# Genie Coverage - Magentus Practice Management FHIR Implementation Guide v1.2.60

* [**Table of Contents**](toc.md)
* [**Artifacts Summary**](artifacts.md)
* **Genie Coverage**

## Resource Profile: Genie Coverage 

| | |
| :--- | :--- |
| *Official URL*:http://fhir.geniesolutions.io/StructureDefinition/gs-coverage | *Version*:1.2.60 |
| Active as of 2026-04-05 | *Computable Name*:GSCoverage |

 
Genie Coverage core profile 

**Usages:**

* Derived from this Profile: [EOrders Coverage](StructureDefinition-eorders-coverage.md)
* Use this Profile: [EBookings ServiceRequest](StructureDefinition-ebookings-servicerequest.md) and [EBookings Theatre List](StructureDefinition-ebookings-theatre-list.md)
* Refer to this Profile: [EBookings ServiceRequest](StructureDefinition-ebookings-servicerequest.md) and [Referral Request](StructureDefinition-gs-referral-request.md)
* Examples for this Profile: [Coverage/71272b8c-3061-48c3-aec6-812e1bf0eb39](Coverage-71272b8c-3061-48c3-aec6-812e1bf0eb39.md)

You can also check for [usages in the FHIR IG Statistics](https://packages2.fhir.org/xig/geniesolutions.fhir|current/StructureDefinition/gs-coverage)

### Formal Views of Profile Content

 [Description of Profiles, Differentials, Snapshots and how the different presentations work](http://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#structure-definitions). 

 

Other representations of profile: [CSV](StructureDefinition-gs-coverage.csv), [Excel](StructureDefinition-gs-coverage.xlsx), [Schematron](StructureDefinition-gs-coverage.sch) 



