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

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 :missing Yes Yes

Covered party

dependent String :contains :exact Yes

Dependent number

group String :contains :exact :missing Yes See here
identifier Token :missing Yes

The primary identifier of the insured and the coverage

patient Reference :missing Yes Yes

Retrieve coverages for a patient

plan String :contains :exact :missing Yes See here
provenance-agent Reference :missing Yes Yes

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

sequence String :contains :exact Yes See here
subplan String :contains :exact :missing Yes See here
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

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-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-type') Type
Domain: InsuranceType
extension('http://careevolution.com/fhirextensions#dataSource') DataSource
identifier PlanIdentifier
network Network
Domain: InsuranceNetwork
order Priority
payor InsuranceCompanyName
InsuranceCompanyAddress
InsuranceCompanyCity
InsuranceCompanyState
InsuranceCompanyPostalCode
InsuranceCompanyPhone
period StartDate
EndDate
relationship
Bindings:  valueset-subscriber-relationship
InsuredRelationship
Domain: FamilyRelationship
status
Bindings:  valueset-fm-status
Status
Domain: InsuranceStatus
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-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-type') Type
Domain: InsuranceType
extension('http://careevolution.com/fhirextensions#dataSource') DataSource
id PlanIdentifier
identifier PlanIdentifier
network Network
Domain: InsuranceNetwork
order Priority
payor InsuranceCompanyName
InsuranceCompanyAddress
InsuranceCompanyCity
InsuranceCompanyState
InsuranceCompanyPostalCode
InsuranceCompanyPhone
period StartDate
EndDate
relationship
Bindings:  valueset-subscriber-relationship
InsuredRelationship
Domain: FamilyRelationship
status
Bindings:  valueset-fm-status
Status
Domain: InsuranceStatus
subscriber InsuredName
InsuredAddress
InsuredCity
InsuredState
InsuredPostalCode
InsuredPhone
InsuredDob
InsuredSsn
InsuredGender
subscriberId Property('SusbcriberIdentifier')
text Comment
type PlanType
Domain: InsurancePlanType