CDC National Healthcare Safety Network (NHSN) Digital Quality Measures (dQM) Content Package IG
1.0.0 - Release 1

CDC National Healthcare Safety Network (NHSN) Digital Quality Measures (dQM) Content Package IG - Downloaded Version 1.0.0 See the Directory of published versions

## : Coverage - Example ACH Monthly Pass2 - XML Representation

Page standards status: Informative

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    <Coverage xmlns="http://hl7.org/fhir">
      <id value="coverage-example-ach-monthly-pass2"/>
      <meta>
        <profile
                 value="http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-coverage"/>
      </meta>
      <text>
        <status value="generated"/>
        <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: Coverage coverage-example-ach-monthly-pass2</b></p><a name="coverage-example-ach-monthly-pass2"> </a><a name="hccoverage-example-ach-monthly-pass2"> </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"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-ach-monthly-coverage.html">ACH Monthly Event Coverage</a></p></div><p><b>identifier</b>: Member Number/93565936</p><p><b>status</b>: Active</p><p><b>type</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/v3-ActCode HMO}">health maintenance organization policy</span></p><p><b>subscriberId</b>: 89345743</p><p><b>beneficiary</b>: <a href="Patient-patient-example-ach-monthly-pass2.html">Pass2 ACH(official) Female, DoB: 1965-12-22 ( MRN: 1601191902010308 (use: usual, ))</a></p><p><b>relationship</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/subscriber-relationship self}">Self</span></p><p><b>payor</b>: <a href="http://example.org/fhir/Organization/PayerComm">PayerComm</a></p></div>
      </text>
      <identifier>
        <type>
          <coding>
            <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
            <code value="MB"/>
            <display value="Member Number"/>
          </coding>
        </type>
        <system value="http://example.org/fhir/memberidentifier"/>
        <value value="93565936"/>
      </identifier>
      <status value="active"/>
      <type>
        <coding>
          <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
          <version value="9.0.0"/>
          <code value="HMO"/>
          <display value="health maintenance organization policy"/>
        </coding>
      </type>
      <subscriberId value="89345743"/>
      <beneficiary>🔗
        <reference value="Patient/patient-example-ach-monthly-pass2"/>
      </beneficiary>
      <relationship>
        <coding>
          <system
                  value="http://terminology.hl7.org/CodeSystem/subscriber-relationship"/>
          <code value="self"/>
          <display value="Self"/>
        </coding>
      </relationship>
      <payor>
        <reference value="http://example.org/fhir/Organization/PayerComm"/>
        <display value="PayerComm"/>
      </payor>
    </Coverage>