Coverage Example: coverage-example-selfpay

Narrative

A human-readable rendering of a Self Pay Agreement.

Example XML

<?xml version="1.0" encoding="UTF-8"?>
<Coverage xmlns="http://hl7.org/fhir" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://hl7.org/fhir ../../schema/coverage.xsd">
    <id value="SP1234"/>

    <text>
        <status value="generated"/>
        <div xmlns="http://www.w3.org/1999/xhtml">A human-readable rendering of a Self Pay Agreement.</div>
    </text>

    <identifier>
        <system value="http://hospitalx.com/selfpayagreement"/>
        <value value="SP12345678"/>
    </identifier>

    <status value="active"/>

    <kind value="self-pay"/>

    <paymentBy>
        <party>
            <reference value="Patient/5"/>
        </party>
    </paymentBy>

    <type>
        <coding>
            <system value="http://terminology.hl7.org/CodeSystem/coverage-selfpay"/>
            <code value="pay"/>
            <display value="PAY"/>
        </coding>
    </type>

    <subscriber>
        <reference value="Patient/5"/>
    </subscriber>

    <beneficiary>
        <reference value="Patient/5"/>
    </beneficiary>

    <relationship>
        <coding>
            <code value="self"/>
        </coding>
    </relationship>

    <period> 
        <end value="2012-03-17"/>
    </period>

</Coverage>