Blue Button 2.0 Implementation Guide

D.4.1.4 StructureDefinition: - Detailed Descriptions

Definitions for the StructureDefinition-bluebutton-coverage Profile.

Coverage
Definition

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

Control0..*
Coverage.id
Definition

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

Control1..1
Typeid
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.

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.

Control0..0
TypeMeta
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.

Control0..0
Typeuri
Is Modifiertrue
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.

Coverage.language
Definition

The base language in which the resource is written.

Control0..0
BindingA human language.
The codes SHALL be taken from Common Languages; other codes may be used where these codes are not suitable
Typecode
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).

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.

Control0..0
TypeNarrative
Alternate Namesnarrative, html, xhtml, display
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.

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.

Control0..0
TypeResource
Alternate Namesinline resources, anonymous resources, contained 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.

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.

Control0..*
TypeExtension
Alternate Namesextensions, user content
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.

Coverage.extension (https://bluebutton.cms.gov/assets/ig/StructureDefinition-bluebutton-coverage-a-trm-cd-extension)
Definition

Optional Extension Element - found in all resources.

Control0..?
Type (Extension Type: Coding)
InvariantsDefined on this element
ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
Coverage.extension (https://bluebutton.cms.gov/assets/ig/StructureDefinition-bluebutton-coverage-b-trm-cd-extension)
Definition

Optional Extension Element - found in all resources.

Control0..?
Type (Extension Type: Coding)
InvariantsDefined on this element
ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
Coverage.extension (https://bluebutton.cms.gov/assets/ig/StructureDefinition-bluebutton-coverage-crec-extension)
Definition

Optional Extension Element - found in all resources.

Control0..?
Type (Extension Type: Coding)
InvariantsDefined on this element
ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
Coverage.extension (https://bluebutton.cms.gov/assets/ig/StructureDefinition-bluebutton-coverage-esrd-ind-extension)
Definition

Optional Extension Element - found in all resources.

Control0..?
Type (Extension Type: Coding)
InvariantsDefined on this element
ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
Coverage.extension (https://bluebutton.cms.gov/assets/ig/StructureDefinition-bluebutton-coverage-ms-cd-extension)
Definition

Optional Extension Element - found in all resources.

Control0..?
Type (Extension Type: Coding)
InvariantsDefined on this element
ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
Coverage.extension (https://bluebutton.cms.gov/assets/ig/StructureDefinition-bluebutton-coverage-orec-extension)
Definition

Optional Extension Element - found in all resources.

Control0..?
Type (Extension Type: Coding)
InvariantsDefined on this element
ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
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.

Control0..*
TypeExtension
Is Modifiertrue
Alternate Namesextensions, user content
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.

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.

NoteThis is a business identifer, not a resource identifier (see discussion)
Control0..0
TypeIdentifier
Requirements

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

Coverage.status
Definition

The status of the resource instance.

Control1..1
BindingA code specifying the state of the resource instance.
The codes SHALL be taken from Financial Resource Status Codes
Typecode
Is Modifiertrue
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.

Coverage.type
Definition

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

Control1..1
BindingThe type of insurance: public health, worker compensation; private accident, auto, private health, etc.) or a direct payment by an individual or organization.
The codes SHOULD be taken from Coverage Type and Self-Pay Codes
TypeCodeableConcept
Requirements

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

Comments

Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.

Coverage.type.id
Definition

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

Control0..1
Typestring
Comments

Note that FHIR strings may not exceed 1MB in size

Coverage.type.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.

Control0..*
TypeExtension
Alternate Namesextensions, user content
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.

Coverage.type.coding
Definition

A reference to a code defined by a terminology system.

Control1..1
TypeCoding
Requirements

Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings.

Comments

Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

Coverage.type.coding.id
Definition

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

Control0..1
Typestring
Comments

Note that FHIR strings may not exceed 1MB in size

Coverage.type.coding.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.

Control0..*
TypeExtension
Alternate Namesextensions, user content
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.

Coverage.type.coding.system
Definition

The identification of the code system that defines the meaning of the symbol in the code.

Control1..1
Typeuri
Requirements

Need to be unambiguous about the source of the definition of the symbol.

Comments

The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.

Coverage.type.coding.version
Definition

The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

NoteThis is a business versionId, not a resource version id (see discussion)
Control0..0
Typestring
Comments

Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

Coverage.type.coding.code
Definition

A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

Control1..1
Typecode
Requirements

Need to refer to a particular code in the system.

Comments

Note that FHIR strings may not exceed 1MB in size

Coverage.type.coding.display
Definition

A representation of the meaning of the code in the system, following the rules of the system.

Control0..0
Typestring
Requirements

Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

Comments

Note that FHIR strings may not exceed 1MB in size

Coverage.type.coding.userSelected
Definition

Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays).

Control0..0
Typeboolean
Requirements

This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

Comments

Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

Coverage.type.text
Definition

A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

Control0..0
Typestring
Requirements

The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

Comments

Very often the text is the same as a displayName of one of the codings.

