JAMI ePrescriptionData ImplementationGuide
1.0.0 - ci-build

JAMI ePrescriptionData ImplementationGuide - Local Development build (v1.0.0). See the Directory of published versions

Resource Profile(リソースプロファイル): JP_Coverage_ePrescriptionData_insurance

項目内容
定義URL http://jpfhir.jp/fhir/ePrescription/StructureDefinition/JP_Coverage_ePrescriptionData_insurance
Version 1.0.0
Name

JP_Coverage_ePrescriptionData_insurance
Status Draft ( 2022-06-29 )

処方の保険情報　Coverageリソースプロファイル　JP_Coverageの派生プロファイル

Usage:

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

This structure is derived from JP_Coverage

Summary

Mandatory: 6 elements (11 nested mandatory elements)
Must-Support: 40 elements
Fixed Value: 9 elements
Prohibited: 15 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element Coverage.payor is sliced based on the value of profile:resolve()

This structure is derived from JP_Coverage

NameFlagsCard.TypeDescription & Constraintsdoco
.. Coverage 0..*JP_CoverageInsurance or medical plan or a payment agreement　保険または医療費支払いプラン、または合意された支払い方法
... contained 0..0
... extension:InsuredPersonSymbol S0..1JP_Coverage_InsuredPersonSymbol被保険者証記号情報
.... url S1..1uriidentifies the meaning of the extension
.... value[x] S1..1string被保険者証記号
... extension:InsuredPersonNumber S0..1JP_Coverage_InsuredPersonNumber被保険者証番号情報
.... url S1..1uriidentifies the meaning of the extension
.... value[x] S1..1string被保険者証番号
... extension:InsuredPersonSubNumber S0..1JP_Coverage_InsuredPersonSubNumber被保険者証等「枝番」情報
.... url S1..1uriidentifies the meaning of the extension
.... value[x] S1..1string個人単位被保険者番号（枝番）
... status 1..1codeリソースインスタンスのステータス
Fixed Value: active
... type S1..1CodeableConcept保険種別コード
Binding: MHLW_valueSet_ePreCDA_insuranceCategory_tbl11 (required)
.... coding S1..1CodingCode defined by a terminology system
..... system S1..1uri保険種別コード体系を識別するURI
Fixed Value: urn:oid:1.2.392.100495.20.2.61
..... code S1..1code保険種別コード
..... userSelected 0..0
.... text 0..0
... policyHolder 0..0
... subscriber 0..0
... subscriberId 0..0
... beneficiary S1..1Reference(Patient)被給付者情報
.... reference S0..1stringPatientリソースのfullUrl要素に指定されるUUIDを指定
... dependent S0..1string被保険者番号（枝番）
... relationship S1..1CodeableConceptBeneficiary relationship to the subscriber　加入者との受益者関係
.... coding S1..1CodingCode defined by a terminology system
..... system S0..1uriコード体系を識別するURI
Fixed Value: urn:oid:1.2.392.100495.20.2.62
..... code S0..1code被保険者区分コード
..... display S0..1stringコードに対応する表示文字列
..... userSelected 0..0
.... text 0..0
... period S0..1Period保険証の有効期間
.... start S0..1dateTime保険証の有効期間の開始日
.... end S0..1dateTime保険証の有効期間の終了日
... Slices for payor S1..1Reference(Organization | Patient | RelatedPerson)Issuer of the policy
Slice: Unordered, Open by profile:resolve()
.... payor:insurer S0..1Reference(JP_Organization_ePrescriptionData_coveragePayer)保険者情報
..... reference S0..1stringOrganizationリソースのfullUrl要素に指定されるUUIDを指定
.... payor:selfPayment S0..1Reference(JP_Patient_ePrescriptionData)Issuer of the policy
..... reference S0..1stringPatientリソースのfullUrl要素に指定されるUUIDを指定
... class 0..0
... order 0..0
... network 0..0
... costToBeneficiary S0..*BackboneElement自己負担率
.... type S1..1CodeableConceptCost category
..... coding S1..1CodingCode defined by a terminology system
...... system S1..1uri自己負担の種別を識別するコードのコード体系を識別するURI
Fixed Value: http://terminology.hl7.org/CodeSystem/coverage-copay-type
...... code S1..1code自己負担率を表すコード
Fixed Value: copaypct
...... display S0..1stringコードの表示名
Fixed Value: 負担率
..... text 0..0
.... value[x] S1..1SimpleQuantity自己負担割合
..... value S1..1decimal自己負担割合
..... unit S1..1string単位
Fixed Value: %
..... system S1..1uri単位コード
Fixed Value: http://unitsofmeasure.org
..... code S1..1codeパーセントを表すUCUMコード
Fixed Value: %
.... exception 0..0
... subrogation 0..0
... contract 0..0

