Patient Cost Transparency Implementation Guide
2.0.1 - STU 2

Patient Cost Transparency Implementation Guide, published by HL7 International / Financial Management. This guide is not an authorized publication; it is the continuous build for version 2.0.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/davinci-pct/ and changes regularly. See the Directory of published versions

## : selfpaycoverage2001 - JSON Representation

Page standards status: Informative

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    {
      "resourceType" : "Coverage",
      "id" : "selfpaycoverage2001",
      "meta" : {
        "profile" : [
          🔗 "http://hl7.org/fhir/us/davinci-pct/StructureDefinition/davinci-pct-coverage"
        ]
      },
      "text" : {
        "status" : "extensions",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Coverage selfpaycoverage2001</b></p><a name=\"selfpaycoverage2001\"> </a><a name=\"hcselfpaycoverage2001\"> </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-davinci-pct-coverage.html\">PCT Coverage</a></p></div><p><b>Extension Definition for Coverage.kind for Version 5.0</b>: self-pay</p><p><b>Self-Pay Declared</b>: true</p><p><b>status</b>: Active</p><p><b>subscriberId</b>: Absent because : not-applicable</p><p><b>beneficiary</b>: <a href=\"Patient-patient1001.html\">Eve Betterhalf Female, DoB: 1955-07-23 ( http://example.com/identifiers/patient#1001)</a></p><p><b>relationship</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/subscriber-relationship self}\">Self</span></p><p><b>payor</b>: <a href=\"Patient-patient1001.html\">Eve Betterhalf Female, DoB: 1955-07-23 ( http://example.com/identifiers/patient#1001)</a></p></div>"
      },
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-Coverage.kind",
          "valueCode" : "self-pay"
        },
        {
          "url" : "http://hl7.org/fhir/us/davinci-pct/StructureDefinition/selfPayDeclared",
          "valueBoolean" : true
        }
      ],
      "status" : "active",
      "_subscriberId" : {
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
            "valueCode" : "not-applicable"
          }
        ]
      },
      "beneficiary" : {
        🔗 "reference" : "Patient/patient1001"
      },
      "relationship" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/subscriber-relationship",
            "code" : "self",
            "display" : "Self"
          }
        ]
      },
      "payor" : [
        {
          🔗 "reference" : "Patient/patient1001"
        }
      ]
    }