate NamesEindDatumTijd
                Meaning if MissingIf the end of the period is missing, it means that the period is ongoing
                44. Coverage.payor
                Definition

                The program or plan underwriter or payor including both insurance and non-insurance agreements, such as patient-pay agreements. May provide multiple identifiers such as insurance company identifier or business identifier (BIN number).

                ShortInsuranceCompany / PayerPerson
                Control1..*
                TypeReference(nl-core-organization, nl-core-patient, nl-core-relatedperson)
                Summarytrue
                Requirements

                Need to identify the issuer to target for processing and for coordination of benefit processing.

                Alternate NamesVerzekeraar, BetalerPersoon
                46. Coverage.payor.id
                Definition

                unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                Shortxml:id (or equivalent in JSON)
                Control0..1
                Typestring
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                XML FormatIn the XML format, this property is represented as an attribute.
                48. Coverage.payor.extension
                Definition

                An Extension

                ShortExtension
                Control0..*
                TypeExtension
                SlicingThis element introduces a set of slices on Coverage.payor.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
                • value @ url
                • 50. Coverage.payor.extension:bankInformation
                  Slice NamebankInformation
                  Definition

                  An Extension

                  ShortBankInformation
                  Control0..*
                  TypeExtension(HCIM Payer BankInformation) (Complex Extension)
                  Alternate NamesBankgegevens
                  52. Coverage.payor.extension:bankInformation.id
                  Definition

                  unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                  Shortxml:id (or equivalent in JSON)
                  Control0..1
                  Typestring
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  XML FormatIn the XML format, this property is represented as an attribute.
                  54. Coverage.payor.extension:bankInformation.extension
                  Definition

                  An Extension

                  ShortExtension
                  Control1..*
                  TypeExtension
                  SlicingThis element introduces a set of slices on Coverage.payor.extension.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
                  • value @ url
                  • 56. Coverage.payor.extension:bankInformation.extension:BankName
                    Slice NameBankName
                    Definition

                    Name of the financial organization.

                    ShortBankName
                    Control0..1
                    TypeExtension
                    Alternate NamesBankNaam
                    58. Coverage.payor.extension:bankInformation.extension:BankName.id
                    Definition

                    unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                    Shortxml:id (or equivalent in JSON)
                    Control0..1
                    Typestring
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    XML FormatIn the XML format, this property is represented as an attribute.
                    60. Coverage.payor.extension:bankInformation.extension:BankName.extension
                    Definition

                    May be used to represent additional information that is not part of the basic definition of the element. In order 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.

                    ShortAdditional Content defined by implementations
                    Comments

                    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                    Control0..*
                    TypeExtension
                    Alternate Namesextensions, user content
                    SlicingThis element introduces a set of slices on Coverage.payor.extension.extension.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
                    • value @ url
                    • 62. Coverage.payor.extension:bankInformation.extension:BankName.url
                      Definition

                      Source of the definition for the extension code - a logical name or a URL.

                      Shortidentifies the meaning of the extension
                      Comments

                      The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

                      Control1..1
                      Typeuri
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      XML FormatIn the XML format, this property is represented as an attribute.
                      Fixed ValueBankName
                      64. Coverage.payor.extension:bankInformation.extension:BankName.value[x]
                      Definition

                      Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).

                      ShortValue of extension
                      Control0..1
                      Typestring
                      [x] NoteSee Choice of Data Types for further information about how to use [x]
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      SlicingThis element introduces a set of slices on Coverage.payor.extension.extension.value[x]. The slices are unordered and Closed, and can be differentiated using the following discriminators:
                      • type @ $this
                      • 66. Coverage.payor.extension:bankInformation.extension:BankName.value[x]:valueString
                        Slice NamevalueString
                        Definition

                        Name of the financial organization.

