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Resource "Coverage" Version "1" (StructureDefinition)

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XML or JSON representation. Try out the Profile as a questionnaire based web form . Edit this as XML or JSON. provenance for this resource

Generated Narrative with Details

Exception generating Narrative: Attempt to access unknown value "extension[http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm]" from map ngen


<?xml version="1.0" encoding="UTF-8"?>
<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="Coverage"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2020-11-06T21:38:05.486Z"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <p>
        <b>Generated Narrative with Details</b>
      </p>
      <p>
        <b style="color: maroon">Exception generating Narrative: Attempt to access unknown value "extension[http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm]" from map ngen</b>
      </p>
    </div>
  </text>
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
    <valueInteger value="0"/>
  </extension>
  <url value="http://hl7.org/fhir/StructureDefinition/Coverage"/>
  <name value="Coverage"/>
  <status value="draft"/>
  <publisher value="Health Level Seven International (Financial Management)"/>
  <contact>
    <telecom>
      <system value="other"/>
      <value value="http://hl7.org/fhir"/>
    </telecom>
  </contact>
  <contact>
    <telecom>
      <system value="other"/>
      <value value="http://www.hl7.org/Special/committees/fm/index.cfm"/>
    </telecom>
  </contact>
  <date value="2015-10-24T07:41:03+11:00"/>
  <description value="Base StructureDefinition for Coverage Resource"/>
  <requirements value="Health care programs and insurers are significant payors of health service costs."/>
  <fhirVersion value="1.0.2"/>
  <mapping>
    <identity value="rim"/>
    <uri value="http://hl7.org/v3"/>
    <name value="RIM"/>
  </mapping>
  <mapping>
    <identity value="w5"/>
    <uri value="http://hl7.org/fhir/w5"/>
    <name value="W5 Mapping"/>
  </mapping>
  <mapping>
    <identity value="cpha3pharm"/>
    <uri value="http://www.pharmacists.ca/"/>
    <name value="Canadian Pharmacy Associaiton eclaims standard"/>
  </mapping>
  <mapping>
    <identity value="v2"/>
    <uri value="http://hl7.org/v2"/>
    <name value="HL7 v2"/>
  </mapping>
  <mapping>
    <identity value="cdanetv4"/>
    <uri value="http://www.cda-adc.ca/en/services/cdanet/"/>
    <name value="Canadian Dental Association eclaims standard"/>
  </mapping>
  <kind value="resource"/>
  <abstract value="false"/>
  <base value="http://hl7.org/fhir/StructureDefinition/DomainResource"/>
  <snapshot>
    <element>
      <path value="Coverage"/>
      <short value="Insurance or medical plan"/>
      <definition value="Financial instrument which may be used to pay for or reimburse health care products and services."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="DomainResource"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="Coverage"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="financial.support"/>
      </mapping>
    </element>
    <element>
      <path value="Coverage.id"/>
      <short value="Logical id of this artifact"/>
      <definition value="The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes."/>
      <comments value="The only time that a resource does not have an id is when it is being submitted to the server using a create operation. Bundles always have an id, though it is usually a generated UUID."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="id"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Coverage.meta"/>
      <short value="Metadata about the resource"/>
      <definition value="The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Meta"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Coverage.implicitRules"/>
      <short value="A set of rules under which this content was created"/>
      <definition value="A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content."/>
      <comments value="Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element as much as possible."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="uri"/>
      </type>
      <isModifier value="true"/>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Coverage.language"/>
      <short value="Language of the resource content"/>
      <definition value="The base language in which the resource is written."/>
      <comments value="Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute)."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="code"/>
      </type>
      <binding>
        <strength value="required"/>
        <description value="A human language."/>
        <valueSetUri value="http://tools.ietf.org/html/bcp47"/>
      </binding>
    </element>
    <element>
      <path value="Coverage.text"/>
      <short value="Text summary of the resource, for human interpretation"/>
      <definition value="A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it &quot;clinically safe&quot; for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety."/>
      <comments value="Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative."/>
      <alias value="narrative"/>
      <alias value="html"/>
      <alias value="xhtml"/>
      <alias value="display"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Narrative"/>
      </type>
      <condition value="dom-1"/>
      <mapping>
        <identity value="rim"/>
        <map value="Act.text?"/>
      </mapping>
    </element>
    <element>
      <path value="Coverage.contained"/>
      <short value="Contained, inline Resources"/>
      <definition value="These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope."/>
      <comments value="This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again."/>
      <alias value="inline resources"/>
      <alias value="anonymous resources"/>
      <alias value="contained resources"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Resource"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element>
