CH Core (R4)
5.0.0-ballot - ballot Switzerland flag

This page is part of the CH Core (R4) (v5.0.0-ballot: STU 5 Ballot 1) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

Resource Profile: CH Core Coverage

Official URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-coverage Version: 5.0.0-ballot
Active as of 2024-05-16 Computable Name: CHCoreCoverage

Copyright/Legal: CC0-1.0

Base definition of the Coverage resource for use in Swiss specific use cases.

Coverage information which can be shared

Usage:

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

This structure is derived from Coverage

NameFlagsCard.TypeDescription & Constraintsdoco
.. Coverage 0..* Coverage CH Core Coverage
... Slices for identifier 0..* Identifier Business Identifier for the coverage
Slice: Unordered, Open by pattern:$this
.... identifier:insuranceCardNumber 0..* VEKAIdentifier Insurance card number of the patient (20 digits)

Required Pattern: At least the following
..... system 1..1 uri The namespace for the identifier value
Fixed Value: urn:oid:2.16.756.5.30.1.123.100.1.1.1
... type 0..1 CodeableConcept Coverage category such as medical or accident
Binding: Main Guarantor (preferred)
... policyHolder 0..1 Reference(CH Core Patient | RelatedPerson | CH Core Organization) Owner of the policy
... beneficiary 1..1 Reference(CH Core Patient) Plan beneficiary
... payor 1..* Reference(CH Core Organization | CH Core Patient | RelatedPerson) {c, r} Issuer of the policy (if it is not the patient him/herself, represent the payor as a contained resource)
... class
.... type 1..1 CodeableConcept Type of class such as 'group' or 'plan'
Binding: BFS Medizinische Statistik - 21 1.3.V02 - Klasse / Classe / Classe (extensible)

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Coverage.typepreferredMainGuarantor
http://fhir.ch/ig/ch-term/ValueSet/mainguarantor
Coverage.class.typeextensibleBfsMedstats21Encountertype
http://fhir.ch/ig/ch-core/ValueSet/bfs-medstats-21-encountertype

 

Other representations of profile: CSV, Excel, Schematron