New Zealand NES IG
1.4.6 - Release
New Zealand NES IG
1.4.6 - Release
New Zealand NES IG - Local Development build (v1.4.6) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
| Official URL: http://hl7.org.nz/fhir/StructureDefinition/NesEntitlement | Version: 1.4.6 | |||
| Active as of 2024-09-04 | Computable Name: NesEntitlement | |||
The coverage resource contains information related to Patient entitlements
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from NzCoverage
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  Coverage |
C | 0..* | NzCoverage | Insurance or medical plan or a payment agreement COVERAGE-STATUS-ALLOWED-CODES: draft status is not allowed COVERAGE-URL-ALLOWED-CHARS: character restrictions for URLs COVERAGE-SYSTEM-LENGTH: System URLs must be less than 1024 characters COVERAGE-SYSTEM-ALLOWED-CHARS: character restrictions for system url COVERAGE-CODEABLE-CONCEPT-TEXT-LENGTH: valueCodeableConcept.text must be less than 1024 characters COVERAGE-CODEABLE-CONCEPT-TEXT-ALLOWED-CHARS: character restrictions for valueCodeableConcept.text |
  id |
0..1 | id | Logical id of this artifact (The Entitlement.id) | |
| implicitRules |
0..0 | |||
| language |
0..0 | |||
  Slices for contained |
0..* | Resource | Contained, inline Resources Slice: Unordered, Closed by type:$this | |
   contained:beneficiary |
0..1 | NesPatient | Information about an individual or animal receiving health care services | |
| identifier |
0..* | Identifier | Business Identifier for the Entitlement | |
| id |
0..0 | |||
 extension |
0..0 | |||
| use |
0..1 | code | usual | official | temp | secondary | old (If known) Fixed Value: official | |
| type |
0..0 | |||
| system |
0..1 | uri | The namespace for the identifier value Binding: NES Entitlement System Identifiers (required) | |
| period |
0..0 | |||
 assigner |
0..0 | |||
| status |
1..1 | code | active | cancelled | |
| type |
0..1 | CodeableConcept | Entitlement type such as CSC or HUHC. Binding: CoverageType (1.1.0) (required) | |
| policyHolder |
0..0 | |||
| subscriber |
0..0 | |||
| subscriberId |
0..0 | |||
 beneficiary |
1..1 | Reference(NES Patient) | The Health service user's NHI. | |
| dependent |
0..0 | |||
| relationship |
0..1 | CodeableConcept | Used to identify a CSC dependent | |
| period |
0..1 | Period | Entitlement Start and Expiry or End date | |
| payor |
1..* | Reference(Organization | Patient | RelatedPerson) | Organisation approving the entitlement. | |
| class |
0..0 | |||
| order |
0..0 | |||
| network |
0..0 | |||
| costToBeneficiary |
0..0 | |||
| subrogation |
0..0 | |||
| contract |
0..0 | |||
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| Coverage.identifier.system | required | Nes_Entitlement_Identifierhttps://nzhts.digital.health.nz/fhir/ValueSet/nes-entitlement-identifier-code | |
| Coverage.type | required | CoverageTypehttps://nzhts.digital.health.nz/fhir/ValueSet/coverage-type-code|1.1.0 |
| Id | Grade | Path(s) | Details | Requirements |
| COVERAGE-CODEABLE-CONCEPT-TEXT-ALLOWED-CHARS | error | Coverage | character restrictions for valueCodeableConcept.text : Coverage.descendants().valueCodeableConcept.text.all(matches('^([-a-zA-Z0-9\' \t\r\n.\/,])*$')) | |
| COVERAGE-CODEABLE-CONCEPT-TEXT-LENGTH | error | Coverage | valueCodeableConcept.text must be less than 1024 characters : Coverage.descendants().valueCodeableConcept.text.all(length()<1024) | |
| COVERAGE-STATUS-ALLOWED-CODES | error | Coverage | draft status is not allowed : Coverage.status.all(matches('draft').not()) | |
