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

<Coverage xmlns="http://hl7.org/fhir">
  <id value="PFEIG-PASCoverage-BSJ1"/>
  <meta>
    <profile value="http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-coverage"/>
  </meta>
  <language value="en"/>
  <text>
    <status value="generated"/><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>
  </text>
  <identifier>
    <system value="http://example.org/coverage"/>
    <value value="PAS-987654321"/>
  </identifier>
  <status value="active"/>
  <subscriber>
    <reference value="Patient/PFEIG-patientBSJ1"/>
  </subscriber>
  <subscriberId value="SUB-123456789"/>
  <beneficiary>
    <reference value="Patient/PFEIG-patientBSJ1"/>
  </beneficiary>
  <relationship>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/subscriber-relationship"/>
      <code value="self"/>
      <display value="Self"/>
    </coding>
  </relationship>
  <payor>
    <reference value="Organization/PFEIG-Payer-Org-01"/>
  </payor>
</Coverage>