                        ShortBankName
                        Control0..1
                        Typestring
                        [x] NoteSee Choice of Data Types for further information about how to use [x]
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Alternate NamesBankNaam
                        68. Coverage.payor.extension:bankInformation.extension:AccountNumber
                        Slice NameAccountNumber
                        Definition

                        The payer’s bank account number at the listed organization. For European countries, this is the IBAN.

                        ShortAccountNumber
                        Control1..1
                        TypeExtension
                        Alternate NamesRekeningnummer
                        70. Coverage.payor.extension:bankInformation.extension:AccountNumber.id
                        Definition

                        unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                        Shortxml:id (or equivalent in JSON)
                        Control0..1
                        Typestring
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        XML FormatIn the XML format, this property is represented as an attribute.
                        72. Coverage.payor.extension:bankInformation.extension:AccountNumber.extension
                        Definition

                        May be used to represent additional information that is not part of the basic definition of the element. In order 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.

                        ShortAdditional Content defined by implementations
                        Comments

                        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                        Control0..*
                        TypeExtension
                        Alternate Namesextensions, user content
                        SlicingThis element introduces a set of slices on Coverage.payor.extension.extension.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
                        • value @ url
                        • 74. Coverage.payor.extension:bankInformation.extension:AccountNumber.url
                          Definition

                          Source of the definition for the extension code - a logical name or a URL.

                          Shortidentifies the meaning of the extension
                          Comments

                          The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

                          Control1..1
                          Typeuri
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          XML FormatIn the XML format, this property is represented as an attribute.
                          Fixed ValueAccountNumber
                          76. Coverage.payor.extension:bankInformation.extension:AccountNumber.value[x]
                          Definition

                          Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).

                          ShortValue of extension
                          Control0..1
                          Typestring
                          [x] NoteSee Choice of Data Types for further information about how to use [x]
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          SlicingThis element introduces a set of slices on Coverage.payor.extension.extension.value[x]. The slices are unordered and Closed, and can be differentiated using the following discriminators:
                          • type @ $this
                          • 78. Coverage.payor.extension:bankInformation.extension:AccountNumber.value[x]:valueString
                            Slice NamevalueString
                            Definition

                            The payer’s bank account number at the listed organization. For European countries, this is the IBAN.

                            ShortAccountNumber
                            Control0..1
                            Typestring
                            [x] NoteSee Choice of Data Types for further information about how to use [x]
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            Alternate NamesRekeningnummer
                            80. Coverage.payor.extension:bankInformation.extension:Bankcode
                            Slice NameBankcode
                            Definition

                            Code indicating the bank and branch. For European countries, this is the organization’s BIC or SWIFT code.

                            ShortBankcode
                            Control0..1
                            TypeExtension
                            Alternate NamesBankcode
                            82. Coverage.payor.extension:bankInformation.extension:Bankcode.id
                            Definition

                            unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                            Shortxml:id (or equivalent in JSON)
                            Control0..1
                            Typestring
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            XML FormatIn the XML format, this property is represented as an attribute.
                            84. Coverage.payor.extension:bankInformation.extension:Bankcode.extension
                            Definition

                            May be used to represent additional information that is not part of the basic definition of the element. In order 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.

                            ShortAdditional Content defined by implementations
                            Comments

                            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                            Control0..*
                            TypeExtension
                            Alternate Namesextensions, user content
                            SlicingThis element introduces a set of slices on Coverage.payor.extension.extension.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
                            • value @ url
                            • 86. Coverage.payor.extension:bankInformation.extension:Bankcode.url
                              Definition

                              Source of the definition for the extension code - a logical name or a URL.

                              Shortidentifies the meaning of the extension
                              Comments

                              The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

                              Control1..1
                              Typeuri
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              XML FormatIn the XML format, this property is represented as an attribute.
                              Fixed ValueBankcode
                              88. Coverage.payor.extension:bankInformation.extension:Bankcode.value[x]
                              Definition

                              Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).

