This page is part of the FHIR Specification (v0.06: DSTU 1 Ballot 2). The current version which supercedes this version is 4.0.1. For a full list of available versions, see the Directory of published versions

 

General Person Primary Coverage Example (id = "9876B1")

<Coverage xmlns="http://hl7.org/fhir">

 <issuer>
  <type>Organization</type>
  <id>2</id>
</issuer>
 
 <period> 
   <start>2011-05-23</start>
   <end>2012-05-23</end>
 </period>

 <type>
      <system>http://hl7.org/vocab/v3/ActCoverageTypeCode</system>
      <code>EHCPOL</code>
      <display>Extended Health Policy</display>
 </type>
 
 <identifier>
    <system>http://xyz.com/codes/identifier</system>
    <id>12345</id>
 </identifier>
 
 <plan>
    <system>http://xyz.com/codes/plan</system>
    <id>CBI35</id>
 </plan>
 
 <subplan>
    <system>http://xyz.com/codes/subplan</system>
    <id>123</id>
 </subplan>
 
 <dependent>0</dependent>
 
 <sequence>1</sequence>
 
 <planHolder>
  <name>
  <use>official</use>
   <family>Seebetter</family>
   <given>Wanda</given>
   <given>L</given>
  </name>

  <address>
  <use>home</use>
   <line>123 Any St</line>
   <city>Anytown</city>
   <state>BC</state>
   <zip>V3R4R5</zip>
   <country>CANADA</country>
  </address>

  <birthdate>1955-01-01</birthdate>

  </planHolder>
  
  <text>
    <status>generated</status>
    <div xmlns="http://www.w3.org/1999/xhtml">A human readable rendering of the coverage</div>
  </text>
</Coverage>