| COVERAGE-SYSTEM-ALLOWED-CHARS | error | Coverage | character restrictions for system url : Coverage.descendants().system.all(matches('^[-a-zA-Z0-9@:%._~#=?&\/]*$')) | |
| COVERAGE-SYSTEM-LENGTH | error | Coverage | System URLs must be less than 1024 characters : Coverage.descendants().system.all(length()<1024) | |
| COVERAGE-URL-ALLOWED-CHARS | error | Coverage | character restrictions for URLs : Coverage.descendants().url.all(matches('^[-a-zA-Z0-9@:%._~#=?&\/]*$')) |
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Coverage |
C | 0..* | NzCoverage | Insurance or medical plan or a payment agreement COVERAGE-STATUS-ALLOWED-CODES: draft status is not allowed COVERAGE-URL-ALLOWED-CHARS: character restrictions for URLs COVERAGE-SYSTEM-LENGTH: System URLs must be less than 1024 characters COVERAGE-SYSTEM-ALLOWED-CHARS: character restrictions for system url COVERAGE-CODEABLE-CONCEPT-TEXT-LENGTH: valueCodeableConcept.text must be less than 1024 characters COVERAGE-CODEABLE-CONCEPT-TEXT-ALLOWED-CHARS: character restrictions for valueCodeableConcept.text |
 id |
Σ | 0..1 | id | Logical id of this artifact (The Entitlement.id) |
| Slices for contained |
0..* | Resource | Contained, inline Resources Slice: Unordered, Closed by type:$this | |
| contained:beneficiary |
0..1 | NesPatient | Information about an individual or animal receiving health care services | |
 modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored |
 identifier |
Σ | 0..* | Identifier | Business Identifier for the Entitlement |
| extension |
0..0 | |||
| use |
?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Fixed Value: official |
| system |
Σ | 0..1 | uri | The namespace for the identifier value Binding: NES Entitlement System Identifiers (required) Example General: http://www.acme.com/identifiers/patient |
| status |
?!Σ | 1..1 | code | active | cancelled Binding: FinancialResourceStatusCodes (required): A code specifying the state of the resource instance. |
| type |
Σ | 0..1 | CodeableConcept | Entitlement type such as CSC or HUHC. Binding: CoverageType (1.1.0) (required) |
| beneficiary |
Σ | 1..1 | Reference(NES Patient) | The Health service user's NHI. |
| relationship |
0..1 | CodeableConcept | Used to identify a CSC dependent Binding: SubscriberRelationshipCodes (extensible): The relationship between the Subscriber and the Beneficiary (insured/covered party/patient). | |
| period |
Σ | 0..1 | Period | Entitlement Start and Expiry or End date |
| payor |
Σ | 1..* | Reference(Organization | Patient | RelatedPerson) | Organisation approving the entitlement. |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code | URI |
| Coverage.identifier.use | required | Fixed Value: officialhttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1from the FHIR Standard | |
| Coverage.identifier.system | required | Nes_Entitlement_Identifierhttps://nzhts.digital.health.nz/fhir/ValueSet/nes-entitlement-identifier-code | |
| Coverage.status | required | FinancialResourceStatusCodeshttp://hl7.org/fhir/ValueSet/fm-status|4.0.1from the FHIR Standard | |
| Coverage.type | required | CoverageTypehttps://nzhts.digital.health.nz/fhir/ValueSet/coverage-type-code|1.1.0 | |
| Coverage.relationship | extensible | SubscriberRelationshipCodeshttp://hl7.org/fhir/ValueSet/subscriber-relationshipfrom the FHIR Standard | |
| Coverage.class.type | extensible | CoverageCategoryhttps://nzhts.digital.health.nz/fhir/ValueSet/coverage-category-code |
| Id | Grade | Path(s) | Details | Requirements |
| COVERAGE-CODEABLE-CONCEPT-TEXT-ALLOWED-CHARS | error | Coverage | character restrictions for valueCodeableConcept.text : Coverage.descendants().valueCodeableConcept.text.all(matches('^([-a-zA-Z0-9\' \t\r\n.\/,])*$')) | |
