Dental Data Exchange, published by Payer/Provider Information Exchange Work Group. This guide is not an authorized publication; it is the continuous build for version 1.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/dental-data-exchange/ and changes regularly. See the Directory of published versions

• Narrative Content
• XML
• JSON
• TTL

: Medical/Dental Coverage example - JSON Representation

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{
  "resourceType" : "Coverage",
  "id" : "Dental-Aetna",
  "meta" : {
    "versionId" : "6",
    "lastUpdated" : "2020-08-06T17:04:20.329+00:00",
    "source" : "#wVOzmfnx1oKPJar2",
    "profile" : [
      🔗 "http://hl7.org/fhir/us/davinci-hrex/StructureDefinition/hrex-coverage"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Coverage</b><a name=\"Dental-Aetna\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Coverage &quot;Dental-Aetna&quot; Version &quot;6&quot; Updated &quot;2020-08-06 17:04:20+0000&quot; </p><p style=\"margin-bottom: 0px\">Information Source: #wVOzmfnx1oKPJar2!</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/davinci-hrex/2019Jun/StructureDefinition-hrex-coverage.html\">HRex Coverage Profile</a></p></div><p><b>identifier</b>: <code>http://benefitsAetna.com/certificate</code>/12345</p><p><b>status</b>: active</p><p><b>type</b>: dental care policy <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/1.0.0/CodeSystem-v3-ActCode.html\">ActCode</a>#DENTAL)</span></p><p><b>subscriber</b>: <a href=\"Patient-example-dental.html\">Patient/example-dental</a> &quot; A&quot;</p><p><b>subscriberId</b>: 123456</p><p><b>beneficiary</b>: <a href=\"Patient-example-dental.html\">Patient/example-dental</a> &quot; A&quot;</p><p><b>dependent</b>: 0</p><p><b>relationship</b>: Self <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/1.0.0/CodeSystem-subscriber-relationship.html\">SubscriberPolicyholder Relationship Codes</a>#self)</span></p><p><b>period</b>: 2020-01-01 --&gt; 2020-01-01</p><p><b>payor</b>: <a href=\"Organization-Aetna-organization.html\">Organization/Aetna-organization</a> &quot;Aetna Insurance&quot;</p><h3>Classes</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Type</b></td><td><b>Value</b></td><td><b>Name</b></td></tr><tr><td style=\"display: none\">*</td><td>Plan <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/1.0.0/CodeSystem-coverage-class.html\">Coverage Class Codes</a>#plan)</span></td><td>B37FC</td><td>Aetna Full Coverage: Medical, Dental, Pharmacy, Vision, EHC</td></tr></table></div>"
  },
  "identifier" : [
    {
      "system" : "http://benefitsAetna.com/certificate",
      "value" : "12345"
    }
  ],
  "status" : "active",
  "type" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "code" : "DENTAL",
        "display" : "dental care policy"
      }
    ]
  },
  "subscriber" : {
    🔗 "reference" : "Patient/example-dental"
  },
  "subscriberId" : "123456",
  "beneficiary" : {
    🔗 "reference" : "Patient/example-dental"
  },
  "dependent" : "0",
  "relationship" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/subscriber-relationship",
        "code" : "self",
        "display" : "Self"
      }
    ]
  },
  "period" : {
    "start" : "2020-01-01",
    "end" : "2020-01-01"
  },
  "payor" : [
    {
      🔗 "reference" : "Organization/Aetna-organization"
    }
  ],
  "class" : [
    {
      "type" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/coverage-class",
            "code" : "plan"
          }
        ]
      },
      "value" : "B37FC",
      "name" : "Aetna Full Coverage: Medical, Dental, Pharmacy, Vision, EHC"
    }
  ]
}