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Coverage 0..*JP_CoverageInsurance or medical plan or a payment agreement　保険または医療費支払いプラン、または合意された支払い方法
... id Σ0..1stringLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
... text 0..1NarrativeText summary of the resource, for human interpretation
... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
... JP_Coverage_InsuredPersonSymbol S0..1string被保険者証記号情報
URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_Coverage_InsuredPersonSymbol
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..0
.... url S1..1uri"http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_Coverage_InsuredPersonSymbol"
.... value[x] S1..1string被保険者証記号
... JP_Coverage_InsuredPersonNumber S0..1string被保険者証番号情報
URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_Coverage_InsuredPersonNumber
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..0
.... url S1..1uri"http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_Coverage_InsuredPersonNumber"
.... value[x] S1..1string被保険者証番号
... JP_Coverage_InsuredPersonSubNumber S0..1string被保険者証等「枝番」情報
URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_Coverage_InsuredPersonSubNumber
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..0
.... url S1..1uri"http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_Coverage_InsuredPersonSubNumber"
.... value[x] S1..1string個人単位被保険者番号（枝番）
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierBusiness Identifier for the coverage　このカバレッジに割り当てられた一意の識別子。
... status ?!Σ1..1codeリソースインスタンスのステータス
Binding: FinancialResourceStatusCodes (required): A code specifying the state of the resource instance.


Fixed Value: active
... type SΣ1..1CodeableConcept保険種別コード
Binding: MHLW_valueSet_ePreCDA_insuranceCategory_tbl11 (required)
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... coding SΣ1..1CodingCode defined by a terminology system
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... system SΣ1..1uri保険種別コード体系を識別するURI
Fixed Value: urn:oid:1.2.392.100495.20.2.61
..... version Σ0..1stringVersion of the system - if relevant
..... code SΣ1..1code保険種別コード
..... display Σ0..1stringRepresentation defined by the system
... beneficiary SΣ1..1Reference(Patient)被給付者情報
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SΣI0..1stringPatientリソースのfullUrl要素に指定されるUUIDを指定
.... type Σ0..1uriType the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier Σ0..1IdentifierLogical reference, when literal reference is not known
.... display Σ0..1stringText alternative for the resource
... dependent SΣ0..1string被保険者番号（枝番）
... relationship S1..1CodeableConceptBeneficiary relationship to the subscriber　加入者との受益者関係
Binding: SubscriberRelationshipCodes (extensible): The relationship between the Subscriber and the Beneficiary (insured/covered party/patient).

.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... coding SΣ1..1CodingCode defined by a terminology system
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... system SΣ0..1uriコード体系を識別するURI
Fixed Value: urn:oid:1.2.392.100495.20.2.62
..... version Σ0..1stringVersion of the system - if relevant
..... code SΣ0..1code被保険者区分コード
..... display SΣ0..1stringコードに対応する表示文字列
... period SΣ0..1Period保険証の有効期間
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... start SΣI0..1dateTime保険証の有効期間の開始日
.... end SΣI0..1dateTime保険証の有効期間の終了日
... Slices for payor SΣ1..1Reference(Organization | Patient | RelatedPerson)Issuer of the policy
Slice: Unordered, Open by profile:resolve()
.... payor:insurer SΣ0..1Reference(JP_Organization_ePrescriptionData_coveragePayer)保険者情報
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... reference SΣI0..1stringOrganizationリソースのfullUrl要素に指定されるUUIDを指定
..... type Σ0..1uriType the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

