This is the set of resources that conform to both ACH Monthly Event Coverage (http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-coverage) and ACH Monthly Event Coverage (http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-coverage).
Name Flags Card. Type Description & Constraints Filter: Bindings
Coverage 0..* Insurance or medical plan or a payment agreement meta Σ 0..1 Meta Metadata about the resource extension 0..* Extension Additional content defined by implementations versionId Σ 0..1 id Version specific identifier lastUpdated Σ 0..1 instant When the resource version last changed source Σ 0..1 uri Identifies where the resource comes from profile Σ 0..* canonical (StructureDefinition )Profiles this resource claims to conform to security Σ 0..* Coding Security Labels applied to this resourceBinding: ?? ( extensible ) : Security Labels from the Healthcare Privacy and Security Classification System. tag Σ 0..* Coding Tags applied to this resourceBinding: ?? ( example ) : Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones". implicitRules ?! Σ 0..1 uri A set of rules under which this content was created language 0..1 code Language of the resource contentBinding: ?? ( preferred ) : A human language. text 0..1 Narrative Text summary of the resource, for human interpretationThis profile does not constrain the narrative in regard to content, language, or traceability to data elements contained 0..* Resource Contained, inline Resources extension 0..* Extension Additional content defined by implementations modifierExtension ?! 0..* Extension Extensions that cannot be ignored identifier S Σ 0..* Identifier left: Business Identifier for the coverage; right: (USCDI) Member ID and other identifiers status ?! S Σ 1..1 code left: active | cancelled | draft | entered-in-error; right: (NHSN-MS)(USCDI) active | cancelled | draft | entered-in-errorBinding: ?? ( required ) : A code specifying the state of the resource instance. type S Σ 0..1 CodeableConcept left: Coverage category such as medical or accident; right: (NHSN-MS)(QI-Core)(USCDI) Coverage category such as medical or accidentBinding: ?? ( extensible ) policyHolder S Σ 0..1 Reference (QICorePatient | QICoreOrganization | QICoreRelatedPerson )left: Owner of the policy; right: (QI-Core) Owner of the policy subscriber S Σ 0..1 Reference (Patient | RelatedPerson )Subscriber to the policy subscriberId S Σ 0..1 string left: ID assigned to the subscriber; right: (QI-Core)(USCDI) ID assigned to the subscriber beneficiary S Σ 1..1 Reference (Cross-Measure Patient Profile )left: Plan beneficiary; right: (NHSN-MS)(QI-Core)(USCDI) Plan beneficiary extension 0..* Extension Additional content defined by implementations reference S Σ 1..1 string left: Literal reference, Relative, internal or absolute URL; right: (NHSN-MS) Literal reference, Relative, internal or absolute URL type Σ 0..1 uri Type the reference refers to (e.g. "Patient")Binding: ?? ( extensible ) : Aa resource (or, for logical models, the URI of the logical model). identifier Σ 0..1 Identifier Logical reference, when literal reference is not known display Σ 0..1 string Text alternative for the resource dependent S Σ 0..1 string Dependent number relationship S 1..1 CodeableConcept left: Beneficiary relationship to the subscriber; right: (USCDI) Beneficiary relationship to the subscriberBinding: ?? ( extensible ) : The relationship between the Subscriber and the Beneficiary (insured/covered party/patient). period S Σ 0..1 Period left: Coverage start and end dates; right: (NHSN-MS)(QI-Core)(USCDI) Coverage start and end dates payor S Σ 1..1 left: Issuer of the policy; right: (NHSN-MS)(QI-Core)(USCDI) Issuer of the policy extension 0..* Extension Additional content defined by implementations reference S Σ 1..1 string left: Literal reference, Relative, internal or absolute URL; right: (NHSN-MS) Literal reference, Relative, internal or absolute URL type Σ 0..1 uri Type the reference refers to (e.g. "Patient")Binding: ?? ( extensible ) : Aa resource (or, for logical models, the URI of the logical model). identifier Σ 0..1 Identifier Logical reference, when literal reference is not known display Σ 0..1 string Text alternative for the resource class S 0..* BackboneElement left: Additional coverage classifications; right: (USCDI) Additional coverage classifications extension 0..* Extension Additional content defined by implementations modifierExtension ?! Σ 0..* Extension Extensions that cannot be ignored even if unrecognized type Σ 1..1 CodeableConcept Type of class such as 'group' or 'plan'Binding: ?? ( extensible ) : The policy classifications, eg. Group, Plan, Class, etc. value Σ 1..1 string Value associated with the type name Σ 0..1 string Human readable description of the type and value order Σ 0..1 positiveInt Relative order of the coverage network Σ 0..1 string Insurer network costToBeneficiary 0..* BackboneElement Patient payments for services/products extension 0..* Extension Additional content defined by implementations modifierExtension ?! Σ 0..* Extension Extensions that cannot be ignored even if unrecognized type Σ 0..1 CodeableConcept Cost categoryBinding: ?? ( extensible ) : The types of services to which patient copayments are specified. value[x] Σ 1..1 The amount or percentage due from the beneficiary valueQuantity Quantity (SimpleQuantity | ?gen-e2?)valueMoney Money (SimpleQuantity )exception 0..* BackboneElement Exceptions for patient payments extension 0..* Extension Additional content defined by implementations modifierExtension ?! Σ 0..* Extension Extensions that cannot be ignored even if unrecognized type Σ 1..1 CodeableConcept Exception categoryBinding: ?? ( example ) : The types of exceptions from the part or full value of financial obligations such as copays. period Σ 0..1 Period The effective period of the exception subrogation 0..1 boolean Reimbursement to insurer contract 0..* Reference (Contract )Contract details
Coverage 
meta 
extension 
versionId 
contained 
modifierExtension 
policyHolder 
value[x] 
