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

## : Coverage to Match Example 2 - XML Representation

Page standards status: Informative

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    <Coverage xmlns="http://hl7.org/fhir">
      <id value="CoverageMatchExample2"/>
      <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 class="res-header-id"><b>Generated Narrative: Coverage CoverageMatchExample2</b></p><a name="CoverageMatchExample2"> </a><a name="hcCoverageMatchExample2"> </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="http://hl7.org/fhir/us/davinci-hrex/STU1.1/StructureDefinition-hrex-coverage.html">HRex Member Match Coverage Profile</a></p></div><p><b>status</b>: Draft</p><p><b>type</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/v3-ActCode EHPLANS}">EHPLANS</span></p><p><b>subscriber</b>: <a href="https://simplifier.net/resolve?scope=hl7.fhir.us.core.3.1.1@3.1.1&amp;canonical=http://hl7.org/fhir/us/core/Patient/patient-prov-002">Patient/patient-prov-002</a></p><p><b>subscriberId</b>: 87654321</p><p><b>beneficiary</b>: <a href="https://simplifier.net/resolve?scope=hl7.fhir.us.core.3.1.1@3.1.1&amp;canonical=http://hl7.org/fhir/us/core/Patient/patient-prov-002">Patient/patient-prov-002</a></p><p><b>relationship</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/subscriber-relationship self}">Self</span></p><p><b>period</b>: 2023-06-01 --&gt; 2024-05-31</p><p><b>payor</b>: Another Health Plan (Identifier: <a href="http://terminology.hl7.org/3.1.0/NamingSystem-npi.html" title="National Provider Identifier">NPI</a>/1111111111)</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>: EMPLOY-67890</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>: HMO-BASIC</p></blockquote></div>
      </text>
      <status value="draft"/>
      <type>
        <coding>
          <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
          <code value="EHPLANS"/>
        </coding>
      </type>
      <subscriber>
        <reference value="Patient/patient-prov-002"/>
      </subscriber>
      <subscriberId value="87654321"/>
      <beneficiary>
        <reference value="Patient/patient-prov-002"/>
      </beneficiary>
      <relationship>
        <coding>
          <system
                  value="http://terminology.hl7.org/CodeSystem/subscriber-relationship"/>
          <code value="self"/>
        </coding>
      </relationship>
      <period>
        <start value="2023-06-01"/>
        <end value="2024-05-31"/>
      </period>
      <payor>
        <identifier>
          <system value="http://hl7.org/fhir/sid/us-npi"/>
          <value value="1111111111"/>
        </identifier>
        <display value="Another Health Plan"/>
      </payor>
      <class>
        <type>
          <coding>
            <system value="http://terminology.hl7.org/CodeSystem/coverage-class"/>
            <code value="group"/>
          </coding>
        </type>
        <value value="EMPLOY-67890"/>
      </class>
      <class>
        <type>
          <coding>
            <system value="http://terminology.hl7.org/CodeSystem/coverage-class"/>
            <code value="plan"/>
          </coding>
        </type>
        <value value="HMO-BASIC"/>
      </class>
    </Coverage>