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

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    @prefix fhir: <http://hl7.org/fhir/> .
    @prefix owl: <http://www.w3.org/2002/07/owl#> .
    @prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
    @prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
    @prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

    # - resource -------------------------------------------------------------------

     a fhir:Coverage ;
      fhir:nodeRole fhir:treeRoot ;
      fhir:id [ fhir:v "coverage-bcbs-example"] ; #
      fhir:meta [
        ( fhir:profile [
    fhir:v "http://hl7.org/fhir/us/core/StructureDefinition/us-core-coverage|6.1.0"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/core/StructureDefinition/us-core-coverage?version=6.1.0>     ] )
      ] ; #
      fhir:language [ fhir:v "en"] ; #
      fhir:text [
    fhir:status [ fhir:v "generated" ] ;
    fhir:div [ fhir:v "<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>"^^rdf:XMLLiteral ]
      ] ; #
      fhir:status [ fhir:v "active"] ; #
      fhir:policyHolder [
    fhir:l fhir:Patient/patient-ledner ;
    fhir:reference [ fhir:v "Patient/patient-ledner" ]
      ] ; #
      fhir:subscriber [
    fhir:l fhir:Patient/patient-ledner ;
    fhir:reference [ fhir:v "Patient/patient-ledner" ]
      ] ; #
      fhir:subscriberId [ fhir:v "XYZ123456789"] ; #
      fhir:beneficiary [
    fhir:l fhir:Patient/patient-ledner ;
    fhir:reference [ fhir:v "Patient/patient-ledner" ]
      ] ; #
      fhir:dependent [ fhir:v "0"] ; #
      fhir:relationship [
        ( fhir:coding [
    fhir:system [
    fhir:v "http://terminology.hl7.org/CodeSystem/subscriber-relationship"^^xsd:anyURI ;
    fhir:l <http://terminology.hl7.org/CodeSystem/subscriber-relationship>       ] ;
    fhir:code [ fhir:v "self" ] ;
    fhir:display [ fhir:v "Self" ]     ] )
      ] ; #
      fhir:period [
    fhir:start [ fhir:v "2025-01-01"^^xsd:date ] ;
    fhir:end [ fhir:v "2025-12-31"^^xsd:date ]
      ] ; #
      fhir:payor ( [
    fhir:l fhir:Organization/organization-payer-bcbs ;
    fhir:reference [ fhir:v "Organization/organization-payer-bcbs" ]
      ] ) ; #
      fhir:class ( [
    fhir:type [
          ( fhir:coding [
    fhir:system [
    fhir:v "http://terminology.hl7.org/CodeSystem/coverage-class"^^xsd:anyURI ;
    fhir:l <http://terminology.hl7.org/CodeSystem/coverage-class>         ] ;
    fhir:code [ fhir:v "group" ] ;
    fhir:display [ fhir:v "Group" ]       ] )     ] ;
    fhir:value [ fhir:v "ABC987" ] ;
    fhir:name [ fhir:v "Group Name" ]
      ] [
    fhir:type [
          ( fhir:coding [
    fhir:system [
    fhir:v "http://terminology.hl7.org/CodeSystem/coverage-class"^^xsd:anyURI ;
    fhir:l <http://terminology.hl7.org/CodeSystem/coverage-class>         ] ;
    fhir:code [ fhir:v "plan" ] ;
    fhir:display [ fhir:v "Plan" ]       ] )     ] ;
    fhir:value [ fhir:v "HMO" ] ;
    fhir:name [ fhir:v "Health Maintenance Organization" ]
      ] ) . #