Name	Flags	Card.	Type	Description & Constraints
Coverage		0..*	Coverage	MedNet Interface (MNI) - Coverage
id	Σ	0..1	id	The id is unique within the space of all resources of the same type on the same server It can be any combination of upper- or lower-case ASCII letters 'A'..'Z', and 'a'..'z', numerals ('0'..'9'), '-' and '.' with a length limit of 64 characters. (This might be an integer, an un-prefixed OID, UUID or any other identifier pattern that meets these constraints.)
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
contained	S	0..*	Resource	It is possible to include payors as embedded resources in this contained object. This way it is not needed to include them in the Bundle
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	SΣ	0..*	Identifier	Business Identifier for the coverage Slice: Unordered, Open by value:system
identifier:insurancecardnumber	SΣ	0..*	Identifier	insurancecardnumber
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	SΣ	1..1	uri	oid of the insurance card number Fixed Value: urn:oid:2.16.756.5.30.1.123.100.1.1.1
value	SΣ	1..1	string	Insurance card number of the patient (20 digits) Example General: 123456
status	?!SΣ	1..1	code	Fixed value:active. Only uptodate coverage data are usefull Binding: FinancialResourceStatusCodes (required): A code specifying the state of the resource instance. Fixed Value: active
type	SΣ	0..1	CodeableConcept	Coverage category such as medical or accident Binding: Coverage Type (required)
beneficiary	SΣ	1..1	Reference(MedNet Interface (MNI) - Patient)	Plan beneficiary
payor	SΣ	1..1	Reference(MedNet Interface (MNI) - Patient | MedNet Interface (MNI) - Organization | MedNet Interface (MNI) - RelatedPerson)	If the reference is a Patient, this means that the payor is the patient itself. If the reference is an Organization, we assume that the payor is an insurance. If the reference is a relatedPerson we assume that the payor is another person like the parents or someone else
contract	S	0..*	Reference(MedNet Interface (MNI) - Contract)	Contract details
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Coverage.identifier:insurancecardnumber.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Coverage.status	required	Fixed Value: active http://hl7.org/fhir/ValueSet/fm-status|4.0.1 from the FHIR Standard
Coverage.type	required	ChOrfCoverageType http://fhir.ch/ig/ch-orf/ValueSet/ch-orf-vs-coveragetype

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Coverage	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Coverage	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Coverage	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Coverage	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Coverage	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Name	Flags	Card.	Type	Description & Constraints
Coverage		0..*	Coverage	MedNet Interface (MNI) - Coverage
id		0..1	id	The id is unique within the space of all resources of the same type on the same server It can be any combination of upper- or lower-case ASCII letters 'A'..'Z', and 'a'..'z', numerals ('0'..'9'), '-' and '.' with a length limit of 64 characters. (This might be an integer, an un-prefixed OID, UUID or any other identifier pattern that meets these constraints.)
contained	S	0..*	Resource	It is possible to include payors as embedded resources in this contained object. This way it is not needed to include them in the Bundle
Slices for identifier	S	0..*	Identifier	Business Identifier for the coverage Slice: Unordered, Open by value:system
identifier:insurancecardnumber	S	0..*	Identifier	insurancecardnumber
system	S	1..1	uri	oid of the insurance card number Fixed Value: urn:oid:2.16.756.5.30.1.123.100.1.1.1
value	S	1..1	string	Insurance card number of the patient (20 digits)
status	S	1..1	code	Fixed value:active. Only uptodate coverage data are usefull Fixed Value: active
type	S	0..1	CodeableConcept	Coverage category such as medical or accident Binding: Coverage Type (required)
beneficiary	S	1..1	Reference(MedNet Interface (MNI) - Patient)	Plan beneficiary
payor	S	1..1	Reference(MedNet Interface (MNI) - Patient | MedNet Interface (MNI) - Organization | MedNet Interface (MNI) - RelatedPerson)	If the reference is a Patient, this means that the payor is the patient itself. If the reference is an Organization, we assume that the payor is an insurance. If the reference is a relatedPerson we assume that the payor is another person like the parents or someone else
contract	S	0..*	Reference(MedNet Interface (MNI) - Contract)	Contract details
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Coverage.type	required	ChOrfCoverageType http://fhir.ch/ig/ch-orf/ValueSet/ch-orf-vs-coveragetype

