Consumer-Directed Payer Data Exchange
- Release 0.1.0

This page is part of the CARIN Blue Button Implementation Guide (v0.1.0: STU 1 Ballot 1) based on FHIR R4. The current version which supercedes this version is 2.0.0. For a full list of available versions, see the Directory of published versions

JSON Format: Coverage-Coverage1

Raw json

{
  "resourceType" : "Coverage",
  "id" : "Coverage1",
  "meta" : {
    "versionId" : "2",
    "lastUpdated" : "2019-12-15T20:57:15.000-05:00",
    "profile" : [
      "http://hl7.org/fhir/us/carin/StructureDefinition/carin-bb-coverage"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n\t\t\t<p>\n\t\t\t\t<b>Generated Narrative with Details</b>\n\t\t\t</p>\n\t\t\t</div>"
  },
  "identifier" : [
    {
      "system" : "http://www.bcbs.com/fhir/ns/NamingSystem/insurance-xyz-coverage-identifier",
      "value" : "4B55-8EC3-43A4703CAD34"
    }
  ],
  "status" : "active",
  "type" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "code" : "EHCPOL",
        "display" : "extended healthcare"
      }
    ]
  },
  "subscriberId" : "235656886",
  "beneficiary" : {
    "reference" : "Patient/Patient1"
  },
  "relationship" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/subscriber-relationship",
        "code" : "self",
        "display" : "Self"
      }
    ]
  },
  "period" : {
    "start" : "2010-02-15",
    "end" : "2019-03-01"
  },
  "payor" : [
    {
      "reference" : "Organization/Org45"
    }
  ]
}