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
_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
dependent	Token		Yes		Dependent number
group	Token	:missing	Yes		Group identifier
identifier	Token	:missing	Yes		The primary identifier of the insured
patient	Reference	:missing	Yes	Yes	See here
plan	Token	:missing	Yes		A plan or policy identifier
provenance-agent	Reference	: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	extension('http://careevolution.com/fhirextensions#coverage-insuredAddress')
InsuredAltPhone	extension('http://careevolution.com/fhirextensions#coverage-insuredAltPhone')
InsuredCity	extension('http://careevolution.com/fhirextensions#coverage-insuredAddress')
InsuredDob	subscriber
	extension('http://careevolution.com/fhirextensions#coverage-insuredDob')
InsuredGender	extension('http://careevolution.com/fhirextensions#coverage-insuredGender')
InsuredName	subscriber
	extension('http://careevolution.com/fhirextensions#coverage-insuredName')
InsuredPhone	extension('http://careevolution.com/fhirextensions#coverage-insuredPhone')
InsuredPostalCode	extension('http://careevolution.com/fhirextensions#coverage-insuredAddress')
InsuredRelationship Domain: FamilyRelationship	extension('http://careevolution.com/fhirextensions#coverage-insuredRelationship')
InsuredSsn	subscriberId
InsuredState	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	extension('http://careevolution.com/fhirextensions#coverage-insuredAltPhone')
InsuredCity	subscriber
InsuredDob	extension('http://careevolution.com/fhirextensions#coverage-insuredDob')
	subscriber
InsuredGender	extension('http://careevolution.com/fhirextensions#coverage-insuredGender')
	subscriber
InsuredName	extension('http://careevolution.com/fhirextensions#coverage-insuredName')
	subscriber
InsuredPhone	extension('http://careevolution.com/fhirextensions#coverage-insuredPhone')
	subscriber
InsuredPostalCode	subscriber
InsuredRelationship Domain: FamilyRelationship	extension('http://careevolution.com/fhirextensions#coverage-insuredRelationship')
	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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