Da Vinci Payer Data Exchange
1.0.0 - STU1

This page is part of the Da Vinci Payer Data Exchange (v1.0.0: STU1) 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

: ExampleCoverage - XML Representation

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<Coverage xmlns="http://hl7.org/fhir">
  <id value="883210"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2020-10-28T09:26:23.217+00:00"/>
    <profile
             value="http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/hrex-coverage"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></p><p><b>identifier</b>: id: 1039399818, id: 234567</p><p><b>status</b>: active</p><p><b>subscriberId</b>: 97531</p><p><b>beneficiary</b>: <a href="Patient-1.html">Generated Summary: language: en-US; Member Number: https://www.xxxhealthplan.com/fhir/memberidentifier#1234-234-1243-12345678901, Medical record number: 1234-234-1243-12345678901m, Health Plan Identifier: 1234-234-1243-12345678901u, Patient external identifier: 1234-234-1243-12345678901a; active; Johnny Appleseed ; Phone: (410)678-2323; gender: male; birthDate: 1986-01-01; <span title="Codes: {http://terminology.hl7.org/CodeSystem/v3-NullFlavor UNK}">unknown</span></a></p><p><b>payor</b>: <a href="Organization-2.html">Generated Summary: language: en-US; National Provider Identifier: 345678; active; name: Payer 1</a></p></div>
  </text>
  <identifier>
    <system value="http://example.org/someOrg/identifiers/whatever"/>
    <value value="1039399818"/>
  </identifier>
  <identifier>
    <system value="http://example.org/new-payer/identifiers/coverage"/>
    <value value="234567"/>
  </identifier>
  <status value="active"/>
  <subscriberId value="97531"/>
  <beneficiary>
    <reference value="Patient/1"/>
  </beneficiary>
  <payor>
    <reference value="Organization/2"/>
  </payor>
</Coverage>