Da Vinci - Coverage Requirements Discovery
2.1.0 - STU 2.1
Da Vinci - Coverage Requirements Discovery
2.1.0 - STU 2.1
Da Vinci - Coverage Requirements Discovery, published by HL7 International / Financial Management. This guide is not an authorized publication; it is the continuous build for version 2.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/davinci-crd/ and changes regularly. See the Directory of published versions
{
"resourceType" : "Bundle",
"id" : "search-response",
"type" : "batch-response",
"entry" : [
{
"fullUrl" : "http://example.org/someEHR/fhir/Patient/123",
"resource" : {
"resourceType" : "Patient",
"id" : "123",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\"><b>Amy V. Baxter </b> female, DoB: 1987-02-20 ( Medical Record Number:\u00a01032702\u00a0(use:\u00a0USUAL))</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"Record is active\">Active:</td><td colspan=\"3\">true</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Alternate names (see the one above)\">Alt. Name:</td><td colspan=\"3\">Amy V. Shaw (OLD)</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Ways to contact the Patient\">Contact Details:</td><td colspan=\"3\"><ul><li>ph: 555-555-5555(HOME)</li><li><a href=\"mailto:amy.shaw@example.com\">amy.shaw@example.com</a></li><li>49 MEADOW ST MOUNDS OK 74047 US (OLD)</li><li>183 MOUNTAIN VIEW ST MOUNDS OK 74048 US </li></ul></td></tr></table></div>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex",
"valueCode" : "F"
},
{
"url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-sex",
"valueCode" : "248152002"
},
{
"url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-genderIdentity",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
"code" : "UNK",
"display" : "Unknown"
}
],
"text" : "Unknown"
}
}
],
"identifier" : [
{
"use" : "usual",
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "MR",
"display" : "Medical Record Number"
}
],
"text" : "Medical Record Number"
},
"system" : "http://hospital.smarthealthit.org",
"value" : "1032702"
}
],
"active" : true,
"name" : [
{
"use" : "old",
"family" : "Shaw",
"given" : [
"Amy",
"V."
],
"period" : {
"start" : "2016-12-06",
"end" : "2020-07-22"
}
},
{
"family" : "Baxter",
"given" : [
"Amy",
"V."
],
"suffix" : [
"PharmD"
],
"period" : {
"start" : "2020-07-22"
}
}
],
"telecom" : [
{
"system" : "phone",
"value" : "555-555-5555",
"use" : "home"
},
{
"system" : "email",
"value" : "amy.shaw@example.com"
}
],
"gender" : "female",
"birthDate" : "1987-02-20",
"address" : [
{
"use" : "old",
"line" : [
"49 MEADOW ST"
],
"city" : "MOUNDS",
"state" : "OK",
"postalCode" : "74047",
"country" : "US",
"period" : {
"start" : "2016-12-06",
"end" : "2020-07-22"
}
},
{
"line" : [
"183 MOUNTAIN VIEW ST"
],
"city" : "MOUNDS",
"state" : "OK",
"postalCode" : "74048",
"country" : "US",
"period" : {
"start" : "2020-07-22"
}
}
]
},
"response" : {
"status" : "200",
"lastModified" : "2019-03-15T15:38:13.028Z"
}
},
{
"fullUrl" : "urn:uuid:f95e9abf-1c8f-4873-ad15-f6f016334568",
"resource" : {
"resourceType" : "Bundle",
"id" : "f95e9abf-1c8f-4873-ad15-f6f016334568",
"type" : "searchset",
"total" : 1,
"link" : [
{
"relation" : "self",
"url" : "Encounter?_id=987&_include=Encounter:service-provider&_include=Encounter:practitioner&_include=Encounter:location"
}
],
"entry" : [
{
"fullUrl" : "http://example.org/someEHR/fhir/Encounter/987",
"resource" : {
"resourceType" : "Encounter",
"id" : "987",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>status</b>: finished</p><p><b>class</b>: ambulatory</p><p><b>type</b>: Office Visit</p><p><b>subject</b>: <a href=\"Patient-example.html\">Patient/example</a> " SHAW"</p><p><b>period</b>: 2015-11-01 17:00:14-0500 --> 2015-11-01 18:00:14-0500</p><h3>Locations</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Location</b></td></tr><tr><td style=\"display: none\">*</td><td>Holy Family Hospital</td></tr></table></div>"
},
"status" : "finished",
"class" : {
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code" : "AMB",
"display" : "ambulatory"
},
"type" : [
{
"coding" : [
{
"system" : "http://www.ama-assn.org/go/cpt",
"code" : "99211"
}
],
"text" : "Office Visit"
}
],
"subject" : {
"reference" : "http://example.org/someEHR/fhir/Patient/123"
},
"period" : {
"start" : "2015-11-01T17:00:14-05:00",
"end" : "2015-11-01T18:00:14-05:00"
},
"location" : [
{
"location" : {
"reference" : "http://example.org/someEHR/fhir/Location/hospital",
