Da Vinci Payer Data Exchange, published by HL7 International / Financial Management. This guide is not an authorized publication; it is the continuous build for version 2.1.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/davinci-epdx/ and changes regularly. See the Directory of published versions

• Narrative Content
• XML
• JSON
• TTL

: Coverage to Link Example 1 - XML Representation

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<Coverage xmlns="http://hl7.org/fhir">
  <id value="CoverageLinkExample1"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/us/davinci-hrex/StructureDefinition/hrex-coverage"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p>New Coverage for Robert Johnson - Subscriber ID: NEW-12345678, Current Payer, PPO-PREMIUM</p></div>
  </text>
  <status value="draft"/>
  <type>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
      <code value="HIP"/>
      <display value="health insurance plan policy"/>
    </coding>
  </type>
  <subscriber>🔗 
    <reference value="Patient/patient-prov-001"/>
  </subscriber>
  <subscriberId value="NEW-12345678"/>
  <beneficiary>🔗 
    <reference value="Patient/patient-prov-001"/>
  </beneficiary>
  <relationship>
    <coding>
      <system
              value="http://terminology.hl7.org/CodeSystem/subscriber-relationship"/>
      <code value="self"/>
    </coding>
  </relationship>
  <period>
    <start value="2024-01-01"/>
    <end value="2024-12-31"/>
  </period>
  <payor>
    <identifier>
      <system value="http://hl7.org/fhir/sid/us-npi"/>
      <value value="5555555555"/>
    </identifier>
    <display value="Current Payer"/>
  </payor>
  <class>
    <type>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/coverage-class"/>
        <code value="group"/>
      </coding>
    </type>
    <value value="EMPLOY-NEW"/>
  </class>
  <class>
    <type>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/coverage-class"/>
        <code value="plan"/>
      </coding>
    </type>
    <value value="PPO-PREMIUM"/>
  </class>
</Coverage>