Coverage
Financial instrument which may be used to reimburse or pay for health care products and services. Includes both insurance and self-payment.
Columns
Header row
# |
path |
type |
required |
description |
0 |
resourceType |
string |
* |
Resource type identifier. Must be string "Coverage" |
1 |
|
integer |
* |
Number of subrows |
2 |
id |
string |
* |
Logical id of this artifact |
3 |
status |
code |
|
active | cancelled | draft | entered-in-error |
|
type |
CodeableConcept |
|
Coverage category such as medical or accident |
|
type.coding |
Coding |
|
Code defined by a terminology system |
4 |
type.coding.system |
uri |
|
Identity of the terminology system |
5 |
type.coding.version |
string |
|
Version of the system - if relevant |
6 |
type.coding.code |
code |
|
Symbol in syntax defined by the system |
7 |
type.coding.display |
string |
|
Representation defined by the system |
8 |
type.coding.userSelected |
boolean |
|
If this coding was chosen directly by the user |
9 |
type.text |
string |
|
Plain text representation of the concept |
|
policyHolder |
Reference |
|
Owner of the policy |
10 |
policyHolder.reference |
string |
|
Literal reference, Relative, internal or absolute URL |
11 |
policyHolder.type |
uri |
|
Type the reference refers to (e.g. "Patient") |
|
policyHolder.identifier |
Identifier |
|
Logical reference, when literal reference is not known |
12 |
policyHolder.identifier.use |
code |
|
usual | official | temp | secondary | old (If known) |
|
policyHolder.identifier.type |
CodeableConcept |
|
Description of identifier |
|
policyHolder.identifier.type.coding |
Coding |
|
Code defined by a terminology system |
13 |
policyHolder.identifier.type.coding.system |
uri |
|
Identity of the terminology system |
14 |
policyHolder.identifier.type.coding.version |
string |
|
Version of the system - if relevant |
15 |
policyHolder.identifier.type.coding.code |
code |
|
Symbol in syntax defined by the system |
16 |
policyHolder.identifier.type.coding.display |
string |
|
Representation defined by the system |
17 |
policyHolder.identifier.type.coding.userSelected |
boolean |
|
If this coding was chosen directly by the user |
18 |
policyHolder.identifier.type.text |
string |
|
Plain text representation of the concept |
19 |
policyHolder.identifier.system |
uri |
|
The namespace for the identifier value |
20 |
policyHolder.identifier.value |
string |
|
The value that is unique |
|
policyHolder.identifier.period |
Period |
|
Time period when id is/was valid for use |
21 |
policyHolder.identifier.period.start |
dateTime |
|
Starting time with inclusive boundary |
22 |
policyHolder.identifier.period.end |
dateTime |
|
End time with inclusive boundary, if not ongoing |
23 |
policyHolder.display |
string |
|
Text alternative for the resource |
|
subscriber |
Reference |
|
Subscriber to the policy |
24 |
subscriber.reference |
string |
|
Literal reference, Relative, internal or absolute URL |
25 |
subscriber.type |
uri |
|
Type the reference refers to (e.g. "Patient") |
|
subscriber.identifier |
Identifier |
|
Logical reference, when literal reference is not known |
26 |
subscriber.identifier.use |
code |
|
usual | official | temp | secondary | old (If known) |
|
subscriber.identifier.type |
CodeableConcept |
|
Description of identifier |
|
subscriber.identifier.type.coding |
Coding |
|
Code defined by a terminology system |
27 |
subscriber.identifier.type.coding.system |
uri |
|
Identity of the terminology system |
28 |
subscriber.identifier.type.coding.version |
string |
|
Version of the system - if relevant |
29 |
subscriber.identifier.type.coding.code |
code |
|
Symbol in syntax defined by the system |
30 |
subscriber.identifier.type.coding.display |
string |
|
Representation defined by the system |
31 |
subscriber.identifier.type.coding.userSelected |
boolean |
|
If this coding was chosen directly by the user |
32 |
subscriber.identifier.type.text |
string |
|
Plain text representation of the concept |
33 |
subscriber.identifier.system |
