This page is part of the Da Vinci Health Record Exchange (v1.1.0: STU 1.1) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions

• Narrative Content
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: HRex Coverage full example - XML Representation

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<Coverage xmlns="http://hl7.org/fhir">
  <id value="full"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/us/davinci-hrex/StructureDefinition/hrex-coverage"/>
  </meta>
  <text>
    <status value="extensions"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: Coverage full</b></p><a name="full"> </a><a name="hcfull"> </a><a name="full-en-US"> </a><p><b>Coverage Da Vinci Wellknown Endpoint</b>: <a href="https://simplifier.net/resolve?scope=hl7.fhir.us.core.v610@6.1.0&amp;canonical=http://somepayer.org/.well-known/davinci-configuration">http://somepayer.org/.well-known/davinci-configuration</a></p><p><b>identifier</b>: Member Number/234567</p><p><b>status</b>: Active</p><p><b>type</b>: <span title="Codes:{https://nahdo.org/sopt 2}">MEDICAID</span></p><p><b>subscriberId</b>: 97531</p><p><b>beneficiary</b>: <a href="https://simplifier.net/resolve?scope=hl7.fhir.us.core.v610@6.1.0&amp;canonical=http://example.org/new-payer/fhir/Patient/pat1">??</a></p><p><b>relationship</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/subscriber-relationship self}">Self</span></p><p><b>period</b>: 2021-01-01 --&gt; 2021-12-31</p><p><b>payor</b>: <a href="Organization-full.html">Organization New Health Plan</a></p></div>
  </text>
  <extension
             url="http://hl7.org/fhir/us/davinci-hrex/StructureDefinition/extension-CoverageDavinciWellknownLocation">
    <valueUri value="http://somepayer.org/.well-known/davinci-configuration"/>
  </extension>
  <identifier>
    <type>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
        <code value="MB"/>
      </coding>
    </type>
    <system value="http://example.org/new-payer/identifiers/coverage"/>
    <value value="234567"/>
  </identifier>
  <status value="active"/>
  <type>
    <coding>
      <system value="https://nahdo.org/sopt"/>
      <code value="2"/>
      <display value="MEDICAID"/>
    </coding>
  </type>
  <subscriberId value="97531"/>
  <beneficiary>
    <reference value="http://example.org/new-payer/fhir/Patient/pat1"/>
  </beneficiary>
  <relationship>
    <coding>
      <system
              value="http://terminology.hl7.org/CodeSystem/subscriber-relationship"/>
      <code value="self"/>
    </coding>
  </relationship>
  <period>
    <start value="2021-01-01"/>
    <end value="2021-12-31"/>
  </period>
  <payor>🔗 
    <reference value="Organization/full"/>
  </payor>
</Coverage>