LinuxForHealth FHIR Implementation Guide
8.0.0 - draft United States of America flag

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

Example Coverage: Coverage Dependent Example

Generated Narrative: Coverage

Resource Coverage "CoverageDependentExample"

Information Source: http://acme-health.com/WellnessInsuranceCompany!

Profile: CDM Coverage

SubscriberId Encrypted: p58299i3-3t5z-2hyg-7256-g2un4f887e08

Age and Gender Groups: Males 10-14 yr (Age and Gender Group Codes#4)

Snapshot Age In Years: 13

Benefit Status: Active (HIPAA Benefit Status Codes#A)

Coverage Month: 2000-06-01

Enrollment PCP Name On Enrollment: Dr Kelly

Enrollment PCP Zip On Enrollment: 75014

Enrollment PCP: EnrollmentPCP1

identifier: Source System Row Identifier: c35466d6-0d2b-4efa-8265-b9ac3f887e08(use: OFFICIAL)

status: active

subscriberId: FamilyId_0001

beneficiary: Patient/CDMPatientInstance " MCLASTNAME"

relationship: Child (SubscriberPolicyholder Relationship Codes#child; Payer Subscriber Relationship Codes#childother)

period: 2000-01-01 --> 2000-10-31

payor:

class

type: Election Tier (Payer Coverage Class Codes#election-tier)

value: Family

class

type: Group Type (Payer Coverage Class Codes#group-type)

value: HMO

class

type: Group (Coverage Class Codes#group)

value: GR12345