This page is part of the HRSA Uniform Data System (UDS) Patient Level Submission (PLS) (UDS+ or uds-plus) FHIR IG (v1.0.1: STU1) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions
: Uds Plus Coverage Example - JSON Representation
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{
"resourceType" : "Coverage",
"id" : "de-identified-example",
"meta" : {
"profile" : [
🔗 "http://fhir.org/guides/hrsa/uds-plus/StructureDefinition/uds-plus-coverage"
]
},
"extension" : [
{
"url" : "http://fhir.org/guides/hrsa/uds-plus/StructureDefinition/uds-plus-capitated-member-months-extension",
"valueQuantity" : {
"value" : 36,
"unit" : "yr",
"system" : "http://unitsofmeasure.org",
"code" : "a"
}
},
{
"url" : "http://fhir.org/guides/hrsa/uds-plus/StructureDefinition/uds-plus-feeforservice-member-months-extension",
"valueQuantity" : {
"value" : 36,
"unit" : "yr",
"system" : "http://unitsofmeasure.org",
"code" : "a"
}
}
],
"status" : "active",
"type" : {
"coding" : [
{
"system" : "http://fhir.org/guides/hrsa/uds-plus/CodeSystem/uds-plus-insurance-codes",
"code" : "private-insurance",
"display" : "Private Insurance"
}
]
},
"beneficiary" : {
🔗 "reference" : "Patient/de-identified-example"
},
"period" : {
"start" : "2019-03-17",
"end" : "2023-03-17"
},
"payor" : [
{
🔗 "reference" : "Organization/acme-payer"
}
]
}