Coverage - FHIR v0.4.0

This page is part of the FHIR Specification (v0.0.82: DSTU 1). 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

7.3.5 Resource Coverage - Examples

7.3.5.1 General-Primary

General Person Primary Coverage Example (id = "9876B1")

Raw XML

<Coverage xmlns="http://hl7.org/fhir">
  <id value="9876B1"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><!-- Snipped for brevity --></div>
  </text>
  <issuer>
    <reference value="Organization/2"/>
  </issuer>
  <period>
    <start value="2011-05-23"/>
    <end value="2012-05-23"/>
  </period>
  <type>
    <system value="http://hl7.org/fhir/v3/ActCode"/>
    <code value="EHCPOL"/>
    <display value="extended healthcare"/>
  </type>
  <identifier>
    <system value="http://benefitsinc.com/certificate"/>
    <value value="12345"/>
  </identifier>
  <plan value="CBI35"/>
  <subPlan value="123"/>
  <dependent value="0"/>
  <sequence value="1"/>
  <subscriber>
    <reference value="Patient/4"/>
  </subscriber>
</Coverage>

General Person Primary Coverage Example

Raw JSON (Canonical)

{
  "resourceType": "Coverage",
  "id": "9876B1",
  "text": {
    "status": "generated",
    "div": "<div>!-- Snipped for Brevity --></div>"
  },
  "issuer": {
    "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"
  },
  "identifier": [
    {
      "system": "http://benefitsinc.com/certificate",
      "value": "12345"
    }
  ],
  "plan": "CBI35",
  "subPlan": "123",
  "dependent": 0,
  "sequence": 1,
  "subscriber": {
    "reference": "Patient/4"
  }
}

7.3.5.2 General-Secondary

General Person Secondary Coverage Example (id = "7546D")

Raw XML

<Coverage xmlns="http://hl7.org/fhir">
  <id value="7546D"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><!-- Snipped for brevity --></div>
  </text>
  <issuer>
    <reference value="Organization/2"/>
  </issuer>
  <period>
    <start value="2011-03-17"/>
    <end value="2012-03-17"/>
  </period>
  <type>
    <system value="http://hl7.org/fhir/v3/ActCode"/>
    <code value="EHCPOL"/>
    <display value="extended healthcare"/>
  </type>
  <identifier>
    <system value="http://xyz.com/codes/identifier"/>
    <value value="AB9876"/>
  </identifier>
  <plan value="11024"/>
  <subPlan value="D15C9"/>
  <dependent value="1"/>
  <subscriber>
    <reference value="Patient/5"/>
  </subscriber>
</Coverage>

General Person Secondary Coverage Example

Raw JSON (Canonical)

{
  "resourceType": "Coverage",
  "id": "7546D",
  "text": {
    "status": "generated",
    "div": "<div>!-- Snipped for Brevity --></div>"
  },
  "issuer": {
    "reference": "Organization/2"
  },
  "period": {
    "start": "2011-03-17",
    "end": "2012-03-17"
  },
  "type": {
    "system": "http://hl7.org/fhir/v3/ActCode",
    "code": "EHCPOL",
    "display": "extended healthcare"
  },
  "identifier": [
    {
      "system": "http://xyz.com/codes/identifier",
      "value": "AB9876"
    }
  ],
  "plan": "11024",
  "subPlan": "D15C9",
  "dependent": 1,
  "subscriber": {
    "reference": "Patient/5"
  }
}

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.

General Person Primary Coverage Example	XML	JSON
General Person Secondary Coverage Example	XML	JSON