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

## : coverage1001 - XML Representation

Page standards status: Informative

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    <Coverage xmlns="http://hl7.org/fhir">
      <id value="coverage1001"/>
      <meta>
        <profile
                 value="http://hl7.org/fhir/us/davinci-pct/StructureDefinition/davinci-pct-coverage"/>
      </meta>
      <text>
        <status value="extensions"/>
        <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: Coverage coverage1001</b></p><a name="coverage1001"> </a><a name="hccoverage1001"> </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>: insurance</p><p><b>status</b>: Active</p><p><b>subscriberId</b>: PFP123450000</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>period</b>: 2021-01-01 --&gt; 2022-01-01</p><p><b>payor</b>: <a href="Organization-org1001.html">Organization Umbrella Insurance Company</a></p><h3>Classes</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Type</b></td><td><b>Value</b></td><td><b>Name</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{http://terminology.hl7.org/CodeSystem/coverage-class plan}">Plan</span></td><td>Premim Family Plus</td><td>Premim Family Plus Plan</td></tr></table><h3>CostToBeneficiaries</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Type</b></td><td><b>Value[x]</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{http://terminology.hl7.org/CodeSystem/coverage-copay-type copaypct}">Copay Percentage</span></td><td>20</td></tr></table></div>
      </text>
      <extension
                 url="http://hl7.org/fhir/5.0/StructureDefinition/extension-Coverage.kind">
        <valueCode value="insurance"/>
      </extension>
      <status value="active"/>
      <subscriberId value="PFP123450000"/>
      <beneficiary>🔗
        <reference value="Patient/patient1001"/>
      </beneficiary>
      <relationship>
        <coding>
          <system
                  value="http://terminology.hl7.org/CodeSystem/subscriber-relationship"/>
          <code value="self"/>
          <display value="Self"/>
        </coding>
      </relationship>
      <period>
        <start value="2021-01-01"/>
        <end value="2022-01-01"/>
      </period>
      <payor>🔗
        <reference value="Organization/org1001"/>
      </payor>
      <class>
        <type>
          <coding>
            <system value="http://terminology.hl7.org/CodeSystem/coverage-class"/>
            <code value="plan"/>
            <display value="Plan"/>
          </coding>
        </type>
        <value value="Premim Family Plus"/>
        <name value="Premim Family Plus Plan"/>
      </class>
      <costToBeneficiary>
        <type>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/coverage-copay-type"/>
            <code value="copaypct"/>
            <display value="Copay Percentage"/>
          </coding>
        </type>
        <valueQuantity>
          <value value="20"/>
        </valueQuantity>
      </costToBeneficiary>
    </Coverage>