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 - XML Representation

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<Coverage xmlns="http://hl7.org/fhir">
  <id value="medicaid-coverage-example-1"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-coverage"/>
  </meta>
  <text>
    <status value="generated"/>
    <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: 1032702 (use: usual, ))</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>
  </text>
  <identifier>
    <type>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
        <code value="MB"/>
        <display value="Member Number"/>
      </coding>
    </type>
    <system value="http://example.org/fhir/memberidentifier"/>
    <value value="88800933501"/>
  </identifier>
  <status value="active"/>
  <type>
    <coding>
      <system value="https://nahdo.org/sopt"/>
      <code value="2"/>
      <display value="Medicaid"/>
    </coding>
    <text value="Medicaid"/>
  </type>
  <subscriberId value="888009335"/>
  <beneficiary>🔗 
    <reference value="Patient/bh-patient-example"/>
  </beneficiary>
  <relationship>
    <coding>
      <system
              value="http://terminology.hl7.org/CodeSystem/subscriber-relationship"/>
      <code value="self"/>
    </coding>
    <text value="Self"/>
  </relationship>
  <period>
    <start value="2024-01-01"/>
  </period>
  <payor>🔗 
    <reference value="Organization/fl-medicaid-example-1"/>
    <display value="MyACCESS - Florida Medicaid"/>
  </payor>
  <class>
    <type>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/coverage-class"/>
        <code value="group"/>
        <display value="Group"/>
      </coding>
      <text value="Group"/>
    </type>
    <value value="Farmworkers Union Group Plan"/>
  </class>
</Coverage>