| COVERAGE-CODEABLE-CONCEPT-TEXT-LENGTH | error | Coverage | valueCodeableConcept.text must be less than 1024 characters : Coverage.descendants().valueCodeableConcept.text.all(length()<1024) | |
| COVERAGE-STATUS-ALLOWED-CODES | error | Coverage | draft status is not allowed : Coverage.status.all(matches('draft').not()) | |
| COVERAGE-SYSTEM-ALLOWED-CHARS | error | Coverage | character restrictions for system url : Coverage.descendants().system.all(matches('^[-a-zA-Z0-9@:%._~#=?&\/]*$')) | |
| COVERAGE-SYSTEM-LENGTH | error | Coverage | System URLs must be less than 1024 characters : Coverage.descendants().system.all(length()<1024) | |
| COVERAGE-URL-ALLOWED-CHARS | error | Coverage | character restrictions for URLs : Coverage.descendants().url.all(matches('^[-a-zA-Z0-9@:%._~#=?&\/]*$')) |
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Coverage |
C | 0..* | NzCoverage | Insurance or medical plan or a payment agreement COVERAGE-STATUS-ALLOWED-CODES: draft status is not allowed COVERAGE-URL-ALLOWED-CHARS: character restrictions for URLs COVERAGE-SYSTEM-LENGTH: System URLs must be less than 1024 characters COVERAGE-SYSTEM-ALLOWED-CHARS: character restrictions for system url COVERAGE-CODEABLE-CONCEPT-TEXT-LENGTH: valueCodeableConcept.text must be less than 1024 characters COVERAGE-CODEABLE-CONCEPT-TEXT-ALLOWED-CHARS: character restrictions for valueCodeableConcept.text |
| id |
Σ | 0..1 | id | Logical id of this artifact (The Entitlement.id) |
| meta |
Σ | 0..1 | Meta | Metadata about the resource |
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation | |
| Slices for contained |
0..* | Resource | Contained, inline Resources Slice: Unordered, Closed by type:$this | |
| contained:beneficiary |
0..1 | NesPatient | Information about an individual or animal receiving health care services | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored |
| identifier |
Σ | 0..* | Identifier | Business Identifier for the Entitlement |
| extension |
0..0 | |||
| use |
?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Fixed Value: official |
| system |
Σ | 0..1 | uri | The namespace for the identifier value Binding: NES Entitlement System Identifiers (required) Example General: http://www.acme.com/identifiers/patient |
| value |
Σ | 0..1 | string | The value that is unique Example General: 123456 |
| status |
?!Σ | 1..1 | code | active | cancelled Binding: FinancialResourceStatusCodes (required): A code specifying the state of the resource instance. |
| type |
Σ | 0..1 | CodeableConcept | Entitlement type such as CSC or HUHC. Binding: CoverageType (1.1.0) (required) |
| beneficiary |
Σ | 1..1 | Reference(NES Patient) | The Health service user's NHI. |
| relationship |
0..1 | CodeableConcept | Used to identify a CSC dependent Binding: SubscriberRelationshipCodes (extensible): The relationship between the Subscriber and the Beneficiary (insured/covered party/patient). | |
| period |
Σ | 0..1 | Period | Entitlement Start and Expiry or End date |
| payor |
Σ | 1..* | Reference(Organization | Patient | RelatedPerson) | Organisation approving the entitlement. |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code | URI |
| Coverage.identifier.use | required | Fixed Value: officialhttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1from the FHIR Standard | |
| Coverage.identifier.system | required | Nes_Entitlement_Identifierhttps://nzhts.digital.health.nz/fhir/ValueSet/nes-entitlement-identifier-code | |
