Implementation Guide
23.1.0 - R4 APIs

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: General Coverage Example - XML Representation

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<Coverage xmlns="http://hl7.org/fhir">
  <id value="Example1"/>
  <meta>
    <profile
             value="https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-coverage-profile"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: Coverage Example1</b></p><a name="Example1"> </a><a name="hcExample1"> </a><a name="Example1-en-US"> </a><p><b>identifier</b>: Member Number/850582812</p><p><b>status</b>: Active</p><p><b>type</b>: <span title="Codes:{https://docs.mydata.athenahealth.com/fhir-r4/athenaFlex/namingsystem/InsuranceCarrierType/Training MB}">Medicare</span></p><p><b>subscriber</b>: <a href="Patient-Example1.html">Robert S Benson (official) Male, DoB: 1974-05-21 ( Medical record number)</a></p><p><b>subscriberId</b>: 850582812</p><p><b>beneficiary</b>: <a href="Patient-Example1.html">Robert S Benson (official) Male, DoB: 1974-05-21 ( Medical record number)</a></p><p><b>period</b>: 2006-01-11 00:00:00+0530 --&gt; 2010-01-10 00:00:00+0530</p><p><b>payor</b>: <a href="Organization-Example1.html">Anthem Insurance Companies, Inc</a></p><h3>Classes</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Type</b></td><td><b>Value</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{http://terminology.hl7.org/CodeSystem/coverage-class group}">coverage-class group</span></td><td>236552</td></tr></table></div>
  </text>
  <extension
             url="https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-coverage-extension-coverage-type">
    <valueString value="Primary"/>
  </extension>
  <extension
             url="https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-coverage-extension-subscriber-name">
    <valueHumanName>
      <family value="Abbey"/>
      <given value="Jeff"/>
    </valueHumanName>
  </extension>
  <identifier>
    <type>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
        <code value="MB"/>
        <display value="Member Number"/>
      </coding>
      <text value="Member Number"/>
    </type>
    <value value="850582812"/>
  </identifier>
  <status value="active"/>
  <type>
    <coding>
      <system
              value="https://docs.mydata.athenahealth.com/fhir-r4/athenaFlex/namingsystem/InsuranceCarrierType/Training"/>
      <code value="MB"/>
      <display value="Medicare"/>
    </coding>
    <text value="Medicare"/>
  </type>
  <subscriber>🔗 
    <reference value="Patient/Example1"/>
  </subscriber>
  <subscriberId value="850582812"/>
  <beneficiary>🔗 
    <reference value="Patient/Example1"/>
  </beneficiary>
  <period>
    <start value="2006-01-11T00:00:00+05:30"/>
    <end value="2010-01-10T00:00:00+05:30"/>
  </period>
  <payor>🔗 
    <reference value="Organization/Example1"/>
    <display value="Anthem Insurance Companies, Inc"/>
  </payor>
  <class>
    <type>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/coverage-class"/>
        <code value="group"/>
      </coding>
      <text value="coverage-class group"/>
    </type>
    <value value="236552"/>
  </class>
</Coverage>