Dental Data Exchange
0.1.0 - STU1 Ballot

This page is part of the Dental Data Exchange (v0.1.0: STU 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: Coverage (example)

Generated Narrative

id: Dental-Aetna

meta:

identifier: id: 12345

status: active

type: dental care policy

subscriber: Generated Summary: id: example-dental; Medical Record Number: 5152020 (USUAL); active; Patient A ; ph: 123-456-7890(HOME), testA@email.com; gender: male; birthDate: 1990-01-01

subscriberId: 123456

beneficiary: Generated Summary: id: example-dental; Medical Record Number: 5152020 (USUAL); active; Patient A ; ph: 123-456-7890(HOME), testA@email.com; gender: male; birthDate: 1990-01-01

dependent: 0

relationship: Self

period: 2020-01-01 --> 2020-01-01

payor: Generated Summary: id: Aetna-organization; id: 9316452725; active; Payer; name: Aetna Insurance; ph: (+1) 720-677-7777, customer2-service@Aetna.org

Classes

-TypeValueName
*PlanB37FCAetna Full Coverage: Medical, Dental, Pharmacy, Vision, EHC