{ "resourceType" : "Coverage", "id" : "coverage-example-ach-monthly-pass1", "meta" : { "profile" : ["http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-coverage"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Coverage coverage-example-ach-monthly-pass1

Profile: ACH Monthly Event Coverage

identifier: Member Number/084536836

status: Active

type: subsidized health program

policyHolder: Mom Parent

subscriberId: 98435938934

beneficiary: Pass1 ACH(official) Female, DoB: 2024-02-01 ( MRN:\u00a01601191901010308\u00a0(use:\u00a0usual,\u00a0))

relationship: Child

period: 2020-08-01 --> (ongoing)

payor: Medicaid

" }, "identifier" : [{ "type" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v2-0203", "code" : "MB", "display" : "Member Number" }] }, "system" : "http://example.org/fhir/memberidentifier", "value" : "084536836" }], "status" : "active", "type" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode", "version" : "9.0.0", "code" : "SUBSIDIZ", "display" : "subsidized health program" }] }, "policyHolder" : { "reference" : "http://example.org/fhir/RelatedPerson/exampleMom", "display" : "Mom Parent" }, "subscriberId" : "98435938934", "beneficiary" : { "reference" : "Patient/patient-example-ach-monthly-pass1" }, "relationship" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/subscriber-relationship", "code" : "child", "display" : "Child" }], "text" : "Child" }, "period" : { "start" : "2020-08-01" }, "payor" : [{ "reference" : "http://example.org/fhir/Organization/Medicaid", "display" : "Medicaid" }] }国产精品久久久久久一级毛片