..... identifier Σ0..1IdentifierLogical reference, when literal reference is not known
..... display Σ0..1stringText alternative for the resource
.... payor:selfPayment SΣ0..1Reference(JP_Patient_ePrescriptionData)Issuer of the policy
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... reference SΣI0..1stringPatientリソースのfullUrl要素に指定されるUUIDを指定
..... type Σ0..1uriType the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

..... identifier Σ0..1IdentifierLogical reference, when literal reference is not known
..... display Σ0..1stringText alternative for the resource
... costToBeneficiary S0..*BackboneElement自己負担率
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... type SΣ1..1CodeableConceptCost category
Binding: CoverageCopayTypeCodes (extensible): The types of services to which patient copayments are specified.

..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... coding SΣ1..1CodingCode defined by a terminology system
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... system SΣ1..1uri自己負担の種別を識別するコードのコード体系を識別するURI
Fixed Value: http://terminology.hl7.org/CodeSystem/coverage-copay-type
...... version Σ0..1stringVersion of the system - if relevant
...... code SΣ1..1code自己負担率を表すコード
Fixed Value: copaypct
...... display SΣ0..1stringコードの表示名
Fixed Value: 負担率
...... userSelected Σ0..1booleanIf this coding was chosen directly by the user
.... value[x] SI1..1SimpleQuantity自己負担割合
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... value SΣ1..1decimal自己負担割合
..... unit SΣ1..1string単位
Fixed Value: %
..... system SΣI1..1uri単位コード
Fixed Value: http://unitsofmeasure.org
..... code SΣ1..1codeパーセントを表すUCUMコード
Fixed Value: %

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Coverage 0..*JP_CoverageInsurance or medical plan or a payment agreement　保険または医療費支払いプラン、または合意された支払い方法
... JP_Coverage_InsuredPersonSymbol 0..1string被保険者証記号情報
URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_Coverage_InsuredPersonSymbol
.... url 1..1uri"http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_Coverage_InsuredPersonSymbol"
.... value[x] 1..1string被保険者証記号
... JP_Coverage_InsuredPersonNumber 0..1string被保険者証番号情報
URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_Coverage_InsuredPersonNumber
.... url 1..1uri"http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_Coverage_InsuredPersonNumber"
.... value[x] 1..1string被保険者証番号
... JP_Coverage_InsuredPersonSubNumber 0..1string被保険者証等「枝番」情報
URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_Coverage_InsuredPersonSubNumber
.... url 1..1uri"http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_Coverage_InsuredPersonSubNumber"
.... value[x] 1..1string個人単位被保険者番号（枝番）
... type Σ1..1CodeableConcept保険種別コード
Binding: MHLW_valueSet_ePreCDA_insuranceCategory_tbl11 (required)
.... coding Σ1..1CodingCode defined by a terminology system
..... system Σ1..1uri保険種別コード体系を識別するURI
Fixed Value: urn:oid:1.2.392.100495.20.2.61
..... code Σ1..1code保険種別コード
... beneficiary Σ1..1Reference(Patient)被給付者情報
.... reference ΣI0..1stringPatientリソースのfullUrl要素に指定されるUUIDを指定
... dependent Σ0..1string被保険者番号（枝番）
... relationship 1..1CodeableConceptBeneficiary relationship to the subscriber　加入者との受益者関係
Binding: SubscriberRelationshipCodes (extensible): The relationship between the Subscriber and the Beneficiary (insured/covered party/patient).

