Da Vinci Alerts Implementation Guide (Release 0.1.0 STU1 Ballot)

This page is part of the Da Vinci Unsolicited Notifications (v1.0.0: STU1) based on FHIR R4. This is the current published version. For a full list of available versions, see the Directory of published versions

Coverage/example-1

Generated Narrative with Details

id: example-1

identifier: DZW9200000000

status: active

type: health insurance plan policy (Details : {http://terminology.hl7.org/CodeSystem/v3-ActCode code 'HIP' = 'health insurance plan policy', given as 'health insurance plan policy'})

subscriber: First M LastName Jr. Generated Summary: id: example; Medical Record Number = 1032702 (USUAL); active; Amy V. Shaw ; ph: 555-555-5555(HOME), amy.shaw@example.com; gender: female; birthDate: Feb 20, 2007

subscriberId: DZW9200000000

beneficiary: Generated Summary: id: example; Medical Record Number = 1032702 (USUAL); active; Amy V. Shaw ; ph: 555-555-5555(HOME), amy.shaw@example.com; gender: female; birthDate: Feb 20, 2007

relationship: Self (Details : {http://terminology.hl7.org/CodeSystem/subscriber-relationship code 'self' = 'Self', given as 'Self'})

period: Jan 1, 2016 12:00:00 AM --> (ongoing)

payor: Anthem Blue Cross of California

Classes

-TypeValueName
*Plan (Details : {http://terminology.hl7.org/CodeSystem/coverage-class code 'plan' = 'Plan)1FZQAnthem Bronze 60 D HSA PPO