This page is part of the Quality Improvement Core Framework (v7.0.0-ballot: STU7 (v7.0.0) Ballot 1) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 6.0.0. For a full list of available versions, see the Directory of published versions
: Coverage example - Subscriber ID - TTL Representation
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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .
# - resource -------------------------------------------------------------------
a fhir:Coverage ;
fhir:nodeRole fhir:treeRoot ;
fhir:id [ fhir:v "example-new"] ; #
fhir:meta [
( fhir:profile [
fhir:v "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-coverage"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-coverage> ] )
] ; #
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Coverage example-new</b></p><a name=\"example-new\"> </a><a name=\"hcexample-new\"> </a><a name=\"example-new-en-US\"> </a><p><b>identifier</b>: Member Number/?ngen-9?</p><p><b>status</b>: Active</p><p><b>type</b>: <span title=\"Codes:{https://nahdo.org/sopt 59}\">Other Private Insurance</span></p><p><b>policyHolder</b>: <a href=\"Patient-example.html\">Jim Chalmers Male, DoB: 1974-12-25 ( Medical record number (use: usual, period: 2001-05-06 --> (ongoing)))</a></p><p><b>subscriber</b>: <a href=\"Patient-example.html\">Jim Chalmers Male, DoB: 1974-12-25 ( Medical record number (use: usual, period: 2001-05-06 --> (ongoing)))</a></p><p><b>subscriberId</b>: 12191</p><p><b>beneficiary</b>: <a href=\"Patient-example.html\">Jim Chalmers Male, DoB: 1974-12-25 ( Medical record number (use: usual, period: 2001-05-06 --> (ongoing)))</a></p><p><b>dependent</b>: 0</p><p><b>relationship</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/subscriber-relationship self}\">Self</span></p><p><b>period</b>: 2011-05-23 --> 2012-05-23</p><p><b>payor</b>: <a href=\"Organization-example.html\">Organization Health Level Seven International</a></p><p><b>order</b>: 9</p></div>"
] ; #
fhir:identifier ( [
fhir:type [
( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ] ;
fhir:code [ fhir:v "MB" ] ] ) ]
] ) ; #
fhir:status [ fhir:v "active"] ; #
fhir:type [
( fhir:coding [
fhir:system [ fhir:v "https://nahdo.org/sopt"^^xsd:anyURI ] ;
fhir:code [ fhir:v "59" ] ;
fhir:display [ fhir:v "Other Private Insurance" ] ] )
] ; #
fhir:policyHolder [
fhir:reference [ fhir:v "Patient/example" ]
] ; #
fhir:subscriber [
fhir:reference [ fhir:v "Patient/example" ]
] ; #
fhir:subscriberId [ fhir:v "12191"] ; #
fhir:beneficiary [
fhir:reference [ fhir:v "Patient/example" ]
] ; #
fhir:dependent [ fhir:v "0"] ; #
fhir:relationship [
( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/subscriber-relationship"^^xsd:anyURI ] ;
fhir:code [ fhir:v "self" ] ] )
] ; #
fhir:period [
fhir:start [ fhir:v "2011-05-23"^^xsd:date ] ;
fhir:end [ fhir:v "2012-05-23"^^xsd:date ]
] ; #
fhir:payor ( [
fhir:reference [ fhir:v "Organization/example" ]
] ) ; #
fhir:order [ fhir:v "9"^^xsd:positiveInteger] . # No longer part of the Coverage resource in R4, not clear how to represent this in the R4 resource , grouping>
# <group value="CBI35"/>
# <groupDisplay value="Corporate Baker's Inc. Local #35"/>
# <subGroup value="123"/>
# <subGroupDisplay value="Trainee Part-time Benefits"/>
# <plan value="B37FC"/>
# <planDisplay value="Full Coverage: Medical, Dental, Pharmacy, Vision, EHC"/>
# <subPlan value="P7"/>
# <subPlanDisplay value="Includes afterlife benefits"/>
# <class value="SILVER"/>
# <classDisplay value="Silver: Family Plan spouse only"/>
# <subClass value="Tier2"/>
# <subClassDisplay value="Low deductable, max $20 copay"/>
# </grouping
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