This page is part of the Da Vinci Patient Cost Transparency Implementation Guide (v2.0.0-ballot: STU 2 Ballot) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 2.0.0. For a full list of available versions, see the Directory of published versions
| Page standards status: Informative | 
Resource Coverage "coverage1001"
Profile: PCT Coverage
Extension Definition for Coverage.kind for Version 5.0: insurance
status: active
subscriberId: PFP123450000
beneficiary: Patient/patient1001 " BETTERHALF"
relationship: Self (SubscriberPolicyholder Relationship Codes#self)
period: 2021-01-01 --> 2022-01-01
payor: Organization/org1001 "Umbrella Insurance Company"
| Type | Value | Name | 
| Plan (Coverage Class Codes#plan) | Premim Family Plus | Premim Family Plus Plan | 
| Type | Value[x] | 
| Copay Percentage (Coverage Copay Type Codes#copaypct) | 20 |