General Person Secondary Coverage Example (id = "7546D")

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<Coverage xmlns="http://hl7.org/fhir"><id value="7546D"/><text ><status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml">A human-readable rendering of the coverage</div></text><identifier ><system value="http://xyz.com/codes/identifier"/><value value="AB98761"/></identifier><status value="active"/><kind value="insurance"/><type ><coding ><system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/><code value="EHCPOL"/><display value="extended healthcare"/></coding></type><subscriber ><reference value="Patient/5"/></subscriber><subscriberId ><value value="AB9876"/></subscriberId><beneficiary ><reference value="Patient/5"/></beneficiary><dependent value="1"/><relationship ><coding ><code value="self"/></coding></relationship><period ><start value="2011年03月17日"/><end value="2012年03月17日"/></period><insurer ><reference value="Organization/2 "/></insurer><class ><type ><coding ><system value="http://terminology.hl7.org/CodeSystem/coverage-class"/><code value="group"/></coding></type><value ><value value="WESTAIR"/></value><name value="Western Airlines"/></class><class ><type ><coding ><system value="http://terminology.hl7.org/CodeSystem/coverage-class"/><code value="plan"/></coding></type><value ><value value="BG4352"/></value><name value="Full Coverage: Medical, Dental, Pharmacy, Vision, EHC"/></class><class ><type ><coding ><system value="http://terminology.hl7.org/CodeSystem/coverage-class"/><code value="subplan"/></coding></type><value ><value value="D15C9"/></value><name value="Platinum"/></class><order value="2"/><!-- Second after the national medical coverage --><network value="5"/><costToBeneficiary ><type ><coding ><system value="http://terminology.hl7.org/CodeSystem/coverage-copay-type"/><code value="gpvisit"/><!-- normally 40ドル.00 --></coding></type><valueMoney ><valuevalue="20.00"/><currencyvalue="USD"/></valueMoney><exception ><type ><coding ><system value="http://terminology.hl7.org/CodeSystem/ex-coverage-financial-exception"/><code value="retired"/></coding></type><period ><start value="2018年01月01日"/><end value="2018年12月31日"/></period></exception></costToBeneficiary><contract ><reference value="Contract/INS-101 "/></contract></Coverage>