Health Care Surveys Reporting
2.0.0 - STU 2

Health Care Surveys Reporting, published by HL7 International / Public Health. This guide is not an authorized publication; it is the continuous build for version 2.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-health-care-surveys-reporting-ig/ and changes regularly. See the Directory of published versions

## : Coverage - Blue Cross Blue Shield HMO

Page standards status: Informative

Raw xml | Download

    <Coverage xmlns="http://hl7.org/fhir">
      <id value="coverage-bcbs-example"/>
      <meta>
        <profile
                 value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-coverage|6.1.0"/>
      </meta>
      <language value="en"/>
      <text>
        <status value="generated"/>
        <div xmlns="http://www.w3.org/1999/xhtml" xml:lang="en" lang="en"><p class="res-header-id"><b>Generated Narrative: Coverage coverage-bcbs-example</b></p><a name="coverage-bcbs-example"> </a><a name="hccoverage-bcbs-example"> </a><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">Language: en</p><p style="margin-bottom: 0px">Profile: <a href="http://hl7.org/fhir/us/core/STU6.1/StructureDefinition-us-core-coverage.html">US Core Coverage Profileversion: null6.1.0)</a></p></div><p><b>status</b>: Active</p><p><b>policyHolder</b>: <a href="Patient-patient-ledner.html">Dominique Ledner  Female, DoB: 1965-06-22 ( MRN: Alaska Driver's License#abc123 (use: usual, ))</a></p><p><b>subscriber</b>: <a href="Patient-patient-ledner.html">Dominique Ledner  Female, DoB: 1965-06-22 ( MRN: Alaska Driver's License#abc123 (use: usual, ))</a></p><p><b>subscriberId</b>: XYZ123456789</p><p><b>beneficiary</b>: <a href="Patient-patient-ledner.html">Dominique Ledner  Female, DoB: 1965-06-22 ( MRN: Alaska Driver's License#abc123 (use: usual, ))</a></p><p><b>dependent</b>: 0</p><p><b>relationship</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/subscriber-relationship self}">Self</span></p><p><b>period</b>: 2025-01-01 --&gt; 2025-12-31</p><p><b>payor</b>: <a href="Organization-organization-payer-bcbs.html">Organization Blue Cross Blue Shield</a></p><blockquote><p><b>class</b></p><p><b>type</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/coverage-class group}">Group</span></p><p><b>value</b>: ABC987</p><p><b>name</b>: Group Name</p></blockquote><blockquote><p><b>class</b></p><p><b>type</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/coverage-class plan}">Plan</span></p><p><b>value</b>: HMO</p><p><b>name</b>: Health Maintenance Organization</p></blockquote></div>
      </text>
      <status value="active"/>
      <policyHolder>🔗
        <reference value="Patient/patient-ledner"/>
      </policyHolder>
      <subscriber>🔗
        <reference value="Patient/patient-ledner"/>
      </subscriber>
      <subscriberId value="XYZ123456789"/>
      <beneficiary>🔗
        <reference value="Patient/patient-ledner"/>
      </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="2025-01-01"/>
        <end value="2025-12-31"/>
      </period>
      <payor>🔗
        <reference value="Organization/organization-payer-bcbs"/>
      </payor>
      <class>
        <type>
          <coding>
            <system value="http://terminology.hl7.org/CodeSystem/coverage-class"/>
            <code value="group"/>
            <display value="Group"/>
          </coding>
        </type>
        <value value="ABC987"/>
        <name value="Group Name"/>
      </class>
      <class>
        <type>
          <coding>
            <system value="http://terminology.hl7.org/CodeSystem/coverage-class"/>
            <code value="plan"/>
            <display value="Plan"/>
          </coding>
        </type>
        <value value="HMO"/>
        <name value="Health Maintenance Organization"/>
      </class>
    </Coverage>