{
  "resourceType" : "Coverage",
  "id" : "PFEIG-PASCoverage-BSJ1",
  "meta" : {
    "profile" : ["http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-coverage"]
  },
  "language" : "en",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"en\" lang=\"en\"><p class=\"res-header-id\"><b>Generated Narrative: Coverage PFEIG-PASCoverage-BSJ1</b></p><a name=\"PFEIG-PASCoverage-BSJ1\"> </a><a name=\"hcPFEIG-PASCoverage-BSJ1\"> </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\">Language: en</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/davinci-pas/STU2/StructureDefinition-profile-coverage.html\">PAS Coverage</a></p></div><p><b>identifier</b>: <code>http://example.org/coverage</code>/PAS-987654321</p><p><b>status</b>: Active</p><p><b>subscriber</b>: <a href=\"Patient-PFEIG-patientBSJ1.html\">Betsy Smith-Johnson Female, DoB Unknown ( http://example.org/identifiers/patient#10A3D58WH1600)</a></p><p><b>subscriberId</b>: SUB-123456789</p><p><b>beneficiary</b>: <a href=\"Patient-PFEIG-patientBSJ1.html\">Betsy Smith-Johnson Female, DoB Unknown ( http://example.org/identifiers/patient#10A3D58WH1600)</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=\"Organization-PFEIG-Payer-Org-01.html\">Organization Texas Example Health Plan</a></p></div>"
  },
  "identifier" : [{
    "system" : "http://example.org/coverage",
    "value" : "PAS-987654321"
  }],
  "status" : "active",
  "subscriber" : {
    "reference" : "Patient/PFEIG-patientBSJ1"
  },
  "subscriberId" : "SUB-123456789",
  "beneficiary" : {
    "reference" : "Patient/PFEIG-patientBSJ1"
  },
  "relationship" : {
    "coding" : [{
      "system" : "http://terminology.hl7.org/CodeSystem/subscriber-relationship",
      "code" : "self",
      "display" : "Self"
    }]
  },
  "payor" : [{
    "reference" : "Organization/PFEIG-Payer-Org-01"
  }]
}