JAMI ePrescriptionData ImplementationGuide - Local Development build (v1.0.0). See the Directory of published versions

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: JP-Coverage-ePreData-insurance-Example - JSON Representation

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{
  "resourceType" : "Coverage",
  "id" : "JP-Coverage-ePreData-insurance-Example",
  "meta" : {
    "profile" : [
      "http://jpfhir.jp/fhir/core/StructureDefinition/JP_Coverage",
      "http://jpfhir.jp/fhir/ePrescription/StructureDefinition/JP_Coverage_ePrescriptionData_insurance"
    ]
  },
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></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 \"JP-Coverage-ePreData-insurance-Example\" </p><p style=\"margin-bottom: 0px\">Profiles: <a href=\"https://simplifier.net/resolve?scope=jp-core.draft1@1.1.0-beta&amp;canonical=http://jpfhir.jp/fhir/core/StructureDefinition/JP_Coverage\">JP Core Coverage Profile</a>, <a href=\"StructureDefinition-JP-Coverage-ePrescriptionData-insurance.html\">JP_Coverage_ePrescriptionData_insurance</a></p></div><p><b>JP Core Coverage InsuredPersonSymbol Extension</b>: 12345</p><p><b>JP Core Coverage InsuredPersonNumber Extension</b>: ６７８９０</p><p><b>JP Core Coverage InsuredPersonSubNumber Extension</b>: 01</p><p><b>status</b>: active</p><p><b>type</b>: 医保 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-mhlw-codeSystem-ePreCDA-insuranceCategory-tbl11.html\">MHLW_codeSystem_ePreCDA_insuranceCategory_tbl11</a>#1)</span></p><p><b>beneficiary</b>: <a href=\"Patient-JP-Patient-ePreData-Example.html\">Patient/JP-Patient-ePreData-Example</a> \" 東京\"</p><p><b>dependent</b>: 01</p><p><b>relationship</b>: 被保険者 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-mhlw-codeSystem-ePreCDA-insuredRelationship-tbl12.html\">MHLW_codeSystem_ePreCDA_insuredRelationship_tbl12</a>#1)</span></p><p><b>period</b>: 2018-04-01 --&gt; (ongoing)</p><p><b>payor</b>: <a href=\"Organization-JP-Organization-ePreData-coveragePayer-Example.html\">Organization/JP-Organization-ePreData-coveragePayer-Example</a> \"サンプル健康保険組合\"</p><h3>CostToBeneficiaries</h3><table class=\"grid\"><tr><td>-</td><td><b>Type</b></td><td><b>Value[x]</b></td></tr><tr><td>*</td><td>負担率 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-coverage-copay-type.html\">Coverage Copay Type Codes</a>#copaypct)</span></td><td>30 %<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code % = '%')</span></td></tr></table></div>"
  },
  "extension" : [
    {
      "url" : "http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_Coverage_InsuredPersonSymbol",
      "valueString" : "12345"
    },
    {
      "url" : "http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_Coverage_InsuredPersonNumber",
      "valueString" : "６７８９０"
    },
    {
      "url" : "http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_Coverage_InsuredPersonSubNumber",
      "valueString" : "01"
    }
  ],
  "status" : "active",
  "type" : {
    "coding" : [
      {
        "system" : "urn:oid:1.2.392.100495.20.2.61",
        "code" : "1"
      }
    ]
  },
  "beneficiary" : {
    "reference" : "Patient/JP-Patient-ePreData-Example"
  },
  "dependent" : "01",
  "relationship" : {
    "coding" : [
      {
        "system" : "urn:oid:1.2.392.100495.20.2.62",
        "code" : "1",
        "display" : "被保険者"
      }
    ]
  },
  "period" : {
    "start" : "2018-04-01"
  },
  "payor" : [
    {
      "reference" : "Organization/JP-Organization-ePreData-coveragePayer-Example"
    }
  ],
  "costToBeneficiary" : [
    {
      "type" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/coverage-copay-type",
            "code" : "copaypct",
            "display" : "負担率"
          }
        ]
      },
      "valueQuantity" : {
        "value" : 30,
        "unit" : "%",
        "system" : "http://unitsofmeasure.org",
        "code" : "%"
      }
    }
  ]
}