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Source1

{
  "resourceType": "Coverage",
  "id": "POD.4d2821c9-c8a3-42e1-9405-f015960035c1",
  "meta": {
    "profile": [
      "https://pnt.gov/fhir/StructureDefinition/Coverage"
    ]
  },
  "status": "active",
  "type": {
    "coding": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "code": "PUBLICPOL"
      }
    ]
  },
  "beneficiary": {
    "reference": "Patient/POD.fa462fc8-7658-4098-ae95-56e4e4c73350"
  },
  "payor": [
    {
      "reference": "Organization/POD.01c6d12a-a95a-46f6-9cf7-e5b719aaf982"
    }
  ],
  "costToBeneficiary": [
    {
      "valueMoney": {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
            "valueCode": "not-applicable"
          }
        ]
      },
      "exception": [
        {
          "extension": [
            {
              "url": "http://hl7.it/fhir/StructureDefinition/coverage-exceptionStatus",
              "valueCodeableConcept": {
                "coding": [
                  {
                    "system": "http://terminology.hl7.org/CodeSystem/v3-ActStatus",
                    "code": "active"
                  }
                ]
              }
            }
          ],
          "type": {
            "coding": [
              {
                "system": "http://terminology.hl7.it/CodeSystem/minsan-esenzioni",
                "code": "E01"
              }
            ]
          }
        }
      ]
    }
  ]
}