AU Base Implementation Guide
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This page is part of the Australian Base IG (v4.2.2-ballot: AU Base R4.2 Ballot 5) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 4.1.0. For a full list of available versions, see the Directory of published versions

: Coverage - private health insurer - JSON Representation

Page standards status: Informative

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{
  "resourceType" : "Coverage",
  "id" : "private",
  "meta" : {
    "profile" : [
      🔗 "http://hl7.org.au/fhir/StructureDefinition/au-coverage"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Coverage private</b></p><a name=\"private\"> </a><a name=\"hcprivate\"> </a><a name=\"private-en-AU\"> </a><p><b>identifier</b>: Member Number/9999115</p><p><b>status</b>: Active</p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ActCode EHCPOL}\">extended healthcare</span></p><p><b>beneficiary</b>: <a href=\"Patient-example0.html\">Stella Franklin  Female, DoB: 1985-10-14 ( IHI:\u00a0Austalian Healthcare Identifier - Individual#8003608833357361)</a></p><p><b>relationship</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/subscriber-relationship self}\">Self</span></p><p><b>period</b>: 2020-12-19 --&gt; (ongoing)</p><p><b>payor</b>: HCF PTY LTD</p><h3>Classes</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Type</b></td><td><b>Value</b></td><td><b>Name</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/coverage-class plan}\">Plan</span></td><td>Bronze</td><td>HCF Hospital Bronze Plus</td></tr></table></div>"
  },
  "identifier" : [
    {
      "type" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code" : "MB",
            "display" : "Member Number"
          }
        ]
      },
      "system" : "http://hcf.example.com/member/memberid",
      "value" : "9999115",
      "assigner" : {
        "display" : "HCF PTY LTD"
      }
    }
  ],
  "status" : "active",
  "type" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "code" : "EHCPOL",
        "display" : "extended healthcare"
      }
    ]
  },
  "beneficiary" : {
    🔗 "reference" : "Patient/example0"
  },
  "relationship" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/subscriber-relationship",
        "code" : "self"
      }
    ],
    "text" : "Self"
  },
  "period" : {
    "start" : "2020-12-19"
  },
  "payor" : [
    {
      "display" : "HCF PTY LTD"
    }
  ],
  "class" : [
    {
      "type" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/coverage-class",
            "code" : "plan",
            "display" : "Plan"
          }
        ]
      },
      "value" : "Bronze",
      "name" : "HCF Hospital Bronze Plus"
    }
  ]
}