Da Vinci - Coverage Requirements Discovery
2.2.0-ballot - United States of America flag

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-ballot 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

Binary: Example CRD Service Requestion with ServiceRequests

{
  "extension" : {
    "davinci-crd.configuration" : {
      "cost" : false,
      "claim" : false,
      "appropriate-use" : false,
      "max-cards" : 5
    }
  },
  "hook" : "order-sign",
  "hookInstance" : "urn:uuid:d5a80646-7ef5-4edf-ade9-72407ca28c76",
  "fhirServer" : "http://example.org/some-payer/fhir/crd",
  "fhirAuthorization" : {
    "accessToken" : "some-opaque-fhir-access-token",
    "tokenType" : "Bearer",
    "expiresIn" : 300,
    "scope" : "user/Patient.read user/Observation.read",
    "subject" : "cds-service4",
    "patient" : "123"
  },
  "context" : {
    "userId" : "Practitioner/ABC",
    "patientId" : "123",
    "encounterId" : "987",
    "draftOrders" : {
      "resourceType" : "Bundle",
      "type" : "collection",
      "entry" : [
        {
          "fullUrl" : "http://example.org/someEHR/fhir/ServiceRequest/1357",
          "resource" : {
            "resourceType" : "ServiceRequest",
            "id" : "1357",
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Contrast enhanced spectral mammography (Procedure) for Amy V. Baxter<br/>Requested by Dr. Jones, Feb 15, 2019</div>"
            },
            "status" : "draft",
            "intent" : "original-order",
            "code" : {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-billing-options",
                  "valueCodeableConcept" : {
                    "coding" : [
                      {
                        "system" : "http://www.ama-assn.org/go/cpt",
                        "code" : "77061"
                      }
                    ]
                  }
                },
                {
                  "url" : "http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-billing-options",
                  "valueCodeableConcept" : {
                    "coding" : [
                      {
                        "system" : "http://www.ama-assn.org/go/cpt",
                        "code" : "77062"
                      }
                    ]
                  }
                },
                {
                  "url" : "http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-billing-options",
                  "valueCodeableConcept" : {
                    "coding" : [
                      {
                        "system" : "http://www.ama-assn.org/go/cpt",
                        "code" : "77065"
                      }
                    ]
                  }
                },
                {
                  "url" : "http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-billing-options",
                  "valueCodeableConcept" : {
                    "coding" : [
                      {
                        "system" : "http://www.ama-assn.org/go/cpt",
                        "code" : "77066"
                      }
                    ]
                  }
                }
              ],
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "726551006",
                  "display" : "Contrast enhanced spectral mammography (Procedure)"
                }
              ]
            },
            "subject" : {
              "reference" : "http://example.org/fhir/Patient/123"
            },
            "encounter" : {
              "reference" : "http://example.org/fhir/Encounter/987"
            },
            "authoredOn" : "2019-02-15",
            "requester" : {
              "reference" : "http://example.org/fhir/PractitionerRole/ABC",
              "display" : "Dr. Jones"
            }
          }
        },
        {
          "fullUrl" : "http://example.org/someEHR/fhir/ServiceRequest/2468",
          "resource" : {
            "resourceType" : "ServiceRequest",
            "id" : "2468",
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing for Amy V. Baxter<br/>Requested by Dr. Jones, Feb 15, 2019</div>"
            },
            "status" : "draft",
            "intent" : "original-order",
            "code" : {
              "coding" : [
                {
                  "system" : "https://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets",
                  "code" : "E0431",
                  "display" : "Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing"
                }
              ]
            },
            "subject" : {
              "reference" : "http://example.org/fhir/Patient/123"
            },
            "encounter" : {
              "reference" : "http://example.org/fhir/Encounter/987"
            },
            "authoredOn" : "2019-02-15",
            "requester" : {
              "reference" : "http://example.org/fhir/PractitionerRole/ABC",
              "display" : "Dr. Jones"
            }
          }
        }
      ]
    }
  },
  "prefetch" : {
    "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.org\">amy.shaw@example.org</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://example.org/NamingSystem/mrn",
          "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.org"
        }
      ],
      "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"
          }
        }
      ]
    },
    "value" : {
