API end point: https://fhir.careevolution.com/Master.Adapter1.WebClient/api/fhir-stu3.

Resource Coverage (STU3)

Maps the CareEvolution Insurance concept

Supported interactions

Search parameters

Name Type Modifiers , prefixes Multiple values Can be chained Description
_id Token Yes

Resource id

_lastUpdated Date eq ne lt le gt ge sa eb ap

When the resource last changed

_source Uri :missing Yes

Where the resource comes from

beneficiary Reference (Patient) :missing Yes Yes

The patient the Coverage is about. Functionally identical to the "patient" search parameter.

dependent String :contains :exact Yes

Dependent number

group String :contains :exact :missing Yes

Group identifier

identifier Token :missing Yes

The primary identifier of the insured and the coverage

patient Reference (Patient) :missing Yes Yes

The patient the Coverage is about

plan String :contains :exact :missing Yes

A plan or policy identifier

provenance-agent Reference (Organization) :missing Yes Yes

Search by provenance, specified by its author (aka originator) Organization

sequence String :contains :exact Yes

Sequence number

subplan String :contains :exact :missing Yes

Sub-plan identifier

type Token :not :in :not-in :missing Yes

The kind of coverage (health plan, auto, Workers Compensation)

Sorts

Supports multiple sorts

Includes

Operations

To FHIR mappings

CareEvolution FHIR
AuthorizationDate extension('http://careevolution.com/fhirextensions#coverage-authorizationDate')
AuthorizationNumber extension('http://careevolution.com/fhirextensions#coverage-authorizationNumber')
AuthorizationSource extension('http://careevolution.com/fhirextensions#coverage-authorizationSource')
Class
Domain: InsuranceClass
grouping.class
grouping.classDisplay
Comment text
DataSource extension('http://careevolution.com/fhirextensions#dataSource')
Details extension('http://careevolution.com/fhirextensions#coverage-details')
EncounterID extension('http://careevolution.com/fhirextensions#coverage-encounterID')
EndDate period
GroupEmpId grouping.subPlan
GroupEmpName extension('http://careevolution.com/fhirextensions#coverage-groupEmpName')
GroupName grouping.subGroup
GroupNumber grouping.group
InsuranceCompanyAddress payor
InsuranceCompanyCity payor
InsuranceCompanyName payor
InsuranceCompanyPhone payor
InsuranceCompanyPostalCode payor
InsuranceCompanyState payor
InsuredAddress subscriber
extension('http://careevolution.com/fhirextensions#coverage-insuredAddress')
InsuredAltPhone subscriber
extension('http://careevolution.com/fhirextensions#coverage-insuredAltPhone')
InsuredCity subscriber
extension('http://careevolution.com/fhirextensions#coverage-insuredAddress')
InsuredDob subscriber
extension('http://careevolution.com/fhirextensions#coverage-insuredDob')
InsuredGender subscriber
extension('http://careevolution.com/fhirextensions#coverage-insuredGender')
InsuredName subscriber
extension('http://careevolution.com/fhirextensions#coverage-insuredName')
InsuredPhone subscriber
extension('http://careevolution.com/fhirextensions#coverage-insuredPhone')
InsuredPostalCode subscriber
extension('http://careevolution.com/fhirextensions#coverage-insuredAddress')
InsuredRelationship
Domain: FamilyRelationship
relationship
Bindings:  http://hl7.org/fhir/v3/RoleCode
InsuredSsn subscriber
extension('http://careevolution.com/fhirextensions#coverage-insuredSsn')
InsuredState subscriber
extension('http://careevolution.com/fhirextensions#coverage-insuredAddress')
MedicaidCaseName extension('http://careevolution.com/fhirextensions#coverage-medicaidCaseName')
MedicaidCaseNumber extension('http://careevolution.com/fhirextensions#coverage-medicaidCaseNumber')
MedicareCardNumber extension('http://careevolution.com/fhirextensions#coverage-medicareCardNumber')
Network
Domain: InsuranceNetwork
network
PatientID beneficiary
PharmacyCoverage extension('http://careevolution.com/fhirextensions#coverage-pharmacyCoverage')
PlanIdentifier identifier
PlanName grouping.plan
PlanType
Domain: InsurancePlanType
type
PolicyNumber extension('http://careevolution.com/fhirextensions#coverage-policyNumber')
PrimaryCaregiver extension('http://careevolution.com/fhirextensions#coverage-primaryCaregiver')
Priority order
Product
Domain: InsuranceProduct
grouping.extension('http://careevolution.com/fhirextensions#coverage-product')
ProductGroup
Domain: InsuranceProductGroup
grouping.extension('http://careevolution.com/fhirextensions#coverage-productgroup')
Property('Dependent') dependent
Property('Sequence') sequence
Property('SusbcriberIdentifier') subscriberId
RateCode
Domain: InsuranceRateCode
extension('http://careevolution.com/fhirextensions#coverage-rateCode')
Segment
Domain: InsuranceSegment
extension('http://careevolution.com/fhirextensions#coverage-segment')
Sponsor extension('http://careevolution.com/fhirextensions#coverage-sponsor')
StartDate period
Status
Domain: InsuranceStatus
status
Bindings:  valueset-fm-status
Type
Domain: InsuranceType
extension('http://careevolution.com/fhirextensions#coverage-type')