"display" : "Holy Family Hospital"
}
}
]
},
"search" : {
"mode" : "match"
}
},
{
"fullUrl" : "http://example.org/someEHR/fhir/Location/hospital",
"resource" : {
"resourceType" : "Location",
"id" : "hospital",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>name</b>: Acme Clinic</p><p></p><p><b>address</b>: 3300 WASHTENAW AVE STE 227 AMHERST MA 01002 USA </p></div>"
},
"name" : "Acme Clinic",
"address" : {
"line" : [
"3300 WASHTENAW AVE STE 227"
],
"city" : "AMHERST",
"state" : "MA",
"postalCode" : "01002",
"country" : "USA"
},
"managingOrganization" : {
"reference" : "http://example.org/someEHR/fhir/Organization/GHI"
}
},
"search" : {
"mode" : "include"
}
}
]
},
"response" : {
"status" : "200",
"lastModified" : "2019-03-15T15:38:13.028Z"
}
},
{
"fullUrl" : "urn:uuid:c81d99b6-caf9-4e01-8eda-0550a837def3",
"resource" : {
"resourceType" : "Bundle",
"id" : "c81d99b6-caf9-4e01-8eda-0550a837def3",
"type" : "searchset",
"total" : 1,
"link" : [
{
"relation" : "self",
"url" : "http://example.org/someEHR/fhir/r4/Coverage?patient=123&status=active"
}
],
"entry" : [
{
"fullUrl" : "http://example.org/someEHR/fhir/Coverage/COV1",
"resource" : {
"resourceType" : "Coverage",
"id" : "COV1",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>identifier</b>: Member Number:\u00a088800933501</p><p><b>status</b>: active</p><p><b>type</b>: PPO</p><p><b>subscriberId</b>: 888009335</p><p><b>beneficiary</b>: <a href=\"Patient-example.html\">Patient/example</a> " SHAW"</p><p><b>relationship</b>: Self</p><p><b>period</b>: 2020-01-01 --> (ongoing)</p><p><b>payor</b>: Acme Health Plan</p><blockquote><p><b>class</b></p><p><b>type</b>: An employee group</p><p><b>value</b>: xyz</p><p><b>name</b>: XYZ employee Group Plan</p></blockquote><blockquote><p><b>class</b></p><p><b>type</b>: A specific suite of benefits.</p><p><b>value</b>: gold</p><p><b>name</b>: Acme Gold Plan</p></blockquote></div>"
},
"identifier" : [
{
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "MB",
"display" : "Member Number"
}
]
},
"system" : "http://example.org/fhir/memberidentifier",
"value" : "88800933501"
}
],
"status" : "active",
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code" : "PPO",
"display" : "preferred provider organization policy"
}
],
"text" : "PPO"
},
"subscriberId" : "888009335",
"beneficiary" : {
"reference" : "http://example.org/someEHR/fhir/Patient/123"
},
"relationship" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/subscriber-relationship",
"code" : "self"
}
],
"text" : "Self"
},
"period" : {
"start" : "2020-01-01"
},
"payor" : [
{
"reference" : "http://example.org/someEHR/fhir/Organization/acme-payer",
"display" : "Acme Health Plan"
}
],
"class" : [
{
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/coverage-class",
"code" : "group",
"display" : "Group"
}
],
"text" : "An employee group"
},
"value" : "xyz",
"name" : "XYZ employee Group Plan"
},
{
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/coverage-class",
"code" : "plan",
"display" : "Plan"
}
],
"text" : "A specific suite of benefits."
},
"value" : "gold",
"name" : "Acme Gold Plan"
}
]
},
"search" : {
"mode" : "match"
}
}
]
},
"response" : {
"status" : "200",
"lastModified" : "2019-03-15T15:38:13.028Z"
}
},
{
"fullUrl" : "urn:uuid:ee0d8bb2-f7a1-4b53-bfff-902dd4513b07",
"resource" : {
"resourceType" : "Bundle",
"id" : "ee0d8bb2-f7a1-4b53-bfff-902dd4513b07",
"type" : "searchset",
"total" : 1,
"link" : [
{
"relation" : "self",
"url" : "http://example.org/someEHR/fhir/r4/PractitionerRole?_id=ABC,XYZ&_include=PractitionerRole:organization&_include=PractitionerRole:practitioner&_sort=_id"
}
],
"entry" : [
{
"fullUrl" : "http://example.org/someEHR/fhir/PractitionerRole/ABC",
"resource" : {
"resourceType" : "PractitionerRole",
"id" : "ABC",
"meta" : {
"lastUpdated" : "2016-02-29T23:52:32.387Z"
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Dr. Ronald Bone, Family medicine specialist at Acme Clinic</div>"
},
"practitioner" : {
"reference" : "http://example.org/someEHR/fhir/Practitioner/DEF",
"display" : "Dr. Ronald Bone"
},
"organization" : {
"reference" : "http://example.org/someEHR/fhir/Organization/GHI",
"display" : "Acme Clinic"
},
"code" : [
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "62247001",
"display" : "Family medicine specialist"
},
{
"system" : "http://nucc.org/provider-taxonomy",
"code" : "207Q00000X",
"display" : "Family Medicine Physician"
}
]
}
]
},
"search" : {
