STU 3 Ballot

This page is part of the FHIR Specification (v1.6.0: STU 3 Ballot 4). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3 R2

Coverage-example.json

Raw JSON (canonical form)

General Person Primary Coverage Example

{
  "resourceType": "Coverage",
  "id": "9876B1",
  "text": {
    "status": "generated",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">A human-readable rendering of the coverage</div>"
  },
  "status": "active",
  "issuerReference": {
    "reference": "Organization/2"
  },
  "period": {
    "start": "2011-05-23",
    "end": "2012-05-23"
  },
  "type": {
    "system": "http://hl7.org/fhir/v3/ActCode",
    "code": "EHCPOL",
    "display": "extended healthcare"
  },
  "planholderReference": {
    "reference": "Patient/4"
  },
  "beneficiaryReference": {
    "reference": "Patient/4"
  },
  "relationship": {
    "code": "self"
  },
  "identifier": [
    {
      "system": "http://benefitsinc.com/certificate",
      "value": "12345"
    }
  ],
  "plan": "CBI35",
  "subPlan": "123",
  "dependent": 1,
  "sequence": 1
}

Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.