Da Vinci Unsolicited Notifications Implementation Guide (Release 0.2.0 STU1 Ballot)

This page is part of the Da Vinci Unsolicited Notifications (v0.2.0: STU 1 Ballot 1) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 1.1.0. For a full list of available versions, see the Directory of published versions

JSON Format: Coverage-admit-discharge-notification-coverage-01

Download Raw json 

{
  "resourceType" : "Coverage",
  "id" : "admit-discharge-notification-coverage-01",
  "meta" : {
    "profile" : [
      "http://hl7.org/fhir/us/davinci-alerts/StructureDefinition/admit-discharge-notification-coverage"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: admit-discharge-notification-coverage-01</p><p><b>meta</b>: </p><p><b>identifier</b>: DZW9200000000</p><p><b>status</b>: active</p><p><b>type</b>: health insurance plan policy <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/v3-ActCode code 'HIP' = 'health insurance plan policy', given as 'health insurance plan policy'})</span></p><p><b>subscriber</b>: <a href=\"urn:uuid:e442c924-df77-47fa-838f-24a8253bbdd4\">urn:uuid:e442c924-df77-47fa-838f-24a8253bbdd4</a></p><p><b>subscriberId</b>: DZW9200000000</p><p><b>beneficiary</b>: <a href=\"urn:uuid:e442c924-df77-47fa-838f-24a8253bbdd4\">urn:uuid:e442c924-df77-47fa-838f-24a8253bbdd4</a></p><p><b>relationship</b>: Self <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/subscriber-relationship code 'self' = 'Self', given as 'Self'})</span></p><p><b>period</b>: Jan 1, 2016 12:00:00 AM --&gt; (ongoing)</p><p><b>payor</b>: Anthem Blue Cross of California</p><h3>Classes</h3><table class=\"grid\"><tr><td>-</td><td><b>Type</b></td><td><b>Value</b></td><td><b>Name</b></td></tr><tr><td>*</td><td>Plan <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/coverage-class code 'plan' = 'Plan)</span></td><td>1FZQ</td><td>Bronze D HSA</td></tr></table></div>"
  },
  "identifier" : [
    {
      "system" : "https://www.anthem.com/ca",
      "value" : "DZW9200000000"
    }
  ],
  "status" : "active",
  "type" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "code" : "HIP",
        "display" : "health insurance plan policy"
      }
    ]
  },
  "subscriber" : {
    "reference" : "urn:uuid:e442c924-df77-47fa-838f-24a8253bbdd4"
  },
  "subscriberId" : "DZW9200000000",
  "beneficiary" : {
    "reference" : "urn:uuid:e442c924-df77-47fa-838f-24a8253bbdd4"
  },
  "relationship" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/subscriber-relationship",
        "code" : "self",
        "display" : "Self"
      }
    ]
  },
  "period" : {
    "start" : "2016-01-01"
  },
  "payor" : [
    {
      "display" : "Anthem Blue Cross of California"
    }
  ],
  "class" : [
    {
      "type" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/coverage-class",
            "code" : "plan"
          }
        ]
      },
      "value" : "1FZQ",
      "name" : "Bronze D HSA"
    }
  ]
}