Da Vinci Health Record Exchange (HRex), published by HL7 International / Clinical Interoperability Council. This guide is not an authorized publication; it is the continuous build for version 1.1.0-preview built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/davinci-ehrx/ and changes regularly. See the Directory of published versions
Page standards status: Informative |
<Coverage xmlns="http://hl7.org/fhir">
<id value="full"/>
<meta>
<profile
value="http://hl7.org/fhir/us/davinci-hrex/StructureDefinition/hrex-coverage"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: Coverage</b><a name="full"> </a><a name="hcfull"> </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 Coverage "full" </p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-hrex-coverage.html">HRex Coverage Profile</a></p></div><p><b>identifier</b>: Member Number/234567</p><p><b>status</b>: active</p><p><b>type</b>: MEDICAID <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://nahdo.org/sopt">Source of Payment Typology</a>#2)</span></p><p><b>subscriberId</b>: 97531</p><p><b>beneficiary</b>: <a href="https://simplifier.net/resolve?scope=hl7.fhir.us.core.3.1.1@3.1.1&canonical=http://example.org/new-payer/fhir/Patient/pat1">http://example.org/new-payer/fhir/Patient/pat1</a></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>: 2021-01-01 --> 2021-12-31</p><p><b>payor</b>: <a href="Organization-full.html">Organization/full</a> "New Health Plan"</p></div>
</text>
<identifier>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="MB"/>
</coding>
</type>
<system value="http://example.org/new-payer/identifiers/coverage"/>
<value value="234567"/>
</identifier>
<status value="active"/>
<type>
<coding>
<system value="https://nahdo.org/sopt"/>
<code value="2"/>
<display value="MEDICAID"/>
</coding>
</type>
<subscriberId value="97531"/>
<beneficiary>
<reference value="http://example.org/new-payer/fhir/Patient/pat1"/>
</beneficiary>
<relationship>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/subscriber-relationship"/>
<code value="self"/>
</coding>
</relationship>
<period>
<start value="2021-01-01"/>
<end value="2021-12-31"/>
</period>
<payor>🔗
<reference value="Organization/full"/>
</payor>
</Coverage>