Qi-Core Implementation Guide (Release 2.1 Trial-Use Ballot)

This page is part of the Quality Improvement Core Framework (v2.1.0: STU 3 Ballot 1) based on FHIR R3. The current version which supercedes this version is 4.1.1. For a full list of available versions, see the Directory of published versions

Coverage-qicore-coverage-example

Formats: XML, JSON, Turtle

A human-readable rendering of the coverage

identifier: 12345

status: active

code: ActCode (Details: { FHIR code 'EHCPOL' = 'extended healthcare' })

policyHolder: Organization/example

subscriber: Patient/example

beneficiary: Patient/example

relationship: self

period

start: 05/23/2011

start: 05/23/2012

organization: Organization/example

grouping

group: Corporate Baker's Inc. Local #35

subGroup: Trainee Part-time Benefits

plan: Full Coverage: Medical, Dental, Pharmacy, Vision, EHC

subPlan: Includes afterlife benefits

class: Silver: Family Plan spouse only

subClass: Low deductable, max $20 copay

dependent: 0

sequence: 9