LinuxForHealth FHIR Implementation Guide
8.0.0 - draft
LinuxForHealth FHIR Implementation Guide - Local Development build (v8.0.0). See the Directory of published versions
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<valueString value="e00085555"/>
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<source value="http://acme-health.com/WellnessInsuranceCompany"/>
<profile
value="http://linuxforhealth.org/fhir/cdm/StructureDefinition/cdm-coverage"/>
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<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: Coverage</b><a name="CoverageExample"> </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 "CoverageExample" </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>SubscriberId Encrypted</b>: p58299i3-3t5z-2hyg-7256-g2un4f887e08</p><p><b>Age and Gender Groups</b>: Males 20-24 yr <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-age-gender-group.html">Age and Gender Group Codes</a>#7)</span></p><p><b>Snapshot Age In Years</b>: 21</p><p><b>Employee Age In Years</b>: 21</p><p><b>Benefit Status</b>: Active <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-hipaa-benefit-status.html">HIPAA Benefit Status Codes</a>#A)</span></p><p><b>Cobra Indicator</b>: N</p><p><b>Coverage Month</b>: 2000-06-01</p><p><b>Dual Eligibility Indicator</b>: N</p><p><b>Employee Average Scheduled Hours</b>: 35.5</p><p><b>Employee Birth Date</b>: 1990</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>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 Department</b>: LocalEmpDepartment <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (local-employee-department#LocalEmpDepartment)</span></p><p><b>Employee Division</b>: LocalEmpDivision <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (local-employee-division#LocalEmpDivision)</span></p><p><b>Employee Education Level</b>: Some College <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-payer-education-level.html">Payer Education Level Codes</a>#D; local-employee-education-level#AttendedCollege)</span></p><p><b>Employee Exempt Indicator</b>: N</p><p><b>Employee Family Size</b>: 2</p><p><b>Employee Gender</b>: Male <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-payer-gender.html">Payer Gender Codes</a>#M)</span></p><p><b>Employee Hire Date</b>: 2000-01-01</p><p><b>Employee Id</b>: id: 555555</p><p><b>Employee Job Family</b>: LocalEmpJobFamilyCd <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (local-employee-job-family#LocalEmpJobFamilyCd)</span></p><p><b>Employee Job Grade</b>: LocalEmpJobGradeCd <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (local-employee-job-grade#LocalEmpJobGradeCd)</span></p><p><b>Employee Job Location</b>: EmpJobLocationCd <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (local-physical-job-location#EmpJobLocationCd; local-geographic-job-location#CardingtonOhio)</span></p><p><b>Employee Job Title</b>: SoftwareEngineer <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (local-employee-job-title#SoftwareEngineer; unknown#15-1131)</span></p><p><b>Employee Labor Union</b>: LocalTeams377 <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (local-employee-labor-union#LocalTeams377)</span></p><p><b>Employee Pay Frequency</b>: Monthly <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (local-employee-pay-frequency#Monthly)</span></p><p><b>Employee Performance Rating</b>: Meets <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (local-employee-performance-rating#Meets)</span></p><p><b>Employee Retirement Date</b>: 2099-12-31</p><p><b>Employee Shift</b>: Day <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (local-employee-shift#Day)</span></p><p><b>Employee Status</b>: LocalEmpStatus <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (local-employee-status#LocalEmpStatus; <a href="CodeSystem-payer-employee-status-code.html">payer Employee Status Codes</a>#1; <a href="CodeSystem-hipaa-employee-status.html">HIPAA Employee Status Codes</a>#AC)</span></p><p><b>Employee Sub Business Unit</b>: LocalEmpSubBusinessUnit <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (local-employee-sub-business-unit#LocalEmpSubBusinessUnit)</span></p><p><b>Employee Termination Date</b>: 2099-12-31</p><p><b>Employee Termination Reason</b>: NotTermed <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (local-termination-reason#NotTermed)</span></p><p><b>Employee Wage Amount</b>: 46500</p><p><b>Employee Wage Basis</b>: Annual <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (local-employee-wage-basis#Annual)</span></p><p><b>Employee Year Of Service</b>: 1</p><p><b>Employee Union Id</b>: MemberUnionId-407</p><p><b>Enrollment PCP Name On Enrollment</b>: Dr Kelly</p><p><b>Enrollment PCP Zip On Enrollment</b>: 75014</p><p><b>Enrollment PCP</b>: EnrollmentPCP1</p><p><b>Employer</b>: LocalEmployerCode <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (local-employer#LocalEmployerCode)</span></p><p><b>Family Income Level</b>: 26500 <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (local-income-level#26500)</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>Job