PREFIX fhir:
PREFIX fhirvs:
PREFIX xsd:
BASE
start=@ AND {fhir:nodeRole [fhir:treeRoot]}
# Insurance or medical plan or a payment agreement
CLOSED {
a [fhir:Coverage];
fhir:nodeRole [fhir:treeRoot]?;
fhir:Resource.id id?; # Logical id of this artifact
fhir:Resource.meta @?; # Metadata about the resource
fhir:Resource.implicitRules @?; # A set of rules under which this
# content was created
fhir:Resource.language @?; # Language of the resource content
fhir:DomainResource.text @?; # Text summary of the resource, for
# human interpretation
fhir:DomainResource.contained @*; # Contained, inline Resources
fhir:DomainResource.extension @*; # Additional content defined by
# implementations
fhir:DomainResource.modifierExtension @*; # Extensions that cannot be ignored
fhir:Coverage.identifier @*; # Business Identifier for the
# coverage
fhir:Coverage.status @ AND
{fhir:value @fhirvs:fm-status}; # active | cancelled | draft |
# entered-in-error
fhir:Coverage.type @?; # Coverage category such as medical
# or accident
fhir:Coverage.policyHolder @?; # Owner of the policy
fhir:Coverage.subscriber @?; # Subscriber to the policy
fhir:Coverage.subscriberId @?; # ID assigned to the subscriber
fhir:Coverage.beneficiary @; # Plan beneficiary
fhir:Coverage.dependent @?; # Dependent number
fhir:Coverage.relationship @?; # Beneficiary relationship to the
# subscriber
fhir:Coverage.period @?; # Coverage start and end dates
fhir:Coverage.payor @+; # Issuer of the policy
fhir:Coverage.class @*; # Additional coverage classifications
fhir:Coverage.order @?; # Relative order of the coverage
fhir:Coverage.network @?; # Insurer network
fhir:Coverage.costToBeneficiary @*; # Patient payments for
# services/products
fhir:Coverage.subrogation @?; # Reimbursement to insurer
fhir:Coverage.contract @*; # Contract details
fhir:index xsd:integer? # Relative position in a list
}
# Patient payments for services/products
CLOSED {
fhir:Element.id string?; # Unique id for inter-element
# referencing
fhir:Element.extension @*; # Additional content defined by
# implementations
fhir:BackboneElement.modifierExtension @*; # Extensions that cannot be ignored
# even if unrecognized
fhir:Coverage.costToBeneficiary.type @?; # Cost category
( # The amount or percentage due from
# the beneficiary
fhir:Coverage.costToBeneficiary.valueQuantity @ |
fhir:Coverage.costToBeneficiary.valueMoney @
);
fhir:Coverage.costToBeneficiary.exception @*; # Exceptions for patient payments
fhir:index xsd:integer? # Relative position in a list
}
# Additional coverage classifications
CLOSED {
fhir:Element.id string?; # Unique id for inter-element
# referencing
fhir:Element.extension @*; # Additional content defined by
# implementations
fhir:BackboneElement.modifierExtension @*; # Extensions that cannot be ignored
# even if unrecognized
fhir:Coverage.class.type @; # Type of class such as 'group' or
# 'plan'
fhir:Coverage.class.value @; # Value associated with the type
fhir:Coverage.class.name @?; # Human readable description of the
# type and value
fhir:index xsd:integer? # Relative position in a list
}
# Exceptions for patient payments
CLOSED {
fhir:Element.id string?; # Unique id for inter-element
# referencing
fhir:Element.extension @*; # Additional content defined by
# implementations
fhir:BackboneElement.modifierExtension @*; # Extensions that cannot be ignored
# even if unrecognized
fhir:Coverage.costToBeneficiary.exception.type @; # Exception category
fhir:Coverage.costToBeneficiary.exception.period @?; # The effective period of the
# exception
fhir:index xsd:integer? # Relative position in a list
}
#---------------------- Data Types -------------------
# Metadata about a resource
CLOSED {
