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Resource Coverage - Examples 3.3.3

General-Primary 3.3.3.1

General Person Primary Coverage Example

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>

JSON Equivalent

General Person Primary Coverage Example

{"Coverage": {
  "text": {
    "status": "generated",
    "div": "<div>A human readable rendering of the coverage<\/div>"
  },
  "plan": {
    "id": {"value": "CBI35"},
    "system": {"value": "http://xyz.com/codes/plan"}
  },
  "issuer": {
    "id": {"value": "2"},
    "type": {"value": "Organization"}
  },
  "sequence": {"value": "1"},
  "dependent": {"value": "0"},
  "type": {
    "system": {"value": "http://hl7.org/vocab/v3/ActCoverageTypeCode"},
    "display": {"value": "Extended Health Policy"},
    "code": {"value": "EHCPOL"}
  },
  "period": {
    "start": {"value": "2011-05-23"},
    "end": {"value": "2012-05-23"}
  },
  "identifier": {
    "id": {"value": "12345"},
    "system": {"value": "http://xyz.com/codes/identifier"}
  },
  "planHolder": {
    "address": {
      "zip": {"value": "V3R4R5"},
      "state": {"value": "BC"},
      "line": [{"value": "123 Any St"}],
      "use": "home",
      "country": {"value": "CANADA"},
      "city": {"value": "Anytown"}
    },
    "name": {
      "given": [
        {"value": "Wanda"},
        {"value": "L"}
      ],
      "family": [{"value": "Seebetter"}],
      "use": "official"
    },
    "birthdate": {"value": "1955-01-01"}
  },
  "subplan": {
    "id": {"value": "123"},
    "system": {"value": "http://xyz.com/codes/subplan"}
  }
}}

General-Secondary 3.3.3.2

General Person Seconday Coverage Example

General Person Seconday Coverage Example (id = "7546D")

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

 <issuer>
  <type>Organization</type>
  <id>2</id>
</issuer>
 
 <period> 
   <start>2011-03-17</start>
   <end>2012-03-17</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>AB9876</id>
 </identifier>
 
 <plan>
    <system>http://xyz.com/codes/plan</system>
    <id>11024</id>
 </plan>
 
 <subplan>
    <system>http://xyz.com/codes/subplan</system>
    <id>D15C9</id>
 </subplan>
 
 <dependent>1</dependent>
  
 <planHolder>
  <name>
  <use>official</use>
   <family>Seebetter</family>
   <given>Frank</given>
   <given>I</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>1952-06-26</birthdate>

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

JSON Equivalent

General Person Seconday Coverage Example

{"Coverage": {
  "text": {
    "status": "generated",
    "div": "<div>A human readable rendering of the coverage<\/div>"
  },
  "plan": {
    "id": {"value": "11024"},
    "system": {"value": "http://xyz.com/codes/plan"}
  },
  "issuer": {
    "id": {"value": "2"},
    "type": {"value": "Organization"}
  },
  "dependent": {"value": "1"},
  "type": {
    "system": {"value": "http://hl7.org/vocab/v3/ActCoverageTypeCode"},
    "display": {"value": "Extended Health Policy"},
    "code": {"value": "EHCPOL"}
  },
  "period": {
    "start": {"value": "2011-03-17"},
    "end": {"value": "2012-03-17"}
  },
  "identifier": {
    "id": {"value": "AB9876"},
    "system": {"value": "http://xyz.com/codes/identifier"}
  },
  "planHolder": {
    "address": {
      "zip": {"value": "V3R4R5"},
      "state": {"value": "BC"},
      "line": [{"value": "123 Any St"}],
      "use": "home",
      "country": {"value": "CANADA"},
      "city": {"value": "Anytown"}
    },
    "name": {
      "given": [
        {"value": "Frank"},
        {"value": "I"}
      ],
      "family": [{"value": "Seebetter"}],
      "use": "official"
    },
    "birthdate": {"value": "1952-06-26"}
  },
  "subplan": {
    "id": {"value": "D15C9"},
    "system": {"value": "http://xyz.com/codes/subplan"}
  }
}}

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Implementers are welcome to experiment with the content defined here, but should note that the contents are subject to change without prior notice.
© HL7.org 2011 - 2012. FHIR v0.06 generated on Tue, Dec 4, 2012 00:03+1100. License