                              ShortValue of extension
                              Control0..1
                              Typestring
                              [x] NoteSee Choice of Data Types for further information about how to use [x]
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              SlicingThis element introduces a set of slices on Coverage.payor.extension.extension.value[x]. The slices are unordered and Closed, and can be differentiated using the following discriminators:
                              • type @ $this
                              • 90. Coverage.payor.extension:bankInformation.extension:Bankcode.value[x]:valueString
                                Slice NamevalueString
                                Definition

                                Code indicating the bank and branch. For European countries, this is the organization’s BIC or SWIFT code.

                                ShortBankcode
                                Control0..1
                                Typestring
                                [x] NoteSee Choice of Data Types for further information about how to use [x]
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                Alternate NamesBankcode
                                92. Coverage.payor.extension:bankInformation.url
                                Definition

                                Source of the definition for the extension code - a logical name or a URL.

                                Shortidentifies the meaning of the extension
                                Comments

                                The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

                                Control1..1
                                Typeuri
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                XML FormatIn the XML format, this property is represented as an attribute.
                                Fixed Valuehttp://nictiz.nl/fhir/StructureDefinition/zib-Payer-BankInformation
                                94. Coverage.payor.extension:bankInformation.value[x]
                                Definition

                                Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).

                                ShortValue of extension
                                Control0..0
                                TypeChoice of: base64Binary, boolean, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, Meta
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                96. Coverage.payor.reference
                                Definition

                                A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.

                                ShortLiteral reference, Relative, internal or absolute URL
                                Comments

                                Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.

                                Control0..1
                                This element is affected by the following invariants: ref-1
                                Typestring
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                Summarytrue
                                98. Coverage.payor.identifier
                                Definition

                                An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.

                                ShortLogical reference, when literal reference is not known
                                Comments

                                When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy.

                                When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

                                Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

                                NoteThis is a business identifier, not a resource identifier (see discussion)
                                Control0..1
                                TypeIdentifier
                                Summarytrue
                                100. Coverage.payor.display
                                Definition

                                Plain text narrative that identifies the resource in addition to the resource reference.

                                ShortText alternative for the resource
                                Comments

                                This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.

                                Control0..1
                                Typestring
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                Summarytrue
                                102. Coverage.grouping
                                Definition

                                A suite of underwrite specific classifiers, for example may be used to identify a class of coverage or employer group, Policy, Plan.

                                ShortAdditional coverage classifications
                                Control0..1
                                TypeBackboneElement
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() | (children().count() > id.count()))
                                104. Coverage.grouping.id
                                Definition

                                unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                Shortxml:id (or equivalent in JSON)
                                Control0..1
                                Typestring
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                XML FormatIn the XML format, this property is represented as an attribute.
                                106. Coverage.grouping.extension
                                Definition

                                May be used to represent additional information that is not part of the basic definition of the element. In order 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.

                                ShortAdditional Content defined by implementations
                                Comments

                                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                Control0..*
                                TypeExtension
                                Alternate Namesextensions, user content
                                108. Coverage.grouping.modifierExtension
                                Definition

                                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 that contains it. Usually modifier elements provide negation or qualification. In order 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.

                                ShortExtensions that cannot be ignored
                                Comments

                                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                Control0..*
                                TypeExtension
                                Is Modifiertrue because No Modifier Reason provideed in previous versions of FHIR
                                Summarytrue
                                Alternate Namesextensions, user content, modifiers
                                110. Coverage.grouping.group
                                Definition

                                Identifies a style or collective of coverage issued by the underwriter, for example may be used to identify an employer group. May also be referred to as a Policy or Group ID.

                                ShortAn identifier for the group
                                Control0..1
                                Typestring
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                Summarytrue
                                112. Coverage.grouping.groupDisplay
                                Definition

                                A short description for the group.

                                ShortDisplay text for an identifier for the group
                                Control0..1
                                Typestring
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                Summarytrue
                                114. Coverage.grouping.subGroup
                                Definition

                                Identifies a style or collective of coverage issued by the underwriter, for example may be used to identify a subset of an employer group.

