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 - XML Representation

Raw xml | Download

<Coverage xmlns="http://hl7.org/fhir">
  <id value="Dental-Aetna"/>
  <meta>
    <versionId value="6"/>
    <lastUpdated value="2020-08-06T17:04:20.329+00:00"/>
    <source value="#wVOzmfnx1oKPJar2"/>
    <profile
             value="http://hl7.org/fhir/us/davinci-hrex/StructureDefinition/hrex-coverage"/>
  </meta>
  <text>
    <status value="generated"/>
    <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>
  </text>
  <identifier>
    <system value="http://benefitsAetna.com/certificate"/>
    <value value="12345"/>
  </identifier>
  <status value="active"/>
  <type>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
      <code value="DENTAL"/>
      <display value="dental care policy"/>
    </coding>
  </type>
  <subscriber>🔗 
    <reference value="Patient/example-dental"/>
  </subscriber>
  <subscriberId value="123456"/>
  <beneficiary>🔗 
    <reference value="Patient/example-dental"/>
  </beneficiary>
  <dependent value="0"/>
  <relationship>
    <coding>
      <system
              value="http://terminology.hl7.org/CodeSystem/subscriber-relationship"/>
      <code value="self"/>
      <display value="Self"/>
    </coding>
  </relationship>
  <period>
    <start value="2020-01-01"/>
    <end value="2020-01-01"/>
  </period>
  <payor>🔗 
    <reference value="Organization/Aetna-organization"/>
  </payor>
  <class>
    <type>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/coverage-class"/>
        <code value="plan"/>
      </coding>
    </type>
    <value value="B37FC"/>
    <name
          value="Aetna Full Coverage: Medical, Dental, Pharmacy, Vision, EHC"/>
  </class>
</Coverage>