| Coverage.status | required | FinancialResourceStatusCodeshttp://hl7.org/fhir/ValueSet/fm-status|4.0.1from the FHIR Standard | |
| Coverage.type | required | CoverageTypehttps://nzhts.digital.health.nz/fhir/ValueSet/coverage-type-code|1.1.0 | |
| Coverage.relationship | extensible | SubscriberRelationshipCodeshttp://hl7.org/fhir/ValueSet/subscriber-relationshipfrom the FHIR Standard | |
| Coverage.class.type | extensible | CoverageCategoryhttps://nzhts.digital.health.nz/fhir/ValueSet/coverage-category-code | |
| Coverage.costToBeneficiary.type | extensible | CoverageCopayTypeCodeshttp://hl7.org/fhir/ValueSet/coverage-copay-typefrom the FHIR Standard | |
| Coverage.costToBeneficiary.exception.type | example | ExampleCoverageFinancialExceptionCodeshttp://hl7.org/fhir/ValueSet/coverage-financial-exceptionfrom the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| COVERAGE-CODEABLE-CONCEPT-TEXT-ALLOWED-CHARS | error | Coverage | character restrictions for valueCodeableConcept.text : Coverage.descendants().valueCodeableConcept.text.all(matches('^([-a-zA-Z0-9\' \t\r\n.\/,])*$')) | |
| COVERAGE-CODEABLE-CONCEPT-TEXT-LENGTH | error | Coverage | valueCodeableConcept.text must be less than 1024 characters : Coverage.descendants().valueCodeableConcept.text.all(length()<1024) | |
| COVERAGE-STATUS-ALLOWED-CODES | error | Coverage | draft status is not allowed : Coverage.status.all(matches('draft').not()) | |
| COVERAGE-SYSTEM-ALLOWED-CHARS | error | Coverage | character restrictions for system url : Coverage.descendants().system.all(matches('^[-a-zA-Z0-9@:%._~#=?&\/]*$')) | |
| COVERAGE-SYSTEM-LENGTH | error | Coverage | System URLs must be less than 1024 characters : Coverage.descendants().system.all(length()<1024) | |
| COVERAGE-URL-ALLOWED-CHARS | error | Coverage | character restrictions for URLs : Coverage.descendants().url.all(matches('^[-a-zA-Z0-9@:%._~#=?&\/]*$')) |
This structure is derived from NzCoverage
Summary
Fixed: 1 element
Prohibited: 17 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Differential View
This structure is derived from NzCoverage
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Coverage |
C | 0..* | NzCoverage | Insurance or medical plan or a payment agreement COVERAGE-STATUS-ALLOWED-CODES: draft status is not allowed COVERAGE-URL-ALLOWED-CHARS: character restrictions for URLs COVERAGE-SYSTEM-LENGTH: System URLs must be less than 1024 characters COVERAGE-SYSTEM-ALLOWED-CHARS: character restrictions for system url COVERAGE-CODEABLE-CONCEPT-TEXT-LENGTH: valueCodeableConcept.text must be less than 1024 characters COVERAGE-CODEABLE-CONCEPT-TEXT-ALLOWED-CHARS: character restrictions for valueCodeableConcept.text |
| id |
0..1 | id | Logical id of this artifact (The Entitlement.id) | |
| implicitRules |
0..0 | |||
| language |
0..0 | |||
| Slices for contained |
0..* | Resource | Contained, inline Resources Slice: Unordered, Closed by type:$this | |
| contained:beneficiary |
0..1 | NesPatient | Information about an individual or animal receiving health care services | |
| identifier |
0..* | Identifier | Business Identifier for the Entitlement | |
| id |
0..0 | |||
| extension |
0..0 | |||
| use |
0..1 | code | usual | official | temp | secondary | old (If known) Fixed Value: official | |
| type |
0..0 | |||
| system |
0..1 | uri | The namespace for the identifier value Binding: NES Entitlement System Identifiers (required) | |
| period |
0..0 | |||
| assigner |
0..0 | |||
| status |
1..1 | code | active | cancelled | |
| type |
0..1 | CodeableConcept | Entitlement type such as CSC or HUHC. Binding: CoverageType (1.1.0) (required) | |
| policyHolder |
