API end point: https://fhir.careevolution.com/Master.Adapter1.WebClient/api/fhir-r4.

Resource Coverage (R4)

Maps the CareEvolution Insurance concept

Supported interactions

Search parameters

Name Type Modifiers , prefixes Multiple values Can be chained Description
_id Token Yes See here
_lastUpdated Date eq ne lt le gt ge sa eb ap See here
beneficiary Reference :missing Yes Yes See here
dependent String :contains :exact Yes See here
group String :contains :exact Yes See here
identifier Token Yes See here
patient Reference :missing Yes Yes See here
plan String :contains :exact Yes See here
provenance-agent Reference Yes Yes

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

sequence String :contains :exact Yes See here
subplan String :contains :exact Yes See here
type Token :not :in :not-in Yes See here

Sorts

Supports multiple sorts

Includes

Operations

To FHIR mappings

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

From FHIR mappings

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