.... coding Σ1..1CodingCode defined by a terminology system
..... system Σ0..1uriコード体系を識別するURI
Fixed Value: urn:oid:1.2.392.100495.20.2.62
..... code Σ0..1code被保険者区分コード
..... display Σ0..1stringコードに対応する表示文字列
... period Σ0..1Period保険証の有効期間
.... start ΣI0..1dateTime保険証の有効期間の開始日
.... end ΣI0..1dateTime保険証の有効期間の終了日
... Slices for payor Σ1..1Reference(Organization | Patient | RelatedPerson)Issuer of the policy
Slice: Unordered, Open by profile:resolve()
.... payor:insurer Σ0..1Reference(JP_Organization_ePrescriptionData_coveragePayer)保険者情報
..... reference ΣI0..1stringOrganizationリソースのfullUrl要素に指定されるUUIDを指定
.... payor:selfPayment Σ0..1Reference(JP_Patient_ePrescriptionData)Issuer of the policy
..... reference ΣI0..1stringPatientリソースのfullUrl要素に指定されるUUIDを指定
... costToBeneficiary 0..*BackboneElement自己負担率
.... type Σ1..1CodeableConceptCost category
Binding: CoverageCopayTypeCodes (extensible): The types of services to which patient copayments are specified.

..... coding Σ1..1CodingCode defined by a terminology system
...... system Σ1..1uri自己負担の種別を識別するコードのコード体系を識別するURI
Fixed Value: http://terminology.hl7.org/CodeSystem/coverage-copay-type
...... code Σ1..1code自己負担率を表すコード
Fixed Value: copaypct
...... display Σ0..1stringコードの表示名
Fixed Value: 負担率
.... value[x] I1..1SimpleQuantity自己負担割合
..... value Σ1..1decimal自己負担割合
..... unit Σ1..1string単位
Fixed Value: %
..... system ΣI1..1uri単位コード
Fixed Value: http://unitsofmeasure.org
..... code Σ1..1codeパーセントを表すUCUMコード
Fixed Value: %

doco Documentation for this format

This structure is derived from JP_Coverage

Summary

Mandatory: 6 elements (11 nested mandatory elements)
Must-Support: 40 elements
Fixed Value: 9 elements
Prohibited: 15 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element Coverage.payor is sliced based on the value of profile:resolve()

Differential View

This structure is derived from JP_Coverage

NameFlagsCard.TypeDescription & Constraintsdoco
.. Coverage 0..*JP_CoverageInsurance or medical plan or a payment agreement　保険または医療費支払いプラン、または合意された支払い方法
... contained 0..0
... extension:InsuredPersonSymbol S0..1JP_Coverage_InsuredPersonSymbol被保険者証記号情報
.... url S1..1uriidentifies the meaning of the extension
.... value[x] S1..1string被保険者証記号
... extension:InsuredPersonNumber S0..1JP_Coverage_InsuredPersonNumber被保険者証番号情報
.... url S1..1uriidentifies the meaning of the extension
.... value[x] S1..1string被保険者証番号
... extension:InsuredPersonSubNumber S0..1JP_Coverage_InsuredPersonSubNumber被保険者証等「枝番」情報
.... url S1..1uriidentifies the meaning of the extension
.... value[x] S1..1string個人単位被保険者番号（枝番）
... status 1..1codeリソースインスタンスのステータス
Fixed Value: active
... type S1..1CodeableConcept保険種別コード
Binding: MHLW_valueSet_ePreCDA_insuranceCategory_tbl11 (required)
.... coding S1..1CodingCode defined by a terminology system
..... system S1..1uri保険種別コード体系を識別するURI
Fixed Value: urn:oid:1.2.392.100495.20.2.61
..... code S1..1code保険種別コード
..... userSelected 0..0
.... text 0..0
... policyHolder 0..0
... subscriber 0..0
... subscriberId 0..0
... beneficiary S1..1Reference(Patient)被給付者情報
.... reference S0..1stringPatientリソースのfullUrl要素に指定されるUUIDを指定
... dependent S0..1string被保険者番号（枝番）
... relationship S1..1CodeableConceptBeneficiary relationship to the subscriber　加入者との受益者関係
.... coding S1..1CodingCode defined by a terminology system
..... system S0..1uriコード体系を識別するURI
Fixed Value: urn:oid:1.2.392.100495.20.2.62
..... code S0..1code被保険者区分コード
..... display S0..1stringコードに対応する表示文字列
..... userSelected 0..0
.... text 0..0
... period S0..1Period保険証の有効期間
.... start S0..1dateTime保険証の有効期間の開始日
.... end S0..1dateTime保険証の有効期間の終了日
... Slices for payor S1..1Reference(Organization | Patient | RelatedPerson)Issuer of the policy
Slice: Unordered, Open by profile:resolve()
.... payor:insurer S0..1Reference(JP_Organization_ePrescriptionData_coveragePayer)保険者情報
..... reference S0..1stringOrganizationリソースのfullUrl要素に指定されるUUIDを指定
.... payor:selfPayment S0..1Reference(JP_Patient_ePrescriptionData)Issuer of the policy
..... reference S0..1stringPatientリソースのfullUrl要素に指定されるUUIDを指定
... class 0..0
... order 0..0
... network 0..0
... costToBeneficiary S0..*BackboneElement自己負担率
.... type S1..1CodeableConceptCost category
..... coding S1..1CodingCode defined by a terminology system
...... system S1..1uri自己負担の種別を識別するコードのコード体系を識別するURI
Fixed Value: http://terminology.hl7.org/CodeSystem/coverage-copay-type
...... code S1..1code自己負担率を表すコード
Fixed Value: copaypct
...... display S0..1stringコードの表示名
Fixed Value: 負担率
..... text 0..0
.... value[x] S1..1SimpleQuantity自己負担割合
..... value S1..1decimal自己負担割合
..... unit S1..1string単位
Fixed Value: %
..... system S1..1uri単位コード
Fixed Value: http://unitsofmeasure.org
..... code S1..1codeパーセントを表すUCUMコード
Fixed Value: %
.... exception 0..0
... subrogation 0..0
... contract 0..0

