Healthcare Financial Services IG Edition 1 - Local Development build (v0.3.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

• Narrative Content
• XML
• JSON
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: Coverage for Patient #3 - JSON Representation

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{
  "resourceType" : "Coverage",
  "id" : "1334",
  "meta" : {
    "profile" : [
      🔗 "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/coverage"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Coverage 1334</b></p><a name=\"1334\"> </a><a name=\"hc1334\"> </a><a name=\"1334-en-US\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-coverage.html\">Nphies Coverage</a></p></div><p><b>identifier</b>: <code>http://sni.com.sa/identifiers/memberid</code>/0000000002</p><p><b>status</b>: Active</p><p><b>type</b>: <span title=\"Codes:{http://nphies.sa/terminology/CodeSystem/coverage-type EHCPOL}\">extended healthcare</span></p><p><b>policyHolder</b>: <a href=\"Organization-13.html\">Organization Policy Holder Organization</a></p><p><b>subscriber</b>: <a href=\"Patient-123454186.html\">Ahmad Khaled Abbas(official) Male, DoB: 1984-12-25 ( Passport Number: G12345678)</a></p><p><b>beneficiary</b>: <a href=\"Patient-173826788.html\">Muhammad Khaled Abbas(official) Male, DoB: 2010-08-21 ( Permanent Resident Card Number: 2000000002)</a></p><p><b>relationship</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/subscriber-relationship child}\">Child</span></p><p><b>payor</b>: <a href=\"Organization-bff3aa1fbd3648619ac082357bf135db.html\">Organization Saudi National Insurance</a></p><h3>Classes</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Type</b></td><td><b>Value</b></td><td><b>Name</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/coverage-class plan}\">Plan</span></td><td>CB135</td><td>Insurance Plan A</td></tr></table><p><b>network</b>: Golden C</p></div>"
  },
  "identifier" : [
    {
      "system" : "http://sni.com.sa/identifiers/memberid",
      "value" : "0000000002"
    }
  ],
  "status" : "active",
  "type" : {
    "coding" : [
      {
        "system" : "http://nphies.sa/terminology/CodeSystem/coverage-type",
        "code" : "EHCPOL",
        "display" : "extended healthcare"
      }
    ]
  },
  "policyHolder" : {
    🔗 "reference" : "Organization/13"
  },
  "subscriber" : {
    🔗 "reference" : "Patient/123454186"
  },
  "beneficiary" : {
    🔗 "reference" : "Patient/173826788"
  },
  "relationship" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/subscriber-relationship",
        "code" : "child",
        "display" : "Child"
      }
    ]
  },
  "payor" : [
    {
      🔗 "reference" : "Organization/bff3aa1fbd3648619ac082357bf135db"
    }
  ],
  "class" : [
    {
      "type" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/coverage-class",
            "code" : "plan"
          }
        ]
      },
      "value" : "CB135",
      "name" : "Insurance Plan A"
    }
  ],
  "network" : "Golden C"
}