Name	Flags	Card.	Type	Description & Constraints
Coverage		0..*	Coverage	MedNet Interface (MNI) - Coverage
id	Σ	0..1	id	The id is unique within the space of all resources of the same type on the same server It can be any combination of upper- or lower-case ASCII letters 'A'..'Z', and 'a'..'z', numerals ('0'..'9'), '-' and '.' with a length limit of 64 characters. (This might be an integer, an un-prefixed OID, UUID or any other identifier pattern that meets these constraints.)
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained	S	0..*	Resource	It is possible to include payors as embedded resources in this contained object. This way it is not needed to include them in the Bundle
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	SΣ	0..*	Identifier	Business Identifier for the coverage Slice: Unordered, Open by value:system
identifier:insurancecardnumber	SΣ	0..*	Identifier	insurancecardnumber
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	SΣ	1..1	uri	oid of the insurance card number Fixed Value: urn:oid:2.16.756.5.30.1.123.100.1.1.1
value	SΣ	1..1	string	Insurance card number of the patient (20 digits) Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
status	?!SΣ	1..1	code	Fixed value:active. Only uptodate coverage data are usefull Binding: FinancialResourceStatusCodes (required): A code specifying the state of the resource instance. Fixed Value: active
type	SΣ	0..1	CodeableConcept	Coverage category such as medical or accident Binding: Coverage Type (required)
policyHolder	Σ	0..1	Reference(Patient | RelatedPerson | Organization)	Owner of the policy
subscriber	Σ	0..1	Reference(Patient | RelatedPerson)	Subscriber to the policy
subscriberId	Σ	0..1	string	ID assigned to the subscriber
beneficiary	SΣ	1..1	Reference(MedNet Interface (MNI) - Patient)	Plan beneficiary
dependent	Σ	0..1	string	Dependent number
relationship		0..1	CodeableConcept	Beneficiary relationship to the subscriber Binding: SubscriberRelationshipCodes (extensible): The relationship between the Subscriber and the Beneficiary (insured/covered party/patient).
period	Σ	0..1	Period	Coverage start and end dates
payor	SΣ	1..1	Reference(MedNet Interface (MNI) - Patient | MedNet Interface (MNI) - Organization | MedNet Interface (MNI) - RelatedPerson)	If the reference is a Patient, this means that the payor is the patient itself. If the reference is an Organization, we assume that the payor is an insurance. If the reference is a relatedPerson we assume that the payor is another person like the parents or someone else
class		0..*	BackboneElement	Additional coverage classifications
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	Σ	1..1	CodeableConcept	Type of class such as 'group' or 'plan' Binding: CoverageClassCodes (extensible): The policy classifications, eg. Group, Plan, Class, etc.
value	Σ	1..1	string	Value associated with the type
name	Σ	0..1	string	Human readable description of the type and value
order	Σ	0..1	positiveInt	Relative order of the coverage
network	Σ	0..1	string	Insurer network
costToBeneficiary		0..*	BackboneElement	Patient payments for services/products
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	Σ	0..1	CodeableConcept	Cost category Binding: CoverageCopayTypeCodes (extensible): The types of services to which patient copayments are specified.
value[x]	Σ	1..1		The amount or percentage due from the beneficiary
valueQuantity			Quantity(SimpleQuantity)
valueMoney			Money
exception		0..*	BackboneElement	Exceptions for patient payments
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	Σ	1..1	CodeableConcept	Exception category Binding: ExampleCoverageFinancialExceptionCodes (example): The types of exceptions from the part or full value of financial obligations such as copays.
period	Σ	0..1	Period	The effective period of the exception
subrogation		0..1	boolean	Reimbursement to insurer
contract	S	0..*	Reference(MedNet Interface (MNI) - Contract)	Contract details
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Coverage.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Coverage.identifier:insurancecardnumber.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Coverage.identifier:insurancecardnumber.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Coverage.status	required	Fixed Value: active http://hl7.org/fhir/ValueSet/fm-status|4.0.1 from the FHIR Standard
Coverage.type	required	ChOrfCoverageType http://fhir.ch/ig/ch-orf/ValueSet/ch-orf-vs-coveragetype
Coverage.relationship	extensible	SubscriberRelationshipCodes http://hl7.org/fhir/ValueSet/subscriber-relationship from the FHIR Standard
Coverage.class.type	extensible	CoverageClassCodes http://hl7.org/fhir/ValueSet/coverage-class from the FHIR Standard
Coverage.costToBeneficiary.type	extensible	CoverageCopayTypeCodes http://hl7.org/fhir/ValueSet/coverage-copay-type from the FHIR Standard
Coverage.costToBeneficiary.exception.type	example	ExampleCoverageFinancialExceptionCodes http://hl7.org/fhir/ValueSet/coverage-financial-exception from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Coverage	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Coverage	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Coverage	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Coverage	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Coverage	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Summary

