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Packagehl7.fhir.us.carin-rtpbc
Resource TypeCoverage
IdCoverage-rtpbc-coverage-01.json
FHIR VersionR4

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Narrative

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

Generated Narrative: Coverage rtpbc-coverage-01

Language: en

Profile: RTPBC Coverage

status: Active

subscriberId: 121212

beneficiary: Jane Doe Female, DoB: 1975-12-05 ( Patient internal identifier: 30455)

relationship: Self

payor: Identifier: Pharmacy Plans US

class

type: RX BIN

value: BIN001

class

type: RX PCN

value: PCN002

class

type: RX Group

value: GROUP0001

class

type: RX Id

value: MEMBER000001

Source1

{
  "resourceType": "Coverage",
  "id": "rtpbc-coverage-01",
  "meta": {
    "profile": [
      "http://hl7.org/fhir/us/carin-rtpbc/StructureDefinition/rtpbc-coverage"
    ]
  },
  "language": "en",
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "status": "active",
  "subscriberId": "121212",
  "beneficiary": {
    "reference": "Patient/rtpbc-patient-03"
  },
  "relationship": {
    "coding": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/subscriber-relationship",
        "code": "self"
      }
    ]
  },
  "payor": [
    {
      "identifier": {
        "value": "Pharmacy Plans US"
      }
    }
  ],
  "class": [
    {
      "type": {
        "coding": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/coverage-class",
            "code": "rxbin"
          }
        ]
      },
      "value": "BIN001"
    },
    {
      "type": {
        "coding": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/coverage-class",
            "code": "rxpcn"
          }
        ]
      },
      "value": "PCN002"
    },
    {
      "type": {
        "coding": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/coverage-class",
            "code": "rxgroup"
          }
        ]
      },
      "value": "GROUP0001"
    },
    {
      "type": {
        "coding": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/coverage-class",
            "code": "rxid"
          }
        ]
      },
      "value": "MEMBER000001"
    }
  ]
}