example
type: Coverage
node role: treeRoot
resource.id:
  value: example
resource.meta:
  meta.profile:
    value: http://hl7.org/fhir/us/quality-core/StructureDefinition/us-quality-core-coverage
    index: 0
    link: http://hl7.org/fhir/us/quality-core/StructureDefinition/us-quality-core-coverage
domain resource.text:
  narrative.status:
    value: generated
  narrative.div: Generated Narrative: Coverage example Profile: US Quality Core Coverage identifier: Member ID/MB123456789 status: Active type: Preferred Provider Organization (PPO) policyHolder: Example Patient Male, DoB: 1974-12-25 ( Medical record number (use: usual, period: 2001-05-06 --> (ongoing))) subscriber: Example Patient Male, DoB: 1974-12-25 ( Medical record number (use: usual, period: 2001-05-06 --> (ongoing))) subscriberId: SUB987654321 beneficiary: Example Patient Male, DoB: 1974-12-25 ( Medical record number (use: usual, period: 2001-05-06 --> (ongoing))) dependent: 0 relationship: Self period: 2026-01-01 --> 2026-12-31 payor: Organization Example Organization class type: Group value: GRP-99482 name: Example Employer Health Plan class type: Plan value: PLN-GOLD-2026 name: Example PPO Option
coverage.identifier:
  index: 0
  identifier.type:
    codeable concept.coding:
      index: 0
      coding.system:
        value: http://terminology.hl7.org/CodeSystem/v2-0203
      coding.code:
        value: MB
      coding.display:
        value: Member Number
    codeable concept.text:
      value: Member ID
  identifier.system:
    value: http://example.org/payer/member-ids
  identifier.value:
    value: MB123456789
coverage.status:
  value: active
coverage.type:
  codeable concept.text:
    value: Preferred Provider Organization (PPO)
coverage.policy holder:
  link: http://hl7.org/fhir/us/quality-core/Patient/example
  reference.reference:
    value: Patient/example
coverage.subscriber:
  link: http://hl7.org/fhir/us/quality-core/Patient/example
  reference.reference:
    value: Patient/example
coverage.subscriber id:
  value: SUB987654321
coverage.beneficiary:
  link: http://hl7.org/fhir/us/quality-core/Patient/example
  reference.reference:
    value: Patient/example
coverage.dependent:
  value: 0
coverage.relationship:
  codeable concept.coding:
    index: 0
    coding.system:
      value: http://terminology.hl7.org/CodeSystem/subscriber-relationship
    coding.code:
      value: self
    coding.display:
      value: Self
coverage.period:
  period.start:
    value: 2026-01-01
  period.end:
    value: 2026-12-31
coverage.payor:
  index: 0
  link: http://hl7.org/fhir/us/quality-core/Organization/example
  reference.reference:
    value: Organization/example
coverage.class:
  index: 0
  coverage.class.type:
    codeable concept.coding:
      index: 0
      coding.system:
        value: http://terminology.hl7.org/CodeSystem/coverage-class
      coding.code:
        value: group
      coding.display:
        value: Group
  coverage.class.value:
    value: GRP-99482
  coverage.class.name:
    value: Example Employer Health Plan
coverage.class:
  index: 1
  coverage.class.type:
    codeable concept.coding:
      index: 0
      coding.system:
        value: http://terminology.hl7.org/CodeSystem/coverage-class
      coding.code:
        value: plan
      coding.display:
        value: Plan
  coverage.class.value:
    value: PLN-GOLD-2026
  coverage.class.name:
    value: Example PPO Option