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
• 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
beneficiary	Reference	:missing	Yes	Yes	Covered party
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	:missing	Yes	Yes	See here
plan	String	:contains :exact :missing	Yes		A plan or policy identifier
provenance-agent	Reference	: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

• _id
• plan
• type

Supports multiple sorts

Includes

• beneficiary
• patient
• provenance-agent
• ExplanationOfBenefit:coverage
• 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	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
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
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')

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