## Resource Content

```json
{
  "resourceType" : "StructureDefinition",
  "id" : "gs-coverage",
  "url" : "http://fhir.geniesolutions.io/StructureDefinition/gs-coverage",
  "version" : "1.2.60",
  "name" : "GSCoverage",
  "title" : "Genie Coverage",
  "status" : "active",
  "date" : "2026-04-05T21:47:41+00:00",
  "publisher" : "Magentus Practice Management",
  "contact" : [{
    "name" : "Magentus Practice Management",
    "telecom" : [{
      "system" : "url",
      "value" : "https://www.magentus.com/practice-management"
    },
    {
      "system" : "email",
      "value" : "andy.bond@magentus.com"
    }]
  },
  {
    "name" : "Magentus Practice Management",
    "telecom" : [{
      "system" : "url",
      "value" : "https://www.magentus.com/practice-management",
      "use" : "work"
    }]
  }],
  "description" : "Genie Coverage core profile",
  "jurisdiction" : [{
    "coding" : [{
      "system" : "urn:iso:std:iso:3166",
      "code" : "AU"
    }]
  }],
  "fhirVersion" : "4.0.1",
  "mapping" : [{
    "identity" : "workflow",
    "uri" : "http://hl7.org/fhir/workflow",
    "name" : "Workflow Pattern"
  },
  {
    "identity" : "rim",
    "uri" : "http://hl7.org/v3",
    "name" : "RIM Mapping"
  },
  {
    "identity" : "w5",
    "uri" : "http://hl7.org/fhir/fivews",
    "name" : "FiveWs Pattern Mapping"
  },
  {
    "identity" : "cdanetv4",
    "uri" : "http://www.cda-adc.ca/en/services/cdanet/",
    "name" : "Canadian Dental Association eclaims standard"
  },
  {
    "identity" : "v2",
    "uri" : "http://hl7.org/v2",
    "name" : "HL7 v2 Mapping"
  },
  {
    "identity" : "cpha3pharm",
    "uri" : "http://www.pharmacists.ca/",
    "name" : "Canadian Pharmacy Associaiton eclaims standard"
  }],
  "kind" : "resource",
  "abstract" : false,
  "type" : "Coverage",
  "baseDefinition" : "http://hl7.org.au/fhir/StructureDefinition/au-coverage",
  "derivation" : "constraint",
  "differential" : {
    "element" : [{
      "id" : "Coverage.id",
      "path" : "Coverage.id",
      "short" : "Unique resource identifier generated from genie bookings service or contained resource access number, e.g. 1",
      "min" : 1,
      "mustSupport" : true
    },
    {
      "id" : "Coverage.identifier",
      "path" : "Coverage.identifier",
      "slicing" : {
        "discriminator" : [{
          "type" : "value",
          "path" : "type"
        }],
        "rules" : "open"
      }
    },
    {
      "id" : "Coverage.identifier:mcn",
      "path" : "Coverage.identifier",
      "sliceName" : "mcn",
      "short" : "Medicare card number should be provided when Coverage type is PUBLICPOL (Bulk Billed)",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Identifier",
        "profile" : ["http://hl7.org.au/fhir/StructureDefinition/au-medicarecardnumber"]
      }],
      "mustSupport" : true
    },
    {
      "id" : "Coverage.identifier:mcn.value",
      "path" : "Coverage.identifier.value",
      "short" : "Minimum length 10 digits, maximum length 11 digits with IRN"
    },
    {
      "id" : "Coverage.identifier:dva",
      "path" : "Coverage.identifier",
      "sliceName" : "dva",
      "short" : "DVA number should be provided when Coverage type is VET (DVA)",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Identifier",
        "profile" : ["http://hl7.org.au/fhir/StructureDefinition/au-dvanumber"]
      }],
      "mustSupport" : true
    },
    {
      "id" : "Coverage.identifier:dva.type",
      "path" : "Coverage.identifier.type",
      "short" : "DVAU | DVG | DVO | DVW",
      "binding" : {
        "strength" : "required",
        "valueSet" : "http://fhir.geniesolutions.io/ValueSet/gs-dva-entitlement"
      }
    },
    {
      "id" : "Coverage.identifier:insurancemembernumber",
      "path" : "Coverage.identifier",
      "sliceName" : "insurancemembernumber",
      "short" : "Private insurance member number should be provided when Coverage type is HIP",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Identifier",
        "profile" : ["http://hl7.org.au/fhir/StructureDefinition/au-insurancemembernumber"]
      }],
      "mustSupport" : true
    },
    {
      "id" : "Coverage.identifier:insurancemembernumber.type.coding",
      "path" : "Coverage.identifier.type.coding",
      "short" : "Member number identifier type",
      "min" : 1,
      "max" : "1",
      "mustSupport" : true
    },
    {
      "id" : "Coverage.identifier:insurancemembernumber.system",
      "path" : "Coverage.identifier.system",
      "mustSupport" : true
    },
    {
      "id" : "Coverage.identifier:insurancemembernumber.value",
      "path" : "Coverage.identifier.value",
      "mustSupport" : true
    },
    {
      "id" : "Coverage.identifier:insurancemembernumber.assigner.display",
      "path" : "Coverage.identifier.assigner.display",
      "mustSupport" : true
    },
    {
      "id" : "Coverage.status",
      "path" : "Coverage.status",
      "short" : "active | cancelled",
      "mustSupport" : true,
      "binding" : {
        "strength" : "required",
        "valueSet" : "http://fhir.geniesolutions.io/ValueSet/gs-coverage-status"
      }
    },
    {
      "id" : "Coverage.type",
      "path" : "Coverage.type",
      "short" : "Coverage Type and Self Payment code",
      "min" : 1,
      "mustSupport" : true,
      "binding" : {
        "strength" : "required",
        "valueSet" : "http://fhir.geniesolutions.io/ValueSet/gs-coverage-type"
      }
    },
    {
      "id" : "Coverage.type.coding.code",
      "path" : "Coverage.type.coding.code",
      "short" : "pay | PUBLICPOL | payconc | WCBPOL | HIP | VET | AUTOPOL"
    },
    {
      "id" : "Coverage.type.coding.display",
      "path" : "Coverage.type.coding.display",
      "short" : "Pay | public healthcare | Concession | workers compensation | health insurance plan policy | veteran health program | automobile"
    },
    {
      "id" : "Coverage.type.text",
      "path" : "Coverage.type.text",
      "short" : "Private (Self Funded) | Bulk Billed | Concession | Workcover | Private Insurance Plan | DVA | Motor Accident",
      "min" : 1
    },
    {
      "id" : "Coverage.beneficiary",
      "path" : "Coverage.beneficiary",
      "short" : "Patient",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://fhir.geniesolutions.io/StructureDefinition/gs-patient"]
      }]
    },
    {
      "id" : "Coverage.beneficiary.reference",
      "path" : "Coverage.beneficiary.reference",
      "min" : 1,
      "mustSupport" : true
    },
    {
      "id" : "Coverage.payor",
      "path" : "Coverage.payor",
      "short" : "Insurer of the policy (organization), or self funded payor (Patient or RelatedPerson)",
      "max" : "1"
    },
    {
      "id" : "Coverage.payor.reference",
      "path" : "Coverage.payor.reference",
      "short" : "Patient reference when self funded",
      "mustSupport" : true
    },
    {
      "id" : "Coverage.payor.type",
      "path" : "Coverage.payor.type",
      "short" : "Organization | Patient | RelatedPerson"
    },
    {
      "id" : "Coverage.payor.identifier",
      "path" : "Coverage.payor.identifier",
      "short" : "National insurer identifier",
      "mustSupport" : true
    },
    {
      "id" : "Coverage.payor.identifier.type",
      "path" : "Coverage.payor.identifier.type",
      "patternCodeableConcept" : {
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
          "code" : "NII"
        }]
      }
    },
    {
      "id" : "Coverage.payor.identifier.type.text",
      "path" : "Coverage.payor.identifier.type.text",
      "patternString" : "National Insurer identifier"
    },
    {
      "id" : "Coverage.payor.identifier.system",
      "path" : "Coverage.payor.identifier.system",
      "patternUri" : "https://privatehealth.gov.au/dynamic/insurer"
    },
    {
      "id" : "Coverage.payor.identifier.value",
      "path" : "Coverage.payor.identifier.value",
      "min" : 1
    },
    {
      "id" : "Coverage.payor.display",
      "path" : "Coverage.payor.display",
      "short" : "Name of insurer or self funded payor",
      "min" : 1,
      "mustSupport" : true
    },
    {
      "id" : "Coverage.class",
      "path" : "Coverage.class",
      "short" : "Coverage classification",
      "max" : "1"
    },
    {
      "id" : "Coverage.class.type",
      "path" : "Coverage.class.type",
      "short" : "Plan type",
      "patternCodeableConcept" : {
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/coverage-class",
          "code" : "plan"
        }]
      }
    },
    {
      "id" : "Coverage.class.value",
      "path" : "Coverage.class.value",
      "short" : "Class type",
      "mustSupport" : true
    }]
  }
}

```