Location Zipcode</b>: 43315</p><p><b>Long Term Disability Benefit Rate</b>: 10</p><p><b>Medicare Coverage</b>: Not Eligible for Medicare <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-payer-medicare-coverage.html">Payer Medicare Coverage Codes</a>#N)</span></p><p><b>Medicare Indicator</b>: N</p><p><b>Member Employee Indicator</b>: MemberEmployee <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (local-member-employee-indicator#MemberEmployee)</span></p><p><b>Restricted Benefits</b>: LocalRestrictedBenefits <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (local-restricted-benefits#LocalRestrictedBenefits)</span></p><p><b>Salary Indicator</b>: Y</p><p><b>Short Term Disability Benefit Rate</b>: 30</p><p><b>SSI Indicator</b>: N</p><p><b>SSI Status</b>: Unknown <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-payer-ssi-status.html">Payer SSI Status Codes</a>#999)</span></p><p><b>TANF Benefits</b>: TANF status is unknown <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-payer-tanf-benefit.html">Payer TANF Benefit codes</a>#9)</span></p><p><b>Total Dependent Count</b>: 1</p><p><b>Union Worker 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>: FamilyId_0001</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; local-subscriber-relationship#LocalRelationship; <a href="CodeSystem-hipaa-relationship.html">HIPAA Relationship Codes</a>#18)</span></p><p><b>period</b>: 2000-01-01 --> 2000-10-31</p><p><b>payor</b>: <span></span></p><blockquote><p><b>class</b></p><p><b>type</b>: 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></p><p><b>value</b>: Family</p></blockquote><blockquote><p><b>class</b></p><p><b>type</b>: 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></p><p><b>value</b>: dental employee only</p></blockquote><blockquote><p><b>class</b></p><p><b>type</b>: 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></p><p><b>value</b>: vision employee only</p></blockquote><blockquote><p><b>class</b></p><p><b>type</b>: Group Type <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-payer-coverage-class.html">Payer Coverage Class Codes</a>#group-type)</span></p><p><b>value</b>: HMO</p></blockquote><blockquote><p><b>class</b></p><p><b>type</b>: Group <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/4.0.0/CodeSystem-coverage-class.html">Coverage Class Codes</a>#group)</span></p><p><b>value</b>: GR12345</p></blockquote></div>
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<code value="7"/>
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<extension
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<valueUnsignedInt value="21"/>
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<extension
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<valueUnsignedInt value="21"/>
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<extension
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<valueCodeableConcept>
<coding>
<system
value="http://linuxforhealth.org/fhir/cdm/CodeSystem/hipaa-benefit-status"/>
<code value="A"/>
</coding>
</valueCodeableConcept>
</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/dual-eligibility-indicator">
<valueString value="N"/>
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<extension
url="http://linuxforhealth.org/fhir/cdm/StructureDefinition/employee-average-scheduled-hours">
<valueDecimal value="35.5"/>
</extension>
<extension
url="http://linuxforhealth.org/fhir/cdm/StructureDefinition/employee-birth-date">
<valueDate value="1990"/>
</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>
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<extension
url="http://linuxforhealth.org/fhir/cdm/StructureDefinition/employee-company">
<valueCodeableConcept>
<coding>
<system
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<code value="LocalEmpCompany"/>
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<extension
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<valueCodeableConcept>
<coding>
<system
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<code value="LocalEmpCostCenter"/>
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<coding>
<system
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<code value="LocalEmpDepartment"/>
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<extension
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<valueCodeableConcept>
<coding>
<system
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<code value="LocalEmpDivision"/>
</coding>
</valueCodeableConcept>
</extension>
<extension
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<valueCodeableConcept>
<coding>
<system
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<code value="D"/>
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<coding>
<system
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<code value="AttendedCollege"/>
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<extension
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<valueString value="N"/>
