DSTU2 FHIR Release 3 (STU)

This page is part of the FHIR Specification (v1.0.2: DSTU (v3.0.2: STU 2). 3). The current version which supercedes this version is 5.0.0 . For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3 R2 R3 R2

Coverage-example-2.json

Financial Management Work Group Maturity Level : N/A Ballot Status : Informative Compartments : Patient , RelatedPerson

Raw JSON ( canonical form )

General Person Secondary Coverage Example 

{
  "resourceType": "Coverage",
  "id": "7546D",
  "text": {
    "status": "generated",
    "div": "<div>A human-readable rendering of the coverage</div>"

    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">A human-readable rendering of the coverage</div>"

  },
  "issuer": {
    "reference": "Organization/2"

  "identifier": [
    {
      "system": "http://xyz.com/codes/identifier",
      "value": "AB98761"
    }
  ],
  "status": "active",
  "type": {
    "coding": [
      {
        "system": "http://hl7.org/fhir/v3/ActCode",
        "code": "EHCPOL",
        "display": "extended healthcare"
      }
    ]
  },
  "subscriber": {
    "reference": "Patient/5"
  },
  "subscriberId": "AB9876",
  "beneficiary": {
    "reference": "Patient/5"
  },
  "relationship": {
    "coding": [
      {
        "code": "self"
      }
    ]

  },
  "period": {
    "start": "2011-03-17",
    "end": "2012-03-17"
  },
  "type": {
    "system": "http://hl7.org/fhir/v3/ActCode",
    "code": "EHCPOL",
    "display": "extended healthcare"
  },
  "identifier": [

  "payor": [

    {
      "system": "http://xyz.com/codes/identifier",
      "value": "AB9876"

      "reference": "Organization/2"

    }
  ],
  "plan": "11024",
  "subPlan": "D15C9",
  "dependent": 1,
  "subscriber": {
    "reference": "Patient/5"
  }

  "grouping": {
    "group": "WESTAIR",
    "groupDisplay": "Western Airlines",
    "plan": "WESTAIR",
    "planDisplay": "Western Airlines",
    "subPlan": "D15C9",
    "subPlanDisplay": "Platinum"
  },
  "dependent": "1",
  "order": 2,
  "network": "5",
  "contract": [
    {
      "reference": "Contract/563818"
    }
  ]

}

Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.