FHIR IG analytics| Package | ndhm.in |
| Resource Type | Bundle |
| Id | Bundle-CoverageEligibilityResponseBundle-discovery-example-01.json |
| FHIR Version | R4 |
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No resources found
No narrative content found in resource
FHIR
FHIRsmith{
"resourceType": "Bundle",
"id": "CoverageEligibilityResponseBundle-discovery-example-01",
"meta": {
"profile": [
"https://nrces.in/ndhm/fhir/r4/StructureDefinition/CoverageEligibilityResponseBundle"
]
},
"identifier": {
"value": "bc3c6c57-2053-4d0e-ac40-139ccccff645"
},
"type": "collection",
"timestamp": "2023-09-11T15:32:26.605+05:30",
"entry": [
{
"fullUrl": "urn:uuid:5f0d3c31-d06d-493a-8cad-d786fb34f565",
"resource": {
"resourceType": "CoverageEligibilityResponse",
"id": "5f0d3c31-d06d-493a-8cad-d786fb34f565",
"meta": {
"profile": [
"https://nrces.in/ndhm/fhir/r4/StructureDefinition/CoverageEligibilityResponse"
]
},
"language": "en",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"en\" lang=\"en\"><a name=\"CoverageEligibilityResponse_5f0d3c31-d06d-493a-8cad-d786fb34f565\"> </a><p class=\"res-header-id\"><b>Generated Narrative: CoverageEligibilityResponse 5f0d3c31-d06d-493a-8cad-d786fb34f565</b></p><a name=\"5f0d3c31-d06d-493a-8cad-d786fb34f565\"> </a><a name=\"hc5f0d3c31-d06d-493a-8cad-d786fb34f565\"> </a><a name=\"5f0d3c31-d06d-493a-8cad-d786fb34f565-hi-IN\"> </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=\"StructureDefinition-CoverageEligibilityResponse.html\">CoverageEligibilityResponse</a></p></div><p><b>status</b>: Active</p><p><b>purpose</b>: Coverage Discovery</p><p><b>patient</b>: <a href=\"Bundle-CoverageEligibilityResponseBundle-discovery-example-01.html#urn-uuid-6aa94e1c-7b4b-42fa-9d5f-f7c7e489404e\">Patient</a></p><p><b>created</b>: 2023-09-11</p><p><b>requestor</b>: <a href=\"Bundle-CoverageEligibilityResponseBundle-discovery-example-01.html#urn-uuid-c80cb253-1436-4ebb-a7ff-2ec737869db8\">Organization</a></p><p><b>request</b>: <a href=\"Bundle-CoverageEligibilityResponseBundle-discovery-example-01.html#urn-uuid-4a94adea-b220-4f7a-82bf-eeba6f7b3473\">CoverageEligibilityRequest-discovery</a></p><p><b>outcome</b>: Processing Complete</p><p><b>disposition</b>: Policy is currently in-force.</p><p><b>insurer</b>: <a href=\"Bundle-CoverageEligibilityResponseBundle-discovery-example-01.html#urn-uuid-9c214228-bd79-44d3-b599-1bd46170b938\">Organization</a></p><h3>Insurances</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Coverage</b></td><td><b>Inforce</b></td><td><b>BenefitPeriod</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"Bundle-CoverageEligibilityResponseBundle-discovery-example-01.html#urn-uuid-e67150f3-5a12-4e9b-a6e6-da8fd21693cc\">Coverage</a></td><td>true</td><td>2023-09-07 --> 2026-08-07</td></tr></table></div>"
},
"status": "active",
"purpose": [
"discovery"
],
"patient": {
"reference": "urn:uuid:6aa94e1c-7b4b-42fa-9d5f-f7c7e489404e",
"display": "Patient"
},
"created": "2023-09-11",
"requestor": {
"reference": "urn:uuid:c80cb253-1436-4ebb-a7ff-2ec737869db8",
"display": "Organization"
},
"request": {
"reference": "urn:uuid:4a94adea-b220-4f7a-82bf-eeba6f7b3473",
"display": "CoverageEligibilityRequest-discovery"
},
"outcome": "complete",
"disposition": "Policy is currently in-force.",
"insurer": {
"reference": "urn:uuid:9c214228-bd79-44d3-b599-1bd46170b938",
"display": "Organization"
},
"insurance": [
{
"coverage": {
"reference": "urn:uuid:e67150f3-5a12-4e9b-a6e6-da8fd21693cc",
"display": "Coverage"
},
"inforce": true,