                                ShortAn identifier for the subsection of the group
                                Control0..1
                                Typestring
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                Summarytrue
                                116. Coverage.grouping.subGroupDisplay
                                Definition

                                A short description for the subgroup.

                                ShortDisplay text for the subsection of the group
                                Control0..1
                                Typestring
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                Summarytrue
                                118. Coverage.grouping.plan
                                Definition

                                Identifies a style or collective of coverage issued by the underwriter, for example may be used to identify a collection of benefits provided to employees. May be referred to as a Section or Division ID.

                                ShortAn identifier for the plan
                                Control0..1
                                Typestring
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                Summarytrue
                                120. Coverage.grouping.planDisplay
                                Definition

                                A short description for the plan.

                                ShortDisplay text for the plan
                                Control0..1
                                Typestring
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                Summarytrue
                                122. Coverage.grouping.subPlan
                                Definition

                                Identifies a sub-style or sub-collective of coverage issued by the underwriter, for example may be used to identify a subset of a collection of benefits provided to employees.

                                ShortAn identifier for the subsection of the plan
                                Control0..1
                                Typestring
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                Summarytrue
                                124. Coverage.grouping.subPlanDisplay
                                Definition

                                A short description for the subplan.

                                ShortDisplay text for the subsection of the plan
                                Control0..1
                                Typestring
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                Summarytrue
                                126. Coverage.grouping.class
                                Definition

                                Identifies a style or collective of coverage issues by the underwriter, for example may be used to identify a class of coverage such as a level of deductables or co-payment.

                                ShortAn identifier for the class
                                Control0..1
                                Typestring
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                Summarytrue
                                128. Coverage.grouping.classDisplay
                                Definition

                                A short description for the class.

                                ShortDisplay text for the class
                                Control0..1
                                Typestring
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                Summarytrue
                                130. Coverage.grouping.subClass
                                Definition

                                Identifies a sub-style or sub-collective of coverage issues by the underwriter, for example may be used to identify a subclass of coverage such as a sub-level of deductables or co-payment.

                                ShortAn identifier for the subsection of the class
                                Control0..1
                                Typestring
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                Summarytrue
                                132. Coverage.grouping.subClassDisplay
                                Definition

                                A short description for the subclass.

                                ShortDisplay text for the subsection of the subclass
                                Control0..1
                                Typestring
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                Summarytrue
                                134. Coverage.dependent
                                Definition

                                A unique identifier for a dependent under the coverage.

                                ShortDependent number
                                Control0..1
                                Typestring
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                Summarytrue
                                Requirements

                                For some coverage a single identifier is issued to the Subscriber and a dependent number issued to each beneficiary.

                                136. Coverage.sequence
                                Definition

                                An optional counter for a particular instance of the identified coverage which increments upon each renewal.

                                ShortThe plan instance or sequence counter
                                Control0..1
                                Typestring
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                Summarytrue
                                Requirements

                                Some coverage, for example social plans, may be offered in short time increments, for example for a week or a month at a time, so while the rest of the plan details and identifiers may remain constant over time, the instance is incremented with each renewal and provided to the covered party on their 'card'.

                                138. Coverage.order
                                Definition

                                The order of applicability of this coverage relative to other coverages which are currently inforce. Note, there may be gaps in the numbering and this does not imply primary, secondard etc. as the specific positioning of coverages depends upon the episode of care.

                                ShortRelative order of the coverage
                                Control0..1
                                TypepositiveInt
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                Summarytrue
                                140. Coverage.network
                                Definition

                                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.

                                ShortInsurer network
                                Control0..1
                                Typestring
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                Summarytrue
                                142. Coverage.contract
                                Definition

                                The policy(s) which constitute this insurance coverage.

                                ShortContract details
                                Control0..*
                                TypeReference(Contract)