<?xml version="1.0" encoding="UTF-8"?>

<Coverage xmlns="http://hl7.org/fhir">
  <id value="Coverage-Other-12345"/>
  <meta>
    <profile value="http://fhir.recareai.com/StructureDefinition/recare-other-insurance"/>
    <profile value="http://fhir.de/StructureDefinition/coverage-de-basis"/>
  </meta>
  <text>
    <status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: Coverage Coverage-Other-12345</b></p><a name="Coverage-Other-12345"> </a><a name="hcCoverage-Other-12345"> </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"/><p style="margin-bottom: 0px">Profiles: <a href="StructureDefinition-recare-other-insurance.html">Recare Other Insurance</a>, <a href="https://simplifier.net/resolve?scope=de.basisprofil.r4@1.6.0-ballot2&amp;canonical=http://fhir.de/StructureDefinition/coverage-de-basis">Coverage, deutsches Basisprofil</a></p></div><p><b>status</b>: Active</p><p><b>type</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/v3-NullFlavor UNK}">Unknown</span></p><p><b>beneficiary</b>: <a href="Bundle-DecryptedData-12345.html#urn-uuid-a1c2e4f6-8b3d-4e5f-9a7c-2d1b0e3f4a5b">Vorname Nachname (official) männlich, DoB: 1950-05-15 ( Einrichtungsinterne Patienten(-Akten-)Nummer)</a></p><p><b>payor</b>: ?rref?</p></div>
  </text>
  <status value="active"/>
  <type>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/v3-NullFlavor"/>
      <code value="UNK"/>
      <display value="Unknown"/>
    </coding>
  </type>
  <beneficiary>
    <reference value="urn:uuid:a1c2e4f6-8b3d-4e5f-9a7c-2d1b0e3f4a5b"/>
  </beneficiary>
  <payor>
    <extension url="http://hl7.org/fhir/StructureDefinition/data-absent-reason">
      <valueCode value="unknown"/>
    </extension>
  </payor>
</Coverage>