"benefitPeriod": {
"start": "2023-09-07",
"end": "2026-08-07"
}
}
]
}
},
{
"fullUrl": "urn:uuid:6aa94e1c-7b4b-42fa-9d5f-f7c7e489404e",
"resource": {
"resourceType": "Patient",
"id": "6aa94e1c-7b4b-42fa-9d5f-f7c7e489404e",
"meta": {
"versionId": "1",
"lastUpdated": "2023-09-15T14:58:58.181+05:30",
"profile": [
"https://nrces.in/ndhm/fhir/r4/StructureDefinition/Patient"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_6aa94e1c-7b4b-42fa-9d5f-f7c7e489404e\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient 6aa94e1c-7b4b-42fa-9d5f-f7c7e489404e</b></p><a name=\"6aa94e1c-7b4b-42fa-9d5f-f7c7e489404e\"> </a><a name=\"hc6aa94e1c-7b4b-42fa-9d5f-f7c7e489404e\"> </a><a name=\"6aa94e1c-7b4b-42fa-9d5f-f7c7e489404e-hi-IN\"> </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\">version: 1; Last updated: 2023-09-15 14:58:58+0530</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-Patient.html\">Patient</a></p></div><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Adarsh Agrawal Male, DoB: 1981-01-12 ( Adhaar number: 7225-4829-5255)</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"Ways to contact the Patient\">Contact Detail</td><td colspan=\"3\"><a href=\"tel:+919818512600\">+919818512600</a></td></tr></table></div>"
},
"identifier": [
{
"type": {
"coding": [
{
"system": "https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-identifier-type-code",
"code": "ADN",
"display": "Adhaar number"
}
]
},
"system": "https://uidai.gov.in/",
"value": "7225-4829-5255"
}
],
"name": [
{
"text": "Adarsh Agrawal"
}
],
"telecom": [
{
"system": "phone",
"value": "+919818512600",
"use": "home"
}
],
"gender": "male",
"birthDate": "1981-01-12"
}
},
{
"fullUrl": "urn:uuid:1647b8bd-7370-4182-8d01-62532f920a75",
"resource": {
"resourceType": "Practitioner",
"id": "1647b8bd-7370-4182-8d01-62532f920a75",
"meta": {
"versionId": "1",
"lastUpdated": "2023-09-15T14:58:58.181+05:30",
"profile": [
"https://nrces.in/ndhm/fhir/r4/StructureDefinition/Practitioner"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Practitioner_1647b8bd-7370-4182-8d01-62532f920a75\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Practitioner 1647b8bd-7370-4182-8d01-62532f920a75</b></p><a name=\"1647b8bd-7370-4182-8d01-62532f920a75\"> </a><a name=\"hc1647b8bd-7370-4182-8d01-62532f920a75\"> </a><a name=\"1647b8bd-7370-4182-8d01-62532f920a75-hi-IN\"> </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\">version: 1; Last updated: 2023-09-15 14:58:58+0530</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-Practitioner.html\">Practitioner</a></p></div><p><b>identifier</b>: Medical License number/21-1521-3828-3227</p><p><b>name</b>: Dr. Aayush Agrawal</p></div>"
},
"identifier": [
{
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0203",
"code": "MD",
"display": "Medical License number"
}
]
},
"system": "https://doctor.ndhm.gov.in",
"value": "21-1521-3828-3227"
}
],
"name": [
{
"text": "Dr. Aayush Agrawal"
}
]
}
},
{
"fullUrl": "urn:uuid:4a94adea-b220-4f7a-82bf-eeba6f7b3473",
"resource": {
"resourceType": "CoverageEligibilityRequest",
"id": "4a94adea-b220-4f7a-82bf-eeba6f7b3473",
"meta": {
"profile": [
"https://nrces.in/ndhm/fhir/r4/StructureDefinition/CoverageEligibilityRequest"
]
},
