Da Vinci - Member Attribution (ATR) List, published by HL7 International / Financial Management. This guide is not an authorized publication; it is the continuous build for version 2.1.0-preview built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/davinci-atr/ and changes regularly. See the Directory of published versions
<Coverage xmlns="http://hl7.org/fhir">
<id value="1"/>
<meta>
<versionId value="1"/>
<lastUpdated value="2019-06-06T03:04:12.348-04:00"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">A human-readable rendering of the coverage</div>
</text>
<extension
url="http://hl7.org/fhir/us/davinci-atr/StructureDefinition/ext-insuranceProductType">
<valueCodeableConcept>
<coding>
<system
value="http://hl7.org/fhir/us/davinci-pdex-plan-net/CodeSystem/InsuranceProductTypeCS"/>
<code value="commppo"/>
<display value="Commercial PPO"/>
</coding>
</valueCodeableConcept>
</extension>
<identifier>
<use value="official"/>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="MB"/>
<display value="Member Number"/>
</coding>
</type>
<system value="https://sitenv.org"/>
<value value="123456"/>
</identifier>
<status value="active"/>
<policyHolder>🔗
<reference value="Patient/1"/>
</policyHolder>
<subscriber>🔗
<reference value="Patient/1"/>
</subscriber>
<subscriberId value="AB3658"/>
<beneficiary>🔗
<reference value="Patient/1"/>
</beneficiary>
<dependent value="00"/>
<relationship>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/subscriber-relationship"/>
<code value="self"/>
<display value="Self"/>
</coding>
</relationship>
<period>
<start value="2011-05-23"/>
<end value="2012-05-23"/>
</period>
<payor>🔗
<reference value="Organization/2"/>
</payor>
<class>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/coverage-class"/>
<code value="plan"/>
</coding>
</type>
<value value="PPO"/>
</class>
</Coverage>