Implementation Guide
23.0.0 - R4 APIs
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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .
# - resource -------------------------------------------------------------------
a fhir:Coverage ;
fhir:nodeRole fhir:treeRoot ;
fhir:id [ fhir:v "Example1"] ; #
fhir:meta [
fhir:lastUpdated [ fhir:v "2024-12-20T10:40:07.000+00:00"^^xsd:dateTime ] ;
( fhir:profile [
fhir:v "https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-coverage-profile"^^xsd:anyURI ;
fhir:link <https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-coverage-profile> ] ) ;
( fhir:security [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-Confidentiality"^^xsd:anyURI ] ;
fhir:code [ fhir:v "N" ] ;
fhir:display [ fhir:v "Normal" ] ] )
] ; #
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Coverage Example1</b></p><a name=\"Example1\"> </a><a name=\"hcExample1\"> </a><a name=\"Example1-en-US\"> </a><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\">Last updated: 2024-12-20 10:40:07+0000</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-athena-coverage-profile.html\">ATHENACoverage</a></p><p style=\"margin-bottom: 0px\">Security Label: Normal (Details: Confidentiality code N = ' normal ', stated as ' Normal ')</p></div><p><b>identifier</b>: Member Number/89438</p><p><b>status</b>: Active</p><p><b>type</b>: <span title=\"Codes:{https://docs.mydata.athenahealth.com/fhir-r4/athenaFlex/namingsystem/InsuranceCarrierType/BLRT-345 1}\">MEDICARE</span></p><p><b>policyHolder</b>: <a href=\"Patient-Example1.html\">Robert S Benson (official) Male, DoB: 1974-05-21 ( Medical record number)</a></p><p><b>subscriber</b>: <a href=\"Patient-Example1.html\">Robert S Benson (official) Male, DoB: 1974-05-21 ( Medical record number)</a></p><p><b>subscriberId</b>: 89438</p><p><b>beneficiary</b>: <a href=\"Patient-Example1.html\">Robert S Benson (official) Male, DoB: 1974-05-21 ( Medical record number)</a></p><p><b>relationship</b>: <span title=\"Codes:{https://hl7.org/fhir/R4/valueset-subscriber-relationship common}\">Common Law Spouse</span></p><p><b>period</b>: 2024-12-11 00:00:00+0000 --> 2024-12-26 00:00:00+0000</p><p><b>payor</b>: <a href=\"Organization-Example1.html\">(D000)</a></p><blockquote><p><b>class</b></p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/coverage-class group}\">coverage-class group</span></p><p><b>value</b>: 3433</p><p><b>name</b>: Star Group</p></blockquote><blockquote><p><b>class</b></p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/coverage-class plan}\">plan</span></p><p><b>value</b>: 1532879610244880</p><p><b>name</b>: Test Plan</p></blockquote></div>"
] ; #
fhir:extension ( [
fhir:url [ fhir:v "https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-coverage-extension-coverage-type"^^xsd:anyURI ] ;
fhir:value [ fhir:v "Primary" ]
] [
fhir:url [ fhir:v "https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-coverage-extension-subscriber-name"^^xsd:anyURI ] ;
fhir:value [
a fhir:HumanName ;
fhir:family [ fhir:v "Abbey" ] ;
( fhir:given [ fhir:v "Jeff" ] ) ]
] ) ; #
fhir:identifier ( [
fhir:type [
( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ] ;
fhir:code [ fhir:v "MB" ] ;
fhir:display [ fhir:v "Member Number" ] ] ) ;
fhir:text [ fhir:v "Member Number" ] ] ;
fhir:value [ fhir:v "89438" ]
] ) ; #
fhir:status [ fhir:v "active"] ; #
fhir:type [
( fhir:coding [
fhir:system [ fhir:v "https://docs.mydata.athenahealth.com/fhir-r4/athenaFlex/namingsystem/InsuranceCarrierType/BLRT-345"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1" ] ;
fhir:display [ fhir:v "MEDICARE" ] ] ) ;
fhir:text [ fhir:v "MEDICARE" ]
] ; #
fhir:policyHolder [
fhir:reference [ fhir:v "Patient/Example1" ]
] ; #
fhir:subscriber [
fhir:reference [ fhir:v "Patient/Example1" ]
] ; #
fhir:subscriberId [ fhir:v "89438"] ; #
fhir:beneficiary [
fhir:reference [ fhir:v "Patient/Example1" ]
] ; #
fhir:relationship [
( fhir:coding [
fhir:system [ fhir:v "https://hl7.org/fhir/R4/valueset-subscriber-relationship"^^xsd:anyURI ] ;
fhir:code [ fhir:v "common" ] ;
fhir:display [ fhir:v "Common Law Spouse" ] ] ) ;
fhir:text [ fhir:v "Common Law Spouse" ]
] ; #
fhir:period [
fhir:start [ fhir:v "2024-12-11T00:00:00+00:00"^^xsd:dateTime ] ;
fhir:end [ fhir:v "2024-12-26T00:00:00+00:00"^^xsd:dateTime ]
] ; #
fhir:payor ( [
fhir:reference [ fhir:v "Organization/Example1" ] ;
fhir:display [ fhir:v "(D000)" ]
] ) ; #
fhir:class ( [
fhir:type [
( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/coverage-class"^^xsd:anyURI ] ;
fhir:code [ fhir:v "group" ] ] ) ;
fhir:text [ fhir:v "coverage-class group" ] ] ;
fhir:value [ fhir:v "3433" ] ;
fhir:name [ fhir:v "Star Group" ]
] [
fhir:type [
( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/coverage-class"^^xsd:anyURI ] ;
fhir:code [ fhir:v "plan" ] ;
fhir:display [ fhir:v "plan" ] ] ) ;
fhir:text [ fhir:v "plan" ] ] ;
fhir:value [ fhir:v "1532879610244880" ] ;
fhir:name [ fhir:v "Test Plan" ]
] ) . #
IG © 2022+ athenahealth. Package athenahealth#23.0.0 based on FHIR 4.0.1. Generated 2025-01-02
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