uri |
|
The namespace for the identifier value |
34 |
subscriber.identifier.value |
string |
|
The value that is unique |
|
subscriber.identifier.period |
Period |
|
Time period when id is/was valid for use |
35 |
subscriber.identifier.period.start |
dateTime |
|
Starting time with inclusive boundary |
36 |
subscriber.identifier.period.end |
dateTime |
|
End time with inclusive boundary, if not ongoing |
37 |
subscriber.display |
string |
|
Text alternative for the resource |
38 |
subscriberId |
string |
|
ID assigned to the subscriber |
|
beneficiary |
Reference |
|
Plan beneficiary |
39 |
beneficiary.reference |
string |
|
Literal reference, Relative, internal or absolute URL |
40 |
beneficiary.type |
uri |
|
Type the reference refers to (e.g. "Patient") |
|
beneficiary.identifier |
Identifier |
|
Logical reference, when literal reference is not known |
41 |
beneficiary.identifier.use |
code |
|
usual | official | temp | secondary | old (If known) |
|
beneficiary.identifier.type |
CodeableConcept |
|
Description of identifier |
|
beneficiary.identifier.type.coding |
Coding |
|
Code defined by a terminology system |
42 |
beneficiary.identifier.type.coding.system |
uri |
|
Identity of the terminology system |
43 |
beneficiary.identifier.type.coding.version |
string |
|
Version of the system - if relevant |
44 |
beneficiary.identifier.type.coding.code |
code |
|
Symbol in syntax defined by the system |
45 |
beneficiary.identifier.type.coding.display |
string |
|
Representation defined by the system |
46 |
beneficiary.identifier.type.coding.userSelected |
boolean |
|
If this coding was chosen directly by the user |
47 |
beneficiary.identifier.type.text |
string |
|
Plain text representation of the concept |
48 |
beneficiary.identifier.system |
uri |
|
The namespace for the identifier value |
49 |
beneficiary.identifier.value |
string |
|
The value that is unique |
|
beneficiary.identifier.period |
Period |
|
Time period when id is/was valid for use |
50 |
beneficiary.identifier.period.start |
dateTime |
|
Starting time with inclusive boundary |
51 |
beneficiary.identifier.period.end |
dateTime |
|
End time with inclusive boundary, if not ongoing |
52 |
beneficiary.display |
string |
|
Text alternative for the resource |
53 |
dependent |
string |
|
Dependent number |
|
relationship |
CodeableConcept |
|
Beneficiary relationship to the subscriber |
|
relationship.coding |
Coding |
|
Code defined by a terminology system |
54 |
relationship.coding.system |
uri |
|
Identity of the terminology system |
55 |
relationship.coding.version |
string |
|
Version of the system - if relevant |
56 |
relationship.coding.code |
code |
|
Symbol in syntax defined by the system |
57 |
relationship.coding.display |
string |
|
Representation defined by the system |
58 |
relationship.coding.userSelected |
boolean |
|
If this coding was chosen directly by the user |
59 |
relationship.text |
string |
|
Plain text representation of the concept |
|
period |
Period |
|
Coverage start and end dates |
60 |
period.start |
dateTime |
|
Starting time with inclusive boundary |
61 |
period.end |
dateTime |
|
End time with inclusive boundary, if not ongoing |
62 |
order |
positiveInt |
|
Relative order of the coverage |
63 |
network |
string |
|
Insurer network |
64 |
subrogation |
boolean |
|
Reimbursement to insurer |
Row identifier
# |
path |
type |
required |
description |
0 |
|
string |
* |
Subrow identifier. Must be string "identifier" |
|
identifier |
Identifier |
|
Business Identifier for the coverage |
1 |
identifier.use |
code |
|
usual | official | temp | secondary | old (If known) |
|
identifier.type |
CodeableConcept |
|
Description of identifier |
|
identifier.type.coding |
Coding |
|
Code defined by a terminology system |
2 |
identifier.type.coding.system |
uri |
|
Identity of the terminology system |
3 |
identifier.type.coding.version |
string |
|
Version of the system - if relevant |
4 |
identifier.type.coding.code |
code |
|
