CARIN Consumer Directed Payer Data Exchange (CARIN IG for Blue Button®), published by HL7 International / Financial Management. This guide is not an authorized publication; it is the continuous build for version 2.2.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/carin-bb/ and changes regularly. See the Directory of published versions

• Narrative Content
• XML
• JSON

: Coverage Example 3

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<Coverage xmlns="http://hl7.org/fhir">
  <id value="Coverage3"/>
  <meta>
    <lastUpdated value="2020-07-07T13:26:22.0314215+00:00"/>
    <profile
             value="http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Coverage|2.2.0"/>
  </meta>
  <language value="en"/>
  <text>
    <status value="generated"/>
  </text>
  <identifier>
    <type>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
        <version value="5.0.0"/>
        <code value="MB"/>
      </coding>
    </type>
    <system value="https://www.example.com/fhir/memberidentifier"/>
    <value value="1234-234-1243-12345678901"/>
  </identifier>
  <status value="active"/>
  <type>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
      <code value="HIP"/>
    </coding>
    <text value="health insurance plan policy"/>
  </type>
  <policyHolder>🔗 
    <reference value="Patient/Patient2"/>
  </policyHolder>
  <subscriber>🔗 
    <reference value="Patient/Patient2"/>
  </subscriber>
  <subscriberId value="12345678901"/>
  <beneficiary>🔗 
    <reference value="Patient/Patient2"/>
  </beneficiary>
  <dependent value="01"/>
  <relationship>
    <coding>
      <system
              value="http://terminology.hl7.org/CodeSystem/subscriber-relationship"/>
      <code value="self"/>
    </coding>
  </relationship>
  <period>
    <start value="2019-01-01"/>
    <end value="2019-10-31"/>
  </period>
  <payor>🔗 
    <reference value="Organization/Payer1"/>
  </payor>
  <class>
    <type>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/coverage-class"/>
        <code value="group"/>
      </coding>
      <text value="An employee group"/>
    </type>
    <value value="021890"/>
    <name value="Acme Corporation"/>
  </class>
  <class>
    <type>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/coverage-class"/>
        <code value="plan"/>
      </coding>
      <text value="Plan"/>
    </type>
    <value value="XYZ123"/>
    <name value="XYZ123-UPMC CONSUMER ADVA"/>
  </class>
  <network value="XYZ123-UPMC CONSUMER ADVA"/>
</Coverage>