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
<Coverage xmlns="http://hl7.org/fhir">
<id value="ef9b8f50-083d-4b82-9b48-ab4f372d6c59"/>
<meta>
<source value="bluebutton"/>
<profile
value="https://haau3.com/fhir/StructureDefinition/haau3-coverage"/>
<profile
value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-coverage|6.1.0"/>
<profile
value="http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Coverage"/>
<tag>
<system value="https://haau3.com/fhir/CodeSystem/source-system"/>
<code value="bluebutton"/>
<display value="Imported from CMS Blue Button API"/>
</tag>
<tag>
<system value="https://haau3.com/fhir/CodeSystem/source-system"/>
<code value="bluebutton"/>
<display value="CMS Blue Button"/>
</tag>
<tag>
<system value="https://haau3.com/fhir/CodeSystem/enrichment"/>
<version value="1.0.0"/>
<code value="coverage.cms-payor-binding"/>
<display
value="Bind Blue Button Coverage.payor to canonical CMS Organization (Organization/cms)"/>
</tag>
</meta>
<text>
<status value="extensions"/>
<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>
</text>
<extension
url="https://bluebutton.cms.gov/resources/variables/ptc_cntrct_id_01">
<valueCoding>
<system
value="https://bluebutton.cms.gov/resources/variables/ptc_cntrct_id_01"/>
<code value="Y0008"/>
</valueCoding>
</extension>
<extension
url="https://bluebutton.cms.gov/resources/variables/ptc_cntrct_id_02">
<valueCoding>
<system
value="https://bluebutton.cms.gov/resources/variables/ptc_cntrct_id_02"/>
<code value="Y0008"/>
</valueCoding>
</extension>
<extension
url="https://bluebutton.cms.gov/resources/variables/ptc_cntrct_id_03">
<valueCoding>
<system
value="https://bluebutton.cms.gov/resources/variables/ptc_cntrct_id_03"/>
<code value="Y0008"/>
</valueCoding>
</extension>
<extension
url="https://bluebutton.cms.gov/resources/variables/ptc_pbp_id_01">
<valueCoding>
<system
value="https://bluebutton.cms.gov/resources/variables/ptc_pbp_id_01"/>
<code value="803"/>
</valueCoding>
</extension>
<extension
url="https://bluebutton.cms.gov/resources/variables/ptc_pbp_id_02">
<valueCoding>
<system
value="https://bluebutton.cms.gov/resources/variables/ptc_pbp_id_02"/>
<code value="803"/>
</valueCoding>
</extension>
<extension
url="https://bluebutton.cms.gov/resources/variables/ptc_pbp_id_03">
<valueCoding>
<system
value="https://bluebutton.cms.gov/resources/variables/ptc_pbp_id_03"/>
<code value="803"/>
</valueCoding>
</extension>
<extension url="https://bluebutton.cms.gov/resources/variables/rfrnc_yr">
<valueDate value="2025"/>
</extension>
<extension url="https://bluebutton.cms.gov/resources/variables/dual_01">
<valueCoding>
<system value="https://bluebutton.cms.gov/resources/variables/dual_01"/>
<code value="NA"/>
<display value="Non-Medicaid"/>
</valueCoding>
</extension>
<extension url="https://bluebutton.cms.gov/resources/variables/dual_02">
<valueCoding>
<system value="https://bluebutton.cms.gov/resources/variables/dual_02"/>
<code value="NA"/>
<display value="Non-Medicaid"/>
</valueCoding>
</extension>
<extension url="https://bluebutton.cms.gov/resources/variables/dual_03">
<valueCoding>
<system value="https://bluebutton.cms.gov/resources/variables/dual_03"/>
<code value="NA"/>
<display value="Non-Medicaid"/>
</valueCoding>
</extension>
<identifier>
<system value="https://haau3.com/fhir/NamingSystem/haau3-coverage-id"/>
<value value="cms-medicare-part-c-1S00EU7JH19"/>
</identifier>
<status value="active"/>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<code value="SUBSIDIZ"/>
</coding>
</type>
<subscriberId value="1S00EU7JH19"/>
<beneficiary>🔗
<reference value="Patient/grandma-fung"/>
</beneficiary>
<relationship>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/subscriber-relationship"/>
<code value="self"/>
<display value="Self"/>
</coding>
</relationship>
<payor>🔗
<reference value="Organization/cms"/>
<type value="Organization"/>
<display value="Centers for Medicare & Medicaid Services (CMS)"/>
</payor>
<class>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/coverage-class"/>
<code value="group"/>
<display value="Group"/>
</coding>
</type>
<value value="Medicare"/>
</class>
<class>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/coverage-class"/>
<code value="plan"/>
<display value="Plan"/>
</coding>
</type>
<value value="Part C"/>
</class>
</Coverage>