haau3 FHIR Implementation Guide (HFIG)
0.1.0 - ci-build
haau3 FHIR Implementation Guide (HFIG)
0.1.0 - ci-build
haau3 FHIR Implementation Guide (HFIG), published by haau3. 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/haau3/fhir-ig/ and changes regularly. See the Directory of published versions
{
"resourceType" : "Coverage",
"id" : "ef9b8f50-083d-4b82-9b48-ab4f372d6c59",
"meta" : {
"source" : "bluebutton",
"profile" : [
🔗 "https://haau3.com/fhir/StructureDefinition/haau3-coverage"🔗 ,
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-coverage|6.1.0"🔗 ,
"http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Coverage"
],
"tag" : [
{
"system" : "https://haau3.com/fhir/CodeSystem/source-system",
"code" : "bluebutton",
"display" : "Imported from CMS Blue Button API"
},
{
"system" : "https://haau3.com/fhir/CodeSystem/source-system",
"code" : "bluebutton",
"display" : "CMS Blue Button"
},
{
"system" : "https://haau3.com/fhir/CodeSystem/enrichment",
"version" : "1.0.0",
"code" : "coverage.cms-payor-binding",
"display" : "Bind Blue Button Coverage.payor to canonical CMS Organization (Organization/cms)"
}
]
},
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Coverage ef9b8f50-083d-4b82-9b48-ab4f372d6c59</b></p><a name=\"ef9b8f50-083d-4b82-9b48-ab4f372d6c59\"> </a><a name=\"hcef9b8f50-083d-4b82-9b48-ab4f372d6c59\"> </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\">Information Source: <a href=\"https://simplifier.net/resolve?scope=hl7.fhir.us.carin-bb@2.1.0&canonical=http://hl7.org/fhir/us/core/3.1.1/bluebutton\">bluebutton</a></p><p style=\"margin-bottom: 0px\">Profiles: <a href=\"StructureDefinition-haau3-coverage.html\">Coverage</a>, <a href=\"http://hl7.org/fhir/us/core/STU6.1/StructureDefinition-us-core-coverage.html\">US Core Coverage Profileversion: null6.1.0)</a>, <a href=\"http://hl7.org/fhir/us/carin-bb/STU2.1/StructureDefinition-C4BB-Coverage.html\">C4BB Coverage</a></p><p style=\"margin-bottom: 0px\">Tags: Imported from CMS Blue Button API (Details: haau3 Source System Codes code bluebutton = 'Imported from CMS Blue Button API'), CMS Blue Button (Details: haau3 Source System Codes code bluebutton = 'CMS Blue Button'), Bind Blue Button Coverage.payor to canonical CMS Organization (Organization/cms) (Details: haau3 Enrichment Tags code coverage.cms-payor-binding = 'Bind Blue Button Coverage.payor to canonical CMS Organization (Organization/cms)')</p></div><p><b>gov/resources/variables/ptc_cntrct_id_01</b>: ptc_cntrct_id_01: Y0008 (Y0008)</p><p><b>gov/resources/variables/ptc_cntrct_id_02</b>: ptc_cntrct_id_02: Y0008 (Y0008)</p><p><b>gov/resources/variables/ptc_cntrct_id_03</b>: ptc_cntrct_id_03: Y0008 (Y0008)</p><p><b>gov/resources/variables/ptc_pbp_id_01</b>: ptc_pbp_id_01: 803 (803)</p><p><b>gov/resources/variables/ptc_pbp_id_02</b>: ptc_pbp_id_02: 803 (803)</p><p><b>gov/resources/variables/ptc_pbp_id_03</b>: ptc_pbp_id_03: 803 (803)</p><p><b>gov/resources/variables/rfrnc_yr</b>: 2025</p><p><b>gov/resources/variables/dual_01</b>: dual_01: NA (Non-Medicaid)</p><p><b>gov/resources/variables/dual_02</b>: dual_02: NA (Non-Medicaid)</p><p><b>gov/resources/variables/dual_03</b>: dual_03: NA (Non-Medicaid)</p><p><b>identifier</b>: <a href=\"NamingSystem-haau3-coverage-id.html\" title=\"Stable coverage id namespace for normalized haau3 coverage entries\">Haau3CoverageId</a>/cms-medicare-part-c-1S00EU7JH19</p><p><b>status</b>: