Non-Normative Content The Normative content for these specifications may be found on the HL7, IHE, and HITSP web sites.

Coverage Activity

[Act: templateId 2.16.840.1.113883.10.20.22.4.60]

  1. SHALL contain exactly one [1..1] templateId ( CONF:8897, CONF:10492 ) such that it
    1. SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.60"
  2. SHALL contain exactly one [1..1] @classCode="ACT" Act (CodeSystem: 2.16.840.1.113883.5.6 HL7ActClass) (CONF:8872)
  3. SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: 2.16.840.1.113883.5.1001 HL7ActMood) (CONF:8873)
  4. SHALL contain exactly one [1..1] code/@code="48768-6" Payment Sources (CodeSystem: 2.16.840.1.113883.6.1 LOINC) (CONF:8876)
  5. SHALL contain at least one [1..*] id (CONF:8874)
  6. SHALL contain exactly one [1..1] statusCode/@code="completed" (CodeSystem: 2.16.840.1.113883.5.14 ActStatus) (CONF:8875)
  7. SHALL contain at least one [1..*] entryRelationship (CONF:8878, CONF:8879, CONF:15528)
    1. Contains @typeCode="COMP" COMP
    2. Contains exactly one [1..1] Policy Activity (templateId: 2.16.840.1.113883.10.20.22.4.61)
  8. MAY contain zero or one [0..1] sequenceNumber/@value (CONF:8973) (CONF:8973)

Coverage Activity example

<act xmlns="urn:hl7-org:v3">
  <id root="MDHT" extension="95034970"/>
  <code code="942596141"/>
  <effectiveTime>
    <low value="2013"/>
    <high value="2013"/>
  </effectiveTime>
  <entryRelationship>
    <act>
      <id root="MDHT" extension="1376693038"/>
      <code code="1350244089"/>
      <effectiveTime>
        <low value="2013"/>
        <high value="2013"/>
      </effectiveTime>
      <performer typeCode="PRF">
        <templateId root="2.16.840.1.113883.10.20.22.4.87"/>
        <assignedEntity>
          <code codeSystem="2.16.840.1.113883.5.110" codeSystemName="HL7RoleClass"/>
        </assignedEntity>
      </performer>
      <performer typeCode="PRF">
        <templateId root="2.16.840.1.113883.10.20.22.4.88"/>
        <time>
          <low value="2013"/>
          <high value="2013"/>
        </time>
        <assignedEntity>
          <code code="GUAR" codeSystem="2.16.840.1.113883.5.110" codeSystemName="HL7RoleClass" displayName="Guarantor"/>
        </assignedEntity>
      </performer>
      <participant typeCode="COV">
        <templateId root="2.16.840.1.113883.10.20.22.4.89"/>
        <time>
          <low value="2013"/>
          <high value="2013"/>
        </time>
        <participantRole>
          <code codeSystem="2.16.840.1.113883.5.111" codeSystemName="RoleCode"/>
        </participantRole>
      </participant>
      <participant typeCode="HLD">
        <templateId root="2.16.840.1.113883.10.20.22.4.90"/>
        <time>
          <low value="2013"/>
          <high value="2013"/>
        </time>
        <participantRole/>
      </participant>
      <entryRelationship typeCode="REFR"/>
    </act>
  </entryRelationship>
</act>