Da Vinci Payer Data Exchange
2.1.0 - ballot United States of America flag

Da Vinci Payer Data Exchange, 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-epdx/ and changes regularly. See the Directory of published versions

: PDexCoverageExample - JSON Representation

Page standards status: Informative

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{
  "resourceType" : "Coverage",
  "id" : "Coverage1",
  "meta" : {
    "profile" : [
      🔗 "http://hl7.org/fhir/us/davinci-hrex/StructureDefinition/hrex-coverage"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Coverage Coverage1</b></p><a name=\"Coverage1\"> </a><a name=\"hcCoverage1\"> </a><a name=\"Coverage1-en-US\"> </a><p><b>identifier</b>: Member Number/234567</p><p><b>status</b>: Active</p><p><b>subscriberId</b>: 93542106</p><p><b>beneficiary</b>: <a href=\"Patient-1.html\">Johnny Appleseed  Male, DoB: 1986-01-01 ( Member Number)</a></p><p><b>relationship</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/subscriber-relationship self}\">Self</span></p><p><b>payor</b>: <a href=\"Organization-Payer1.html\">Organization Payer 1</a></p></div>"
  },
  "identifier" : [
    {
      "type" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code" : "MB"
          }
        ]
      },
      "system" : "http://example.org/old-payer/identifiers/coverage",
      "value" : "234567"
    }
  ],
  "status" : "active",
  "subscriberId" : "93542106",
  "beneficiary" : {
    🔗 "reference" : "Patient/1"
  },
  "relationship" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/subscriber-relationship",
        "code" : "self"
      }
    ]
  },
  "payor" : [
    {
      🔗 "reference" : "Organization/Payer1"
    }
  ]
}