0..0 | |||
| subscriber |
0..0 | |||
| subscriberId |
0..0 | |||
| beneficiary |
1..1 | Reference(NES Patient) | The Health service user's NHI. | |
| dependent |
0..0 | |||
| relationship |
0..1 | CodeableConcept | Used to identify a CSC dependent | |
| period |
0..1 | Period | Entitlement Start and Expiry or End date | |
| payor |
1..* | Reference(Organization | Patient | RelatedPerson) | Organisation approving the entitlement. | |
| class |
0..0 | |||
| order |
0..0 | |||
| network |
0..0 | |||
| costToBeneficiary |
0..0 | |||
| subrogation |
0..0 | |||
| contract |
0..0 | |||
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| Coverage.identifier.system | required | Nes_Entitlement_Identifierhttps://nzhts.digital.health.nz/fhir/ValueSet/nes-entitlement-identifier-code | |
| Coverage.type | required | CoverageTypehttps://nzhts.digital.health.nz/fhir/ValueSet/coverage-type-code|1.1.0 |
| Id | Grade | Path(s) | Details | Requirements |
| COVERAGE-CODEABLE-CONCEPT-TEXT-ALLOWED-CHARS | error | Coverage | character restrictions for valueCodeableConcept.text : Coverage.descendants().valueCodeableConcept.text.all(matches('^([-a-zA-Z0-9\' \t\r\n.\/,])*$')) | |
| COVERAGE-CODEABLE-CONCEPT-TEXT-LENGTH | error | Coverage | valueCodeableConcept.text must be less than 1024 characters : Coverage.descendants().valueCodeableConcept.text.all(length()<1024) | |
| COVERAGE-STATUS-ALLOWED-CODES | error | Coverage | draft status is not allowed : Coverage.status.all(matches('draft').not()) | |
| COVERAGE-SYSTEM-ALLOWED-CHARS | error | Coverage | character restrictions for system url : Coverage.descendants().system.all(matches('^[-a-zA-Z0-9@:%._~#=?&\/]*$')) | |
| COVERAGE-SYSTEM-LENGTH | error | Coverage | System URLs must be less than 1024 characters : Coverage.descendants().system.all(length()<1024) | |
| COVERAGE-URL-ALLOWED-CHARS | error | Coverage | character restrictions for URLs : Coverage.descendants().url.all(matches('^[-a-zA-Z0-9@:%._~#=?&\/]*$')) |
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Coverage |
C | 0..* | NzCoverage | Insurance or medical plan or a payment agreement COVERAGE-STATUS-ALLOWED-CODES: draft status is not allowed COVERAGE-URL-ALLOWED-CHARS: character restrictions for URLs COVERAGE-SYSTEM-LENGTH: System URLs must be less than 1024 characters COVERAGE-SYSTEM-ALLOWED-CHARS: character restrictions for system url COVERAGE-CODEABLE-CONCEPT-TEXT-LENGTH: valueCodeableConcept.text must be less than 1024 characters COVERAGE-CODEABLE-CONCEPT-TEXT-ALLOWED-CHARS: character restrictions for valueCodeableConcept.text |
| id |
Σ | 0..1 | id | Logical id of this artifact (The Entitlement.id) |
| Slices for contained |
0..* | Resource | Contained, inline Resources Slice: Unordered, Closed by type:$this | |
| contained:beneficiary |
0..1 | NesPatient | Information about an individual or animal receiving health care services | |
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored |
| identifier |
Σ | 0..* | Identifier | Business Identifier for the Entitlement |
| extension |
0..0 | |||
| use |
?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Fixed Value: official |
| system |
Σ | 0..1 | uri | The namespace for the identifier value Binding: NES Entitlement System Identifiers (required) Example General: http://www.acme.com/identifiers/patient |
| status |
?!Σ | 1..1 | code | active | cancelled Binding: FinancialResourceStatusCodes (required): A code specifying the state of the resource instance. |
| type |
Σ | 0..1 | CodeableConcept | Entitlement type such as CSC or HUHC. Binding: CoverageType (1.1.0) (required) |
| beneficiary |
