מדריך למטמיע - טופס 17
1.0.0 - ci-build

This page is part of the T17 IG (v1.0.0: draft-1 Draft) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions

: t17-obligation - XML Representation

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<Coverage xmlns="http://hl7.org/fhir">
  <id value="t17-obligation"/>
  <meta>
    <profile
             value="http://ig.fhir-il-community.org/T17/StructureDefinition/t17-obligation"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">פרטי התחייבות מאושרת</div>
  </text>
  <identifier>
    <system value="http://fhir.leumit.co.il/identifier/obligation-num"/>
    <value value="1-1222223"/>
  </identifier>
  <status value="active"/>
  <type>
    <coding>
      <system value="http://fhir.health.gov.il/cs/coverage-type"/>
      <code value="OBL"/>
      <display value="התחייבות"/>
    </coding>
  </type>
  <beneficiary>
    <identifier>
      <system value="http://fhir.leumit.co.il/identifier/magnetic-card"/>
      <value value="1-123456-123456-789"/>
    </identifier>
  </beneficiary>
  <period>
    <start value="2023-05-25"/>
    <end value="2023-08-25"/>
  </period>
  <payor>
    <identifier>
      <system value="http://fhir.health.gov.il/identifier/legal-entity"/>
      <value value="580039899"/>
    </identifier>
    <display value="לאומית"/>
  </payor>
  <class>
    <type>
      <coding>
        <system value="http://fhir.health.gov.il/cs/coverage-class"/>
        <code value="OBL-BASKET"/>
      </coding>
    </type>
    <value value="התחייבות במסגרת הסל"/>
  </class>
  <costToBeneficiary>
    <type>
      <coding>
        <system
                value="http://terminology.hl7.org/CodeSystem/coverage-copay-type"/>
        <code value="deductible"/>
        <display value="Deductible"/>
      </coding>
      <text value="גובה השתתפות עצמית"/>
    </type>
    <valueMoney>
      <value value="200"/>
      <currency value="ILS"/>
    </valueMoney>
  </costToBeneficiary>
</Coverage>