Bidirectional Services eReferral (BSeR)
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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 https://github.com/HL7/bser/ and changes regularly. See the Directory of published versions

: Coverage - Baby Everybaby - JSON Representation

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{
  "resourceType" : "Coverage",
  "id" : "coverage-bser-coverage-baby-everybaby",
  "meta" : {
    "profile" : [
      🔗 "http://hl7.org/fhir/us/bser/StructureDefinition/BSeR-Coverage"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Coverage coverage-bser-coverage-baby-everybaby</b></p><a name=\"coverage-bser-coverage-baby-everybaby\"> </a><a name=\"hccoverage-bser-coverage-baby-everybaby\"> </a><a name=\"coverage-bser-coverage-baby-everybaby-en-US\"> </a><p><b>identifier</b>: Member Number/12345</p><p><b>status</b>: Active</p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ActCode EHCPOL}\">extended healthcare</span></p><p><b>subscriber</b>: <a href=\"RelatedPerson-relatedperson-us-core-relatedperson-mom-everymom.html\">Mom Everymom</a></p><p><b>beneficiary</b>: <a href=\"Patient-patient-us-core-patient-baby-everybaby.html\">Baby Everybaby</a></p><p><b>relationship</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-RoleCode GESTM}\">gestational mother</span></p><p><b>period</b>: 2019-05-23 --&gt; 2020-05-23</p><p><b>payor</b>: <a href=\"Organization-organization-us-core-organization-saint-luke.html\">Organization Saint Luke's Hospital of Kansas City</a></p><blockquote><p><b>class</b></p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/coverage-class group}, {http://terminology.hl7.org/CodeSystem/coverage-class subgroup}\">Group</span></p><p><b>value</b>: 123</p><p><b>name</b>: Trainee Part-time Benefits</p></blockquote><blockquote><p><b>class</b></p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/coverage-class plan}, {http://terminology.hl7.org/CodeSystem/coverage-class subplan}\">Plan</span></p><p><b>value</b>: P7</p><p><b>name</b>: Includes afterlife benefits</p></blockquote><blockquote><p><b>class</b></p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/coverage-class class}\">Class</span></p><p><b>value</b>: SILVER</p><p><b>name</b>: Silver: Family Plan spouse only</p></blockquote><blockquote><p><b>class</b></p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/coverage-class subclass}\">SubClass</span></p><p><b>value</b>: Tier2</p><p><b>name</b>: Low deductible, max $20 copay</p></blockquote><blockquote><p><b>class</b></p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/coverage-class sequence}\">Sequence</span></p><p><b>value</b>: 9</p></blockquote><blockquote><p><b>class</b></p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/coverage-class rxid}\">RX Id</span></p><p><b>value</b>: MDF12345</p></blockquote><blockquote><p><b>class</b></p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/coverage-class rxbin}\">RX BIN</span></p><p><b>value</b>: 987654</p></blockquote><blockquote><p><b>class</b></p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/coverage-class rxgroup}\">RX Group</span></p><p><b>value</b>: M35PT</p></blockquote><blockquote><p><b>class</b></p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/coverage-class rxpcn}\">RX PCN</span></p><p><b>value</b>: 234516</p></blockquote><blockquote><p><b>class</b></p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/coverage-class sequence}\">Sequence</span></p><p><b>value</b>: 9</p></blockquote></div>"
  },
  "identifier" : [
    {
      "type" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code" : "MB",
            "display" : "Member Number"
          }
        ]
      },
      "system" : "http://benefitsinc.com/certificate",
      "value" : "12345"
    }
  ],
  "status" : "active",
  "type" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "code" : "EHCPOL",
        "display" : "extended healthcare"
      }
    ]
  },
  "subscriber" : {
    🔗 "reference" : "RelatedPerson/relatedperson-us-core-relatedperson-mom-everymom",
    "display" : "Mom Everymom"
  },
  "beneficiary" : {
    🔗 "reference" : "Patient/patient-us-core-patient-baby-everybaby",
    "display" : "Baby Everybaby"
  },
  "relationship" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
        "code" : "GESTM",
        "display" : "gestational mother"
      }
    ],
    "text" : "gestational mother"
  },
  "period" : {
    "start" : "2019-05-23",
    "end" : "2020-05-23"
  },
  "payor" : [
    {
      🔗 "reference" : "Organization/organization-us-core-organization-saint-luke"
    }
  ],
  "class" : [
    {
      "type" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/coverage-class",
            "code" : "group"
          },
          {
            "system" : "http://terminology.hl7.org/CodeSystem/coverage-class",
            "code" : "subgroup"
          }
        ]
      },
      "value" : "123",
      "name" : "Trainee Part-time Benefits"
    },
    {
      "type" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/coverage-class",
            "code" : "plan"
          },
          {
            "system" : "http://terminology.hl7.org/CodeSystem/coverage-class",
            "code" : "subplan"
          }
        ]
      },
      "value" : "P7",
      "name" : "Includes afterlife benefits"
    },
    {
      "type" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/coverage-class",
            "code" : "class"
          }
        ]
      },
      "value" : "SILVER",
      "name" : "Silver: Family Plan spouse only"
    },
    {
      "type" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/coverage-class",
            "code" : "subclass"
          }
        ]
      },
      "value" : "Tier2",
      "name" : "Low deductible, max $20 copay"
    },
    {
      "type" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/coverage-class",
            "code" : "sequence"
          }
        ]
      },
      "value" : "9"
    },
    {
      "type" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/coverage-class",
            "code" : "rxid"
          }
        ]
      },
      "value" : "MDF12345"
    },
    {
      "type" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/coverage-class",
            "code" : "rxbin"
          }
        ]
      },
      "value" : "987654"
    },
    {
      "type" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/coverage-class",
            "code" : "rxgroup"
          }
        ]
      },
      "value" : "M35PT"
    },
    {
      "type" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/coverage-class",
            "code" : "rxpcn"
          }
        ]
      },
      "value" : "234516"
    },
    {
      "type" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/coverage-class",
            "code" : "sequence"
          }
        ]
      },
      "value" : "9"
    }
  ]
}