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FHIR IG analytics

Packagehl7.fhir.us.davinci-crd.r4
Resource TypeCoverage
IdCoverage-example.json
FHIR VersionR4

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Narrative

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

Generated Narrative: Coverage example

identifier: Member Number/12345

status: Active

type: extended healthcare

policyHolder: http://example.org/FHIR/Organization/CBI35

subscriber: Amy V. Shaw Female, DoB: 1987-02-20 ( Medical Record Number: 1032702 (use: usual, ))

beneficiary: Amy V. Shaw Female, DoB: 1987-02-20 ( Medical Record Number: 1032702 (use: usual, ))

dependent: 0

relationship: Self

period: 2011-05-23 --> 2012-05-23

payor: Payer XYZ

Classes

-TypeValueName
*GroupCB135Corporate Baker's Inc. Local #35

Source1

{
  "resourceType": "Coverage",
  "id": "example",
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "identifier": [
    {
      "type": {
        "coding": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code": "MB"
          }
        ]
      },
      "system": "http://example.org/fhir/NampingSystem/certificate",
      "value": "12345"
    }
  ],
  "status": "active",
  "type": {
    "coding": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "code": "EHCPOL",
        "display": "extended healthcare"
      }
    ]
  },
  "policyHolder": {
    "reference": "http://example.org/FHIR/Organization/CBI35"
  },
  "subscriber": {
    "reference": "Patient/example"
  },
  "beneficiary": {
    "reference": "Patient/example"
  },
  "dependent": "0",
  "relationship": {
    "coding": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/subscriber-relationship",
        "code": "self"
      }
    ]
  },
  "period": {
    "start": "2011-05-23",
    "end": "2012-05-23"
  },
  "payor": [
    {
      "reference": "http://example.org/fhir/Organization/example-payer",
      "display": "Payer XYZ"
    }
  ],
  "class": [
    {
      "type": {
        "coding": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/coverage-class",
            "code": "group"
          }
        ]
      },
      "value": "CB135",
      "name": "Corporate Baker's Inc. Local #35"
    }
  ]
}