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 - XML Representation

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<Coverage xmlns="http://hl7.org/fhir">
  <id value="HealthCardExample"/>
  <meta>
    <profile
             value="http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/coverage"/>
  </meta>
  <text>
    <status value="generated"/>
    <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><a name="HealthCardExample-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://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>
  </text>
  <identifier>
    <system value="http://healthinsurer.com/member"/>
    <value value="12405431"/>
  </identifier>
  <status value="active"/>
  <type>
    <coding>
      <system value="http://nphies.sa/terminology/CodeSystem/coverage-type"/>
      <code value="EHCPOL"/>
    </coding>
  </type>
  <policyHolder>🔗 
    <reference value="Organization/ElalConstruction"/>
  </policyHolder>
  <subscriber>🔗 
    <reference value="Patient/AhmedPatient"/>
  </subscriber>
  <beneficiary>🔗 
    <reference value="Patient/AhmedPatient"/>
  </beneficiary>
  <relationship>
    <coding>
      <system
              value="http://terminology.hl7.org/CodeSystem/subscriber-relationship"/>
      <code value="self"/>
    </coding>
  </relationship>
  <period>
    <start value="2020-03-16"/>
    <end value="2021-03-16"/>
  </period>
  <payor>🔗 
    <reference value="Organization/HealthInsuranceInc"/>
  </payor>
  <class>
    <type>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/coverage-class"/>
        <code value="group"/>
      </coding>
    </type>
    <value value="ELAL CONSTRUCTION"/>
  </class>
  <class>
    <type>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/coverage-class"/>
        <code value="plan"/>
      </coding>
    </type>
    <value value="17452394"/>
  </class>
  <class>
    <type>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/coverage-class"/>
        <code value="class"/>
      </coding>
    </type>
    <value value="A"/>
  </class>
  <network value="7"/>
  <costToBeneficiary>
    <type>
      <coding>
        <system
                value="http://nphies.sa/terminology/CodeSystem/coverage-copay-type"/>
        <code value="copaypct"/>
      </coding>
    </type>
    <valueQuantity>
      <value value="0.2"/>
    </valueQuantity>
  </costToBeneficiary>
</Coverage>