This page is part of the FHIR Specification (v0.0.82: DSTU 1). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3 R2

Coverage-example.xml

Raw XML (canonical form)

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

Raw XML

<Coverage xmlns="http://hl7.org/fhir">
  <id value="9876B1"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><!-- Snipped for brevity --></div>
  </text>
  <issuer>
    <reference value="Organization/2"/>
  </issuer>
  <period>
    <start value="2011-05-23"/>
    <end value="2012-05-23"/>
  </period>
  <type>
    <system value="http://hl7.org/fhir/v3/ActCode"/>
    <code value="EHCPOL"/>
    <display value="extended healthcare"/>
  </type>
  <identifier>
    <system value="http://benefitsinc.com/certificate"/>
    <value value="12345"/>
  </identifier>
  <plan value="CBI35"/>
  <subPlan value="123"/>
  <dependent value="0"/>
  <sequence value="1"/>
  <subscriber>
    <reference value="Patient/4"/>
  </subscriber>
</Coverage>

Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.