{ "$schema": "https://json-structure.org/meta/core/v0/#", "$id": "https://raw.githubusercontent.com/api-evangelist/unitedhealth/refs/heads/main/json-structure/optum-fhir-coverage-structure.json", "name": "UnitedHealth Group FHIR Coverage", "type": "object", "description": "FHIR R4 Coverage resource representing UnitedHealth Group insurance coverage including plan, group, and benefit period", "fields": [ { "name": "resourceType", "type": "string", "description": "FHIR resource type", "enum": [ "Coverage" ] }, { "name": "id", "type": "string", "description": "Resource ID" }, { "name": "status", "type": "string", "description": "Coverage status", "enum": [ "active", "cancelled", "draft", "entered-in-error" ] }, { "name": "type", "type": "object", "description": "Coverage type coding" }, { "name": "subscriber", "type": "object", "description": "Subscriber reference" }, { "name": "subscriberId", "type": "string", "description": "Subscriber/member ID" }, { "name": "beneficiary", "type": "object", "description": "Beneficiary patient reference" }, { "name": "relationship", "type": "object", "description": "Relationship to subscriber" }, { "name": "period", "type": "object", "description": "Coverage period" }, { "name": "payor", "type": "array", "description": "Payer references", "items": { "type": "object" } }, { "name": "class", "type": "array", "description": "Plan classification", "items": { "type": "object" } } ] }