Coverage - FHIR Resource (dstu2) This Coverage Resource uses the
FHIR API standard for access and structure.
Validate an Coverage FHIR Resource (dstu2)
Coverage Attributes Attribute Field is list Type Description
bin
false
Identifier
BIN Number
Description: BIN Number
Attribute Type : Identifier
Required: N/A
Countability: Singleton
Flags: N/A
Terminology bindings: N/A
Requirements: N/A
Comments: N/A
group
false
string
An identifier for the group
Description: An identifier for the group
Attribute Type : string
Required: N/A
Countability: Singleton
Flags: N/A
Terminology bindings: N/A
Requirements: N/A
Comments: N/A
network
false
Identifier
Insurer network
Description: Insurer network
Attribute Type : Identifier
Required: N/A
Countability: Singleton
Flags: N/A
Terminology bindings: N/A
Requirements: N/A
Comments: N/A
sequence
false
positiveInt
The plan instance or sequence counter
Description: The plan instance or sequence counter
Attribute Type : positiveInt
Required: N/A
Countability: Singleton
Flags: N/A
Terminology bindings: N/A
Requirements: N/A
Comments: N/A
dependent
false
positiveInt
The dependent number
Description: The dependent number
Attribute Type : positiveInt
Required: N/A
Countability: Singleton
Flags: N/A
Terminology bindings: N/A
Requirements: N/A
Comments: N/A
period
false
Period
Coverage start and end dates
Description: Coverage start and end dates
Attribute Type : Period
Required: N/A
Countability: Singleton
Flags: N/A
Terminology bindings: N/A
Requirements: N/A
Comments: N/A
contract
true
Reference
Contract details
Description: Contract details
Attribute Type : Reference
Required: N/A
Countability: Array
Flags: N/A
Terminology bindings: N/A
Requirements: N/A
Comments: N/A
subscriber
false
Reference
Plan holder information
Description: Plan holder information
Attribute Type : Reference
Required: N/A
Countability: Singleton
Flags: N/A
Terminology bindings: N/A
Requirements: N/A
Comments: N/A
subPlan
false
string
An identifier for the subsection of the plan
Description: An identifier for the subsection of the plan
Attribute Type : string
Required: N/A
Countability: Singleton
Flags: N/A
Terminology bindings: N/A
Requirements: N/A
Comments: N/A
plan
false
string
An identifier for the plan
Description: An identifier for the plan
Attribute Type : string
Required: N/A
Countability: Singleton
Flags: N/A
Terminology bindings: N/A
Requirements: N/A
Comments: N/A
identifier
true
Identifier
The primary coverage ID
Description: The primary coverage ID
Attribute Type : Identifier
Required: N/A
Countability: Array
Flags: N/A
Terminology bindings: N/A
Requirements: N/A
Comments: N/A
type
false
Coding
Type of coverage
Description: Type of coverage
Attribute Type : Coding
Required: N/A
Countability: Singleton
Flags: N/A
Terminology bindings: N/A
Requirements: N/A
Comments: N/A
subscriberId
false
Identifier
Subscriber ID
Description: Subscriber ID
Attribute Type : Identifier
Required: N/A
Countability: Singleton
Flags: N/A
Terminology bindings: N/A
Requirements: N/A
Comments: N/A
issuer
false
Reference
An identifier for the plan issuer
Description: An identifier for the plan issuer
Attribute Type : Reference
Required: N/A
Countability: Singleton
Flags: N/A
Terminology bindings: N/A
Requirements: N/A
Comments: N/A
Coverage Structure
{
"resourceType" : "Coverage",
// from Resource: id, meta, implicitRules, and language
// from DomainResource: text, contained, extension, and modifierExtension
"issuer" : { Reference(Organization) }, // An identifier for the plan issuer
"bin" : { Identifier }, // BIN Number
"period" : { Period }, // Coverage start and end dates
"type" : { Coding }, // Type of coverage
"subscriberId" : { Identifier }, // Subscriber ID
"identifier" : [{ Identifier }], // The primary coverage ID
"group" : "<string>", // An identifier for the group
"plan" : "<string>", // An identifier for the plan
"subPlan" : "<string>", // An identifier for the subsection of the plan
"dependent" : "<positiveInt>", // The dependent number
"sequence" : "<positiveInt>", // The plan instance or sequence counter
"subscriber" : { Reference(Patient) }, // Plan holder information
"network" : { Identifier }, // Insurer network
"contract" : [{ Reference(Contract) }] // Contract details
}
Coverage Search Parameters The following search parameters can be used to query Coverage resources. Just submit them like so:
https://api.1up.health/fhir/dstu2/Coverage?query-param=queryvalue
Search Parameter Field Type Resource Fields Searched dependent
text
dependent
group
text
group
identifier
text
identifier
issuer
reference
issuer
plan
text
plan
sequence
text
sequence
subplan
text
subPlan
type
text
type