      "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.org\">amy.shaw@example.org</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://example.org/NamingSystem/mrn",
          "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.org"
        }
      ],
      "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"
          }
        }
      ]
    },
    "encounter" : {
      "id" : "987",
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Encounter</b><a name=\"example-1\"> </a></p><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\">Resource Encounter &quot;example-1&quot; Updated &quot;2017-05-26 11:56:57-0400&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-us-core-encounter.html\">US Core Encounter Profile (version 7.0.0-ballot)</a></p></div><p><b>status</b>: finished</p><p><b>class</b>: ambulatory (Details: http://terminology.hl7.org/CodeSystem/v3-ActCode code AMB = 'ambulatory', stated as 'ambulatory')</p><p><b>type</b>: Office Visit <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.3.0/CodeSystem-CPT.html\">Current Procedural Terminology (CPT®)</a>#99211)</span></p><p><b>subject</b>: <a href=\"Patient-example.html\">Patient/example</a> &quot; SHAW&quot;</p><p><b>period</b>: 2015-11-01 17:00:14-0500 --&gt; 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><a href=\"Location-hospital.html\">Location/hospital: Holy Family Hospital</a> &quot;Holy Family Hospital&quot;</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"
          }
        }
      ]
    },
    "value" : {
      "resourceType" : "Encounter",
      "id" : "987",
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Encounter</b><a name=\"example-1\"> </a></p><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\">Resource Encounter &quot;example-1&quot; Updated &quot;2017-05-26 11:56:57-0400&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-us-core-encounter.html\">US Core Encounter Profile (version 7.0.0-ballot)</a></p></div><p><b>status</b>: finished</p><p><b>class</b>: ambulatory (Details: http://terminology.hl7.org/CodeSystem/v3-ActCode code AMB = 'ambulatory', stated as 'ambulatory')</p><p><b>type</b>: Office Visit <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.3.0/CodeSystem-CPT.html\">Current Procedural Terminology (CPT®)</a>#99211)</span></p><p><b>subject</b>: <a href=\"Patient-example.html\">Patient/example</a> &quot; SHAW&quot;</p><p><b>period</b>: 2015-11-01 17:00:14-0500 --&gt; 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><a href=\"Location-hospital.html\">Location/hospital: Holy Family Hospital</a> &quot;Holy Family Hospital&quot;</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"
          }
        }
      ]
    },
    "coverage" : {
      "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 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://nahdo.org/sopt\">Source of Payment Typology</a>#3712; <a href=\"http://terminology.hl7.org/5.3.0/CodeSystem-v3-ActCode.html\">ActCode</a>#PPO &quot;preferred provider organization policy&quot;)</span></p><p><b>subscriberId</b>: 888009335</p><p><b>beneficiary</b>: <a href=\"Patient-example.html\">Patient/example</a> &quot; SHAW&quot;</p><p><b>relationship</b>: Self <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.3.0/CodeSystem-subscriber-relationship.html\">SubscriberPolicyholder Relationship Codes</a>#self)</span></p><p><b>period</b>: 2020-01-01 --&gt; (ongoing)</p><p><b>payor</b>: <a href=\"Organization-acme-payer.html\">Organization/acme-payer: Acme Health Plan</a> &quot;Acme Health Plan&quot;</p><blockquote><p><b>class</b></p><p><b>type</b>: An employee group <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.3.0/CodeSystem-coverage-class.html\">Coverage Class Codes</a>#group &quot;Group&quot;)</span></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. <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.3.0/CodeSystem-coverage-class.html\">Coverage Class Codes</a>#plan &quot;Plan&quot;)</span></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"
          }
        }
      ]
    },
    "value" : {
      "resourceType" : "Bundle",
      "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 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://nahdo.org/sopt\">Source of Payment Typology</a>#3712; <a href=\"http://terminology.hl7.org/5.3.0/CodeSystem-v3-ActCode.html\">ActCode</a>#PPO &quot;preferred provider organization policy&quot;)</span></p><p><b>subscriberId</b>: 888009335</p><p><b>beneficiary</b>: <a href=\"Patient-example.html\">Patient/example</a> &quot; SHAW&quot;</p><p><b>relationship</b>: Self <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.3.0/CodeSystem-subscriber-relationship.html\">SubscriberPolicyholder Relationship Codes</a>#self)</span></p><p><b>period</b>: 2020-01-01 --&gt; (ongoing)</p><p><b>payor</b>: <a href=\"Organization-acme-payer.html\">Organization/acme-payer: Acme Health Plan</a> &quot;Acme Health Plan&quot;</p><blockquote><p><b>class</b></p><p><b>type</b>: An employee group <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.3.0/CodeSystem-coverage-class.html\">Coverage Class Codes</a>#group &quot;Group&quot;)</span></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. <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.3.0/CodeSystem-coverage-class.html\">Coverage Class Codes</a>#plan &quot;Plan&quot;)</span></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"
          }
        }
      ]
    },
    "device" : {
      
