Health Care Surveys Reporting, published by HL7 International / Public Health. This guide is not an authorized publication; it is the continuous build for version 2.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-health-care-surveys-reporting-ig/ and changes regularly. See the Directory of published versions

• Narrative Content
• XML
• JSON
• TTL

: Coverage Example - XML Representation

Raw xml | Download

<Coverage xmlns="http://hl7.org/fhir">
  <id value="coverage-example"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-coverage|6.1.0"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: Coverage coverage-example</b></p><a name="coverage-example"> </a><a name="hccoverage-example"> </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"/><p style="margin-bottom: 0px">Profile: <a href="http://hl7.org/fhir/us/core/STU6.1/StructureDefinition-us-core-coverage.html">US Core Coverage Profileversion: null6.1.0)</a></p></div><p><b>status</b>: Active</p><p><b>policyHolder</b>: <a href="Patient-patient-ledner.html">Dominique369 Ledner144  Female, DoB: 1965-06-22 ( MRN: Alaska Driver's License#abc123 (use: usual, ))</a></p><p><b>subscriber</b>: <a href="Patient-patient-ledner.html">Dominique369 Ledner144  Female, DoB: 1965-06-22 ( MRN: Alaska Driver's License#abc123 (use: usual, ))</a></p><p><b>subscriberId</b>: XYZ123456789</p><p><b>beneficiary</b>: <a href="Patient-patient-ledner.html">Dominique369 Ledner144  Female, DoB: 1965-06-22 ( MRN: Alaska Driver's License#abc123 (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>: 2025-01-01 --&gt; 2025-12-31</p><p><b>payor</b>: <a href="Organization-organization-payer-example.html">Organization Blue Cross Blue Shield</a></p><blockquote><p><b>class</b></p><p><b>type</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/coverage-class group}">Group</span></p><p><b>value</b>: ABC987</p><p><b>name</b>: Group Name</p></blockquote><blockquote><p><b>class</b></p><p><b>type</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/coverage-class plan}">Plan</span></p><p><b>value</b>: HMO</p><p><b>name</b>: Health Maintenance Organization</p></blockquote></div>
  </text>
  <status value="active"/>
  <policyHolder>🔗 
    <reference value="Patient/patient-ledner"/>
  </policyHolder>
  <subscriber>🔗 
    <reference value="Patient/patient-ledner"/>
  </subscriber>
  <subscriberId value="XYZ123456789"/>
  <beneficiary>🔗 
    <reference value="Patient/patient-ledner"/>
  </beneficiary>
  <dependent value="0"/>
  <relationship>
    <coding>
      <system
              value="http://terminology.hl7.org/CodeSystem/subscriber-relationship"/>
      <code value="self"/>
      <display value="Self"/>
    </coding>
  </relationship>
  <period>
    <start value="2025-01-01"/>
    <end value="2025-12-31"/>
  </period>
  <payor>🔗 
    <reference value="Organization/organization-payer-example"/>
  </payor>
  <class>
    <type>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/coverage-class"/>
        <code value="group"/>
        <display value="Group"/>
      </coding>
    </type>
    <value value="ABC987"/>
    <name value="Group Name"/>
  </class>
  <class>
    <type>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/coverage-class"/>
        <code value="plan"/>
        <display value="Plan"/>
      </coding>
    </type>
    <value value="HMO"/>
    <name value="Health Maintenance Organization"/>
  </class>
</Coverage>