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

Resource Coverage (DSTU2)

Maps the CareEvolution Insurance concept

• Supported interactions
• Search parameters
• Sorts
• Includes
• Operations
• To FHIR mappings
• From FHIR mappings

Supported interactions

• read
• search
• create
• update
• delete

Search parameters

Name	Type	Modifiers , prefixes	Multiple values	Can be chained	Description
_count	Special	eq			The maximum number of resources to return in a result page.
_elements	Special	eq			Used to request a specific set of elements be returned as part of a resource.
_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
_summary	Special	eq			Used to return only a portion of the resouces. Defaults to 'false', which returns the whole resource.
_total	Special	eq			Use the value 'estimate' to populate the result bundle's 'total' element with an estimate of the matching number of resources.
dependent	Token		Yes		Dependent number
group	Token	:missing	Yes		Group identifier
identifier	Token	:missing	Yes		The primary identifier of the insured
patient	Reference (Patient)	:missing	Yes	Yes	The patient the Coverage is about
plan	Token	: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	Token		Yes		Sequence number
subplan	Token	:missing	Yes		Sub-plan identifier
type	Token	:not :in :not-in :missing	Yes		The kind of coverage

Sorts

• _id
• plan
• type

Supports multiple sorts

Includes

• patient
• provenance-agent
• Provenance:target

Operations

• validate - Validate a resource

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	extension('http://careevolution.com/fhirextensions#coverage-class')
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	subPlan
GroupEmpName	extension('http://careevolution.com/fhirextensions#coverage-groupEmpName')
GroupName	extension('http://careevolution.com/fhirextensions#coverage-groupName')
GroupNumber	group
InsuranceCompanyAddress	issuer
InsuranceCompanyCity	issuer
InsuranceCompanyName	issuer
InsuranceCompanyPhone	issuer
InsuranceCompanyPostalCode	issuer
InsuranceCompanyState	issuer
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	extension('http://careevolution.com/fhirextensions#coverage-insuredRelationship') Bindings:  http://hl7.org/fhir/v3/RoleCode
InsuredSsn	subscriberId
	subscriber
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.value
PatientID	extension('http://careevolution.com/fhirextensions#coverage-patientID')
PharmacyCoverage	extension('http://careevolution.com/fhirextensions#coverage-pharmacyCoverage')
PlanIdentifier	identifier
PlanName	plan
PlanType Domain: InsurancePlanType	type
PolicyNumber	extension('http://careevolution.com/fhirextensions#coverage-policyNumber')
PrimaryCaregiver	extension('http://careevolution.com/fhirextensions#coverage-primaryCaregiver')
Priority	extension('http://careevolution.com/fhirextensions#coverage-priority')
Product Domain: InsuranceProduct	extension('http://careevolution.com/fhirextensions#coverage-product')
ProductGroup Domain: InsuranceProductGroup	extension('http://careevolution.com/fhirextensions#coverage-productgroup')
Property('Dependent')	dependent
Property('InsurerBIN')	bin
Property('Sequence')	sequence
Property('SubscriberIdentifierSystem')	subscriberId
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	extension('http://careevolution.com/fhirextensions#coverage-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	extension('http://careevolution.com/fhirextensions#coverage-class')
Comment	text
DataSource	extension('http://careevolution.com/fhirextensions#dataSource')
EncounterID	extension('http://careevolution.com/fhirextensions#coverage-encounterID')
EndDate	period
GroupEmpId	subPlan
GroupEmpName	extension('http://careevolution.com/fhirextensions#coverage-groupEmpName')
GroupName	extension('http://careevolution.com/fhirextensions#coverage-groupName')
GroupNumber	group
InsuranceCompanyAddress	issuer
InsuranceCompanyCity	issuer
InsuranceCompanyName	issuer
InsuranceCompanyPhone	issuer
InsuranceCompanyPostalCode	issuer
InsuranceCompanyState	issuer
InsuredAddress	subscriber
InsuredAltPhone	subscriber
InsuredCity	subscriber
InsuredDob	subscriber
InsuredGender	subscriber
InsuredName	subscriber
InsuredPhone	subscriber
InsuredPostalCode	subscriber
InsuredRelationship Domain: FamilyRelationship	relationship
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.value
PatientID	extension('http://careevolution.com/fhirextensions#coverage-patientID')
PharmacyCoverage	extension('http://careevolution.com/fhirextensions#coverage-pharmacyCoverage')
PlanIdentifier	identifier
	id
PlanName	plan
PlanType Domain: InsurancePlanType	type
PolicyNumber	extension('http://careevolution.com/fhirextensions#coverage-policyNumber')
PrimaryCaregiver	extension('http://careevolution.com/fhirextensions#coverage-primaryCaregiver')
Priority	extension('http://careevolution.com/fhirextensions#coverage-priority')
Product Domain: InsuranceProduct	extension('http://careevolution.com/fhirextensions#coverage-product')
ProductGroup Domain: InsuranceProductGroup	extension('http://careevolution.com/fhirextensions#coverage-productgroup')
Property('Dependent')	dependent
Property('InsurerBIN')	bin
Property('Sequence')	sequence
Property('SubscriberIdentifierSystem')	subscriberId
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	extension('http://careevolution.com/fhirextensions#coverage-status')
Type Domain: InsuranceType	extension('http://careevolution.com/fhirextensions#coverage-type')

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