      <path value="Coverage.extension"/>
      <short value="Additional Content defined by implementations"/>
      <definition value="May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
      <comments value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element>
      <path value="Coverage.modifierExtension"/>
      <short value="Extensions that cannot be ignored"/>
      <definition value="May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions."/>
      <comments value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Extension"/>
      </type>
      <isModifier value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element>
      <path value="Coverage.issuer"/>
      <short value="An identifier for the plan issuer"/>
      <definition value="The program or plan underwriter or payor."/>
      <requirements value="Need to identify the issuer to target for processing and for coordination of benefit processing."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Organization"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="cpha3pharm"/>
        <map value="C.30"/>
      </mapping>
      <mapping>
        <identity value="v2"/>
        <map value="IN1-3"/>
      </mapping>
      <mapping>
        <identity value="cdanetv4"/>
        <map value="A05"/>
      </mapping>
    </element>
    <element>
      <path value="Coverage.bin"/>
      <short value="BIN Number"/>
      <definition value="Business Identification Number (BIN number) used to identify the routing of eclaims if the insurer themselves don&apos;t have a BIN number for all of their business."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Identifier"/>
      </type>
    </element>
    <element>
      <path value="Coverage.period"/>
      <short value="Coverage start and end dates"/>
      <definition value="Time period during which the coverage is in force. A missing start date indicates the start date isn&apos;t known, a missing end date means the coverage is continuing to be in force."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Period"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="IN1-12 / IN1-13"/>
      </mapping>
    </element>
    <element>
      <path value="Coverage.type"/>
      <short value="Type of coverage"/>
      <definition value="The type of coverage: social program, medical plan, accident coverage (workers compensation, auto), group health."/>
      <requirements value="The order of application of coverages is dependent on the types of coverage."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Coding"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <strength value="example"/>
        <description value="The type of insurance: public health, worker compensation private accident, auto, private health, etc.)."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/v3-ActCoverageTypeCode"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="v2"/>
        <map value="IN1-15"/>
      </mapping>
    </element>
    <element>
      <path value="Coverage.subscriberId"/>
      <short value="Subscriber ID"/>
      <definition value="The id issued to the subscriber."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Identifier"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Coverage.identifier"/>
      <short value="The primary coverage ID"/>
      <definition value="The main (and possibly only) identifier for the coverage - often referred to as a Member Id, Subscriber Id, Certificate number or Personal Health Number or Case ID."/>
      <requirements value="This value may uniquely identify the coverage or it may be used in conjunction with the additional identifiers below."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Identifier"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="cpha3pharm"/>
        <map value="C.32, C.33, C.39"/>
      </mapping>
      <mapping>
        <identity value="v2"/>
        <map value="IN1-2"/>
      </mapping>
      <mapping>
        <identity value="cdanetv4"/>
        <map value="C02"/>
      </mapping>
    </element>
    <element>
      <path value="Coverage.group"/>
      <short value="An identifier for the group"/>
      <definition value="Identifies a style or collective of coverage issues by the underwriter, for example may be used to identify a class of coverage or employer group. May also be referred to as a Policy or Group ID."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="string"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="cpha3pharm"/>
        <map value="C.31"/>
      </mapping>
      <mapping>
        <identity value="v2"/>
        <map value="IN1-8"/>
      </mapping>
      <mapping>
        <identity value="cdanetv4"/>
        <map value="C11 (Division,Section)"/>
      </mapping>
    </element>
    <element>
      <path value="Coverage.plan"/>
      <short value="An identifier for the plan"/>
      <definition value="Identifies a style or collective of coverage issues by the underwriter, for example may be used to identify a class of coverage or employer group. May also be referred to as a Policy or Group ID."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="string"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="IN1-35"/>
      </mapping>
      <mapping>
        <identity value="cdanetv4"/>
        <map value="C01"/>
      </mapping>
    </element>
    <element>
      <path value="Coverage.subPlan"/>
      <short value="An identifier for the subsection of the plan"/>
      <definition value="Identifies a sub-style or sub-collective of coverage issues by the underwriter, for example may be used to identify a specific employer group within a class of employers. May be referred to as a Section or Division ID."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="string"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="IN1-10"/>
      </mapping>
    </element>
    <element>
      <path value="Coverage.dependent"/>
      <short value="The dependent number"/>
      <definition value="A unique identifier for a dependent under the coverage."/>