Symbol in syntax defined by the system |
5 |
identifier.type.coding.display |
string |
|
Representation defined by the system |
6 |
identifier.type.coding.userSelected |
boolean |
|
If this coding was chosen directly by the user |
7 |
identifier.type.text |
string |
|
Plain text representation of the concept |
8 |
identifier.system |
uri |
|
The namespace for the identifier value |
9 |
identifier.value |
string |
|
The value that is unique |
|
identifier.period |
Period |
|
Time period when id is/was valid for use |
10 |
identifier.period.start |
dateTime |
|
Starting time with inclusive boundary |
11 |
identifier.period.end |
dateTime |
|
End time with inclusive boundary, if not ongoing |
Row payor
# |
path |
type |
required |
description |
0 |
|
string |
* |
Subrow identifier. Must be string "payor" |
|
payor |
Reference |
|
Issuer of the policy |
1 |
payor.reference |
string |
|
Literal reference, Relative, internal or absolute URL |
2 |
payor.type |
uri |
|
Type the reference refers to (e.g. "Patient") |
|
payor.identifier |
Identifier |
|
Logical reference, when literal reference is not known |
3 |
payor.identifier.use |
code |
|
usual | official | temp | secondary | old (If known) |
|
payor.identifier.type |
CodeableConcept |
|
Description of identifier |
|
payor.identifier.type.coding |
Coding |
|
Code defined by a terminology system |
4 |
payor.identifier.type.coding.system |
uri |
|
Identity of the terminology system |
5 |
payor.identifier.type.coding.version |
string |
|
Version of the system - if relevant |
6 |
payor.identifier.type.coding.code |
code |
|
Symbol in syntax defined by the system |
7 |
payor.identifier.type.coding.display |
string |
|
Representation defined by the system |
8 |
payor.identifier.type.coding.userSelected |
boolean |
|
If this coding was chosen directly by the user |
9 |
payor.identifier.type.text |
string |
|
Plain text representation of the concept |
10 |
payor.identifier.system |
uri |
|
The namespace for the identifier value |
11 |
payor.identifier.value |
string |
|
The value that is unique |
|
payor.identifier.period |
Period |
|
Time period when id is/was valid for use |
12 |
payor.identifier.period.start |
dateTime |
|
Starting time with inclusive boundary |
13 |
payor.identifier.period.end |
dateTime |
|
End time with inclusive boundary, if not ongoing |
14 |
payor.display |
string |
|
Text alternative for the resource |
Row class
# |
path |
type |
required |
description |
0 |
|
string |
* |
Subrow identifier. Must be string "class" |
|
class |
|
|
Additional coverage classifications |
|
class.type |
CodeableConcept |
|
Type of class such as 'group' or 'plan' |
|
class.type.coding |
Coding |
|
Code defined by a terminology system |
1 |
class.type.coding.system |
uri |
|
Identity of the terminology system |
2 |
class.type.coding.version |
string |
|
Version of the system - if relevant |
3 |
class.type.coding.code |
code |
|
Symbol in syntax defined by the system |
4 |
class.type.coding.display |
string |
|
Representation defined by the system |
5 |
class.type.coding.userSelected |
boolean |
|
If this coding was chosen directly by the user |
6 |
class.type.text |
string |
|
Plain text representation of the concept |
7 |
class.value |
string |
|
Value associated with the type |
8 |
class.name |
string |
|
Human readable description of the type and value |
Row costToBeneficiary
# |
path |
type |
required |
description |
0 |
|
string |
* |
Subrow identifier. Must be string "costToBeneficiary" |
|
costToBeneficiary |
|
|
Patient payments for services/products |
|
costToBeneficiary.type |
CodeableConcept |
|
Cost category |
|
costToBeneficiary.type.coding |
Coding |
|
Code defined by a terminology system |
1 |
costToBeneficiary.type.coding.system |
uri |
|
Identity of the terminology system |
2 |
costToBeneficiary.type.coding.version |
string |
|
Version of the system - if relevant |
3 |
costToBeneficiary.type.coding.code |
code |
|
Symbol in syntax defined by the system |
4 |
costToBeneficiary.type.coding.display |
