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 - XML Representation

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<Coverage xmlns="http://hl7.org/fhir">
  <id value="CoverageDeceasedExample"/>
  <meta>
    <extension
               url="http://linuxforhealth.org/fhir/cdm/StructureDefinition/source-file-id">
      <valueString value="e00082222"/>
    </extension>
    <source value="http://acme-health.com/WellnessInsuranceCompany"/>
    <profile
             value="http://linuxforhealth.org/fhir/cdm/StructureDefinition/cdm-coverage"/>
  </meta>
  <text>
    <status value="extensions"/>
    <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>
  </text>
  <extension
             url="http://linuxforhealth.org/fhir/cdm/StructureDefinition/age-gender-group">
    <valueCodeableConcept>
      <coding>
        <system
                value="http://linuxforhealth.org/fhir/cdm/CodeSystem/age-gender-group"/>
        <code value="13"/>
      </coding>
    </valueCodeableConcept>
  </extension>
  <extension
             url="http://linuxforhealth.org/fhir/cdm/StructureDefinition/snapshot-age-in-years">
    <valueUnsignedInt value="50"/>
  </extension>
  <extension
             url="http://linuxforhealth.org/fhir/cdm/StructureDefinition/cobra-indicator">
    <valueString value="N"/>
  </extension>
  <extension
             url="http://linuxforhealth.org/fhir/cdm/StructureDefinition/coverage-month">
    <valueDate value="2000-06-01"/>
  </extension>
  <extension
             url="http://linuxforhealth.org/fhir/cdm/StructureDefinition/enrollment-pcp">
    <valueString value="EnrollmentPCP1"/>
  </extension>
  <extension
             url="http://linuxforhealth.org/fhir/cdm/StructureDefinition/employee-company">
    <valueCodeableConcept>
      <coding>
        <system
                value="http://acme-health.com/CodeSystem/local-employee-company"/>
        <code value="LocalEmpCompany"/>
      </coding>
    </valueCodeableConcept>
  </extension>
  <extension
             url="http://linuxforhealth.org/fhir/cdm/StructureDefinition/employee-cost-center">
    <valueCodeableConcept>
      <coding>
        <system
                value="http://acme-health.com/CodeSystem/local-employee-cost-center"/>
        <code value="LocalEmpCostCenter"/>
      </coding>
    </valueCodeableConcept>
  </extension>
  <extension
             url="http://linuxforhealth.org/fhir/cdm/StructureDefinition/employee-status">
    <valueCodeableConcept>
      <coding>
        <system
                value="http://linuxforhealth.org/fhir/cdm/CodeSystem/payer-employee-status-code"/>
        <code value="3"/>
      </coding>
    </valueCodeableConcept>
  </extension>
  <extension
             url="http://linuxforhealth.org/fhir/cdm/StructureDefinition/employee-business-unit">
    <valueCodeableConcept>
      <coding>
        <system
                value="http://acme-health.com/CodeSystem/local-employee-business-unit"/>
        <code value="EmpBusUnit"/>
      </coding>
    </valueCodeableConcept>
  </extension>
  <extension
             url="http://linuxforhealth.org/fhir/cdm/StructureDefinition/job-class-code">
    <valueCodeableConcept>
      <coding>
        <system
                value="http://acme-health.com/CodeSystem/local-job-class-code"/>
        <code value="jobclass"/>
      </coding>
    </valueCodeableConcept>
  </extension>
  <extension
             url="http://linuxforhealth.org/fhir/cdm/StructureDefinition/salary-indicator">
    <valueString value="Y"/>
  </extension>
  <extension
             url="http://linuxforhealth.org/fhir/cdm/StructureDefinition/union-worker-indicator">
    <valueString value="N"/>
  </extension>
  <extension
             url="http://linuxforhealth.org/fhir/cdm/StructureDefinition/medicare-indicator">
    <valueString value="N"/>
  </extension>
  <identifier>
    <use value="official"/>
    <type>
      <coding>
        <system
                value="http://linuxforhealth.org/fhir/cdm/CodeSystem/identifier-type"/>
        <code value="SSRI"/>
      </coding>
    </type>
    <system value="http://acme-health.com/emr1/coverage"/>
    <value value="c35466d6-0d2b-4efa-8265-b9ac3f887e08"/>
    <assigner>
      <display value="Acme Health - EMR1"/>
    </assigner>
  </identifier>
  <status value="active"/>
  <subscriberId value="encryp-familyid-98321"/>
  <beneficiary>
    <reference value="Patient/CDMPatientInstance"/>
  </beneficiary>
  <relationship>
    <coding>
      <system
              value="http://terminology.hl7.org/CodeSystem/subscriber-relationship"/>
      <code value="self"/>
    </coding>
  </relationship>
  <period>
    <start value="2000-01-01"/>
    <end value="2000-10-31"/>
  </period>
  <payor>
    <type value="Organiation"/>
    <identifier>
      <extension
                 url="http://linuxforhealth.org/fhir/cdm/StructureDefinition/encrypted-state">
        <valueBoolean value="true"/>
      </extension>
      <system value="http://acme-health.com/payer1/payer"/>
      <value value="encryp-i55555"/>
    </identifier>
  </payor>
  <class>
    <type>
      <coding>
        <system
                value="http://linuxforhealth.org/fhir/cdm/CodeSystem/payer-coverage-class"/>
        <code value="election-tier"/>
      </coding>
    </type>
    <value value="Self"/>
  </class>
</Coverage>