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
{
"resourceType" : "Coverage",
"id" : "2",
"meta" : {
"versionId" : "1",
"lastUpdated" : "2019-04-06T03:04:12.348-04:00"
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">A human-readable rendering of the coverage</div>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/us/davinci-atr/StructureDefinition/ext-insuranceProductType",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-pdex-plan-net/CodeSystem/InsuranceProductTypeCS",
"code" : "mediadv",
"display" : "Medicare Advantage"
}
]
}
}
],
"identifier" : [
{
"use" : "official",
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "MB",
"display" : "Member Number"
}
]
},
"system" : "https://sitenv.org",
"value" : "789123"
}
],
"status" : "active",
"policyHolder" : {
🔗 "reference" : "RelatedPerson/2"
},
"subscriber" : {
🔗 "reference" : "RelatedPerson/2"
},
"subscriberId" : "AB3999",
"beneficiary" : {
🔗 "reference" : "Patient/2"
},
"dependent" : "01",
"relationship" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/subscriber-relationship",
"code" : "spouse",
"display" : "Spouse"
}
]
},
"period" : {
"start" : "2012-05-23",
"end" : "2013-05-23"
},
"payor" : [
{
🔗 "reference" : "Organization/1"
}
],
"class" : [
{
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/coverage-class",
"code" : "plan"
}
]
},
"value" : "HMO"
}
]
}