CARIN Digital Insurance Card
0.1.0 - STU 1 Ballot

This page is part of the CARIN Digital Insurance Card (v0.1.0: STU 1 Ballot 1) based on FHIR R4. The current version which supercedes this version is 1.0.0. For a full list of available versions, see the Directory of published versions

: Payer Organization Example 1 - XML Representation

Raw xml | Download



<Organization xmlns="http://hl7.org/fhir">
  <id value="Example-PayerOrganization1"/>
  <meta>
    <versionId value="4"/>
    <lastUpdated value="2021-08-16T14:08:24.329+00:00"/>
    <profile
             value="http://hl7.org/fhir/us/insurance-card/StructureDefinition/C4DIC-Organization"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></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 "Example-PayerOrganization1" Version "4" Updated "2021-08-16T14:08:24.329Z" </p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-C4DIC-Organization.html">C4DIC Organization</a></p></div><p><b>identifier</b>: Payer ID: 45002</p><p><b>active</b>: true</p><p><b>name</b>: Acme Insurance Co</p><blockquote><p><b>contact</b></p><p><b>purpose</b>: Pharmacists <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-C4DICExtendedContactTypeCS.html">C4DIC Extended Contact Type</a>#pharma)</span></p><p><b>telecom</b>: ph: 1-800-123-4988</p></blockquote><blockquote><p><b>contact</b></p><p><b>purpose</b>: Patient <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/3.0.0/CodeSystem-contactentity-type.html">Contact entity type</a>#PATINF)</span></p><p><b>telecom</b>: ph: 1-800-465-2222, <a href="http://acmeinsurance.com">http://acmeinsurance.com</a></p></blockquote><blockquote><p><b>contact</b></p><p><b>purpose</b>: Mail Order Pharmacy <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-C4DICExtendedContactTypeCS.html">C4DIC Extended Contact Type</a>#rxmailorder)</span></p><p><b>telecom</b>: ph: 1-888-466-1234</p></blockquote><blockquote><p><b>contact</b></p><p><b>purpose</b>: Provider Service <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-C4DICExtendedContactTypeCS.html">C4DIC Extended Contact Type</a>#provider)</span></p><p><b>telecom</b>: ph: 1-800-444-3333</p></blockquote><blockquote><p><b>contact</b></p><p><b>purpose</b>: Virtual Care Services <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-C4DICExtendedContactTypeCS.html">C4DIC Extended Contact Type</a>#virtual)</span></p><p><b>telecom</b>: <a href="http://virtualdoctor.com">http://virtualdoctor.com</a></p></blockquote><blockquote><p><b>contact</b></p><p><b>purpose</b>: Payor <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/3.0.0/CodeSystem-contactentity-type.html">Contact entity type</a>#PAYOR)</span></p><p><b>address</b>: P.O. Box 1111 Miami, FL 20222-4021</p></blockquote></div>
  </text>
  <identifier>
    <type>
      <coding>
        <system
                value="http://hl7.org/fhir/us/insurance-card/CodeSystem/C4DICIdentifierType"/>
        <code value="payerid"/>
      </coding>
    </type>
    <value value="45002"/>
  </identifier>
  <active value="true"/>
  <name value="Acme Insurance Co"/>
  <contact>
    <purpose>
      <coding>
        <system
                value="http://hl7.org/fhir/us/insurance-card/CodeSystem/C4DICExtendedContactTypeCS"/>
        <code value="pharma"/>
        <display value="Pharmacists"/>
      </coding>
    </purpose>
    <telecom>
      <system value="phone"/>
      <value value="1-800-123-4988"/>
    </telecom>
  </contact>
  <contact>
    <purpose>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/contactentity-type"/>
        <code value="PATINF"/>
        <display value="Patient"/>
      </coding>
    </purpose>
    <telecom>
      <system value="phone"/>
      <value value="1-800-465-2222"/>
    </telecom>
    <telecom>
      <system value="url"/>
      <value value="http://acmeinsurance.com"/>
    </telecom>
  </contact>
  <contact>
    <purpose>
      <coding>
        <system
                value="http://hl7.org/fhir/us/insurance-card/CodeSystem/C4DICExtendedContactTypeCS"/>
        <code value="rxmailorder"/>
        <display value="Mail Order Pharmacy"/>
      </coding>
    </purpose>
    <telecom>
      <system value="phone"/>
      <value value="1-888-466-1234"/>
    </telecom>
  </contact>
  <contact>
    <purpose>
      <coding>
        <system
                value="http://hl7.org/fhir/us/insurance-card/CodeSystem/C4DICExtendedContactTypeCS"/>
        <code value="provider"/>
        <display value="Provider Service"/>
      </coding>
    </purpose>
    <telecom>
      <system value="phone"/>
      <value value="1-800-444-3333"/>
    </telecom>
  </contact>
  <contact>
    <purpose>
      <coding>
        <system
                value="http://hl7.org/fhir/us/insurance-card/CodeSystem/C4DICExtendedContactTypeCS"/>
        <code value="virtual"/>
        <display value="Virtual Care Services"/>
      </coding>
    </purpose>
    <telecom>
      <system value="url"/>
      <value value="http://virtualdoctor.com"/>
    </telecom>
  </contact>
  <contact>
    <purpose>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/contactentity-type"/>
        <code value="PAYOR"/>
        <display value="Payor"/>
      </coding>
    </purpose>
    <address>
      <type value="postal"/>
      <text value="P.O. Box 1111 Miami, FL 20222-4021"/>
      <line value="P.O. Box 1111"/>
      <city value="Miami"/>
      <state value="FL"/>
      <postalCode value="20222-4021"/>
      <country value="US"/>
    </address>
  </contact>
</Organization>