"mode" : "match"
}
},
{
"fullUrl" : "http://example.org/someEHR/fhir/Practitioner/DEF",
"resource" : {
"resourceType" : "Practitioner",
"id" : "DEF",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>identifier</b>: <a href=\"https://terminology.hl7.org/NamingSystem-npi.html\">United States National Provider Identifier (NPI)</a> 9941339100, id:\u00a025456</p><p><b>name</b>: Ronald Bone </p><p><b>address</b>: 1003 HEALTHCARE DR AMHERST MA 01002 (WORK)</p></div>"
},
"identifier" : [
{
"system" : "http://hl7.org/fhir/sid/us-npi",
"value" : "9941339100"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-jurisdiction",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "https://www.usps.com/",
"code" : "MA"
}
],
"text" : "Massachusetts"
}
}
],
"system" : "http://www.acme.org/practitioners",
"value" : "25456"
}
],
"name" : [
{
"family" : "Bone",
"given" : [
"Ronald"
],
"prefix" : [
"Dr"
]
}
],
"address" : [
{
"use" : "work",
"line" : [
"1003 HEALTHCARE DR"
],
"city" : "AMHERST",
"state" : "MA",
"postalCode" : "01002"
}
]
},
"search" : {
"mode" : "include"
}
},
{
"fullUrl" : "http://example.org/someEHR/fhir/PractitionerRole/XYZ",
"resource" : {
"resourceType" : "PractitionerRole",
"id" : "XYZ",
"meta" : {
"lastUpdated" : "2012-05-18T11:02:59.313Z"
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Dr. Carol Cardio, Cardiologist at Acme Clinic</div>"
},
"practitioner" : {
"reference" : "http://example.org/someEHR/fhir/Practitioner/TUV",
"display" : "Dr. Carol Cardio"
},
"organization" : {
"reference" : "http://example.org/someEHR/fhir/Organization/GHI",
"display" : "Acme Clinic"
},
"code" : [
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "17561000",
"display" : "Cardiologist"
}
]
}
]
},
"search" : {
"mode" : "match"
}
},
{
"fullUrl" : "http://example.org/someEHR/fhir/Practitioner/TUV",
"resource" : {
"resourceType" : "Practitioner",
"id" : "TUV",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>identifier</b>: <a href=\"https://terminology.hl7.org/NamingSystem-npi.html\">United States National Provider Identifier (NPI)</a> 9941339100, id:\u00a025456</p><p><b>name</b>: Carol Cario </p><p><b>address</b>: 1003 HEALTHCARE DR AMHERST MA 01002 (WORK)</p></div>"
},
"identifier" : [
{
"system" : "http://hl7.org/fhir/sid/us-npi",
"value" : "9941339027"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-jurisdiction",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "https://www.usps.com/",
"code" : "MA"
}
],
"text" : "Massachusetts"
}
}
],
"system" : "http://www.acme.org/practitioners",
"value" : "25456"
}
],
"name" : [
{
"family" : "Cardio",
"given" : [
"Carol"
],
"prefix" : [
"Dr"
]
}
],
"address" : [
{
"use" : "work",
"line" : [
"1003 HEALTHCARE DR"
],
"city" : "AMHERST",
"state" : "MA",
"postalCode" : "01002"
}
]
},
"search" : {
"mode" : "include"
}
},
{
"fullUrl" : "http://example.org/someEHR/fhir/Organization/GHI",
"resource" : {
"resourceType" : "Organization",
"id" : "GHI",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>identifier</b>: <a href=\"https://terminology.hl7.org/NamingSystem-npi.html\">United States National Provider Identifier (NPI)</a> 1407071236, id:\u00a0121111111</p><p><b>active</b>: true</p><p><b>type</b>: Healthcare Provider</p><p><b>name</b>: Acme Clinic</p><p><b>telecom</b>: ph: (+1) 734-677-7777, <a href=\"mailto:customer-service@acme-clinic.org\">customer-service@acme-clinic.org</a></p><p><b>address</b>: 3300 WASHTENAW AVE STE 227 AMHERST MA 01002 USA </p></div>"
},
"identifier" : [
{
"system" : "http://hl7.org/fhir/sid/us-npi",
"value" : "1407071236"
},
{
"system" : "http://example.org/fhir/sid/us-tin",
"value" : "121111111"
}
],
"active" : true,
"type" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/organization-type",
"code" : "prov",
"display" : "Healthcare Provider"
}
]
}
],
"name" : "Acme Clinic",
"telecom" : [
{
"system" : "phone",
"value" : "(+1) 734-677-7777"
},
{
"system" : "email",
"value" : "customer-service@acme-clinic.org"
}
],
"address" : [
{
"line" : [
"3300 WASHTENAW AVE STE 227"
],
"city" : "AMHERST",
"state" : "MA",
"postalCode" : "01002",
"country" : "USA"
}
]
},
"search" : {
"mode" : "include"
}
}
]
},
"response" : {
"status" : "200",
"lastModified" : "2019-03-15T15:38:13.011Z"
}
}
]
}
IG © 2019+ HL7 International / Financial Management. Package hl7.fhir.us.davinci-crd#2.1.0 based on FHIR 4.0.1. Generated 2024-12-11
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