Bidirectional Services eReferral (BSeR)
2.0.0-ballot - STU2 United States of America flag

Bidirectional Services eReferral (BSeR), published by HL7 Public Health Working Group. This guide is not an authorized publication; it is the continuous build for version 2.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of and changes regularly. See the Directory of published versions

Example Coverage: Coverage - Baby Everybaby

Generated Narrative: Coverage

Resource Coverage "coverage-bser-coverage-baby-everybaby"

Profile: BSeR Coverage

identifier: Member Number/12345

status: active

type: extended healthcare (ActCode#EHCPOL)

subscriber: RelatedPerson/relatedperson-us-core-relatedperson-mom-everymom: Mom Everymom " EVERYMOM"

beneficiary: Patient/patient-us-core-patient-baby-everybaby: Baby Everybaby " EVERYBABY"

relationship: gestational mother (RoleCode#GESTM)

period: 2019-05-23 --> 2020-05-23

payor: Organization/organization-us-core-organization-saint-luke "Saint Luke's Hospital of Kansas City"


type: Group (Coverage Class Codes#group; Coverage Class Codes#subgroup)

value: 123

name: Trainee Part-time Benefits


type: Plan (Coverage Class Codes#plan; Coverage Class Codes#subplan)

value: P7

name: Includes afterlife benefits


type: Class (Coverage Class Codes#class)

value: SILVER

name: Silver: Family Plan spouse only


type: SubClass (Coverage Class Codes#subclass)

value: Tier2

name: Low deductible, max $20 copay


type: Sequence (Coverage Class Codes#sequence)

value: 9


type: RX Id (Coverage Class Codes#rxid)

value: MDF12345


type: RX BIN (Coverage Class Codes#rxbin)

value: 987654


type: RX Group (Coverage Class Codes#rxgroup)

value: M35PT


type: RX PCN (Coverage Class Codes#rxpcn)

value: 234516


type: Sequence (Coverage Class Codes#sequence)

value: 9