Da Vinci - Coverage Requirements Discovery
2.2.1 - STU 2.2

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 2.2.1 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

## : Coverage example

Page standards status: Informative

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    <Coverage xmlns="http://hl7.org/fhir">
      <id value="example"/>
      <language value="en"/>
      <text>
        <status value="generated"/>
        <div xmlns="http://www.w3.org/1999/xhtml" xml:lang="en" lang="en"><p class="res-header-id"><b>Generated Narrative: Coverage example</b></p><a name="example"> </a><a name="hcexample"> </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></div><p><b>identifier</b>: Member Number/12345</p><p><b>status</b>: Active</p><p><b>type</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/v3-ActCode EHCPOL}">extended healthcare</span></p><p><b>policyHolder</b>: <a href="http://example.org/FHIR/Organization/CBI35">http://example.org/FHIR/Organization/CBI35</a></p><p><b>subscriber</b>: <a href="Patient-example.html">Amy V. Shaw  Female, DoB: 1987-02-20 ( Medical Record Number: 1032702 (use: usual, ))</a></p><p><b>beneficiary</b>: <a href="Patient-example.html">Amy V. Shaw  Female, DoB: 1987-02-20 ( Medical Record Number: 1032702 (use: usual, ))</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>: 2011-05-23 --&gt; 2012-05-23</p><p><b>payor</b>: <a href="http://example.org/fhir/Organization/example-payer">Payer XYZ</a></p><h3>Classes</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Type</b></td><td><b>Value</b></td><td><b>Name</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{http://terminology.hl7.org/CodeSystem/coverage-class group}">Group</span></td><td>CB135</td><td>Corporate Baker's Inc. Local #35</td></tr></table></div>
      </text>
      <identifier>
        <type>
          <coding>
            <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
            <code value="MB"/>
          </coding>
        </type>
        <system value="http://example.org/fhir/NampingSystem/certificate"/>
        <value value="12345"/>
      </identifier>
      <status value="active"/>
      <type>
        <coding>
          <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
          <code value="EHCPOL"/>
          <display value="extended healthcare"/>
        </coding>
      </type>
      <policyHolder>
        <reference value="http://example.org/FHIR/Organization/CBI35"/>
      </policyHolder>
      <subscriber>🔗
        <reference value="Patient/example"/>
      </subscriber>
      <beneficiary>🔗
        <reference value="Patient/example"/>
      </beneficiary>
      <dependent value="0"/>
      <relationship>
        <coding>
          <system
                  value="http://terminology.hl7.org/CodeSystem/subscriber-relationship"/>
          <code value="self"/>
        </coding>
      </relationship>
      <period>
        <start value="2011-05-23"/>
        <end value="2012-05-23"/>
      </period>
      <payor>
        <reference value="http://example.org/fhir/Organization/example-payer"/>
        <display value="Payer XYZ"/>
      </payor>
      <class>
        <type>
          <coding>
            <system value="http://terminology.hl7.org/CodeSystem/coverage-class"/>
            <version value="1.0.1"/>
            <code value="group"/>
          </coding>
        </type>
        <value value="CB135"/>
        <name value="Corporate Baker's Inc. Local #35"/>
      </class>
    </Coverage>