STU3 Candidate

This page is part of the FHIR Specification (v1.8.0: STU 3 Draft). 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-2.json

Raw JSON (canonical form)

General Person Secondary Coverage Example

{
  "resourceType": "Coverage",
  "id": "7546D",
  "text": {
    "status": "generated",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">A human-readable rendering of the coverage</div>"
  },
  "identifier": [
    {
      "system": "http://xyz.com/codes/identifier",
      "value": "AB9876"
    }
  ],
  "status": "active",
  "type": {
    "coding": [
      {
        "system": "http://hl7.org/fhir/v3/ActCode",
        "code": "EHCPOL",
        "display": "extended healthcare"
      }
    ]
  },
  "subscriber": {
    "reference": "Patient/5"
  },
  "beneficiary": {
    "reference": "Patient/5"
  },
  "relationship": {
    "coding": [
      {
        "code": "self"
      }
    ]
  },
  "period": {
    "start": "2011-03-17",
    "end": "2012-03-17"
  },
  "payor": [
    {
      "reference": "Organization/2"
    }
  ],
  "group": {
    "group": "WESTAIR",
    "groupDisplay": "Western Airlines",
    "plan": "WESTAIR",
    "planDisplay": "Western Airlines",
    "subPlan": "D15C9",
    "subPlanDisplay": "Platinum"
  },
  "dependent": "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.