Mandatory: 0 element(2 nested mandatory elements)
Must-Support: 10 elements
Fixed: 2 elements

Structures

This structure refers to these other structures:

• MedNet Interface (MNI) - Patient (https://mednet.swiss/fhir/StructureDefinition/mni-patient)
• MedNet Interface (MNI) - Organization (https://mednet.swiss/fhir/StructureDefinition/mni-organization)
• MedNet Interface (MNI) - RelatedPerson (https://mednet.swiss/fhir/StructureDefinition/mni-relatedPerson)
• MedNet Interface (MNI) - Contract (https://mednet.swiss/fhir/StructureDefinition/mni-contract)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Coverage.identifier

Name	Flags	Card.	Type	Description & Constraints
Coverage		0..*	Coverage	MedNet Interface (MNI) - Coverage
id	Σ	0..1	id	The id is unique within the space of all resources of the same type on the same server It can be any combination of upper- or lower-case ASCII letters 'A'..'Z', and 'a'..'z', numerals ('0'..'9'), '-' and '.' with a length limit of 64 characters. (This might be an integer, an un-prefixed OID, UUID or any other identifier pattern that meets these constraints.)
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
contained	S	0..*	Resource	It is possible to include payors as embedded resources in this contained object. This way it is not needed to include them in the Bundle
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	SΣ	0..*	Identifier	Business Identifier for the coverage Slice: Unordered, Open by value:system
identifier:insurancecardnumber	SΣ	0..*	Identifier	insurancecardnumber
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	SΣ	1..1	uri	oid of the insurance card number Fixed Value: urn:oid:2.16.756.5.30.1.123.100.1.1.1
value	SΣ	1..1	string	Insurance card number of the patient (20 digits) Example General: 123456
status	?!SΣ	1..1	code	Fixed value:active. Only uptodate coverage data are usefull Binding: FinancialResourceStatusCodes (required): A code specifying the state of the resource instance. Fixed Value: active
type	SΣ	0..1	CodeableConcept	Coverage category such as medical or accident Binding: Coverage Type (required)
beneficiary	SΣ	1..1	Reference(MedNet Interface (MNI) - Patient)	Plan beneficiary
payor	SΣ	1..1	Reference(MedNet Interface (MNI) - Patient | MedNet Interface (MNI) - Organization | MedNet Interface (MNI) - RelatedPerson)	If the reference is a Patient, this means that the payor is the patient itself. If the reference is an Organization, we assume that the payor is an insurance. If the reference is a relatedPerson we assume that the payor is another person like the parents or someone else
contract	S	0..*	Reference(MedNet Interface (MNI) - Contract)	Contract details
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Coverage.identifier:insurancecardnumber.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Coverage.status	required	Fixed Value: active http://hl7.org/fhir/ValueSet/fm-status|4.0.1 from the FHIR Standard
Coverage.type	required	ChOrfCoverageType http://fhir.ch/ig/ch-orf/ValueSet/ch-orf-vs-coveragetype