string |
|
Representation defined by the system |
5 |
costToBeneficiary.type.coding.userSelected |
boolean |
|
If this coding was chosen directly by the user |
6 |
costToBeneficiary.type.text |
string |
|
Plain text representation of the concept |
|
costToBeneficiary.value[x] |
|
|
The amount or percentage due from the beneficiary |
|
costToBeneficiary.valueQuantity |
Quantity |
|
|
7 |
costToBeneficiary.valueQuantity.value |
decimal |
|
Numerical value (with implicit precision) |
8 |
costToBeneficiary.valueQuantity.unit |
string |
|
Unit representation |
9 |
costToBeneficiary.valueQuantity.system |
uri |
|
System that defines coded unit form |
10 |
costToBeneficiary.valueQuantity.code |
code |
|
Coded form of the unit |
|
costToBeneficiary.valueMoney |
Money |
|
|
11 |
costToBeneficiary.valueMoney.value |
decimal |
|
Numerical value (with implicit precision) |
12 |
costToBeneficiary.valueMoney.currency |
code |
|
ISO 4217 Currency Code |
|
costToBeneficiary.exception |
|
|
Exceptions for patient payments |
|
costToBeneficiary.exception.type |
CodeableConcept |
|
Exception category |
|
costToBeneficiary.exception.type.coding |
Coding |
|
Code defined by a terminology system |
13 |
costToBeneficiary.exception.type.coding.system |
uri |
|
Identity of the terminology system |
14 |
costToBeneficiary.exception.type.coding.version |
string |
|
Version of the system - if relevant |
15 |
costToBeneficiary.exception.type.coding.code |
code |
|
Symbol in syntax defined by the system |
16 |
costToBeneficiary.exception.type.coding.display |
string |
|
Representation defined by the system |
17 |
costToBeneficiary.exception.type.coding.userSelected |
boolean |
|
If this coding was chosen directly by the user |
18 |
costToBeneficiary.exception.type.text |
string |
|
Plain text representation of the concept |
|
costToBeneficiary.exception.period |
Period |
|
The effective period of the exception |
19 |
costToBeneficiary.exception.period.start |
dateTime |
|
Starting time with inclusive boundary |
20 |
costToBeneficiary.exception.period.end |
dateTime |
|
End time with inclusive boundary, if not ongoing |
Row contract
# |
path |
type |
required |
description |
0 |
|
string |
* |
Subrow identifier. Must be string "contract" |
|
contract |
Reference |
|
Contract details |
1 |
contract.reference |
string |
|
Literal reference, Relative, internal or absolute URL |
2 |
contract.type |
uri |
|
Type the reference refers to (e.g. "Patient") |
|
contract.identifier |
Identifier |
|
Logical reference, when literal reference is not known |
3 |
contract.identifier.use |
code |
|
usual | official | temp | secondary | old (If known) |
|
contract.identifier.type |
CodeableConcept |
|
Description of identifier |
|
contract.identifier.type.coding |
Coding |
|
Code defined by a terminology system |
4 |
contract.identifier.type.coding.system |
uri |
|
Identity of the terminology system |
5 |
contract.identifier.type.coding.version |
string |
|
Version of the system - if relevant |
6 |
contract.identifier.type.coding.code |
code |
|
Symbol in syntax defined by the system |
7 |
contract.identifier.type.coding.display |
string |
|
Representation defined by the system |
8 |
contract.identifier.type.coding.userSelected |
boolean |
|
If this coding was chosen directly by the user |
9 |
contract.identifier.type.text |
string |
|
Plain text representation of the concept |
10 |
contract.identifier.system |
uri |
|
The namespace for the identifier value |
11 |
contract.identifier.value |
string |
|
The value that is unique |
|
contract.identifier.period |
Period |
|
Time period when id is/was valid for use |
12 |
contract.identifier.period.start |
dateTime |
|
Starting time with inclusive boundary |
13 |
contract.identifier.period.end |
dateTime |
|
End time with inclusive boundary, if not ongoing |
14 |
contract.display |
string |
|
Text alternative for the resource |
Examples
Example #1
Input CSV
