HRSA 2023 Uniform Data System (UDS) Patient Level Submission (PLS) (UDS+) FHIR IG
1.0.0 - STU1 Release 1 - Standard for Trial-Use International flag

HRSA 2023 Uniform Data System (UDS) Patient Level Submission (PLS) (UDS+) FHIR IG - Local Development build (v1.0.0). See the Directory of published versions

: Uds Plus Coverage Example - JSON Representation

Page standards status: Informative

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{
  "resourceType" : "Coverage",
  "id" : "de-identified-example",
  "meta" : {
    "profile" : [
      "http://hl7.org/fhir/us/uds-plus/StructureDefinition/uds-plus-coverage"
    ]
  },
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Coverage</b><a name=\"de-identified-example\"> </a></p><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\">Resource Coverage &quot;de-identified-example&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-uds-plus-coverage.html\">DeIdentified UDS Plus Coverage</a></p></div><p><b>UDS Plus Capitated Member Months Extension</b>: 36 yr<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code a = 'a')</span></p><p><b>UDS Plus FeeForService Member Months Extension</b>: 36 yr<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code a = 'a')</span></p><p><b>status</b>: active</p><p><b>type</b>: Private Insurance <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-uds-plus-insurance-codes.html\">UDS Plus Insurance Codes</a>#private-insurance)</span></p><p><b>beneficiary</b>: <a href=\"Patient-de-identified-example.html\">Patient/de-identified-example</a></p><p><b>period</b>: 2019-03-17 --&gt; 2023-03-17</p><p><b>payor</b>: <a href=\"Organization-acme-payer.html\">Organization/acme-payer</a> &quot;Acme Health Plan&quot;</p></div>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/us/uds-plus/StructureDefinition/uds-plus-capitated-member-months-extension",
      "valueQuantity" : {
        "value" : 36,
        "unit" : "yr",
        "system" : "http://unitsofmeasure.org",
        "code" : "a"
      }
    },
    {
      "url" : "http://hl7.org/fhir/us/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://hl7.org/fhir/us/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"
    }
  ]
}