Argo-Scheduling Implementation Guide Release 1.0.0

This page is part of the Argonaut Scheduling Implementation Guide (v1.0.0: Release) based on FHIR R3. This is the current published version. For a full list of available versions, see the Directory of published versions

XML Format: Coverage-argo-sch-2

Raw xml 


<Coverage xmlns="http://hl7.org/fhir">
  <id value="argo-sch-2"/>
  <meta>
    <profile
             value="http://fhir.org/guides/argonaut-scheduling/StructureDefinition/argo-coverage"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: argo-sch-2</p><p><b>meta</b>: </p><p><b>contained</b>: </p><p><b>identifier</b>: DZW9200000001</p><p><b>status</b>: active</p><p><b>type</b>: health insurance plan policy <span style="background: LightGoldenRodYellow">(Details : {http://hl7.org/fhir/v3/ActCode code 'HIP' = 'health insurance plan policy', given as 'health insurance plan policy'})</span></p><p><b>subscriber</b>: First M LastName Jr. Generated Summary: unknown resource contained</p><p><b>subscriberId</b>: DZW9200000000</p><p><b>relationship</b>: Daughter <span style="background: LightGoldenRodYellow">(Details : {http://hl7.org/fhir/policyholder-relationship code 'child' = 'Child', given as 'Child'})</span></p><p><b>period</b>: 01/01/2016 12:00:00 AM --&gt; (ongoing)</p><p><b>payor</b>: Anthem Blue Cross of California</p><h3>Groupings</h3><table class="grid"><tr><td>-</td><td><b>Plan</b></td><td><b>PlanDisplay</b></td></tr><tr><td>*</td><td>1FZQ</td><td>Anthem Bronze 60 D HSA PPO</td></tr></table></div>
  </text>
  <contained>
    <RelatedPerson>
      <id value="argo-sch-1"/>
      <active value="true"/>
      <patient>
        <reference value="Patient/argo-sch-patient-2"/>
        <display value="Daughter M LastName"/>
      </patient>
      <name>
        <family value="LastName"/>
        <given value="First"/>
        <given value="M"/>
        <suffix value="Jr"/>
      </name>
      <telecom>
        <system value="phone"/>
        <value value="555-555-5555"/>
        <use value="home"/>
      </telecom>
      <telecom>
        <system value="email"/>
        <value value="myemail@example.com"/>
      </telecom>
      <gender value="male"/>
      <birthDate value="1964-06-19"/>
      <address>
        <line value="123 Main St"/>
        <city value="Santa Rosa"/>
        <state value="CA"/>
        <postalCode value="95555"/>
        <country value="US"/>
      </address>
    </RelatedPerson>
  </contained>
  <identifier>
    <system value="https://www.anthem.com/ca"/>
    <value value="DZW9200000001"/>
  </identifier>
  <status value="active"/>
  <type>
    <coding>
      <system value="http://hl7.org/fhir/v3/ActCode"/>
      <code value="HIP"/>
      <display value="health insurance plan policy"/>
    </coding>
  </type>
  <subscriber>
    <reference value="#argo-sch-1"/>
    <display value="First M LastName Jr"/>
  </subscriber>
  <subscriberId value="DZW9200000000"/>
  <relationship>
    <coding>
      <system value="http://hl7.org/fhir/policyholder-relationship"/>
      <code value="child"/>
      <display value="Child"/>
    </coding>
    <text value="Daughter"/>
  </relationship>
  <period>
    <start value="2016-01-01"/>
  </period>
  <payor>
    <display value="Anthem Blue Cross of California"/>
  </payor>
  <grouping>
    <plan value="1FZQ"/>
    <planDisplay value="Anthem Bronze 60 D HSA PPO"/>
  </grouping>
</Coverage>