Documentation Templates and Rules
1.1.0-ballot - STU 1.1 US

This page is part of the Documentation Templates and Rules (v1.1.0-ballot: STU 1.1 Ballot 1) based on FHIR R4. The current version which supercedes this version is 1.0.0. For a full list of available versions, see the Directory of published versions

Example Coverage: DTRCoverage1002

Generated Narrative

Resource "DTRCoverage1002"

Profile: DTR Coverage R4

PayerEndpoint: http://payer.com

status: active

subscriber: Patient/example1

subscriberId: PFP123450000

beneficiary: Patient/example1

relationship: Self (SubscriberPolicyholder Relationship Codes#self)

period: 2022-01-01 --> 2023-01-01

payor: Organization/org1001 "Insurance Company"

Classes

-TypeValueName
*Plan (Coverage Class Codes#plan)Premim Family PlusPremim Family Plus Plan

CostToBeneficiaries

-TypeValue[x]
*Copay Percentage (Coverage Copay Type Codes#copaypct)20

contract: Contract/contract1001