FHIR IG analytics| Package | hl7.fhir.us.davinci-dtr |
| Resource Type | Coverage |
| Id | Coverage-CoverageExample.json |
| FHIR Version | R4 |
No resources found
No resources found
Note: links and images are rebased to the (stated) source
Generated Narrative: Coverage CoverageExample
Language: en
Profile: CRD Coverageversion: null2.1.0)
status: Active
subscriber: Anonymous Patient Male, DoB: 1996-12-23
subscriberId: PFP123450000
beneficiary: Anonymous Patient Male, DoB: 1996-12-23
relationship: Self
period: 2022-01-01 --> 2023-01-01
payor: Organization Insurance Company
| Type | Value | Name |
| Plan | Premim Family Plus | Premim Family Plus Plan |
Generated Narrative: Organization #OrgExample
Profile: CRD Organizationversion: null2.1.0)
identifier: Clinical Laboratory Improvement Amendments/10D0202020
active: true
type: Payer
name: Insurance Company
telecom: ph: 860-547-5001(Work)
address: 680 Asylum Street Hartford CT 06155 US
{
"resourceType": "Coverage",
"id": "CoverageExample",
"meta": {
"profile": [
"http://hl7.org/fhir/us/davinci-crd/StructureDefinition/profile-coverage|2.1.0"
]
},
"language": "en",
"text": {
"status": "generated",
"div": "<!-- snip (see above) -->"
},
"contained": [
{
"resourceType": "Organization",
"id": "OrgExample",
"meta": {
"profile": [
"http://hl7.org/fhir/us/davinci-crd/StructureDefinition/profile-organization|2.1.0"
]
},
"identifier": [
{
"system": "urn:oid:2.16.840.1.113883.4.7",
"value": "10D0202020"
}
],
"active": true,
"type": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/organization-type",
"code": "pay",
"display": "Payer"
}
]
}
],
"name": "Insurance Company",
"telecom": [
{
"system": "phone",
"value": "860-547-5001",
"use": "work"
}
],
"address": [
{
"line": [
"680 Asylum Street"
],
"city": "Hartford",
"state": "CT",
"postalCode": "06155",
"country": "US"
}
]
}
],
"status": "active",
"subscriber": {
"reference": "Patient/examplepatient"
},
"subscriberId": "PFP123450000",
"beneficiary": {
"reference": "Patient/examplepatient"
},
"relationship": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/subscriber-relationship",
"code": "self",
"display": "Self"
}
]
},
"period": {
"start": "2022-01-01",
"end": "2023-01-01"
},
"payor": [
{
"reference": "#OrgExample"
}
],
"class": [
{
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/coverage-class",
"code": "plan",
"display": "Plan"
}
]
},
"value": "Premim Family Plus",
"name": "Premim Family Plus Plan"
}
]
}