US Behavioral Health Profiles Implementation Guide, published by . This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/us-behavioral-health-profiles/ and changes regularly. See the Directory of published versions

• Narrative Content
• XML
• JSON
• TTL

: medicaid-coverage-example - JSON Representation

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{
  "resourceType" : "Coverage",
  "id" : "medicaid-coverage-example-1",
  "meta" : {
    "profile" : [
      🔗 "http://hl7.org/fhir/us/core/StructureDefinition/us-core-coverage"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Coverage medicaid-coverage-example-1</b></p><a name=\"medicaid-coverage-example-1\"> </a><a name=\"hcmedicaid-coverage-example-1\"> </a><a name=\"medicaid-coverage-example-1-en-US\"> </a><p><b>identifier</b>: Member Number/88800933501</p><p><b>status</b>: Active</p><p><b>type</b>: <span title=\"Codes:{https://nahdo.org/sopt 2}\">Medicaid</span></p><p><b>subscriberId</b>: 888009335</p><p><b>beneficiary</b>: <a href=\"Patient-bh-patient-example.html\">James Wolff  Male, DoB: 1961-07-16 ( Medical Record Number:\u00a01032702\u00a0(use:\u00a0usual,\u00a0))</a></p><p><b>relationship</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/subscriber-relationship self}\">Self</span></p><p><b>period</b>: 2024-01-01 --&gt; (ongoing)</p><p><b>payor</b>: <a href=\"Organization-fl-medicaid-example-1.html\">MyACCESS - Florida Medicaid</a></p><h3>Classes</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Type</b></td><td><b>Value</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/coverage-class group}\">Group</span></td><td>Farmworkers Union Group Plan</td></tr></table></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" : "https://nahdo.org/sopt",
        "code" : "2",
        "display" : "Medicaid"
      }
    ],
    "text" : "Medicaid"
  },
  "subscriberId" : "888009335",
  "beneficiary" : {
    🔗 "reference" : "Patient/bh-patient-example"
  },
  "relationship" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/subscriber-relationship",
        "code" : "self"
      }
    ],
    "text" : "Self"
  },
  "period" : {
    "start" : "2024-01-01"
  },
  "payor" : [
    {
      🔗 "reference" : "Organization/fl-medicaid-example-1",
      "display" : "MyACCESS - Florida Medicaid"
    }
  ],
  "class" : [
    {
      "type" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/coverage-class",
            "code" : "group",
            "display" : "Group"
          }
        ],
        "text" : "Group"
      },
      "value" : "Farmworkers Union Group Plan"
    }
  ]
}