Coverage,7,"7546D","active","http://terminology.hl7.org/CodeSystem/v3-ActCode",,"EHCPOL","extended healthcare",,,,,,,,,,,,,,,,,"Patient/5",,,,,,,,,,,,,,"AB9876","Patient/5",,,,,,,,,,,,,,"1",,,"self",,,,"2011-03-17","2012-03-17",2,"5",
identifier,,,,,,,,"http://xyz.com/codes/identifier","AB98761",,
payor,"Organization/2",,,,,,,,,,,,,
class,"http://terminology.hl7.org/CodeSystem/coverage-class",,"group",,,,"WESTAIR","Western Airlines"
class,"http://terminology.hl7.org/CodeSystem/coverage-class",,"plan",,,,"BG4352","Full Coverage: Medical, Dental, Pharmacy, Vision, EHC"
class,"http://terminology.hl7.org/CodeSystem/coverage-class",,"subplan",,,,"D15C9","Platinum"
costToBeneficiary,"http://terminology.hl7.org/CodeSystem/coverage-copay-type",,"gpvisit",,,,,,,,20,"USD","http://terminology.hl7.org/CodeSystem/ex-coverage-financial-exception",,"retired",,,,"2018-01-01","2018-12-31"
contract,"Contract/INS-101",,,,,,,,,,,,,
Resulting resource
{
"resourceType": "Coverage",
"id": "7546D",
"identifier": [
{
"system": "http://xyz.com/codes/identifier",
"value": "AB98761"
}
],
"status": "active",
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "EHCPOL",
"display": "extended healthcare"
}
]
},
"subscriber": {
"reference": "Patient/5"
},
"subscriberId": "AB9876",
"beneficiary": {
"reference": "Patient/5"
},
"dependent": "1",
"relationship": {
"coding": [
{
"code": "self"
}
]
},
"period": {
"start": "2011-03-17",
"end": "2012-03-17"
},
"payor": [
{
"reference": "Organization/2"
}
],
"class": [
{
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/coverage-class",
"code": "group"
}
]
},
"value": "WESTAIR",
"name": "Western Airlines"
},
{
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/coverage-class",
"code": "plan"
}
]
},
"value": "BG4352",
"name": "Full Coverage: Medical, Dental, Pharmacy, Vision, EHC"
},
{
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/coverage-class",
"code": "subplan"
}
]
},
"value": "D15C9",
"name": "Platinum"
}
],
"order": 2,
"network": "5",
"costToBeneficiary": [
{
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/coverage-copay-type",
"code": "gpvisit"
}
]
},
"valueMoney": {
"value": 20,
"currency": "USD"
},
"exception": [
{
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/ex-coverage-financial-exception",
"code": "retired"
}
]
},
"period": {
"start": "2018-01-01",
"end": "2018-12-31"
}
}
]
}
],
"contract": [
{
"reference": "Contract/INS-101"
}
]
}
Example #2
Input CSV
Coverage,2,"7547E","active","http://terminology.hl7.org/CodeSystem/v3-ActCode",,"EHCPOL","extended healthcare",,,,,,,,,,,,,,,,,"Patient/5",,,,,,,,,,,,,,,"Patient/5",,,,,,,,,,,,,,,,,"self",,,,,"2012-03-17",,,
identifier,,,,,,,,"http://ehic.com/insurer/123456789/member","A123456780",,
payor,,,,,,,,,,"http://ehic.com/insurer","123456789",,,
Resulting resource
{
"resourceType": "Coverage",
"id": "7547E",
"identifier": [
{
"system": "http://ehic.com/insurer/123456789/member",
"value": "A123456780"
}
],
"status": "active",
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "EHCPOL",
"display": "extended healthcare"
}
]
},
"subscriber": {
"reference": "Patient/5"
},
"beneficiary": {
"reference": "Patient/5"
},
"relationship": {
"coding": [
{
"code": "self"
}
]
},
"period": {
"end": "2012-03-17"
},
"payor": [
{
"identifier": {
"system": "http://ehic.com/insurer",
"value": "123456789"
}
}
]
}
Example #3
Input CSV
Coverage,14,"9876B1","active","http://terminology.hl7.org/CodeSystem/v3-ActCode",,"EHCPOL","extended healthcare",,,"http://benefitsinc.com/FHIR/Organization/CBI35",,,,,,,,,,,,,,"Patient/4",,,,,,,,,,,,,,,"Patient/4",,,,,,,,,,,,,,"0",,,"self",,,,"2011-05-23","2012-05-23",,,
identifier,,,,,,,,"http://benefitsinc.com/certificate","12345",,
payor,"Organization/2",,,,,,,,,,,,,
class,"http://terminology.hl7.org/CodeSystem/coverage-class",,"group",,,,"CB135","Corporate Baker's Inc. Local #35"
class,"http://terminology.hl7.org/CodeSystem/coverage-class",,"subgroup",,,,"123","Trainee Part-time Benefits"
class,"http://terminology.hl7.org/CodeSystem/coverage-class",,"plan",,,,"B37FC","Full Coverage: Medical, Dental, Pharmacy, Vision, EHC"
