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 json | Download

    {
      "resourceType" : "Coverage",
      "id" : "coverage-bcbs-example",
      "meta" : {
        "profile" : [
          🔗 "http://hl7.org/fhir/us/core/StructureDefinition/us-core-coverage|6.1.0"
        ]
      },
      "language" : "en",
      "text" : {
        "status" : "generated",
        "div" : "<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:\u00a0Alaska Driver's License#abc123\u00a0(use:\u00a0usual,\u00a0))</a></p><p><b>subscriber</b>: <a href=\"Patient-patient-ledner.html\">Dominique Ledner  Female, DoB: 1965-06-22 ( MRN:\u00a0Alaska Driver's License#abc123\u00a0(use:\u00a0usual,\u00a0))</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:\u00a0Alaska Driver's License#abc123\u00a0(use:\u00a0usual,\u00a0))</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>"
      },
      "status" : "active",
      "policyHolder" : {
        🔗 "reference" : "Patient/patient-ledner"
      },
      "subscriber" : {
        🔗 "reference" : "Patient/patient-ledner"
      },
      "subscriberId" : "XYZ123456789",
      "beneficiary" : {
        🔗 "reference" : "Patient/patient-ledner"
      },
      "dependent" : "0",
      "relationship" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/subscriber-relationship",
            "code" : "self",
            "display" : "Self"
          }
        ]
      },
      "period" : {
        "start" : "2025-01-01",
        "end" : "2025-12-31"
      },
      "payor" : [
        {
          🔗 "reference" : "Organization/organization-payer-bcbs"
        }
      ],
      "class" : [
        {
          "type" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/coverage-class",
                "code" : "group",
                "display" : "Group"
              }
            ]
          },
          "value" : "ABC987",
          "name" : "Group Name"
        },
        {
          "type" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/coverage-class",
                "code" : "plan",
                "display" : "Plan"
              }
            ]
          },
          "value" : "HMO",
          "name" : "Health Maintenance Organization"
        }
      ]
    }