Σ | 1..1 | Reference(NES Patient) | The Health service user's NHI. |
| relationship |
0..1 | CodeableConcept | Used to identify a CSC dependent Binding: SubscriberRelationshipCodes (extensible): The relationship between the Subscriber and the Beneficiary (insured/covered party/patient). | |
| period |
Σ | 0..1 | Period | Entitlement Start and Expiry or End date |
| payor |
Σ | 1..* | Reference(Organization | Patient | RelatedPerson) | Organisation approving the entitlement. |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code | URI |
| Coverage.identifier.use | required | Fixed Value: officialhttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1from the FHIR Standard | |
| Coverage.identifier.system | required | Nes_Entitlement_Identifierhttps://nzhts.digital.health.nz/fhir/ValueSet/nes-entitlement-identifier-code | |
| Coverage.status | required | FinancialResourceStatusCodeshttp://hl7.org/fhir/ValueSet/fm-status|4.0.1from the FHIR Standard | |
| Coverage.type | required | CoverageTypehttps://nzhts.digital.health.nz/fhir/ValueSet/coverage-type-code|1.1.0 | |
| Coverage.relationship | extensible | SubscriberRelationshipCodeshttp://hl7.org/fhir/ValueSet/subscriber-relationshipfrom the FHIR Standard | |
| Coverage.class.type | extensible | CoverageCategoryhttps://nzhts.digital.health.nz/fhir/ValueSet/coverage-category-code |
| Id | Grade | Path(s) | Details | Requirements |
| COVERAGE-CODEABLE-CONCEPT-TEXT-ALLOWED-CHARS | error | Coverage | character restrictions for valueCodeableConcept.text : Coverage.descendants().valueCodeableConcept.text.all(matches('^([-a-zA-Z0-9\' \t\r\n.\/,])*$')) | |
| COVERAGE-CODEABLE-CONCEPT-TEXT-LENGTH | error | Coverage | valueCodeableConcept.text must be less than 1024 characters : Coverage.descendants().valueCodeableConcept.text.all(length()<1024) | |
| COVERAGE-STATUS-ALLOWED-CODES | error | Coverage | draft status is not allowed : Coverage.status.all(matches('draft').not()) | |
| COVERAGE-SYSTEM-ALLOWED-CHARS | error | Coverage | character restrictions for system url : Coverage.descendants().system.all(matches('^[-a-zA-Z0-9@:%._~#=?&\/]*$')) | |
| COVERAGE-SYSTEM-LENGTH | error | Coverage | System URLs must be less than 1024 characters : Coverage.descendants().system.all(length()<1024) | |
| COVERAGE-URL-ALLOWED-CHARS | error | Coverage | character restrictions for URLs : Coverage.descendants().url.all(matches('^[-a-zA-Z0-9@:%._~#=?&\/]*$')) |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Coverage |
C | 0..* | NzCoverage | Insurance or medical plan or a payment agreement COVERAGE-STATUS-ALLOWED-CODES: draft status is not allowed COVERAGE-URL-ALLOWED-CHARS: character restrictions for URLs COVERAGE-SYSTEM-LENGTH: System URLs must be less than 1024 characters COVERAGE-SYSTEM-ALLOWED-CHARS: character restrictions for system url COVERAGE-CODEABLE-CONCEPT-TEXT-LENGTH: valueCodeableConcept.text must be less than 1024 characters COVERAGE-CODEABLE-CONCEPT-TEXT-ALLOWED-CHARS: character restrictions for valueCodeableConcept.text |
| id |
Σ | 0..1 | id | Logical id of this artifact (The Entitlement.id) |
| meta |
Σ | 0..1 | Meta | Metadata about the resource |
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation | |
| Slices for contained |
0..* | Resource | Contained, inline Resources Slice: Unordered, Closed by type:$this | |
| contained:beneficiary |
0..1 | NesPatient | Information about an individual or animal receiving health care services | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored |
| identifier |
Σ | 0..* | Identifier | Business Identifier for the Entitlement |