"language": "en",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"en\" lang=\"en\"><a name=\"CoverageEligibilityRequest_4a94adea-b220-4f7a-82bf-eeba6f7b3473\"> </a><p class=\"res-header-id\"><b>Generated Narrative: CoverageEligibilityRequest 4a94adea-b220-4f7a-82bf-eeba6f7b3473</b></p><a name=\"4a94adea-b220-4f7a-82bf-eeba6f7b3473\"> </a><a name=\"hc4a94adea-b220-4f7a-82bf-eeba6f7b3473\"> </a><a name=\"4a94adea-b220-4f7a-82bf-eeba6f7b3473-hi-IN\"> </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=\"StructureDefinition-CoverageEligibilityRequest.html\">CoverageEligibilityRequest</a></p></div><p><b>identifier</b>: 7612345</p><p><b>status</b>: Active</p><p><b>priority</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/processpriority normal}\">Normal</span></p><p><b>purpose</b>: Coverage Discovery</p><p><b>patient</b>: <a href=\"Bundle-CoverageEligibilityResponseBundle-discovery-example-01.html#urn-uuid-6aa94e1c-7b4b-42fa-9d5f-f7c7e489404e\">Patient</a></p><p><b>created</b>: 2025-03-07 11:01:00+0500</p><p><b>enterer</b>: <a href=\"Bundle-CoverageEligibilityResponseBundle-discovery-example-01.html#urn-uuid-1647b8bd-7370-4182-8d01-62532f920a75\">Practitioner</a></p><p><b>provider</b>: <a href=\"Bundle-CoverageEligibilityResponseBundle-discovery-example-01.html#urn-uuid-c80cb253-1436-4ebb-a7ff-2ec737869db8\">Organization</a></p><p><b>insurer</b>: <a href=\"Bundle-CoverageEligibilityResponseBundle-discovery-example-01.html#urn-uuid-9c214228-bd79-44d3-b599-1bd46170b938\">Organization</a></p><p><b>facility</b>: <a href=\"Bundle-CoverageEligibilityResponseBundle-discovery-example-01.html#urn-uuid-561bcf42-257d-4f5b-9b62-24fc11dc4325\">Location</a></p><h3>Insurances</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Focal</b></td><td><b>Coverage</b></td></tr><tr><td style=\"display: none\">*</td><td>true</td><td><a href=\"Bundle-CoverageEligibilityResponseBundle-discovery-example-01.html#urn-uuid-e67150f3-5a12-4e9b-a6e6-da8fd21693cc\">Coverage</a></td></tr></table></div>"
},
"identifier": [
{
"value": "7612345"
}
],
"status": "active",
"priority": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/processpriority",
"code": "normal",
"display": "Normal"
}
]
},
"purpose": [
"discovery"
],
"patient": {
"reference": "urn:uuid:6aa94e1c-7b4b-42fa-9d5f-f7c7e489404e",
"display": "Patient"
},
"created": "2025-03-07T11:01:00+05:00",
"enterer": {
"reference": "urn:uuid:1647b8bd-7370-4182-8d01-62532f920a75",
"display": "Practitioner"
},
"provider": {
"reference": "urn:uuid:c80cb253-1436-4ebb-a7ff-2ec737869db8",
"display": "Organization"
},
"insurer": {
"reference": "urn:uuid:9c214228-bd79-44d3-b599-1bd46170b938",
"display": "Organization"
},
"facility": {
"reference": "urn:uuid:561bcf42-257d-4f5b-9b62-24fc11dc4325",
"display": "Location"
},
"insurance": [
{
"focal": true,
"coverage": {
"reference": "urn:uuid:e67150f3-5a12-4e9b-a6e6-da8fd21693cc",
"display": "Coverage"
}
}
]
}
},
{
"fullUrl": "urn:uuid:9c214228-bd79-44d3-b599-1bd46170b938",
"resource": {
"resourceType": "Organization",
"id": "9c214228-bd79-44d3-b599-1bd46170b938",
"meta": {
"profile": [
"https://nrces.in/ndhm/fhir/r4/StructureDefinition/Organization"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Organization_9c214228-bd79-44d3-b599-1bd46170b938\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Organization 9c214228-bd79-44d3-b599-1bd46170b938</b></p><a name=\"9c214228-bd79-44d3-b599-1bd46170b938\"> </a><a name=\"hc9c214228-bd79-44d3-b599-1bd46170b938\"> </a><a name=\"9c214228-bd79-44d3-b599-1bd46170b938-hi-IN\"> </a><p><b>identifier</b>: Registry of Hospitals in Network of Insurance (ROHINI) ID/4567878</p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/organization-type ins}\">Insurance Company</span></p><p><b>name</b>: XYZ Insurance Co. Ltd.</p><p><b>telecom</b>: <a href=\"tel:+9124326341234\">+91 243 2634 1234</a>, <a href=\"mailto:contact@xyz.org\">contact@xyz.org</a></p></div>"