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Coverage 0..*JP_CoverageInsurance or medical plan or a payment agreement　保険または医療費支払いプラン、または合意された支払い方法
... id Σ0..1stringLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
... text 0..1NarrativeText summary of the resource, for human interpretation
... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
... JP_Coverage_InsuredPersonSymbol S0..1string被保険者証記号情報
URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_Coverage_InsuredPersonSymbol
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..0
.... url S1..1uri"http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_Coverage_InsuredPersonSymbol"
.... value[x] S1..1string被保険者証記号
... JP_Coverage_InsuredPersonNumber S0..1string被保険者証番号情報
URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_Coverage_InsuredPersonNumber
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..0
.... url S1..1uri"http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_Coverage_InsuredPersonNumber"
.... value[x] S1..1string被保険者証番号
... JP_Coverage_InsuredPersonSubNumber S0..1string被保険者証等「枝番」情報
URL: http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_Coverage_InsuredPersonSubNumber
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..0
.... url S1..1uri"http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_Coverage_InsuredPersonSubNumber"
.... value[x] S1..1string個人単位被保険者番号（枝番）
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierBusiness Identifier for the coverage　このカバレッジに割り当てられた一意の識別子。
... status ?!Σ1..1codeリソースインスタンスのステータス
Binding: FinancialResourceStatusCodes (required): A code specifying the state of the resource instance.


Fixed Value: active
... type SΣ1..1CodeableConcept保険種別コード
Binding: MHLW_valueSet_ePreCDA_insuranceCategory_tbl11 (required)
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... coding SΣ1..1CodingCode defined by a terminology system
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... system SΣ1..1uri保険種別コード体系を識別するURI
Fixed Value: urn:oid:1.2.392.100495.20.2.61
..... version Σ0..1stringVersion of the system - if relevant
..... code SΣ1..1code保険種別コード
..... display Σ0..1stringRepresentation defined by the system
... beneficiary SΣ1..1Reference(Patient)被給付者情報
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SΣI0..1stringPatientリソースのfullUrl要素に指定されるUUIDを指定
.... type Σ0..1uriType the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier Σ0..1IdentifierLogical reference, when literal reference is not known
.... display Σ0..1stringText alternative for the resource
... dependent SΣ0..1string被保険者番号（枝番）
... relationship S1..1CodeableConceptBeneficiary relationship to the subscriber　加入者との受益者関係
Binding: SubscriberRelationshipCodes (extensible): The relationship between the Subscriber and the Beneficiary (insured/covered party/patient).