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<extension
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<valueInteger value="2"/>
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<extension
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<valueCodeableConcept>
<coding>
<system
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<code value="M"/>
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</extension>
<extension
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<valueDate value="2000-01-01"/>
</extension>
<extension
url="http://linuxforhealth.org/fhir/cdm/StructureDefinition/employee-id">
<valueIdentifier>
<value value="555555"/>
</valueIdentifier>
</extension>
<extension
url="http://linuxforhealth.org/fhir/cdm/StructureDefinition/employee-job-family">
<valueCodeableConcept>
<coding>
<system
value="http://acme-health.com/CodeSystem/local-employee-job-family"/>
<code value="LocalEmpJobFamilyCd"/>
</coding>
</valueCodeableConcept>
</extension>
<extension
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<valueCodeableConcept>
<coding>
<system
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<code value="LocalEmpJobGradeCd"/>
</coding>
</valueCodeableConcept>
</extension>
<extension
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<valueCodeableConcept>
<coding>
<system
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<code value="EmpJobLocationCd"/>
</coding>
<coding>
<system
value="http://acme-health.com/CodeSystem/local-geographic-job-location"/>
<code value="CardingtonOhio"/>
</coding>
</valueCodeableConcept>
</extension>
<extension
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<valueCodeableConcept>
<coding>
<system
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<code value="SoftwareEngineer"/>
</coding>
<coding>
<system value="urn:oid:2.16.840.1.113883.6.243"/>
<code value="15-1131"/>
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</valueCodeableConcept>
</extension>
<extension
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<valueCodeableConcept>
<coding>
<system
value="http://acme-health.com/CodeSystem/local-employee-labor-union"/>
<code value="LocalTeams377"/>
</coding>
</valueCodeableConcept>
</extension>
<extension
url="http://linuxforhealth.org/fhir/cdm/StructureDefinition/employee-pay-frequency">
<valueCodeableConcept>
<coding>
<system
value="http://acme-health.com/CodeSystem/local-employee-pay-frequency"/>
<code value="Monthly"/>
</coding>
</valueCodeableConcept>
</extension>
<extension
url="http://linuxforhealth.org/fhir/cdm/StructureDefinition/employee-performance-rating">
<valueCodeableConcept>
<coding>
<system
value="http://acme-health.com/CodeSystem/local-employee-performance-rating"/>
<code value="Meets"/>
</coding>
</valueCodeableConcept>
</extension>
<extension
url="http://linuxforhealth.org/fhir/cdm/StructureDefinition/employee-retirement-date">
<valueDate value="2099-12-31"/>
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<extension
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<valueCodeableConcept>
<coding>
<system
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<code value="Day"/>
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</extension>
<extension
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<valueCodeableConcept>
<coding>
<system
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<code value="LocalEmpStatus"/>
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<coding>
<system
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<code value="1"/>
</coding>
<coding>
<system
value="http://linuxforhealth.org/fhir/cdm/CodeSystem/hipaa-employee-status"/>
<code value="AC"/>
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</valueCodeableConcept>
</extension>
<extension
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<valueCodeableConcept>
<coding>
<system
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<code value="LocalEmpSubBusinessUnit"/>
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</extension>
<extension
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<valueDate value="2099-12-31"/>
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<extension
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<valueCodeableConcept>
<coding>
<system
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<code value="NotTermed"/>
</coding>
</valueCodeableConcept>
</extension>
<extension
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<valueDecimal value="46500"/>
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<extension
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<valueCodeableConcept>
<coding>
<system
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<code value="Annual"/>
</coding>
</valueCodeableConcept>
</extension>
<extension
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<valueUnsignedInt value="1"/>
</extension>
<extension
url="http://linuxforhealth.org/fhir/cdm/StructureDefinition/employee-union-id">
<valueString value="MemberUnionId-407"/>
</extension>
<extension
