This page is part of the Quality Improvement Core Framework (v3.1.0: STU 3) based on FHIR R3. The current version which supercedes this version is 4.1.1. For a full list of available versions, see the Directory of published versions

Coverage-example

Formats: XML, JSON, Turtle

Generated Narrative with Details

id: example

meta:

identifier: 12345

status: active

type: extended healthcare (Details : {http://hl7.org/fhir/v3/ActCode code 'EHCPOL' = 'extended healthcare', given as 'extended healthcare'})

policyHolder: Generated Summary: id: example; Medical record number = 12345 (USUAL); active; Peter James Chalmers (OFFICIAL), Jim Chalmers , Peter James Windsor (MAIDEN); -unknown-(HOME), ph: (03) 5555 6473(WORK), ph: (03) 3410 5613(MOBILE), ph: (03) 5555 8834(OLD); gender: male; birthDate: 25/12/1974;

subscriber: Generated Summary: id: example; Medical record number = 12345 (USUAL); active; Peter James Chalmers (OFFICIAL), Jim Chalmers , Peter James Windsor (MAIDEN); -unknown-(HOME), ph: (03) 5555 6473(WORK), ph: (03) 3410 5613(MOBILE), ph: (03) 5555 8834(OLD); gender: male; birthDate: 25/12/1974;

beneficiary: Generated Summary: id: example; Medical record number = 12345 (USUAL); active; Peter James Chalmers (OFFICIAL), Jim Chalmers , Peter James Windsor (MAIDEN); -unknown-(HOME), ph: (03) 5555 6473(WORK), ph: (03) 3410 5613(MOBILE), ph: (03) 5555 8834(OLD); gender: male; birthDate: 25/12/1974;

relationship: self (Details : {[not stated] code 'self' = 'self)

period: 23/05/2011 12:00:00 AM --> 23/05/2012 12:00:00 AM

payor: Generated Summary: id: example; ??; active; Organizational team; name: Health Level Seven International; ph: (+1) 734-677-7777, fax: (+1) 734-677-6622, hq@HL7.org

Groupings

-GroupGroupDisplaySubGroupSubGroupDisplayPlanPlanDisplaySubPlanSubPlanDisplayClassClassDisplaySubClassSubClassDisplay
*CBI35Corporate Baker's Inc. Local #35123Trainee Part-time BenefitsB37FCFull Coverage: Medical, Dental, Pharmacy, Vision, EHCP7Includes afterlife benefitsSILVERSilver: Family Plan spouse onlyTier2Low deductable, max $20 copay

dependent: 0

sequence: 9