This page is part of the Data Exchange for Quality Measures (v1.0.0-ballot: STU 1 Ballot 1) based on FHIR (HL7® FHIR® Standard) R4. No current official version has been published yet. For a full list of available versions, see the Directory of published versions
| Page standards status: Informative |
version: 2; Last updated: 2019-02-11 14:19:25+0000; Language: en;
Information Source: http://example.org/fhir/server
Profile: QICore Coverage
status: Active
policyHolder: Jairo Webster (official) Male, DoB: 1946-12-16 ( Medical record number: 12345 (use: usual, ))
subscriber: Jairo Webster (official) Male, DoB: 1946-12-16 ( Medical record number: 12345 (use: usual, ))
subscriberId: A123456789
beneficiary: Jairo Webster (official) Male, DoB: 1946-12-16 ( Medical record number: 12345 (use: usual, ))
relationship: Self
payor: Organization DVPayer04