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ZD Coverage

Resources conforming to this profile are requested by ZorgDomein when SSO to ZorgDomein has succeeded and patient details are fetched from the source system.

Queries on the https://[FHIRServerUrl]/Coverage endpoint may include the following query parameters:

  • subscriber=[PatientID]: [PatientID] will refer to the patient ID as provided in the Task resource that is requested by ZorgDomein during SSO.
  • _include=Coverage:payor: indicates that the search result must also contain the Organization resource that is referred to by Coverage.payor.

The canonical URL for this profile is:

http://zorgdomein.nl/fhir/StructureDefinition/zd-coverage

This profile builds on Coverage.


identifier Σ 0..* Identifier
status Σ ?! 0..1 codeBinding
type Σ 0..1 CodeableConceptBinding
policyHolder Σ 0..1 Reference(Patient | RelatedPerson | Organization)
subscriber S Σ 1..1 Reference(Patient | RelatedPerson)
subscriberId S Σ 0..1 string
beneficiary Σ 0..1 Reference(Patient)
relationship 0..1 CodeableConcept
period Σ 0..1 Period
reference Σ 0..1 string
use Σ ?! 0..1 codeBinding
type Σ 0..1 CodeableConceptBinding
system Σ 1..1 uriFixed Value
value Σ 1..1 string
period Σ 0..1 Period
assigner Σ 0..1 Reference(Organization)
display Σ 0..1 string
group Σ 0..1 string
groupDisplay Σ 0..1 string
subGroup Σ 0..1 string
subGroupDisplay Σ 0..1 string
plan Σ 0..1 string
planDisplay Σ 0..1 string
subPlan Σ 0..1 string
subPlanDisplay Σ 0..1 string
class Σ 0..1 string
classDisplay Σ 0..1 string
subClass Σ 0..1 string
subClassDisplay Σ 0..1 string
dependent Σ 0..1 string
sequence Σ 0..1 string
order Σ 0..1 positiveInt
network Σ 0..1 string
contract 0..* Reference(Contract)

See the profile on simplifier.net for additional details.

Resource example

Below you find an example of a Coverage resource that conforms to the ZD Coverage profile.

    {
      "resourceType" : "Coverage",
      "id" : "zd-coverage-1",	
      "meta" : {
        "profile" : [
          "http://zorgdomein.nl/fhir/StructureDefinition/zd-coverage"
        ]
      },
      "subscriber" : {
        "reference" : "Patient/zd-patient-1"
      },
      "subscriberId": "A123456780",
      "payor" : [
        {
          "identifier" : {
            "system" : "http://nictiz.nl/fhir/NamingSystem/uzovi",
            "value" : "0101"
          },
          "display" : "N.V. Univé Zorg"
        }
      ]
    }
    
    <Coverage xmlns='http://hl7.org/fhir'>
      <id value='zd-coverage-1'/>
      <meta>
        <profile value='http://zorgdomein.nl/fhir/StructureDefinition/zd-coverage'/>
      </meta>
      <subscriber>
        <reference value='Patient/zd-patient-1'/>
      </subscriber>
      <subscriberId value='A123456780'/>
      <payor>
        <identifier>
          <system value='http://nictiz.nl/fhir/NamingSystem/uzovi'/>
          <value value='0101'/>
        </identifier>
        <display value='N.V. Univé Zorg'/>
      </payor>
    </Coverage>