.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... coding SΣ1..1CodingCode defined by a terminology system
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... system SΣ0..1uriコード体系を識別するURI
Fixed Value: urn:oid:1.2.392.100495.20.2.62
..... version Σ0..1stringVersion of the system - if relevant
..... code SΣ0..1code被保険者区分コード
..... display SΣ0..1stringコードに対応する表示文字列
... period SΣ0..1Period保険証の有効期間
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... start SΣI0..1dateTime保険証の有効期間の開始日
.... end SΣI0..1dateTime保険証の有効期間の終了日
... Slices for payor SΣ1..1Reference(Organization | Patient | RelatedPerson)Issuer of the policy
Slice: Unordered, Open by profile:resolve()
.... payor:insurer SΣ0..1Reference(JP_Organization_ePrescriptionData_coveragePayer)保険者情報
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... reference SΣI0..1stringOrganizationリソースのfullUrl要素に指定されるUUIDを指定
..... type Σ0..1uriType the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

..... identifier Σ0..1IdentifierLogical reference, when literal reference is not known
..... display Σ0..1stringText alternative for the resource
.... payor:selfPayment SΣ0..1Reference(JP_Patient_ePrescriptionData)Issuer of the policy
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... reference SΣI0..1stringPatientリソースのfullUrl要素に指定されるUUIDを指定
..... type Σ0..1uriType the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

..... identifier Σ0..1IdentifierLogical reference, when literal reference is not known
..... display Σ0..1stringText alternative for the resource
... costToBeneficiary S0..*BackboneElement自己負担率
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... type SΣ1..1CodeableConceptCost category
Binding: CoverageCopayTypeCodes (extensible): The types of services to which patient copayments are specified.

..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... coding SΣ1..1CodingCode defined by a terminology system
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... system SΣ1..1uri自己負担の種別を識別するコードのコード体系を識別するURI
Fixed Value: http://terminology.hl7.org/CodeSystem/coverage-copay-type
...... version Σ0..1stringVersion of the system - if relevant
...... code SΣ1..1code自己負担率を表すコード
Fixed Value: copaypct
...... display SΣ0..1stringコードの表示名
Fixed Value: 負担率
...... userSelected Σ0..1booleanIf this coding was chosen directly by the user
.... value[x] SI1..1SimpleQuantity自己負担割合
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... value SΣ1..1decimal自己負担割合
..... unit SΣ1..1string単位
Fixed Value: %
..... system SΣI1..1uri単位コード
Fixed Value: http://unitsofmeasure.org
..... code SΣ1..1codeパーセントを表すUCUMコード
Fixed Value: %

doco Documentation for this format

 

Other representations of profile: CSV, Excel, Schematron

Terminology Bindings

PathConformanceValueSet / Code
Coverage.languagepreferredCommonLanguages
Max Binding: AllLanguages
Coverage.statusrequiredFixed Value: active
Coverage.typerequiredMHLW_valueSet_ePreCDA_insuranceCategory_tbl11
Coverage.beneficiary.typeextensibleResourceType
Coverage.relationshipextensibleSubscriberRelationshipCodes
Coverage.payor:insurer.typeextensibleResourceType
Coverage.payor:selfPayment.typeextensibleResourceType
Coverage.class.typeextensibleCoverageClassCodes
Coverage.costToBeneficiary.typeextensibleCoverageCopayTypeCodes
Coverage.costToBeneficiary.exception.typeexampleExampleCoverageFinancialExceptionCodes

