Da Vinci - Documentation Templates and Rules
2.0.1 - STU 2 United States of America flag

This page is part of the Documentation Templates and Rules (v2.0.1: STU 2.0) based on FHIR (HL7® FHIR® Standard) 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

Example Coverage: CoverageExample

Page standards status: Informative

Generated Narrative: Coverage

Resource Coverage "CoverageExample"

Profile: CRD Coverage

status: active

subscriber: Patient/examplepatient

subscriberId: PFP123450000

beneficiary: Patient/examplepatient

relationship: Self (SubscriberPolicyholder Relationship Codes#self)

period: 2022-01-01 --> 2023-01-01

payor:

active: true

type: Payer (Organization type#pay)

name: Insurance Company

telecom: ph: 860-547-5001(WORK)

address: 680 Asylum Street Hartford CT 06155 US

Classes

-TypeValueName
*Plan (Coverage Class Codes#plan)Premim Family PlusPremim Family Plus Plan

Generated Narrative: Organization #OrgExample

active: true

type: Payer (Organization type#pay)

name: Insurance Company

telecom: ph: 860-547-5001(WORK)

address: 680 Asylum Street Hartford CT 06155 US