Active</p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ActCode SUBSIDIZ}\">subsidized health program</span></p><p><b>subscriberId</b>: 1S00EU7JH19</p><p><b>beneficiary</b>: <a href=\"Patient-grandma-fung.html\">Grandma Fung Female, DoB: 1911-01-01 ( https://haau3.com/fhir/NamingSystem/haau3-patient-id#Haau3PatientId#pat-12345)</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-cms.html\">Centers for Medicare & Medicaid Services (CMS)</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>: Medicare</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>: Part C</p></blockquote></div>"
},
"extension" : [
{
"url" : "https://bluebutton.cms.gov/resources/variables/ptc_cntrct_id_01",
"valueCoding" : {
"system" : "https://bluebutton.cms.gov/resources/variables/ptc_cntrct_id_01",
"code" : "Y0008"
}
},
{
"url" : "https://bluebutton.cms.gov/resources/variables/ptc_cntrct_id_02",
"valueCoding" : {
"system" : "https://bluebutton.cms.gov/resources/variables/ptc_cntrct_id_02",
"code" : "Y0008"
}
},
{
"url" : "https://bluebutton.cms.gov/resources/variables/ptc_cntrct_id_03",
"valueCoding" : {
"system" : "https://bluebutton.cms.gov/resources/variables/ptc_cntrct_id_03",
"code" : "Y0008"
}
},
{
"url" : "https://bluebutton.cms.gov/resources/variables/ptc_pbp_id_01",
"valueCoding" : {
"system" : "https://bluebutton.cms.gov/resources/variables/ptc_pbp_id_01",
"code" : "803"
}
},
{
"url" : "https://bluebutton.cms.gov/resources/variables/ptc_pbp_id_02",
"valueCoding" : {
"system" : "https://bluebutton.cms.gov/resources/variables/ptc_pbp_id_02",
"code" : "803"
}
},
{
"url" : "https://bluebutton.cms.gov/resources/variables/ptc_pbp_id_03",
"valueCoding" : {
"system" : "https://bluebutton.cms.gov/resources/variables/ptc_pbp_id_03",
"code" : "803"
}
},
{
"url" : "https://bluebutton.cms.gov/resources/variables/rfrnc_yr",
"valueDate" : "2025"
},
{
"url" : "https://bluebutton.cms.gov/resources/variables/dual_01",
"valueCoding" : {
"system" : "https://bluebutton.cms.gov/resources/variables/dual_01",
"code" : "NA",
"display" : "Non-Medicaid"
}
},
{
"url" : "https://bluebutton.cms.gov/resources/variables/dual_02",
"valueCoding" : {
"system" : "https://bluebutton.cms.gov/resources/variables/dual_02",
"code" : "NA",
"display" : "Non-Medicaid"
}
},
{
"url" : "https://bluebutton.cms.gov/resources/variables/dual_03",
"valueCoding" : {
"system" : "https://bluebutton.cms.gov/resources/variables/dual_03",
"code" : "NA",
"display" : "Non-Medicaid"
}
}
],
"identifier" : [
{
"system" : "https://haau3.com/fhir/NamingSystem/haau3-coverage-id",
"value" : "cms-medicare-part-c-1S00EU7JH19"
}
],
"status" : "active",
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code" : "SUBSIDIZ"
}
]
},
"subscriberId" : "1S00EU7JH19",
"beneficiary" : {
🔗 "reference" : "Patient/grandma-fung"
},
"relationship" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/subscriber-relationship",
"code" : "self",
"display" : "Self"
}
]
},
"payor" : [
{
🔗 "reference" : "Organization/cms",
"type" : "Organization",
"display" : "Centers for Medicare & Medicaid Services (CMS)"
}
],
"class" : [
{
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/coverage-class",
"code" : "group",
"display" : "Group"
}
]
},
"value" : "Medicare"
},
{
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/coverage-class",
"code" : "plan",
"display" : "Plan"
}
]
},
"value" : "Part C"
}
]
}