From FHIR mappings

CareEvolution FHIR
AuthorizationDate extension('http://careevolution.com/fhirextensions#coverage-authorizationDate')
AuthorizationNumber extension('http://careevolution.com/fhirextensions#coverage-authorizationNumber')
AuthorizationSource extension('http://careevolution.com/fhirextensions#coverage-authorizationSource')
Class
Domain: InsuranceClass
grouping.class
grouping.classDisplay
Comment text
DataSource extension('http://careevolution.com/fhirextensions#dataSource')
EncounterID extension('http://careevolution.com/fhirextensions#coverage-encounterID')
EndDate period
GroupEmpId grouping.subPlan
GroupEmpName extension('http://careevolution.com/fhirextensions#coverage-groupEmpName')
GroupName grouping.subGroup
GroupNumber grouping.group
InsuranceCompanyAddress payor
InsuranceCompanyCity payor
InsuranceCompanyName payor
InsuranceCompanyPhone payor
InsuranceCompanyPostalCode payor
InsuranceCompanyState payor
InsuredAddress subscriber
InsuredAltPhone subscriber
InsuredCity subscriber
InsuredDob subscriber
InsuredGender subscriber
InsuredName subscriber
InsuredPhone subscriber
InsuredPostalCode subscriber
InsuredRelationship
Domain: FamilyRelationship
relationship
Bindings:  http://hl7.org/fhir/v3/RoleCode
InsuredSsn subscriber
InsuredState subscriber
MedicaidCaseName extension('http://careevolution.com/fhirextensions#coverage-medicaidCaseName')
MedicaidCaseNumber extension('http://careevolution.com/fhirextensions#coverage-medicaidCaseNumber')
MedicareCardNumber extension('http://careevolution.com/fhirextensions#coverage-medicareCardNumber')
Network
Domain: InsuranceNetwork
network
PatientID beneficiary
PharmacyCoverage extension('http://careevolution.com/fhirextensions#coverage-pharmacyCoverage')
PlanIdentifier identifier
id
PlanName grouping.plan
grouping.subPlan
PlanType
Domain: InsurancePlanType
type
PolicyNumber extension('http://careevolution.com/fhirextensions#coverage-policyNumber')
PrimaryCaregiver extension('http://careevolution.com/fhirextensions#coverage-primaryCaregiver')
Priority order
Product
Domain: InsuranceProduct
grouping.extension('http://careevolution.com/fhirextensions#coverage-product')
ProductGroup
Domain: InsuranceProductGroup
grouping.extension('http://careevolution.com/fhirextensions#coverage-productgroup')
Property('Dependent') dependent
Property('Sequence') sequence
Property('SusbcriberIdentifier') subscriberId
RateCode
Domain: InsuranceRateCode
extension('http://careevolution.com/fhirextensions#coverage-rateCode')
Segment
Domain: InsuranceSegment
extension('http://careevolution.com/fhirextensions#coverage-segment')
Sponsor extension('http://careevolution.com/fhirextensions#coverage-sponsor')
StartDate period
Status
Domain: InsuranceStatus
status
Bindings:  valueset-fm-status
Type
Domain: InsuranceType
extension('http://careevolution.com/fhirextensions#coverage-type')