    },
    "medication" : {
      
    },
    "practitioners" : {
      "type" : "searchset",
      "total" : 1,
      "link" : [
        {
          "relation" : "self",
          "url" : "http://example.org/someEHR/fhir/r4/Practitioner?_id=DEF"
        }
      ],
      "entry" : [
        {
          "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>: id:\u00a0<a href=\"http://terminology.hl7.org/5.3.0/NamingSystem-npi.html\">#</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" : "match"
          }
        }
      ]
    },
    "value" : {
      "resourceType" : "Bundle",
      "type" : "searchset",
      "total" : 1,
      "link" : [
        {
          "relation" : "self",
          "url" : "http://example.org/someEHR/fhir/r4/Practitioner?_id=DEF"
        }
      ],
      "entry" : [
        {
          "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>: id:\u00a0<a href=\"http://terminology.hl7.org/5.3.0/NamingSystem-npi.html\">#</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" : "match"
          }
        }
      ]
    },
    "practitionerRoles" : {
      "type" : "searchset",
      "total" : 1,
      "link" : [
        {
          "relation" : "self",
          "url" : "http://example.org/someEHR/fhir/r4/PractitionerRole?_id=ABC"
        }
      ],
      "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, primary care physician 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://terminology.hl7.org/CodeSystem/v3-ParticipationFunction",
                    "code" : "PCP",
                    "display" : "primary care physician"
                  },
                  {
                    "system" : "http://nucc.org/provider-taxonomy",
                    "code" : "261QP2300X",
                    "display" : "Primary Care Clinic/Center"
                  }
                ]
              }
            ]
          },
          "search" : {
            "mode" : "match"
          }
        }
      ]
    },
    "value" : {
      "resourceType" : "Bundle",
      "type" : "searchset",
      "total" : 1,
      "link" : [
        {
          "relation" : "self",
          "url" : "http://example.org/someEHR/fhir/r4/PractitionerRole?_id=ABC"
        }
      ],
      "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, primary care physician 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://terminology.hl7.org/CodeSystem/v3-ParticipationFunction",
                    "code" : "PCP",
                    "display" : "primary care physician"
                  },
                  {
                    "system" : "http://nucc.org/provider-taxonomy",
                    "code" : "261QP2300X",
                    "display" : "Primary Care Clinic/Center"
                  }
                ]
              }
            ]
          },
          "search" : {
            "mode" : "match"
          }
        }
      ]
    },
    "organizations" : {
      "type" : "searchset",
      "total" : 1,
      "link" : [
        {
          "relation" : "self",
          "url" : "http://example.org/someEHR/fhir/r4/Organization?_id=GHI"
        }
      ],
      "entry" : [
        {
          "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>: id:\u00a0<a href=\"http://terminology.hl7.org/5.3.0/NamingSystem-npi.html\">#</a>1407071236, id:\u00a0121111111</p><p><b>active</b>: true</p><p><b>type</b>: Healthcare Provider <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.3.0/CodeSystem-organization-type.html\">Organization type</a>#prov)</span></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" : "match"
          }
        }
      ]
    },
    "value" : {
      "resourceType" : "Bundle",
      "type" : "searchset",
      "total" : 1,
      "link" : [
        {
          "relation" : "self",
          "url" : "http://example.org/someEHR/fhir/r4/Organization?_id=GHI"
        }
      ],
      "entry" : [
        {
          "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>: id:\u00a0<a href=\"http://terminology.hl7.org/5.3.0/NamingSystem-npi.html\">#</a>1407071236, id:\u00a0121111111</p><p><b>active</b>: true</p><p><b>type</b>: Healthcare Provider <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.3.0/CodeSystem-organization-type.html\">Organization type</a>#prov)</span></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" : "match"
          }
        }
      ]
    },
    "locations" : {
      "type" : "searchset",
      "total" : 1,
      "link" : [
        {
          "relation" : "self",
          "url" : "http://example.org/someEHR/fhir/r4/Location?_id=hospital"
        }
      ],
      "entry" : [
        {
          "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><b>address</b>: 3300 WASHTENAW AVE STE 227 AMHERST MA 01002 USA </p></div>"
            },
            "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"
          }
        }
      ]
    },
    "value" : {
      "resourceType" : "Bundle",
      "type" : "searchset",
      "total" : 1,
      "link" : [
        {
          "relation" : "self",
          "url" : "http://example.org/someEHR/fhir/r4/Location?_id=hospital"
        }
      ],
      "entry" : [
        {
          "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><b>address</b>: 3300 WASHTENAW AVE STE 227 AMHERST MA 01002 USA </p></div>"
            },
            "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"
          }
        }
      ]
    }
  }
}