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Narrative

Note: links and images are rebased to the (stated) source

Source1

{
  "resourceType": "Coverage",
  "id": "ef9b8f50-083d-4b82-9b48-ab4f372d6c59",
  "meta": {
    "source": "bluebutton",
    "profile": [
      "https://haau3.com/fhir/StructureDefinition/haau3-coverage",
      "http://hl7.org/fhir/us/core/StructureDefinition/us-core-coverage|6.1.0",
      "http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Coverage"
    ],
    "tag": [
      {
        "system": "https://haau3.com/fhir/CodeSystem/source-system",
        "code": "bluebutton",
        "display": "Imported from CMS Blue Button API"
      },
      {
        "system": "https://haau3.com/fhir/CodeSystem/source-system",
        "code": "bluebutton",
        "display": "CMS Blue Button"
      },
      {
        "system": "https://haau3.com/fhir/CodeSystem/enrichment",
        "version": "1.0.0",
        "code": "coverage.cms-payor-binding",
        "display": "Bind Blue Button Coverage.payor to canonical CMS Organization (Organization/cms)"
      }
    ]
  },
  "text": {
    "status": "extensions",
    "div": "<!-- snip (see above) -->"
  },
  "extension": [
    {
      "url": "https://bluebutton.cms.gov/resources/variables/ptc_cntrct_id_01",
      "valueCoding": {
        "system": "https://bluebutton.cms.gov/resources/variables/ptc_cntrct_id_01",
        "code": "Y0008"
      }
    },
    {
      "url": "https://bluebutton.cms.gov/resources/variables/ptc_cntrct_id_02",
      "valueCoding": {
        "system": "https://bluebutton.cms.gov/resources/variables/ptc_cntrct_id_02",
        "code": "Y0008"
      }
    },
    {
      "url": "https://bluebutton.cms.gov/resources/variables/ptc_cntrct_id_03",
      "valueCoding": {
        "system": "https://bluebutton.cms.gov/resources/variables/ptc_cntrct_id_03",
        "code": "Y0008"
      }
    },
    {
      "url": "https://bluebutton.cms.gov/resources/variables/ptc_pbp_id_01",
      "valueCoding": {
        "system": "https://bluebutton.cms.gov/resources/variables/ptc_pbp_id_01",
        "code": "803"
      }
    },
    {
      "url": "https://bluebutton.cms.gov/resources/variables/ptc_pbp_id_02",
      "valueCoding": {
        "system": "https://bluebutton.cms.gov/resources/variables/ptc_pbp_id_02",
        "code": "803"
      }
    },
    {
      "url": "https://bluebutton.cms.gov/resources/variables/ptc_pbp_id_03",
      "valueCoding": {
        "system": "https://bluebutton.cms.gov/resources/variables/ptc_pbp_id_03",
        "code": "803"
      }
    },
    {
      "url": "https://bluebutton.cms.gov/resources/variables/rfrnc_yr",
      "valueDate": "2025"
    },
    {
      "url": "https://bluebutton.cms.gov/resources/variables/dual_01",
      "valueCoding": {
        "system": "https://bluebutton.cms.gov/resources/variables/dual_01",
        "code": "NA",
        "display": "Non-Medicaid"
      }
    },
    {
      "url": "https://bluebutton.cms.gov/resources/variables/dual_02",
      "valueCoding": {
        "system": "https://bluebutton.cms.gov/resources/variables/dual_02",
        "code": "NA",
        "display": "Non-Medicaid"
      }
    },
    {
      "url": "https://bluebutton.cms.gov/resources/variables/dual_03",
      "valueCoding": {
        "system": "https://bluebutton.cms.gov/resources/variables/dual_03",
        "code": "NA",
        "display": "Non-Medicaid"
      }
    }
  ],
  "identifier": [
    {
      "system": "https://haau3.com/fhir/NamingSystem/haau3-coverage-id",
      "value": "cms-medicare-part-c-1S00EU7JH19"
    }
  ],
  "status": "active",
  "type": {
    "coding": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "code": "SUBSIDIZ"
      }
    ]
  },
  "subscriberId": "1S00EU7JH19",
  "beneficiary": {
    "reference": "Patient/grandma-fung"
  },
  "relationship": {
    "coding": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/subscriber-relationship",
        "code": "self",
        "display": "Self"
      }
    ]
  },
  "payor": [
    {
      "reference": "Organization/cms",
      "type": "Organization",
      "display": "Centers for Medicare & Medicaid Services (CMS)"
    }
  ],
  "class": [
    {
      "type": {
        "coding": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/coverage-class",
            "code": "group",
            "display": "Group"
          }
        ]
      },
      "value": "Medicare"
    },
    {
      "type": {
        "coding": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/coverage-class",
            "code": "plan",
            "display": "Plan"
          }
        ]
      },
      "value": "Part C"
    }
  ]
}