AU Core Implementation Guide
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: Coverage - Selfpay - XML Representation

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<Coverage xmlns="http://hl7.org/fhir">
  <id value="selfpay-smith-emma"/>
  <meta>
    <profile
             value="http://hl7.org.au/fhir/core/StructureDefinition/au-core-coverage"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: Coverage</b><a name="selfpay-smith-emma"> </a></p><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">Resource Coverage &quot;selfpay-smith-emma&quot; </p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-au-core-coverage.html">AU Core Coverage</a></p></div><p><b>identifier</b>: id: PAYD00045678</p><p><b>status</b>: active</p><p><b>type</b>: PAY <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.3.0/CodeSystem-coverage-selfpay.html">Coverage SelfPay Codes</a>#pay)</span></p><p><b>subscriber</b>: <a href="Patient-smith-emma.html">Patient/smith-emma</a> &quot; SMITH&quot;</p><p><b>beneficiary</b>: <a href="Patient-smith-emma.html">Patient/smith-emma</a> &quot; SMITH&quot;</p><p><b>relationship</b>: Self <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.3.0/CodeSystem-subscriber-relationship.html">SubscriberPolicyholder Relationship Codes</a>#self)</span></p><p><b>period</b>: 2021-10-10 --&gt; (ongoing)</p><p><b>payor</b>: <a href="Patient-smith-emma.html">Patient/smith-emma</a> &quot; SMITH&quot;</p></div>
  </text>
  <identifier>
    <system value="http://hospitalsau.example.com/selfpayagreement"/>
    <value value="PAYD00045678"/>
  </identifier>
  <status value="active"/>
  <type>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/coverage-selfpay"/>
      <code value="pay"/>
      <display value="PAY"/>
    </coding>
  </type>
  <subscriber>🔗 
    <reference value="Patient/smith-emma"/>
  </subscriber>
  <beneficiary>🔗 
    <reference value="Patient/smith-emma"/>
  </beneficiary>
  <relationship>
    <coding>
      <system
              value="http://terminology.hl7.org/CodeSystem/subscriber-relationship"/>
      <code value="self"/>
    </coding>
    <text value="Self"/>
  </relationship>
  <period>
    <start value="2021-10-10"/>
  </period>
  <payor>🔗 
    <reference value="Patient/smith-emma"/>
  </payor>
</Coverage>