| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| TU | DomainResource | Insurance or medical plan or a payment agreement Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension | ||
| Σ | 0..* | Identifier | Business identifier(s) for this coverage | |
| ?!Σ | 1..1 | code | active | cancelled | draft | entered-in-error Binding: Financial Resource Status Codes (Required) | |
| Σ | 1..1 | code | insurance | self-pay | other Binding: Kind (Required) | |
| 0..* | BackboneElement | Self-pay parties and responsibility | ||
| Σ | 1..1 | Reference(Patient | RelatedPerson | Organization) | Parties performing self-payment | |
| Σ | 0..1 | string | Party's responsibility | |
| Σ | 0..1 | CodeableConcept | Coverage category such as medical or accident Binding: Coverage Type and Self-Pay Codes (Preferred) | |
| Σ | 0..1 | Reference(Patient | RelatedPerson | Organization) | Owner of the policy | |
| Σ | 0..1 | Reference(Patient | RelatedPerson) | Subscriber to the policy | |
| Σ | 0..* | Identifier | ID assigned to the subscriber | |
| Σ | 1..1 | Reference(Patient) | Plan beneficiary | |
| Σ | 0..1 | string | Dependent number | |
| 0..1 | CodeableConcept | Beneficiary relationship to the subscriber Binding: SubscriberPolicyholder Relationship Codes (Extensible) | ||
| Σ | 0..1 | Period | Coverage start and end dates | |
| Σ | 0..1 | Reference(Organization) | Issuer of the policy | |
| 0..* | BackboneElement | Additional coverage classifications | ||
| Σ | 1..1 | CodeableConcept | Type of class such as 'group' or 'plan' Binding: Coverage Class Codes (Extensible) | |
| Σ | 1..1 | Identifier | Value associated with the type | |
| Σ | 0..1 | string | Human readable description of the type and value | |
| Σ | 0..1 | positiveInt | Relative order of the coverage | |
| Σ | 0..1 | string | Insurer network | |
| 0..* | BackboneElement | Patient payments for services/products | ||
| Σ | 0..1 | CodeableConcept | Cost category Binding: Coverage Copay Type Codes (Extensible) | |
| 0..1 | CodeableConcept | Benefit classification Binding: Benefit Category Codes (Example) | ||
| 0..1 | CodeableConcept | In or out of network Binding: Network Type Codes (Example) | ||
| 0..1 | CodeableConcept | Individual or family Binding: Unit Type Codes (Example) | ||
| 0..1 | CodeableConcept | Annual or lifetime Binding: Benefit Term Codes (Example) | ||
| Σ | 0..1 | The amount or percentage due from the beneficiary | ||
| SimpleQuantity | ||||
| Money | ||||
| 0..* | BackboneElement | Exceptions for patient payments | ||
| Σ | 1..1 | CodeableConcept | Exception category Binding: Example Coverage Financial Exception Codes (Example) | |
| Σ | 0..1 | Period | The effective period of the exception | |
| 0..1 | boolean | Reimbursement to insurer | ||
| 0..* | Reference(Contract) | Contract details | ||
| 0..1 | Reference(InsurancePlan) | Insurance plan details | ||