Da Vinci Payer Data Exchange
2.1.1 - STU 2.1

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

## : coveragein2 - XML Representation

Page standards status: Informative

Raw xml | Download

    <Coverage xmlns="http://hl7.org/fhir">
      <id value="coverage-2"/>
      <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">Default Generated text for resource.</div>
      </text>
      <identifier>
        <type>
          <coding>
            <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
            <code value="MB"/>
          </coding>
        </type>
        <system value="http://example.org/old-payer"/>
        <value value="DH10001235"/>
      </identifier>
      <status value="draft"/>
      <subscriberId value="9876543789"/>
      <beneficiary>
        <reference value="Patient/2"/>
      </beneficiary>
      <relationship>
        <coding>
          <system
                  value="http://terminology.hl7.org/CodeSystem/subscriber-relationship"/>
          <code value="self"/>
        </coding>
      </relationship>
      <period>
        <start value="2011-05-23"/>
        <end value="2012-05-23"/>
      </period>
      <payor>
        <identifier>
          <system value="http://hl7.org/fhir/sid/us-npi"/>
          <value value="9876543210"/>
        </identifier>
        <display value="Old Health Plan"/>
      </payor>
      <class>
        <type>
          <coding>
            <system value="http://terminology.hl7.org/CodeSystem/coverage-class"/>
            <code value="group"/>
          </coding>
          <coding>
            <system value="http://terminology.hl7.org/CodeSystem/coverage-class"/>
            <code value="subplan"/>
          </coding>
        </type>
        <value value="P7"/>
      </class>
      <class>
        <type>
          <coding>
            <system value="http://terminology.hl7.org/CodeSystem/coverage-class"/>
            <code value="plan"/>
          </coding>
          <coding>
            <system value="http://terminology.hl7.org/CodeSystem/coverage-class"/>
            <code value="class"/>
          </coding>
        </type>
        <value value="SILVER"/>
      </class>
    </Coverage>