FHIR © HL7.org  |  Server Home  |  Health Intersections FHIR Server v1.0.287  |  FHIR Version 4.0.0  | User: ANONYMOUS (Unknown)  

Resource "SP1234" Version "1" (Coverage)

Tags:

XML or JSON representation . provenance for this resource

A human-readable rendering of a Self Pay Agreement.

{
  "resourceType" : "Coverage",
  "id" : "SP1234",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2018-12-14T02:02:26.364Z"
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">A human-readable rendering of a Self Pay Agreement.</div>"
  },
  "identifier" : [
    {
      "system" : "http://hospitalx.com/selfpayagreement",
      "value" : "SP12345678"
    }
  ],
  "status" : "active",
  "type" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/coverage-selfpay",
        "code" : "pay",
        "display" : "PAY"
      }
    ]
  },
  "subscriber" : {
    "reference" : "Patient/5"
  },
  "beneficiary" : {
    "reference" : "Patient/5"
  },
  "relationship" : {
    "coding" : [
      {
        "code" : "self"
      }
    ]
  },
  "period" : {
    "end" : "2012-03-17"
  },
  "payor" : [
    {
      "reference" : "Patient/5"
    }
  ]
}