      <requirements value="For some coverage a single identifier is issued to the PolicyHolder and dependent number issues to each to each of their dependents to track and manage the plan."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="positiveInt"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="- No exact HL7 v2 equivalent concept seems to exist instance relationship can be inferred if ( ( PID-3 ??? IN1-49 ) &amp; ( ?? IN2-72 ) )"/>
      </mapping>
      <mapping>
        <identity value="cdanetv4"/>
        <map value="C17"/>
      </mapping>
    </element>
    <element>
      <path value="Coverage.sequence"/>
      <short value="The plan instance or sequence counter"/>
      <definition value="An optional counter for a particular instance of the identified coverage which increments upon each renewal."/>
      <requirements value="Some coverage, for example social plans, may be offered in short time increments, for example for a week or a month at a time, so while the rest of the plan details and identifiers may remain constant over time, the instance is incremented with each renewal and provided to the covered party on their &apos;card&apos;."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="positiveInt"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="No HL7 v2 equivalent concept seems to exist"/>
      </mapping>
      <mapping>
        <identity value="cdanetv4"/>
        <map value="D11"/>
      </mapping>
    </element>
    <element>
      <path value="Coverage.subscriber"/>
      <short value="Plan holder information"/>
      <definition value="The party who &apos;owns&apos; the insurance contractual relationship to the policy or to whom the benefit of the policy is due."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Patient"/>
      </type>
      <isModifier value="true"/>
      <mapping>
        <identity value="cpha3pharm"/>
        <map value="C.35"/>
      </mapping>
      <mapping>
        <identity value="v2"/>
        <map value="IN1-16, 18, 19-name of insured, address, date of birth"/>
      </mapping>
      <mapping>
        <identity value="cdanetv4"/>
        <map value="D01 through D09"/>
      </mapping>
    </element>
    <element>
      <path value="Coverage.network"/>
      <short value="Insurer network"/>
      <definition value="The identifier for a community of providers."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Identifier"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="cdanetv4"/>
        <map value="D10"/>
      </mapping>
    </element>
    <element>
      <path value="Coverage.contract"/>
      <short value="Contract details"/>
      <definition value="The policy(s) which constitute this insurance coverage."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Contract"/>
      </type>
      <mapping>
        <identity value="cpha3pharm"/>
        <map value="C.35"/>
      </mapping>
      <mapping>
        <identity value="v2"/>
        <map value="IN1-16, 18, 19"/>
      </mapping>
      <mapping>
        <identity value="cdanetv4"/>
        <map value="D01 through D09"/>
      </mapping>
    </element>
  </snapshot>
  <differential>
    <element>
      <path value="Coverage"/>
      <short value="Insurance or medical plan"/>
      <definition value="Financial instrument which may be used to pay for or reimburse health care products and services."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="DomainResource"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="Coverage"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="financial.support"/>
      </mapping>
    </element>
    <element>
      <path value="Coverage.issuer"/>
      <short value="An identifier for the plan issuer"/>
      <definition value="The program or plan underwriter or payor."/>
      <requirements value="Need to identify the issuer to target for processing and for coordination of benefit processing."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Organization"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="cpha3pharm"/>
        <map value="C.30"/>
      </mapping>
      <mapping>
        <identity value="v2"/>
        <map value="IN1-3"/>
      </mapping>
      <mapping>
        <identity value="cdanetv4"/>
        <map value="A05"/>
      </mapping>
    </element>
    <element>
      <path value="Coverage.bin"/>
      <short value="BIN Number"/>
      <definition value="Business Identification Number (BIN number) used to identify the routing of eclaims if the insurer themselves don&apos;t have a BIN number for all of their business."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Identifier"/>
      </type>
    </element>
    <element>
      <path value="Coverage.period"/>
      <short value="Coverage start and end dates"/>
      <definition value="Time period during which the coverage is in force. A missing start date indicates the start date isn&apos;t known, a missing end date means the coverage is continuing to be in force."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Period"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="IN1-12 / IN1-13"/>
      </mapping>
    </element>
    <element>
      <path value="Coverage.type"/>
      <short value="Type of coverage"/>
      <definition value="The type of coverage: social program, medical plan, accident coverage (workers compensation, auto), group health."/>
      <requirements value="The order of application of coverages is dependent on the types of coverage."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Coding"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <strength value="example"/>
        <description value="The type of insurance: public health, worker compensation private accident, auto, private health, etc.)."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/v3-ActCoverageTypeCode"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="v2"/>
        <map value="IN1-15"/>
      </mapping>
    </element>
    <element>
      <path value="Coverage.subscriberId"/>
      <short value="Subscriber ID"/>