| extension |
0..0 | |||
| use |
?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Fixed Value: official |
| system |
Σ | 0..1 | uri | The namespace for the identifier value Binding: NES Entitlement System Identifiers (required) Example General: http://www.acme.com/identifiers/patient |
| value |
Σ | 0..1 | string | The value that is unique Example General: 123456 |
| status |
?!Σ | 1..1 | code | active | cancelled Binding: FinancialResourceStatusCodes (required): A code specifying the state of the resource instance. |
| type |
Σ | 0..1 | CodeableConcept | Entitlement type such as CSC or HUHC. Binding: CoverageType (1.1.0) (required) |
| beneficiary |
Σ | 1..1 | Reference(NES Patient) | The Health service user's NHI. |
| relationship |
0..1 | CodeableConcept | Used to identify a CSC dependent Binding: SubscriberRelationshipCodes (extensible): The relationship between the Subscriber and the Beneficiary (insured/covered party/patient). | |
| period |
Σ | 0..1 | Period | Entitlement Start and Expiry or End date |
| payor |
Σ | 1..* | Reference(Organization | Patient | RelatedPerson) | Organisation approving the entitlement. |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code | URI |
| Coverage.identifier.use | required | Fixed Value: officialhttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1from the FHIR Standard | |
| Coverage.identifier.system | required | Nes_Entitlement_Identifierhttps://nzhts.digital.health.nz/fhir/ValueSet/nes-entitlement-identifier-code | |
| Coverage.status | required | FinancialResourceStatusCodeshttp://hl7.org/fhir/ValueSet/fm-status|4.0.1from the FHIR Standard | |
| Coverage.type | required | CoverageTypehttps://nzhts.digital.health.nz/fhir/ValueSet/coverage-type-code|1.1.0 | |
| Coverage.relationship | extensible | SubscriberRelationshipCodeshttp://hl7.org/fhir/ValueSet/subscriber-relationshipfrom the FHIR Standard | |
| Coverage.class.type | extensible | CoverageCategoryhttps://nzhts.digital.health.nz/fhir/ValueSet/coverage-category-code | |
| Coverage.costToBeneficiary.type | extensible | CoverageCopayTypeCodeshttp://hl7.org/fhir/ValueSet/coverage-copay-typefrom the FHIR Standard | |
| Coverage.costToBeneficiary.exception.type | example | ExampleCoverageFinancialExceptionCodeshttp://hl7.org/fhir/ValueSet/coverage-financial-exceptionfrom the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| COVERAGE-CODEABLE-CONCEPT-TEXT-ALLOWED-CHARS | error | Coverage | character restrictions for valueCodeableConcept.text : Coverage.descendants().valueCodeableConcept.text.all(matches('^([-a-zA-Z0-9\' \t\r\n.\/,])*$')) | |
| COVERAGE-CODEABLE-CONCEPT-TEXT-LENGTH | error | Coverage | valueCodeableConcept.text must be less than 1024 characters : Coverage.descendants().valueCodeableConcept.text.all(length()<1024) | |
| COVERAGE-STATUS-ALLOWED-CODES | error | Coverage | draft status is not allowed : Coverage.status.all(matches('draft').not()) | |
| COVERAGE-SYSTEM-ALLOWED-CHARS | error | Coverage | character restrictions for system url : Coverage.descendants().system.all(matches('^[-a-zA-Z0-9@:%._~#=?&\/]*$')) | |
| COVERAGE-SYSTEM-LENGTH | error | Coverage | System URLs must be less than 1024 characters : Coverage.descendants().system.all(length()<1024) | |
| COVERAGE-URL-ALLOWED-CHARS | error | Coverage | character restrictions for URLs : Coverage.descendants().url.all(matches('^[-a-zA-Z0-9@:%._~#=?&\/]*$')) |
This structure is derived from NzCoverage
Summary
Fixed: 1 element
Prohibited: 17 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Other representations of profile: CSV, Excel, Schematron