Da Vinci Health Record Exchange (HRex)
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This page is part of the Da Vinci Health Record Exchange (v1.1.0: STU 1.1) 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

: HRex Coverage full example - JSON Representation

Page standards status: Informative

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{
  "resourceType" : "Coverage",
  "id" : "full",
  "meta" : {
    "profile" : [
      🔗 "http://hl7.org/fhir/us/davinci-hrex/StructureDefinition/hrex-coverage"
    ]
  },
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Coverage full</b></p><a name=\"full\"> </a><a name=\"hcfull\"> </a><a name=\"full-en-US\"> </a><p><b>Coverage Da Vinci Wellknown Endpoint</b>: <a href=\"https://simplifier.net/resolve?scope=hl7.fhir.us.core.v610@6.1.0&amp;canonical=http://somepayer.org/.well-known/davinci-configuration\">http://somepayer.org/.well-known/davinci-configuration</a></p><p><b>identifier</b>: Member Number/234567</p><p><b>status</b>: Active</p><p><b>type</b>: <span title=\"Codes:{https://nahdo.org/sopt 2}\">MEDICAID</span></p><p><b>subscriberId</b>: 97531</p><p><b>beneficiary</b>: <a href=\"https://simplifier.net/resolve?scope=hl7.fhir.us.core.v610@6.1.0&amp;canonical=http://example.org/new-payer/fhir/Patient/pat1\">??</a></p><p><b>relationship</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/subscriber-relationship self}\">Self</span></p><p><b>period</b>: 2021-01-01 --&gt; 2021-12-31</p><p><b>payor</b>: <a href=\"Organization-full.html\">Organization New Health Plan</a></p></div>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/us/davinci-hrex/StructureDefinition/extension-CoverageDavinciWellknownLocation",
      "valueUri" : "http://somepayer.org/.well-known/davinci-configuration"
    }
  ],
  "identifier" : [
    {
      "type" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code" : "MB"
          }
        ]
      },
      "system" : "http://example.org/new-payer/identifiers/coverage",
      "value" : "234567"
    }
  ],
  "status" : "active",
  "type" : {
    "coding" : [
      {
        "system" : "https://nahdo.org/sopt",
        "code" : "2",
        "display" : "MEDICAID"
      }
    ]
  },
  "subscriberId" : "97531",
  "beneficiary" : {
    "reference" : "http://example.org/new-payer/fhir/Patient/pat1"
  },
  "relationship" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/subscriber-relationship",
        "code" : "self"
      }
    ]
  },
  "period" : {
    "start" : "2021-01-01",
    "end" : "2021-12-31"
  },
  "payor" : [
    {
      🔗 "reference" : "Organization/full"
    }
  ]
}