LinuxForHealth FHIR Implementation Guide
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LinuxForHealth FHIR Implementation Guide - Local Development build (v8.0.0). See the Directory of published versions

: Coverage Deceased Example - JSON Representation

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{
  "resourceType" : "Coverage",
  "id" : "CoverageDeceasedExample",
  "meta" : {
    "extension" : [
      {
        "url" : "http://linuxforhealth.org/fhir/cdm/StructureDefinition/source-file-id",
        "valueString" : "e00082222"
      }
    ],
    "source" : "http://acme-health.com/WellnessInsuranceCompany",
    "profile" : [
      "http://linuxforhealth.org/fhir/cdm/StructureDefinition/cdm-coverage"
    ]
  },
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Coverage</b><a name=\"CoverageDeceasedExample\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Coverage \"CoverageDeceasedExample\" </p><p style=\"margin-bottom: 0px\">Information Source: http://acme-health.com/WellnessInsuranceCompany!</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-cdm-coverage.html\">CDM Coverage</a></p></div><p><b>Age and Gender Groups</b>: Males 50-54 yr <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-age-gender-group.html\">Age and Gender Group Codes</a>#13)</span></p><p><b>Snapshot Age In Years</b>: 50</p><p><b>Cobra Indicator</b>: N</p><p><b>Coverage Month</b>: 2000-06-01</p><p><b>Enrollment PCP</b>: EnrollmentPCP1</p><p><b>Employee Company</b>: LocalEmpCompany <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (local-employee-company#LocalEmpCompany)</span></p><p><b>Employee Cost Center</b>: LocalEmpCostCenter <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (local-employee-cost-center#LocalEmpCostCenter)</span></p><p><b>Employee Status</b>: Early Retiree <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-payer-employee-status-code.html\">payer Employee Status Codes</a>#3)</span></p><p><b>Employee Business Unit</b>: EmpBusUnit <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (local-employee-business-unit#EmpBusUnit)</span></p><p><b>Job Class Code</b>: jobclass <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (local-job-class-code#jobclass)</span></p><p><b>Salary Indicator</b>: Y</p><p><b>Union Worker Indicator</b>: N</p><p><b>Medicare Indicator</b>: N</p><p><b>identifier</b>: Source System Row Identifier: c35466d6-0d2b-4efa-8265-b9ac3f887e08(use: OFFICIAL)</p><p><b>status</b>: active</p><p><b>subscriberId</b>: encryp-familyid-98321</p><p><b>beneficiary</b>: <a href=\"Patient-CDMPatientInstance.html\">Patient/CDMPatientInstance</a> \" MCLASTNAME\"</p><p><b>relationship</b>: Self <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/4.0.0/CodeSystem-subscriber-relationship.html\">SubscriberPolicyholder Relationship Codes</a>#self)</span></p><p><b>period</b>: 2000-01-01 --&gt; 2000-10-31</p><p><b>payor</b>: <span></span></p><h3>Classes</h3><table class=\"grid\"><tr><td>-</td><td><b>Type</b></td><td><b>Value</b></td></tr><tr><td>*</td><td>Election Tier <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-payer-coverage-class.html\">Payer Coverage Class Codes</a>#election-tier)</span></td><td>Self</td></tr></table></div>"
  },
  "extension" : [
    {
      "url" : "http://linuxforhealth.org/fhir/cdm/StructureDefinition/age-gender-group",
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://linuxforhealth.org/fhir/cdm/CodeSystem/age-gender-group",
            "code" : "13"
          }
        ]
      }
    },
    {
      "url" : "http://linuxforhealth.org/fhir/cdm/StructureDefinition/snapshot-age-in-years",
      "valueUnsignedInt" : 50
    },
    {
      "url" : "http://linuxforhealth.org/fhir/cdm/StructureDefinition/cobra-indicator",
      "valueString" : "N"
    },
    {
      "url" : "http://linuxforhealth.org/fhir/cdm/StructureDefinition/coverage-month",
      "valueDate" : "2000-06-01"
    },
    {
      "url" : "http://linuxforhealth.org/fhir/cdm/StructureDefinition/enrollment-pcp",
      "valueString" : "EnrollmentPCP1"
    },
    {
      "url" : "http://linuxforhealth.org/fhir/cdm/StructureDefinition/employee-company",
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://acme-health.com/CodeSystem/local-employee-company",
            "code" : "LocalEmpCompany"
          }
        ]
      }
    },
    {
      "url" : "http://linuxforhealth.org/fhir/cdm/StructureDefinition/employee-cost-center",
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://acme-health.com/CodeSystem/local-employee-cost-center",
            "code" : "LocalEmpCostCenter"
          }
        ]
      }
    },
    {
      "url" : "http://linuxforhealth.org/fhir/cdm/StructureDefinition/employee-status",
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://linuxforhealth.org/fhir/cdm/CodeSystem/payer-employee-status-code",
            "code" : "3"
          }
        ]
      }
    },
    {
      "url" : "http://linuxforhealth.org/fhir/cdm/StructureDefinition/employee-business-unit",
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://acme-health.com/CodeSystem/local-employee-business-unit",
            "code" : "EmpBusUnit"
          }
        ]
      }
    },
    {
      "url" : "http://linuxforhealth.org/fhir/cdm/StructureDefinition/job-class-code",
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://acme-health.com/CodeSystem/local-job-class-code",
            "code" : "jobclass"
          }
        ]
      }
    },
    {
      "url" : "http://linuxforhealth.org/fhir/cdm/StructureDefinition/salary-indicator",
      "valueString" : "Y"
    },
    {
      "url" : "http://linuxforhealth.org/fhir/cdm/StructureDefinition/union-worker-indicator",
      "valueString" : "N"
    },
    {
      "url" : "http://linuxforhealth.org/fhir/cdm/StructureDefinition/medicare-indicator",
      "valueString" : "N"
    }
  ],
  "identifier" : [
    {
      "use" : "official",
      "type" : {
        "coding" : [
          {
            "system" : "http://linuxforhealth.org/fhir/cdm/CodeSystem/identifier-type",
            "code" : "SSRI"
          }
        ]
      },
      "system" : "http://acme-health.com/emr1/coverage",
      "value" : "c35466d6-0d2b-4efa-8265-b9ac3f887e08",
      "assigner" : {
        "display" : "Acme Health - EMR1"
      }
    }
  ],
  "status" : "active",
  "subscriberId" : "encryp-familyid-98321",
  "beneficiary" : {
    "reference" : "Patient/CDMPatientInstance"
  },
  "relationship" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/subscriber-relationship",
        "code" : "self"
      }
    ]
  },
  "period" : {
    "start" : "2000-01-01",
    "end" : "2000-10-31"
  },
  "payor" : [
    {
      "type" : "Organiation",
      "identifier" : {
        "extension" : [
          {
            "url" : "http://linuxforhealth.org/fhir/cdm/StructureDefinition/encrypted-state",
            "valueBoolean" : true
          }
        ],
        "system" : "http://acme-health.com/payer1/payer",
        "value" : "encryp-i55555"
      }
    }
  ],
  "class" : [
    {
      "type" : {
        "coding" : [
          {
            "system" : "http://linuxforhealth.org/fhir/cdm/CodeSystem/payer-coverage-class",
            "code" : "election-tier"
          }
        ]
      },
      "value" : "Self"
    }
  ]
}