- FHIR Coverage Resource
- Electronic Health Records Exchange Through FHIR
- Medical Terminology
- Processes Data
- Processes Information
- Processes Documentation
- Health Information Exchange
- Electronic Health Records
- FHIR Smart
- Smart on FHIR
The Coverage resource is intended to provide the high-level identifiers and descriptors of an insurance plan, typically the information which would appear on an insurance card, which may be used to pay, in part or in whole, for the provision of health care products and services.
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Financial instrument which may be used to reimburse or pay for health care products and services. Includes both insurance and self-payment. This resource may also be used to register ‘SelfPay’ where an individual or organization other than an insurer is taking responsibility for payment for a portion of the health care costs. Self pay should not be confused with being a guarantor of the patient’s account.
The eClaim domain includes a number of related insurance resources:
– The Coverage resource is intended to provide the high-level identifiers and descriptors of a specific insurance plan for a specific individual – essentially the insurance card information. This may alternately provide the individual or organization, self pay, which will pay for products and services rendered.
– A Contract resource holds the references to parties who have entered into an agreement of some type, the parties who may sign or witness such an agreement, descriptors of the type of agreement and even the actual text or executable copy of the agreement. The agreement may be of a variety of types including service contracts, insurance contracts, directives, etc. The contract may be either definitional or actual instances.
– The Insurance Plan resource holds the definition of an insurance plan which an insurer may offer to potential clients through insurance brokers or an online insurance marketplace. This is only the plan definition and does not contain or reference a list of individuals who have purchased the plan.
Fast Healthcare Interoperability Resources (FHIR) is a draft standard describing data formats and elements (known as “resources”) and an application programming interface (API) for exchanging electronic health records. The standard was created by the Health Level Seven International (HL7) health-care standards organization.
Its goal is to facilitate interoperation between legacy healthcare systems, to make it easy to provide healthcare information to healthcare providers and individuals on a wide variety of devices from computers to tablets to cell phones, and to allow third-party application developers to provide medical applications which can be easily integrated into existing systems.
FHIR provides an alternative to document-centric approaches by directly exposing discrete data elements as services. For example, basic elements of healthcare like patients, admissions, diagnostic reports and medications can each be retrieved and manipulated via their own resource URLs (Uniform Resource Locators). FHIR was supported at an American Medical Informatics Association meeting by many EHR (Electronic Health Record) vendors which value its open and extensible nature.
About this Dataset
John Snow Labs; Health Level Seven International;
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|Source License Requirements||
FHIR, HL7, Medical Terminology, Processes Data, Processes Information, Processes Documentation, Health Information Exchange, Electronic Health Records, FHIR Smart, Smart on FHIR
FHIR Coverage Resource, Electronic Health Records Exchange Through FHIR
|Concept_Name||Name of the concept in the FHIR structure||string||required : 1|
|Computer_Ready_Name||A Computer-ready name (e.g. a token) that identifies the structure - suitable for code generation. Note that this name (and other names relevant for code generation, including element & slice names, codes etc) may collide with reserved words in the relevant target language, and code generators will need to handle this.||string||-|
|Type||The type the structure describes.||string||-|
|Description||A free text natural language description of the structure and its use||string||-|
|Items||The value of the keyword should be an object or an array of objects. If the keyword value is an object, then for the data array to be valid each item of the array should be valid according to the schema in this value.||string||-|
|Required||The value of the keyword should be an array of unique strings. The data object to be valid should contain all properties with names equal to the elements in the keyword value.||string||-|
|Const||The value of this keyword can be anything. The data is valid if it is deeply equal to the value of the keyword.||string||-|
|Concept Name||Computer Ready Name||Type||Dollar Ref||Description||Items||Required||Const|
|Coverage||resourceType||This is a Coverage resource|
|Coverage||id||#/definitions/id||The logical id of the resource|
|Coverage||meta||#/definitions/Meta||The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.|
|Coverage||implicitRules||#/definitions/uri||A reference to a set of rules that were followed when the resource was constructed|
|Coverage||_implicitRules||#/definitions/Element||Extensions for implicitRules|
|Coverage||language||#/definitions/code||The base language in which the resource is written.|
|Coverage||_language||#/definitions/Element||Extensions for language|
|Coverage||text||#/definitions/Narrative||A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data|
|Coverage||contained||array||These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently|
|Coverage||extension||array||May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and managable|