Health Care Surveys Reporting
2.0.0-ballot - STU 2 - Ballot United States of America flag

This page is part of the Making EHR Data MOre available for Research and Public Health (MedMorph) Healthcare Surveys Reporting Content IG (v2.0.0-ballot: STU 2 Ballot) based on FHIR (HL7® FHIR® Standard) R4. This version is a pre-release. The current official version is 1.0.0. For a full list of available versions, see the Directory of published versions

Example Coverage: Coverage Example 1

Page standards status: Informative

identifier: An identifier for the insured of an insurance policy (this insured always has a subscriber), usually assigned by the insurance carrier./88800933501

status: Active

policyHolder: Dominique369 Ledner144 Female, DoB: 1965-06-22 ( MRN: Alaska Driver's License#abc123 (use: usual, ))

subscriber: Dominique369 Ledner144 Female, DoB: 1965-06-22 ( MRN: Alaska Driver's License#abc123 (use: usual, ))

subscriberId: 888009335

beneficiary: Dominique369 Ledner144 Female, DoB: 1965-06-22 ( MRN: Alaska Driver's License#abc123 (use: usual, ))

dependent: 01

relationship: Self

period: 2020-01-01 --> (ongoing)

payor: UPMC Health Plan

class

type: An employee group

value: MCHMO1

name: MEDICARE HMO PLAN

class

type: A specific suite of benefits.

value: GR5

name: GR5-HMO DEDUCTIBLE

network: GR5-HMO DEDUCTIBLE