class,"http://terminology.hl7.org/CodeSystem/coverage-class",,"subplan",,,,"P7","Includes afterlife benefits"
class,"http://terminology.hl7.org/CodeSystem/coverage-class",,"class",,,,"SILVER","Silver: Family Plan spouse only"
class,"http://terminology.hl7.org/CodeSystem/coverage-class",,"subclass",,,,"Tier2","Low deductable, max $20 copay"
class,"http://terminology.hl7.org/CodeSystem/coverage-class",,"sequence",,,,"9",
class,"http://terminology.hl7.org/CodeSystem/coverage-class",,"rxid",,,,"MDF12345",
class,"http://terminology.hl7.org/CodeSystem/coverage-class",,"rxbin",,,,"987654",
class,"http://terminology.hl7.org/CodeSystem/coverage-class",,"rxgroup",,,,"M35PT",
class,"http://terminology.hl7.org/CodeSystem/coverage-class",,"rxpcn",,,,"234516",
class,"http://terminology.hl7.org/CodeSystem/coverage-class",,"sequence",,,,"9",
Resulting resource
{
"resourceType": "Coverage",
"id": "9876B1",
"identifier": [
{
"system": "http://benefitsinc.com/certificate",
"value": "12345"
}
],
"status": "active",
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "EHCPOL",
"display": "extended healthcare"
}
]
},
"policyHolder": {
"reference": "http://benefitsinc.com/FHIR/Organization/CBI35"
},
"subscriber": {
"reference": "Patient/4"
},
"beneficiary": {
"reference": "Patient/4"
},
"dependent": "0",
"relationship": {
"coding": [
{
"code": "self"
}
]
},
"period": {
"start": "2011-05-23",
"end": "2012-05-23"
},
"payor": [
{
"reference": "Organization/2"
}
],
"class": [
{
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/coverage-class",
"code": "group"
}
]
},
"value": "CB135",
"name": "Corporate Baker's Inc. Local #35"
},
{
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/coverage-class",
"code": "subgroup"
}
]
},
"value": "123",
"name": "Trainee Part-time Benefits"
},
{
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/coverage-class",
"code": "plan"
}
]
},
"value": "B37FC",
"name": "Full Coverage: Medical, Dental, Pharmacy, Vision, EHC"
},
{
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/coverage-class",
"code": "subplan"
}
]
},
"value": "P7",
"name": "Includes afterlife benefits"
},
{
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/coverage-class",
"code": "class"
}
]
},
"value": "SILVER",
"name": "Silver: Family Plan spouse only"
},
{
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/coverage-class",
"code": "subclass"
}
]
},
"value": "Tier2",
"name": "Low deductable, max $20 copay"
},
{
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/coverage-class",
"code": "sequence"
}
]
},
"value": "9"
},
{
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/coverage-class",
"code": "rxid"
}
]
},
"value": "MDF12345"
},
{
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/coverage-class",
"code": "rxbin"
}
]
},
"value": "987654"
},
{
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/coverage-class",
"code": "rxgroup"
}
]
},
"value": "M35PT"
},
{
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/coverage-class",
"code": "rxpcn"
}
]
},
"value": "234516"
},
{
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/coverage-class",
"code": "sequence"
}
]
},
"value": "9"
}
]
}
Example #4
Input CSV
Coverage,2,"SP1234","active","http://terminology.hl7.org/CodeSystem/coverage-selfpay",,"pay","PAY",,,,,,,,,,,,,,,,,"Patient/5",,,,,,,,,,,,,,,"Patient/5",,,,,,,,,,,,,,,,,"self",,,,,"2012-03-17",,,
identifier,,,,,,,,"http://hospitalx.com/selfpayagreement","SP12345678",,
payor,"Patient/5",,,,,,,,,,,,,
Resulting resource
{
"resourceType": "Coverage",
"id": "SP1234",
"identifier": [
{
"system": "http://hospitalx.com/selfpayagreement",
"value": "SP12345678"
}
],
"status": "active",
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/coverage-selfpay",
"code": "pay",
"display": "PAY"
}
]
},
"subscriber": {
"reference": "Patient/5"
},
"beneficiary": {
"reference": "Patient/5"
},
"relationship": {
"coding": [
{
"code": "self"
}
]
},
"period": {
"end": "2012-03-17"
},
"payor": [
{
"reference": "Patient/5"
}
]
}