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Packagehl7.fhir.us.pacio-pfe
Resource TypeCoverage
IdCoverage-PFEIG-PASCoverage-BSJ1.json
FHIR VersionR4

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Narrative

Note: links and images are rebased to the (stated) source

Generated Narrative: Coverage PFEIG-PASCoverage-BSJ1

Profile: PAS Coverage version: 2.2.1

identifier: Member Number/PAS-987654321

status: Active

subscriber: Betsy Smith-Johnson Female, DoB Unknown ( http://example.org/identifiers/patient#10A3D58WH1600)

subscriberId: SUB-123456789

beneficiary: Betsy Smith-Johnson Female, DoB Unknown ( http://example.org/identifiers/patient#10A3D58WH1600)

relationship: Self

payor: Organization Texas Example Health Plan

Source1

{
  "resourceType": "Coverage",
  "id": "PFEIG-PASCoverage-BSJ1",
  "meta": {
    "profile": [
      "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-coverage|2.2.1"
    ]
  },
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "identifier": [
    {
      "type": {
        "coding": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code": "MB",
            "display": "Member Number"
          }
        ]
      },
      "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"
    }
  ]
}