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

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: Health Card Example - Coverage - JSON Representation

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{
  "resourceType" : "Coverage",
  "id" : "HealthCardExample",
  "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 HealthCardExample</b></p><a name=\"HealthCardExample\"> </a><a name=\"hcHealthCardExample\"> </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://healthinsurer.com/member</code>/12405431</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-ElalConstruction.html\">Organization Elal Construction Saudi Arabia Ltd.</a></p><p><b>subscriber</b>: <a href=\"Patient-AhmedPatient.html\">Ahmed Patient Male, DoB: 1984-10-15 ( Permanent Resident Card Number: 2000000999)</a></p><p><b>beneficiary</b>: <a href=\"Patient-AhmedPatient.html\">Ahmed Patient Male, DoB: 1984-10-15 ( Permanent Resident Card Number: 2000000999)</a></p><p><b>relationship</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/subscriber-relationship self}\">Self</span></p><p><b>period</b>: 2020-03-16 --&gt; 2021-03-16</p><p><b>payor</b>: <a href=\"Organization-HealthInsuranceInc.html\">Organization Health Insurance Inc.</a></p><blockquote><p><b>class</b></p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/coverage-class group}\">Group</span></p><p><b>value</b>: ELAL CONSTRUCTION</p></blockquote><blockquote><p><b>class</b></p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/coverage-class plan}\">Plan</span></p><p><b>value</b>: 17452394</p></blockquote><blockquote><p><b>class</b></p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/coverage-class class}\">Class</span></p><p><b>value</b>: A</p></blockquote><p><b>network</b>: 7</p><h3>CostToBeneficiaries</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Type</b></td><td><b>Value[x]</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://nphies.sa/terminology/CodeSystem/coverage-copay-type copaypct}\">Copay Percentage</span></td><td>0.2</td></tr></table></div>"
  },
  "identifier" : [
    {
      "system" : "http://healthinsurer.com/member",
      "value" : "12405431"
    }
  ],
  "status" : "active",
  "type" : {
    "coding" : [
      {
        "system" : "http://nphies.sa/terminology/CodeSystem/coverage-type",
        "code" : "EHCPOL"
      }
    ]
  },
  "policyHolder" : {
    🔗 "reference" : "Organization/ElalConstruction"
  },
  "subscriber" : {
    🔗 "reference" : "Patient/AhmedPatient"
  },
  "beneficiary" : {
    🔗 "reference" : "Patient/AhmedPatient"
  },
  "relationship" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/subscriber-relationship",
        "code" : "self"
      }
    ]
  },
  "period" : {
    "start" : "2020-03-16",
    "end" : "2021-03-16"
  },
  "payor" : [
    {
      🔗 "reference" : "Organization/HealthInsuranceInc"
    }
  ],
  "class" : [
    {
      "type" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/coverage-class",
            "code" : "group"
          }
        ]
      },
      "value" : "ELAL CONSTRUCTION"
    },
    {
      "type" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/coverage-class",
            "code" : "plan"
          }
        ]
      },
      "value" : "17452394"
    },
    {
      "type" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/coverage-class",
            "code" : "class"
          }
        ]
      },
      "value" : "A"
    }
  ],
  "network" : "7",
  "costToBeneficiary" : [
    {
      "type" : {
        "coding" : [
          {
            "system" : "http://nphies.sa/terminology/CodeSystem/coverage-copay-type",
            "code" : "copaypct"
          }
        ]
      },
      "valueQuantity" : {
        "value" : 0.2
      }
    }
  ]
}