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Coverage	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Coverage	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Coverage	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Coverage	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Coverage	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Name	Flags	Card.	Type	Description & Constraints
Coverage		0..*	Coverage	MedNet Interface (MNI) - Coverage
id		0..1	id	The id is unique within the space of all resources of the same type on the same server It can be any combination of upper- or lower-case ASCII letters 'A'..'Z', and 'a'..'z', numerals ('0'..'9'), '-' and '.' with a length limit of 64 characters. (This might be an integer, an un-prefixed OID, UUID or any other identifier pattern that meets these constraints.)
contained	S	0..*	Resource	It is possible to include payors as embedded resources in this contained object. This way it is not needed to include them in the Bundle
Slices for identifier	S	0..*	Identifier	Business Identifier for the coverage Slice: Unordered, Open by value:system
identifier:insurancecardnumber	S	0..*	Identifier	insurancecardnumber
system	S	1..1	uri	oid of the insurance card number Fixed Value: urn:oid:2.16.756.5.30.1.123.100.1.1.1
value	S	1..1	string	Insurance card number of the patient (20 digits)
status	S	1..1	code	Fixed value:active. Only uptodate coverage data are usefull Fixed Value: active
type	S	0..1	CodeableConcept	Coverage category such as medical or accident Binding: Coverage Type (required)
beneficiary	S	1..1	Reference(MedNet Interface (MNI) - Patient)	Plan beneficiary
payor	S	1..1	Reference(MedNet Interface (MNI) - Patient | MedNet Interface (MNI) - Organization | MedNet Interface (MNI) - RelatedPerson)	If the reference is a Patient, this means that the payor is the patient itself. If the reference is an Organization, we assume that the payor is an insurance. If the reference is a relatedPerson we assume that the payor is another person like the parents or someone else
contract	S	0..*	Reference(MedNet Interface (MNI) - Contract)	Contract details
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Coverage.type	required	ChOrfCoverageType http://fhir.ch/ig/ch-orf/ValueSet/ch-orf-vs-coveragetype