fhir:Element.id id?; # Unique id for inter-element
# referencing
fhir:Element.extension @*; # Additional content defined by
# implementations
fhir:Meta.versionId @?; # Version specific identifier
fhir:Meta.lastUpdated @?; # When the resource version last
# changed
fhir:Meta.source @?; # Identifies where the resource
# comes from
fhir:Meta.profile @*; # Profiles this resource claims to
# conform to
fhir:Meta.security @*; # Security Labels applied to this
# resource
fhir:Meta.tag @*; # Tags applied to this resource
fhir:index xsd:integer? # Relative position in a list
}
# Primitive Type code
CLOSED {
fhir:Element.id string?; # xml:id (or equivalent in JSON)
fhir:Element.extension @*; # Additional content defined by
# implementations
fhir:value code?; # Primitive value for code
fhir:index xsd:integer? # Relative position in a list
}
# Primitive Type string
CLOSED {
fhir:Element.id string?; # xml:id (or equivalent in JSON)
fhir:Element.extension @*; # Additional content defined by
# implementations
fhir:value string MAXLENGTH 1048576?; # Primitive value for string
fhir:index xsd:integer? # Relative position in a list
}
# A reference from one resource to another
CLOSED {
fhir:link IRI?;
fhir:Element.id id?; # Unique id for inter-element
# referencing
fhir:Element.extension @*; # Additional content defined by
# implementations
fhir:Reference.reference @?; # Literal reference, Relative,
# internal or absolute URL
fhir:Reference.type @?; # Type the reference refers to (e.g.
# "Patient")
fhir:Reference.identifier @?; # Logical reference, when literal
# reference is not known
fhir:Reference.display @?; # Text alternative for the resource
fhir:index xsd:integer? # Relative position in a list
}
# Base Resource
{a .+;
fhir:Resource.id id?; # Logical id of this artifact
fhir:Resource.meta @?; # Metadata about the resource
fhir:Resource.implicitRules @?; # A set of rules under which this
# content was created
fhir:Resource.language @?; # Language of the resource content
fhir:index xsd:integer?
}
# A fixed quantity (no comparator)
CLOSED {
fhir:Element.id id?; # Unique id for inter-element
# referencing
fhir:Element.extension @*; # Additional content defined by
# implementations
fhir:Quantity.value @?; # Numerical value (with implicit
# precision)
fhir:Quantity.unit @?; # Unit representation
fhir:Quantity.system @?; # System that defines coded unit form
fhir:Quantity.code @?; # Coded form of the unit
fhir:index xsd:integer? # Relative position in a list
}
# Time range defined by start and end date/time
CLOSED {
fhir:Element.id id?; # Unique id for inter-element
# referencing
fhir:Element.extension @*; # Additional content defined by
# implementations
fhir:Period.start @?; # Starting time with inclusive
# boundary
fhir:Period.end @?; # End time with inclusive boundary,
# if not ongoing
fhir:index xsd:integer? # Relative position in a list
}
# Primitive Type uri
CLOSED {
fhir:Element.id string?; # xml:id (or equivalent in JSON)
fhir:Element.extension @*; # Additional content defined by
# implementations
fhir:value uri?; # Primitive value for uri
fhir:index xsd:integer? # Relative position in a list
}
# Optional Extensions Element
CLOSED {
fhir:Element.id id?;
fhir:Element.extension @*;
fhir:Extension.url uri;
(
fhir:Extension.valueBase64Binary @ |
fhir:Extension.valueBoolean @ |
fhir:Extension.valueCanonical @ |
fhir:Extension.valueCode @ |
fhir:Extension.valueDate @ |
fhir:Extension.valueDateTime @ |
fhir:Extension.valueDecimal @ |
fhir:Extension.valueId @ |
fhir:Extension.valueInstant @ |
fhir:Extension.valueInteger @ |
fhir:Extension.valueMarkdown @ |
fhir:Extension.valueOid @ |
fhir:Extension.valuePositiveInt @ |
fhir:Extension.valueString @ |
fhir:Extension.valueTime @