Coverage/example

Formats: Narrative, XML, JSON, Turtle

Raw json

{
  "resourceType" : "Coverage",
  "id" : "example",
  "meta" : {
    "profile" : [
      "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-coverage"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: example</p><p><b>meta</b>: </p><p><b>identifier</b>: 12345</p><p><b>status</b>: active</p><p><b>type</b>: Other Private Insurance <span style=\"background: LightGoldenRodYellow\">(Details : {urn:oid:2.16.840.1.113883.3.221.5 code '59' = '59', given as 'Other Private Insurance'})</span></p><p><b>policyHolder</b>: <a href=\"Patient-example.html\">Generated Summary: id: example; Medical record number = 12345 (USUAL); active; Peter James Chalmers (OFFICIAL), Jim Chalmers , Peter James Windsor (MAIDEN); ph: (03) 5555 6473(WORK), ph: (03) 3410 5613(MOBILE), ph: (03) 5555 8834(OLD); gender: male; birthDate: 1974-12-25; </a></p><p><b>subscriber</b>: <a href=\"Patient-example.html\">Generated Summary: id: example; Medical record number = 12345 (USUAL); active; Peter James Chalmers (OFFICIAL), Jim Chalmers , Peter James Windsor (MAIDEN); ph: (03) 5555 6473(WORK), ph: (03) 3410 5613(MOBILE), ph: (03) 5555 8834(OLD); gender: male; birthDate: 1974-12-25; </a></p><p><b>beneficiary</b>: <a href=\"Patient-example.html\">Generated Summary: id: example; Medical record number = 12345 (USUAL); active; Peter James Chalmers (OFFICIAL), Jim Chalmers , Peter James Windsor (MAIDEN); ph: (03) 5555 6473(WORK), ph: (03) 3410 5613(MOBILE), ph: (03) 5555 8834(OLD); gender: male; birthDate: 1974-12-25; </a></p><p><b>dependent</b>: 0</p><p><b>relationship</b>: self <span style=\"background: LightGoldenRodYellow\">(Details : {[not stated] code 'self' = 'self)</span></p><p><b>period</b>: May 23, 2011 12:00:00 AM --&gt; May 23, 2012 12:00:00 AM</p><p><b>payor</b>: <a href=\"Organization-example.html\">Generated Summary: id: example; ??; active; <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/organization-type team}\">Organizational team</span>; name: Health Level Seven International; ph: (+1) 734-677-7777, fax: (+1) 734-677-6622, hq@HL7.org</a></p><p><b>order</b>: 9</p></div>"
  },
  "identifier" : [
    {
      "system" : "http://benefitsinc.com/certificate",
      "value" : "12345"
    }
  ],
  "status" : "active",
  "type" : {
    "coding" : [
      {
        "system" : "urn:oid:2.16.840.1.113883.3.221.5",
        "code" : "59",
        "display" : "Other Private Insurance"
      }
    ]
  },
  "policyHolder" : {
    "reference" : "Patient/example"
  },
  "subscriber" : {
    "reference" : "Patient/example"
  },
  "beneficiary" : {
    "reference" : "Patient/example"
  },
  "dependent" : "0",
  "relationship" : {
    "coding" : [
      {
        "code" : "self"
      }
    ]
  },
  "period" : {
    "start" : "2011-05-23",
    "end" : "2012-05-23"
  },
  "payor" : [
    {
      "reference" : "Organization/example"
    }
  ],
  "order" : 9
}