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

• Content
• XML
• JSON

XML Format: Coverage-Coverage1

Raw xml

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