Data Exchange For Quality Measures Implementation Guide
4.0.0 - STU4 United States of America

This page is part of the Da Vinci Data Exchange for Quality Measures (DEQM) FHIR IG (v4.0.0: STU4 (v4.0.0)) based on FHIR R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

: Coverage01 - XML Representation

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<Coverage xmlns="http://hl7.org/fhir">
  <id value="coverage01"/>
  <meta>
    <versionId value="2"/>
    <lastUpdated value="2019-02-11T14:19:25.000+00:00"/>
    <source value="http://example.org/fhir/server"/>
    <profile
             value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-coverage"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: Coverage</b><a name="coverage01"> </a></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource Coverage &quot;coverage01&quot; Version &quot;2&quot; Updated &quot;2019-02-11 14:19:25+0000&quot; </p><p style="margin-bottom: 0px">Information Source: http://example.org/fhir/server!</p><p style="margin-bottom: 0px">Profile: <a href="http://hl7.org/fhir/us/qicore/STU5/StructureDefinition-qicore-coverage.html">QICore Coverage</a></p></div><p><b>status</b>: active</p><p><b>policyHolder</b>: <a href="Patient-patient01.html">Patient/patient01</a> &quot; WEBSTER&quot;</p><p><b>subscriber</b>: <a href="Patient-patient01.html">Patient/patient01</a> &quot; WEBSTER&quot;</p><p><b>subscriberId</b>: A123456789</p><p><b>beneficiary</b>: <a href="Patient-patient01.html">Patient/patient01</a> &quot; WEBSTER&quot;</p><p><b>relationship</b>: Self <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.2.0/CodeSystem-subscriber-relationship.html">SubscriberPolicyholder Relationship Codes</a>#self)</span></p><p><b>payor</b>: <a href="Organization-organization04.html">Organization/organization04</a> &quot;DVPayer04&quot;</p></div>
  </text>
  <status value="active"/>
  <policyHolder>
    <reference value="Patient/patient01"/>
  </policyHolder>
  <subscriber>
    <reference value="Patient/patient01"/>
  </subscriber>
  <subscriberId value="A123456789"/>
  <beneficiary>
    <reference value="Patient/patient01"/>
  </beneficiary>
  <relationship>
    <coding>
      <system
              value="http://terminology.hl7.org/CodeSystem/subscriber-relationship"/>
      <code value="self"/>
    </coding>
  </relationship>
  <payor>
    <reference value="Organization/organization04"/>
  </payor>
</Coverage>