},
"identifier": [
{
"type": {
"coding": [
{
"system": "https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-identifier-type-code",
"code": "ROHINI",
"display": "Registry of Hospitals in Network of Insurance (ROHINI) ID"
}
]
},
"system": "https://rohini.iib.gov.in/",
"value": "4567878"
}
],
"type": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/organization-type",
"code": "ins",
"display": "Insurance Company"
}
]
}
],
"name": "XYZ Insurance Co. Ltd.",
"telecom": [
{
"system": "phone",
"value": "+91 243 2634 1234",
"use": "work"
},
{
"system": "email",
"value": "contact@xyz.org",
"use": "work"
}
]
}
},
{
"fullUrl": "urn:uuid:c80cb253-1436-4ebb-a7ff-2ec737869db8",
"resource": {
"resourceType": "Organization",
"id": "c80cb253-1436-4ebb-a7ff-2ec737869db8",
"meta": {
"profile": [
"https://nrces.in/ndhm/fhir/r4/StructureDefinition/Organization"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Organization_c80cb253-1436-4ebb-a7ff-2ec737869db8\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Organization c80cb253-1436-4ebb-a7ff-2ec737869db8</b></p><a name=\"c80cb253-1436-4ebb-a7ff-2ec737869db8\"> </a><a name=\"hcc80cb253-1436-4ebb-a7ff-2ec737869db8\"> </a><a name=\"c80cb253-1436-4ebb-a7ff-2ec737869db8-hi-IN\"> </a><p><b>identifier</b>: Provider number/1234567890</p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/organization-type prov}\">Healthcare Provider</span></p><p><b>name</b>: XYZ Hospital Co. Ltd.</p><p><b>telecom</b>: <a href=\"tel:+9124326341278\">+91 243 2634 1278</a>, <a href=\"mailto:contact@xyz.org\">contact@xyz.org</a></p></div>"
},
"identifier": [
{
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0203",
"code": "PRN",
"display": "Provider number"
}
]
},
"system": "https://facility.ndhm.gov.in",
"value": "1234567890"
}
],
"type": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/organization-type",
"code": "prov",
"display": "Healthcare Provider"
}
]
}
],
"name": "XYZ Hospital Co. Ltd.",
"telecom": [
{
"system": "phone",
"value": "+91 243 2634 1278",
"use": "work"
},
{
"system": "email",
"value": "contact@xyz.org",
"use": "work"
}
]
}
},
{
"fullUrl": "urn:uuid:561bcf42-257d-4f5b-9b62-24fc11dc4325",
"resource": {
"resourceType": "Location",
"id": "561bcf42-257d-4f5b-9b62-24fc11dc4325",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Location_561bcf42-257d-4f5b-9b62-24fc11dc4325\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Location 561bcf42-257d-4f5b-9b62-24fc11dc4325</b></p><a name=\"561bcf42-257d-4f5b-9b62-24fc11dc4325\"> </a><a name=\"hc561bcf42-257d-4f5b-9b62-24fc11dc4325\"> </a><a name=\"561bcf42-257d-4f5b-9b62-24fc11dc4325-hi-IN\"> </a><p><b>identifier</b>: B1-S.F2</p><p><b>status</b>: Active</p><p><b>name</b>: South Wing, second floor</p><p><b>alias</b>: IndiaFirst Life Insurance Co. Ltd., South Wing, second floor</p><p><b>description</b>: Second floor of the Old South Wing, formerly in use by Psychiatry</p><p><b>mode</b>: Instance</p><p><b>telecom</b>: ph: 2328(Work), fax: 2329(Work), <a href=\"http://sampleorg.com/southwing\">http://sampleorg.com/southwing</a></p><p><b>address</b>: 91, Building A Pune 451855 IND (work)</p><p><b>physicalType</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/location-physical-type wi}\">Wing</span></p><h3>Positions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Longitude</b></td><td><b>Latitude</b></td><td><b>Altitude</b></td></tr><tr><td style=\"display: none\">*</td><td>-83.6945691</td><td>42.25475478</td><td>0</td></tr></table><p><b>managingOrganization</b>: <a href=\"Bundle-CoverageEligibilityResponseBundle-discovery-example-01.html#urn-uuid-c80cb253-1436-4ebb-a7ff-2ec737869db8\">Organization</a></p></div>"