      <definition value="The id issued to the subscriber."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Identifier"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element>
      <path value="Coverage.identifier"/>
      <short value="The primary coverage ID"/>
      <definition value="The main (and possibly only) identifier for the coverage - often referred to as a Member Id, Subscriber Id, Certificate number or Personal Health Number or Case ID."/>
      <requirements value="This value may uniquely identify the coverage or it may be used in conjunction with the additional identifiers below."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Identifier"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="cpha3pharm"/>
        <map value="C.32, C.33, C.39"/>
      </mapping>
      <mapping>
        <identity value="v2"/>
        <map value="IN1-2"/>
      </mapping>
      <mapping>
        <identity value="cdanetv4"/>
        <map value="C02"/>
      </mapping>
    </element>
    <element>
      <path value="Coverage.group"/>
      <short value="An identifier for the group"/>
      <definition value="Identifies a style or collective of coverage issues by the underwriter, for example may be used to identify a class of coverage or employer group. May also be referred to as a Policy or Group ID."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="string"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="cpha3pharm"/>
        <map value="C.31"/>
      </mapping>
      <mapping>
        <identity value="v2"/>
        <map value="IN1-8"/>
      </mapping>
      <mapping>
        <identity value="cdanetv4"/>
        <map value="C11 (Division,Section)"/>
      </mapping>
    </element>
    <element>
      <path value="Coverage.plan"/>
      <short value="An identifier for the plan"/>
      <definition value="Identifies a style or collective of coverage issues by the underwriter, for example may be used to identify a class of coverage or employer group. May also be referred to as a Policy or Group ID."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="string"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="IN1-35"/>
      </mapping>
      <mapping>
        <identity value="cdanetv4"/>
        <map value="C01"/>
      </mapping>
    </element>
    <element>
      <path value="Coverage.subPlan"/>
      <short value="An identifier for the subsection of the plan"/>
      <definition value="Identifies a sub-style or sub-collective of coverage issues by the underwriter, for example may be used to identify a specific employer group within a class of employers. May be referred to as a Section or Division ID."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="string"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="IN1-10"/>
      </mapping>
    </element>
    <element>
      <path value="Coverage.dependent"/>
      <short value="The dependent number"/>
      <definition value="A unique identifier for a dependent under the coverage."/>
      <requirements value="For some coverage a single identifier is issued to the PolicyHolder and dependent number issues to each to each of their dependents to track and manage the plan."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="positiveInt"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="- No exact HL7 v2 equivalent concept seems to exist instance relationship can be inferred if ( ( PID-3 ??? IN1-49 ) &amp; ( ?? IN2-72 ) )"/>
      </mapping>
      <mapping>
        <identity value="cdanetv4"/>
        <map value="C17"/>
      </mapping>
    </element>
    <element>
      <path value="Coverage.sequence"/>
      <short value="The plan instance or sequence counter"/>
      <definition value="An optional counter for a particular instance of the identified coverage which increments upon each renewal."/>
      <requirements value="Some coverage, for example social plans, may be offered in short time increments, for example for a week or a month at a time, so while the rest of the plan details and identifiers may remain constant over time, the instance is incremented with each renewal and provided to the covered party on their &apos;card&apos;."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="positiveInt"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="No HL7 v2 equivalent concept seems to exist"/>
      </mapping>
      <mapping>
        <identity value="cdanetv4"/>
        <map value="D11"/>
      </mapping>
    </element>
    <element>
      <path value="Coverage.subscriber"/>
      <short value="Plan holder information"/>
      <definition value="The party who &apos;owns&apos; the insurance contractual relationship to the policy or to whom the benefit of the policy is due."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Patient"/>
      </type>
      <isModifier value="true"/>
      <mapping>
        <identity value="cpha3pharm"/>
        <map value="C.35"/>
      </mapping>
      <mapping>
        <identity value="v2"/>
        <map value="IN1-16, 18, 19-name of insured, address, date of birth"/>
      </mapping>
      <mapping>
        <identity value="cdanetv4"/>
        <map value="D01 through D09"/>
      </mapping>
    </element>
    <element>
      <path value="Coverage.network"/>
      <short value="Insurer network"/>
      <definition value="The identifier for a community of providers."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Identifier"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="cdanetv4"/>
        <map value="D10"/>
      </mapping>
    </element>
    <element>
      <path value="Coverage.contract"/>
      <short value="Contract details"/>
      <definition value="The policy(s) which constitute this insurance coverage."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Contract"/>
      </type>
      <mapping>
        <identity value="cpha3pharm"/>
        <map value="C.35"/>
      </mapping>
      <mapping>
        <identity value="v2"/>
        <map value="IN1-16, 18, 19"/>
      </mapping>
      <mapping>
        <identity value="cdanetv4"/>
        <map value="D01 through D09"/>
      </mapping>
    </element>
  </differential>
</StructureDefinition>