HL7.FHIR.US.DAVINCI-CRD\Coverage example - FHIR v4.0.1

Da Vinci - Coverage Requirements Discovery
1.0.0 - STU 1

This page is part of the Da Vinci Coverage Requirements Discovery (CRD) FHIR IG (v1.0.0: STU 1) based on FHIR R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

Example Coverage: Coverage example

Generated Narrative

identifier: id: 12345

status: active

type: extended healthcare

policyHolder: http://example.org/FHIR/Organization/CBI35

subscriber: Generated Summary: Medical Record Number: 1032702 (USUAL); active; Amy V. Shaw , Amy V. Baxter ; Phone: 555-555-5555, amy.shaw@example.com; gender: female; birthDate: 1987-02-20

beneficiary: Generated Summary: Medical Record Number: 1032702 (USUAL); active; Amy V. Shaw , Amy V. Baxter ; Phone: 555-555-5555, amy.shaw@example.com; gender: female; birthDate: 1987-02-20

dependent: 0

relationship: Self

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

payor: Payer XYZ

Classes

-

Type

Value

Name

*

Group

CB135

Corporate Baker's Inc. Local #35