},
"identifier": [
{
"value": "B1-S.F2"
}
],
"status": "active",
"name": "South Wing, second floor",
"alias": [
"IndiaFirst Life Insurance Co. Ltd., South Wing, second floor"
],
"description": "Second floor of the Old South Wing, formerly in use by Psychiatry",
"mode": "instance",
"telecom": [
{
"system": "phone",
"value": "2328",
"use": "work"
},
{
"system": "fax",
"value": "2329",
"use": "work"
},
{
"system": "url",
"value": "http://sampleorg.com/southwing",
"use": "work"
}
],
"address": {
"use": "work",
"line": [
"91, Building A"
],
"city": "Pune",
"postalCode": "451855",
"country": "IND"
},
"physicalType": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/location-physical-type",
"code": "wi",
"display": "Wing"
}
]
},
"position": {
"longitude": -83.6945691,
"latitude": 42.25475478,
"altitude": 0
},
"managingOrganization": {
"reference": "urn:uuid:c80cb253-1436-4ebb-a7ff-2ec737869db8",
"display": "Organization"
}
}
},
{
"fullUrl": "urn:uuid:e67150f3-5a12-4e9b-a6e6-da8fd21693cc",
"resource": {
"resourceType": "Coverage",
"id": "e67150f3-5a12-4e9b-a6e6-da8fd21693cc",
"meta": {
"profile": [
"https://nrces.in/ndhm/fhir/r4/StructureDefinition/Coverage"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Coverage_e67150f3-5a12-4e9b-a6e6-da8fd21693cc\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Coverage e67150f3-5a12-4e9b-a6e6-da8fd21693cc</b></p><a name=\"e67150f3-5a12-4e9b-a6e6-da8fd21693cc\"> </a><a name=\"hce67150f3-5a12-4e9b-a6e6-da8fd21693cc\"> </a><a name=\"e67150f3-5a12-4e9b-a6e6-da8fd21693cc-hi-IN\"> </a><p><b>identifier</b>: <code>https://xyzinsurance.in/policynumber/</code>/235037120</p><p><b>status</b>: Active</p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ActCode HIP}\">health insurance plan policy</span></p><p><b>subscriber</b>: <a href=\"Bundle-CoverageEligibilityResponseBundle-discovery-example-01.html#urn-uuid-6aa94e1c-7b4b-42fa-9d5f-f7c7e489404e\">Patient</a></p><p><b>subscriberId</b>: ABC123456BI007</p><p><b>beneficiary</b>: <a href=\"Bundle-CoverageEligibilityResponseBundle-discovery-example-01.html#urn-uuid-6aa94e1c-7b4b-42fa-9d5f-f7c7e489404e\">Patient</a></p><p><b>relationship</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/subscriber-relationship self}\">Self</span></p><p><b>period</b>: ?? --> 2026-03-17</p><p><b>payor</b>: <a href=\"Bundle-CoverageEligibilityResponseBundle-discovery-example-01.html#urn-uuid-9c214228-bd79-44d3-b599-1bd46170b938\">Organization</a></p></div>"
},
"identifier": [
{
"system": "https://xyzinsurance.in/policynumber/",
"value": "235037120"
}
],
"status": "active",
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "HIP",
"display": "health insurance plan policy"
}
]
},
"subscriber": {
"reference": "urn:uuid:6aa94e1c-7b4b-42fa-9d5f-f7c7e489404e",
"display": "Patient"
},
"subscriberId": "ABC123456BI007",
"beneficiary": {
"reference": "urn:uuid:6aa94e1c-7b4b-42fa-9d5f-f7c7e489404e",
"display": "Patient"
},
"relationship": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/subscriber-relationship",
"code": "self"
}
]
},
"period": {
"end": "2026-03-17"
},
"payor": [
{
"reference": "urn:uuid:9c214228-bd79-44d3-b599-1bd46170b938",
"display": "Organization"
}
]
}
}
]
}