<?xml version="1.0" encoding="UTF-8"?>

<Coverage xmlns="http://hl7.org/fhir">
  <id value="de-identified-example"/>
  <meta>
    <profile value="http://hl7.org/fhir/us/uds-plus/StructureDefinition/uds-plus-coverage"/>
  </meta>
  <text>
    <status value="extensions"/><div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: Coverage de-identified-example</b></p><a name="de-identified-example"> </a><a name="hcde-identified-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-uds-plus-coverage.html">DeIdentified UDS Plus Coverage</a></p></div><p><b>UDS Plus Capitated Member Months Extension</b>: 36 yr<span style="background: LightGoldenRodYellow"> (Details: UCUM  codea = 'a')</span></p><p><b>UDS Plus FeeForService Member Months Extension</b>: 36 yr<span style="background: LightGoldenRodYellow"> (Details: UCUM  codea = 'a')</span></p><p><b>status</b>: Active</p><p><b>type</b>: <span title="Codes:{http://hl7.org/fhir/us/uds-plus/CodeSystem/uds-plus-insurance-codes private-insurance}">Private Insurance</span></p><p><b>beneficiary</b>: <a href="Patient-de-identified-example.html">Anonymous Patient Female, DoB Unknown</a></p><p><b>period</b>: 2019-03-17 --&gt; 2023-03-17</p><p><b>payor</b>: <a href="Organization-acme-payer.html">Organization Acme Health Plan</a></p></div>
  </text>
  <extension url="http://hl7.org/fhir/us/uds-plus/StructureDefinition/uds-plus-capitated-member-months-extension">
    <valueQuantity>
      <value value="36"/>
      <unit value="yr"/>
      <system value="http://unitsofmeasure.org"/>
      <code value="a"/>
    </valueQuantity>
  </extension>
  <extension url="http://hl7.org/fhir/us/uds-plus/StructureDefinition/uds-plus-feeforservice-member-months-extension">
    <valueQuantity>
      <value value="36"/>
      <unit value="yr"/>
      <system value="http://unitsofmeasure.org"/>
      <code value="a"/>
    </valueQuantity>
  </extension>
  <status value="active"/>
  <type>
    <coding>
      <system value="http://hl7.org/fhir/us/uds-plus/CodeSystem/uds-plus-insurance-codes"/>
      <code value="private-insurance"/>
      <display value="Private Insurance"/>
    </coding>
  </type>
  <beneficiary>
    <reference value="Patient/de-identified-example"/>
  </beneficiary>
  <period>
    <start value="2019-03-17"/>
    <end value="2023-03-17"/>
  </period>
  <payor>
    <reference value="Organization/acme-payer"/>
  </payor>
</Coverage>