Name	Flags	Card.	Type	Description & Constraints
Coverage		0..*	Coverage	MedNet Interface (MNI) - Coverage
id	Σ	0..1	id	The id is unique within the space of all resources of the same type on the same server It can be any combination of upper- or lower-case ASCII letters 'A'..'Z', and 'a'..'z', numerals ('0'..'9'), '-' and '.' with a length limit of 64 characters. (This might be an integer, an un-prefixed OID, UUID or any other identifier pattern that meets these constraints.)
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained	S	0..*	Resource	It is possible to include payors as embedded resources in this contained object. This way it is not needed to include them in the Bundle
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	SΣ	0..*	Identifier	Business Identifier for the coverage Slice: Unordered, Open by value:system
identifier:insurancecardnumber	SΣ	0..*	Identifier	insurancecardnumber
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	SΣ	1..1	uri	oid of the insurance card number Fixed Value: urn:oid:2.16.756.5.30.1.123.100.1.1.1
value	SΣ	1..1	string	Insurance card number of the patient (20 digits) Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
status	?!SΣ	1..1	code	Fixed value:active. Only uptodate coverage data are usefull Binding: FinancialResourceStatusCodes (required): A code specifying the state of the resource instance. Fixed Value: active
type	SΣ	0..1	CodeableConcept	Coverage category such as medical or accident Binding: Coverage Type (required)
policyHolder	Σ	0..1	Reference(Patient | RelatedPerson | Organization)	Owner of the policy
subscriber	Σ	0..1	Reference(Patient | RelatedPerson)	Subscriber to the policy
subscriberId	Σ	0..1	string	ID assigned to the subscriber
beneficiary	SΣ	1..1	Reference(MedNet Interface (MNI) - Patient)	Plan beneficiary
dependent	Σ	0..1	string	Dependent number
relationship		0..1	CodeableConcept	Beneficiary relationship to the subscriber Binding: SubscriberRelationshipCodes (extensible): The relationship between the Subscriber and the Beneficiary (insured/covered party/patient).
period	Σ	0..1	Period	Coverage start and end dates
payor	SΣ	1..1	Reference(MedNet Interface (MNI) - Patient | MedNet Interface (MNI) - Organization | MedNet Interface (MNI) - RelatedPerson)	If the reference is a Patient, this means that the payor is the patient itself. If the reference is an Organization, we assume that the payor is an insurance. If the reference is a relatedPerson we assume that the payor is another person like the parents or someone else
class		0..*	BackboneElement	Additional coverage classifications
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	Σ	1..1	CodeableConcept	Type of class such as 'group' or 'plan' Binding: CoverageClassCodes (extensible): The policy classifications, eg. Group, Plan, Class, etc.
value	Σ	1..1	string	Value associated with the type
name	Σ	0..1	string	Human readable description of the type and value
order	Σ	0..1	positiveInt	Relative order of the coverage
network	Σ	0..1	string	Insurer network
costToBeneficiary		0..*	BackboneElement	Patient payments for services/products
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	Σ	0..1	CodeableConcept	Cost category Binding: CoverageCopayTypeCodes (extensible): The types of services to which patient copayments are specified.
value[x]	Σ	1..1		The amount or percentage due from the beneficiary
valueQuantity			Quantity(SimpleQuantity)
valueMoney			Money
exception		0..*	BackboneElement	Exceptions for patient payments
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	Σ	1..1	CodeableConcept	Exception category Binding: ExampleCoverageFinancialExceptionCodes (example): The types of exceptions from the part or full value of financial obligations such as copays.
period	Σ	0..1	Period	The effective period of the exception
subrogation		0..1	boolean	Reimbursement to insurer
contract	S	0..*	Reference(MedNet Interface (MNI) - Contract)	Contract details
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Coverage.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Coverage.identifier:insurancecardnumber.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Coverage.identifier:insurancecardnumber.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Coverage.status	required	Fixed Value: active http://hl7.org/fhir/ValueSet/fm-status|4.0.1 from the FHIR Standard
Coverage.type	required	ChOrfCoverageType http://fhir.ch/ig/ch-orf/ValueSet/ch-orf-vs-coveragetype
Coverage.relationship	extensible	SubscriberRelationshipCodes http://hl7.org/fhir/ValueSet/subscriber-relationship from the FHIR Standard
Coverage.class.type	extensible	CoverageClassCodes http://hl7.org/fhir/ValueSet/coverage-class from the FHIR Standard
Coverage.costToBeneficiary.type	extensible	CoverageCopayTypeCodes http://hl7.org/fhir/ValueSet/coverage-copay-type from the FHIR Standard
Coverage.costToBeneficiary.exception.type	example	ExampleCoverageFinancialExceptionCodes http://hl7.org/fhir/ValueSet/coverage-financial-exception from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Coverage	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Coverage	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Coverage	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Coverage	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Coverage	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Summary

Mandatory: 0 element(2 nested mandatory elements)
Must-Support: 10 elements
Fixed: 2 elements

Structures

This structure refers to these other structures:

• MedNet Interface (MNI) - Patient (https://mednet.swiss/fhir/StructureDefinition/mni-patient)
• MedNet Interface (MNI) - Organization (https://mednet.swiss/fhir/StructureDefinition/mni-organization)
• MedNet Interface (MNI) - RelatedPerson (https://mednet.swiss/fhir/StructureDefinition/mni-relatedPerson)
• MedNet Interface (MNI) - Contract (https://mednet.swiss/fhir/StructureDefinition/mni-contract)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Coverage.identifier