This page is part of the Da Vinci Data Exchange for Quality Measures (DEQM) FHIR IG (v1.1.0: STU 2 Ballot 1) based on FHIR R4. The current version which supercedes this version is 3.1.0. For a full list of available versions, see the Directory of published versions

• Narrative Content
• XML
• JSON

JSON Format: Coverage-coverage02

Download Raw json

{
  "resourceType" : "Coverage",
  "id" : "coverage02",
  "meta" : {
    "versionId" : "2",
    "lastUpdated" : "2019-03-06T19:03:03.000+00:00",
    "profile" : [
      "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/coverage-deqm"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: coverage02</p><p><b>meta</b>: </p><p><b>status</b>: active</p><p><b>policyHolder</b>: <a href=\"Patient-patient02.html\">Generated Summary: id: patient02; Medical record number = 23456 (USUAL); active; Darien Bernard (OFFICIAL); gender: male; birthDate: 1967-06-13; <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v3-MaritalStatus M}\">Married</span></a></p><p><b>subscriber</b>: <a href=\"Patient-patient02.html\">Generated Summary: id: patient02; Medical record number = 23456 (USUAL); active; Darien Bernard (OFFICIAL); gender: male; birthDate: 1967-06-13; <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v3-MaritalStatus M}\">Married</span></a></p><p><b>subscriberId</b>: B123456789</p><p><b>beneficiary</b>: <a href=\"Patient-patient02.html\">Generated Summary: id: patient02; Medical record number = 23456 (USUAL); active; Darien Bernard (OFFICIAL); gender: male; birthDate: 1967-06-13; <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v3-MaritalStatus M}\">Married</span></a></p><p><b>relationship</b>: self <span style=\"background: LightGoldenRodYellow\">(Details : {[not stated] code 'self' = 'self)</span></p><p><b>payor</b>: <a href=\"Organization-organization04.html\">Generated Summary: id: organization04; Tax ID number = 456789123 (OFFICIAL); active; <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/organization-type ins}\">Insurance Company</span>; name: DVPayer04; ph: (+1) 616-555-1212</a></p></div>"
  },
  "status" : "active",
  "policyHolder" : {
    "reference" : "Patient/patient02"
  },
  "subscriber" : {
    "reference" : "Patient/patient02"
  },
  "subscriberId" : "B123456789",
  "beneficiary" : {
    "reference" : "Patient/patient02"
  },
  "relationship" : {
    "coding" : [
      {
        "code" : "self"
      }
    ]
  },
  "payor" : [
    {
      "reference" : "Organization/organization04"
    }
  ]
}