Constraints

IdGradePathDetailsRequirements
dom-2errorCoverageIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorCoverageIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorCoverageIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorCoverageIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6Best PracticeCoverageA resource should have narrative for robust management
: text.`div`.exists()
ele-1errorCoverage.metaAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorCoverage.implicitRulesAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorCoverage.languageAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorCoverage.textAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorCoverage.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorCoverage.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorCoverage.extension:InsuredPersonSymbolAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorCoverage.extension:InsuredPersonSymbolMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorCoverage.extension:InsuredPersonSymbol.value[x]All FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorCoverage.extension:InsuredPersonNumberAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorCoverage.extension:InsuredPersonNumberMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorCoverage.extension:InsuredPersonNumber.value[x]All FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorCoverage.extension:InsuredPersonSubNumberAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorCoverage.extension:InsuredPersonSubNumberMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorCoverage.extension:InsuredPersonSubNumber.value[x]All FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorCoverage.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorCoverage.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorCoverage.identifierAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorCoverage.statusAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorCoverage.typeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorCoverage.type.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorCoverage.type.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorCoverage.type.codingAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorCoverage.type.coding.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorCoverage.type.coding.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorCoverage.type.coding.systemAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorCoverage.type.coding.versionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorCoverage.type.coding.codeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorCoverage.type.coding.displayAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorCoverage.beneficiaryAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorCoverage.beneficiary.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorCoverage.beneficiary.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorCoverage.beneficiary.referenceAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorCoverage.beneficiary.typeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorCoverage.beneficiary.identifierAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorCoverage.beneficiary.displayAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorCoverage.dependentAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorCoverage.relationshipAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorCoverage.relationship.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorCoverage.relationship.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorCoverage.relationship.codingAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorCoverage.relationship.coding.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorCoverage.relationship.coding.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorCoverage.relationship.coding.systemAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorCoverage.relationship.coding.versionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorCoverage.relationship.coding.codeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorCoverage.relationship.coding.displayAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorCoverage.periodAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorCoverage.period.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorCoverage.period.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorCoverage.period.startAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorCoverage.period.endAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorCoverage.payorAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorCoverage.payor:insurerAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorCoverage.payor:insurer.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorCoverage.payor:insurer.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorCoverage.payor:insurer.referenceAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorCoverage.payor:insurer.typeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorCoverage.payor:insurer.identifierAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorCoverage.payor:insurer.displayAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorCoverage.payor:selfPaymentAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorCoverage.payor:selfPayment.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorCoverage.payor:selfPayment.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorCoverage.payor:selfPayment.referenceAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorCoverage.payor:selfPayment.typeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorCoverage.payor:selfPayment.identifierAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorCoverage.payor:selfPayment.displayAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorCoverage.class.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorCoverage.class.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorCoverage.class.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorCoverage.class.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorCoverage.class.typeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorCoverage.class.valueAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorCoverage.class.nameAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorCoverage.costToBeneficiaryAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorCoverage.costToBeneficiary.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorCoverage.costToBeneficiary.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorCoverage.costToBeneficiary.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorCoverage.costToBeneficiary.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorCoverage.costToBeneficiary.typeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorCoverage.costToBeneficiary.type.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorCoverage.costToBeneficiary.type.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorCoverage.costToBeneficiary.type.codingAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorCoverage.costToBeneficiary.type.coding.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorCoverage.costToBeneficiary.type.coding.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorCoverage.costToBeneficiary.type.coding.systemAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorCoverage.costToBeneficiary.type.coding.versionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorCoverage.costToBeneficiary.type.coding.codeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorCoverage.costToBeneficiary.type.coding.displayAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorCoverage.costToBeneficiary.type.coding.userSelectedAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorCoverage.costToBeneficiary.value[x]All FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
qty-3errorCoverage.costToBeneficiary.value[x]If a code for the unit is present, the system SHALL also be present
: code.empty() or system.exists()
sqty-1errorCoverage.costToBeneficiary.value[x]The comparator is not used on a SimpleQuantity
: comparator.empty()
ele-1errorCoverage.costToBeneficiary.value[x].extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorCoverage.costToBeneficiary.value[x].extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorCoverage.costToBeneficiary.value[x].valueAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorCoverage.costToBeneficiary.value[x].unitAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorCoverage.costToBeneficiary.value[x].systemAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorCoverage.costToBeneficiary.value[x].codeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorCoverage.costToBeneficiary.exception.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorCoverage.costToBeneficiary.exception.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorCoverage.costToBeneficiary.exception.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorCoverage.costToBeneficiary.exception.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorCoverage.costToBeneficiary.exception.typeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorCoverage.costToBeneficiary.exception.periodAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())