QI-Core Implementation Guide
7.0.2 - STU 7

QI-Core Implementation Guide - Downloaded Version 7.0.2 See the Directory of published versions

## Example Coverage: Coverage example

Page standards status: Informative

Profile: QICore Coverage

identifier: Member Number/?ngen-9?

status: Active

type: Other Private Insurance

policyHolder: Jim Chalmers Male, DoB: 1974-12-25 ( Medical record number (use: usual, period: 2001-05-06 --> (ongoing)))

subscriber: Jim Chalmers Male, DoB: 1974-12-25 ( Medical record number (use: usual, period: 2001-05-06 --> (ongoing)))

beneficiary: Jim Chalmers Male, DoB: 1974-12-25 ( Medical record number (use: usual, period: 2001-05-06 --> (ongoing)))

dependent: 0

relationship: Self

period: 2011-05-23 --> 2012-05-23

payor: Organization Health Level Seven International

order: 9