Da Vinci - Coverage Requirements Discovery
2.2.0-snapshot - STU 2.2 Peer Review

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 2.2.0-snapshot 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

Raw json | Download

    {
      "resourceType" : "Coverage",
      "id" : "example",
      "language" : "en",
      "text" : {
        "status" : "generated",
        "div" : "<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:\u00a01032702\u00a0(use:\u00a0usual,\u00a0))</a></p><p><b>beneficiary</b>: <a href=\"Patient-example.html\">Amy V. Shaw  Female, DoB: 1987-02-20 ( Medical Record Number:\u00a01032702\u00a0(use:\u00a0usual,\u00a0))</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>"
      },
      "identifier" : [
        {
          "type" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                "code" : "MB"
              }
            ]
          },
          "system" : "http://example.org/fhir/NampingSystem/certificate",
          "value" : "12345"
        }
      ],
      "status" : "active",
      "type" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
            "code" : "EHCPOL",
            "display" : "extended healthcare"
          }
        ]
      },
      "policyHolder" : {
        "reference" : "http://example.org/FHIR/Organization/CBI35"
      },
      "subscriber" : {
        🔗 "reference" : "Patient/example"
      },
      "beneficiary" : {
        🔗 "reference" : "Patient/example"
      },
      "dependent" : "0",
      "relationship" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/subscriber-relationship",
            "code" : "self"
          }
        ]
      },
      "period" : {
        "start" : "2011-05-23",
        "end" : "2012-05-23"
      },
      "payor" : [
        {
          "reference" : "http://example.org/fhir/Organization/example-payer",
          "display" : "Payer XYZ"
        }
      ],
      "class" : [
        {
          "type" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/coverage-class",
                "version" : "1.0.1",
                "code" : "group"
              }
            ]
          },
          "value" : "CB135",
          "name" : "Corporate Baker's Inc. Local #35"
        }
      ]
    }