Specialty Medication Enrollment
2.0.0-ballot - STU 2 Ballot US

This page is part of the Specialty Medication Enrollment (v2.0.0-ballot: STU2 Ballot 1) based on FHIR R4. . For a full list of available versions, see the Directory of published versions

: Specialty Rx Coverage 1 - JSON Representation

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{
  "resourceType" : "Coverage",
  "id" : "specialty-rx-coverage-1",
  "meta" : {
    "profile" : [
      "http://hl7.org/fhir/us/specialty-rx/StructureDefinition/specialty-rx-coverage"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Coverage</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 Coverage \"specialty-rx-coverage-1\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-specialty-rx-coverage.html\">Specialty Rx Coverage</a></p></div><p><b>status</b>: active</p><p><b>beneficiary</b>: <a href=\"Patient-specialty-rx-patient-1.html\">Patient/specialty-rx-patient-1</a> \" DOE\"</p><p><b>payor</b>: <span></span></p><blockquote><p><b>class</b></p><p><b>type</b>: RX BIN <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-coverage-class.html\">Coverage Class Codes</a>#rxbin)</span></p><p><b>value</b>: BIN001</p></blockquote><blockquote><p><b>class</b></p><p><b>type</b>: RX PCN <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-coverage-class.html\">Coverage Class Codes</a>#rxpcn)</span></p><p><b>value</b>: PCN002</p></blockquote><blockquote><p><b>class</b></p><p><b>type</b>: RX Group <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-coverage-class.html\">Coverage Class Codes</a>#rxgroup)</span></p><p><b>value</b>: GROUP0001</p></blockquote><blockquote><p><b>class</b></p><p><b>type</b>: RX Id <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-coverage-class.html\">Coverage Class Codes</a>#rxid)</span></p><p><b>value</b>: MEMBER000001</p></blockquote></div>"
  },
  "status" : "active",
  "beneficiary" : {
    "reference" : "Patient/specialty-rx-patient-1"
  },
  "payor" : [
    {
      "identifier" : {
        "value" : "Pharmacy Plans US"
      }
    }
  ],
  "class" : [
    {
      "type" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/coverage-class",
            "code" : "rxbin"
          }
        ]
      },
      "value" : "BIN001"
    },
    {
      "type" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/coverage-class",
            "code" : "rxpcn"
          }
        ]
      },
      "value" : "PCN002"
    },
    {
      "type" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/coverage-class",
            "code" : "rxgroup"
          }
        ]
      },
      "value" : "GROUP0001"
    },
    {
      "type" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/coverage-class",
            "code" : "rxid"
          }
        ]
      },
      "value" : "MEMBER000001"
    }
  ]
}