url="http://linuxforhealth.org/fhir/cdm/StructureDefinition/enrollment-pcp-name-on-enrollment">
<valueString value="Dr Kelly"/>
</extension>
<extension
url="http://linuxforhealth.org/fhir/cdm/StructureDefinition/enrollment-pcp-zip-on-enrollment">
<valueString value="75014"/>
</extension>
<extension
url="http://linuxforhealth.org/fhir/cdm/StructureDefinition/enrollment-pcp">
<valueString value="EnrollmentPCP1"/>
</extension>
<extension
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<valueCodeableConcept>
<coding>
<system value="http://acme-health.com/CodeSystem/local-employer"/>
<code value="LocalEmployerCode"/>
</coding>
</valueCodeableConcept>
</extension>
<extension
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<valueCodeableConcept>
<coding>
<system value="http://acme-health.com/CodeSystem/local-income-level"/>
<code value="26500"/>
</coding>
</valueCodeableConcept>
</extension>
<extension
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<valueCodeableConcept>
<coding>
<system
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<code value="jobclass"/>
</coding>
</valueCodeableConcept>
</extension>
<extension
url="http://linuxforhealth.org/fhir/cdm/StructureDefinition/job-location-zipcode">
<valueString value="43315"/>
</extension>
<extension
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<valueDecimal value="10"/>
</extension>
<extension
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<valueCodeableConcept>
<coding>
<system
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<code value="N"/>
</coding>
</valueCodeableConcept>
</extension>
<extension
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<valueString value="N"/>
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<extension
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<valueCodeableConcept>
<coding>
<system
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<code value="MemberEmployee"/>
</coding>
</valueCodeableConcept>
</extension>
<extension
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<valueCodeableConcept>
<coding>
<system
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<code value="LocalRestrictedBenefits"/>
</coding>
</valueCodeableConcept>
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<extension
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<valueString value="Y"/>
</extension>
<extension
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<valueDecimal value="30"/>
</extension>
<extension
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<valueString value="N"/>
</extension>
<extension
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<valueCodeableConcept>
<coding>
<system
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<code value="999"/>
</coding>
</valueCodeableConcept>
</extension>
<extension
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<valueCodeableConcept>
<coding>
<system
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<code value="9"/>
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<extension
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<valueInteger value="1"/>
</extension>
<extension
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<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="FamilyId_0001"/>
<beneficiary>
<reference value="Patient/CDMPatientInstance"/>
</beneficiary>
<relationship>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/subscriber-relationship"/>
<code value="self"/>
</coding>
<coding>
<system
value="http://acme-health.com/CodeSystem/local-subscriber-relationship"/>
<code value="LocalRelationship"/>
</coding>
<coding>
<system
value="http://linuxforhealth.org/fhir/cdm/CodeSystem/hipaa-relationship"/>
<code value="18"/>
</coding>
</relationship>
<period>
<start value="2000-01-01"/>
<end value="2000-10-31"/>
</period>
<payor>
<type value="Organiation"/>
<identifier>
<system value="http://acme-health.com/payer1/payer"/>
<value value="PayerId09876"/>
</identifier>
</payor>
<class>
<type>
<coding>
<system
value="http://linuxforhealth.org/fhir/cdm/CodeSystem/payer-coverage-class"/>
<code value="election-tier"/>
</coding>
</type>
<value value="Family"/>
</class>
<class>
<type>
<coding>
<system
value="http://linuxforhealth.org/fhir/cdm/CodeSystem/payer-coverage-class"/>
<code value="election-tier"/>
</coding>
</type>
<value value="dental employee only"/>
</class>
<class>
<type>
<coding>
<system
value="http://linuxforhealth.org/fhir/cdm/CodeSystem/payer-coverage-class"/>
<code value="election-tier"/>
</coding>
</type>
<value value="vision employee only"/>
</class>
<class>
<type>
<coding>
<system
value="http://linuxforhealth.org/fhir/cdm/CodeSystem/payer-coverage-class"/>
<code value="group-type"/>
</coding>
</type>
<value value="HMO"/>
</class>
<class>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/coverage-class"/>
<code value="group"/>
</coding>
</type>
<value value="GR12345"/>
</class>
</Coverage>
IG © 2021+ LinuxForHealth Team. Package linuxforhealth.fhir.ig#8.0.0 based on FHIR 4.0.1. Generated 2022-11-10
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