Coverage.policyHolder
Definition

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

Control0..0
TypeChoice of: Reference(Patient), Reference(RelatedPerson), Reference(Organization)
Comments

References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.

InvariantsDefined on this element
ref-1: SHALL have a contained resource if a local reference is provided (: reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids')))
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.

Control0..0
TypeChoice of: Reference(Patient), Reference(RelatedPerson)
Comments

References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.

InvariantsDefined on this element
ref-1: SHALL have a contained resource if a local reference is provided (: reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids')))
Coverage.subscriberId
Definition

The insurer assigned ID for the Subscriber.

Control0..0
Typestring
Comments

Note that FHIR strings may not exceed 1MB in size

Coverage.beneficiary
Definition

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

Control1..1
TypeReference(Patient)
Comments

References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.

InvariantsDefined on this element
ref-1: SHALL have a contained resource if a local reference is provided (: reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids')))
Coverage.beneficiary.id
Definition

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

Control0..1
Typestring
Comments

Note that FHIR strings may not exceed 1MB in size

Coverage.beneficiary.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.

Control0..*
TypeExtension
Alternate Namesextensions, user content
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.

Coverage.beneficiary.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.

Control1..1
Typestring
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.

Coverage.beneficiary.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.

NoteThis is a business identifer, not a resource identifier (see discussion)
Control0..0
TypeIdentifier
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.

Coverage.beneficiary.display
Definition

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

Control0..0
Typestring
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.

Coverage.relationship
Definition

The relationship of beneficiary (patient) to the subscriber.

Control0..0
BindingThe relationship between the Policyholder and the Beneficiary (insured/covered party/patient).
For example codes, see Policyholder Relationship Codes
TypeCodeableConcept
Requirements

To determine relationship between the patient and the subscriber.

Comments

Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.

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.

Control0..0
TypePeriod
Comments

This is not a duration - that's a measure of time (a separate type), but a duration that occurs at a fixed value of time. A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). If duration is required, specify the type as Interval|Duration.

InvariantsDefined on this element
per-1: If present, start SHALL have a lower value than end (: start.empty() or end.empty() or (start <= end))
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).

Control0..0
TypeChoice of: Reference(Organization), Reference(Patient), Reference(RelatedPerson)
Requirements

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

Comments

References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.

InvariantsDefined on this element
ref-1: SHALL have a contained resource if a local reference is provided (: reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids')))
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.

Control1..1
TypeBackboneElement
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.

Control0..0
Typestring
Comments

Note that FHIR strings may not exceed 1MB in size

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.

Control0..*
TypeExtension
Alternate Namesextensions, user content
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.

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.

Control0..*
TypeExtension
Is Modifiertrue
Alternate Namesextensions, user content, modifiers
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.

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.

Control0..0
Typestring
Comments

Note that FHIR strings may not exceed 1MB in size

Coverage.grouping.groupDisplay
Definition

A short description for the group.

Control0..0
Typestring
Comments

Note that FHIR strings may not exceed 1MB in size

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.

Control1..1
Typestring
Comments

Note that FHIR strings may not exceed 1MB in size

Coverage.grouping.subGroupDisplay
Definition

A short description for the subgroup.

Control0..0
Typestring
Comments

Note that FHIR strings may not exceed 1MB in size

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.

Control0..0
Typestring
Comments

Note that FHIR strings may not exceed 1MB in size

Coverage.grouping.planDisplay
Definition

A short description for the plan.

Control0..0
Typestring
Comments

Note that FHIR strings may not exceed 1MB in size

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.

Control1..1
Typestring
Comments

Note that FHIR strings may not exceed 1MB in size

Coverage.grouping.subPlanDisplay
Definition

A short description for the subplan.

Control0..0
Typestring
Comments

Note that FHIR strings may not exceed 1MB in size

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.

Control0..0
Typestring
Comments

Note that FHIR strings may not exceed 1MB in size

Coverage.grouping.classDisplay
Definition

A short description for the class.

Control0..0
Typestring
Comments

Note that FHIR strings may not exceed 1MB in size

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.

Control0..0
Typestring
Comments

Note that FHIR strings may not exceed 1MB in size

Coverage.grouping.subClassDisplay
Definition

A short description for the subclass.

Control0..0
Typestring
Comments

Note that FHIR strings may not exceed 1MB in size

Coverage.dependent
Definition

A unique identifier for a dependent under the coverage.

Control0..0
Typestring
Requirements

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

Comments

Note that FHIR strings may not exceed 1MB in size

Coverage.sequence
Definition

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

Control0..0
Typestring
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'.

Comments

Note that FHIR strings may not exceed 1MB in size

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.

Control0..0
TypepositiveInt
Comments

32 bit number; for values larger than this, use decimal

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.

Control0..0
Typestring
Comments

Note that FHIR strings may not exceed 1MB in size

Coverage.contract
Definition

The policy(s) which constitute this insurance coverage.

Control0..0
TypeReference(Contract)
Comments

References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.

InvariantsDefined on this element
ref-1: SHALL have a contained resource if a local reference is provided (: reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids')))