US Core Implementation Guide
8.0.1 - STU 8

US Core Implementation Guide, published by HL7 International / Cross-Group Projects. This guide is not an authorized publication; it is the continuous build for version 8.0.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/US-Core/ and changes regularly. See the Directory of published versions

## : Coverage Example - XML Representation

Page standards status: Informative

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    <Coverage xmlns="http://hl7.org/fhir">
      <id value="coverage-example"/>
      <meta>
        <profile
                 value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-coverage|8.0.1"/>
      </meta>
      <text>
        <status value="generated"/>
        <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: Coverage coverage-example</b></p><a name="coverage-example"> </a><a name="hccoverage-example"> </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-us-core-coverage.html">US Core Coverage Profileversion: null8.0.1)</a></p></div><p><b>identifier</b>: Member Number/88800933501</p><p><b>status</b>: Active</p><p><b>type</b>: <span title="Codes:{https://nahdo.org/sopt 3712}, {http://terminology.hl7.org/CodeSystem/v3-ActCode PPO}">PPO</span></p><p><b>subscriberId</b>: 888009335</p><p><b>beneficiary</b>: <a href="Patient-example.html">Amy V. Baxter  (no stated gender), DoB: 1987-02-20 ( Medical Record Number: 1032702 (use: usual, ))</a></p><p><b>relationship</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/subscriber-relationship self}">Self</span></p><p><b>period</b>: 2020-01-01 --&gt; (ongoing)</p><p><b>payor</b>: <a href="Organization-acme-payer.html">Acme Health Plan</a></p><blockquote><p><b>class</b></p><p><b>type</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/coverage-class group}">An employee group</span></p><p><b>value</b>: xyz</p><p><b>name</b>: XYZ employee Group Plan</p></blockquote><blockquote><p><b>class</b></p><p><b>type</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/coverage-class plan}">A specific suite of benefits.</span></p><p><b>value</b>: gold</p><p><b>name</b>: Acme Gold Plan</p></blockquote></div>
      </text>
      <identifier>
        <type>
          <coding>
            <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
            <code value="MB"/>
            <display value="Member Number"/>
          </coding>
        </type>
        <system value="http://example.org/fhir/memberidentifier"/>
        <value value="88800933501"/>
      </identifier>
      <status value="active"/>
      <type>
        <coding>
          <system value="https://nahdo.org/sopt"/>
          <code value="3712"/>
          <display value="PPO"/>
        </coding>
        <coding>
          <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
          <code value="PPO"/>
          <display value="preferred provider organization policy"/>
        </coding>
        <text value="PPO"/>
      </type>
      <subscriberId value="888009335"/>
      <beneficiary>🔗
        <reference value="Patient/example"/>
      </beneficiary>
      <relationship>
        <coding>
          <system
                  value="http://terminology.hl7.org/CodeSystem/subscriber-relationship"/>
          <code value="self"/>
        </coding>
        <text value="Self"/>
      </relationship>
      <period>
        <start value="2020-01-01"/>
      </period>
      <payor>🔗
        <reference value="Organization/acme-payer"/>
        <display value="Acme Health Plan"/>
      </payor>
      <class>
        <type>
          <coding>
            <system value="http://terminology.hl7.org/CodeSystem/coverage-class"/>
            <code value="group"/>
            <display value="Group"/>
          </coding>
          <text value="An employee group"/>
        </type>
        <value value="xyz"/>
        <name value="XYZ employee Group Plan"/>
      </class>
      <class>
        <type>
          <coding>
            <system value="http://terminology.hl7.org/CodeSystem/coverage-class"/>
            <code value="plan"/>
            <display value="Plan"/>
          </coding>
          <text value="A specific suite of benefits."/>
        </type>
        <value value="gold"/>
        <name value="Acme Gold Plan"/>
      </class>
    </Coverage>