<Coverage xmlns="http://hl7.org/fhir">
  <id value="core-examples-Coverage-example" />
  <meta>
    <versionId value="1" />
    <lastUpdated value="2016-09-08T11:37:47.811+00:00" />
  </meta>
  <text>
    <status value="generated" />
    <div xmlns="http://www.w3.org/1999/xhtml">A human-readable rendering of the coverage</div>
  </text>
  <issuer>
    <reference value="Organization/2" />
  </issuer>
  <period>
    <start value="2011-05-23" />
    <end value="2012-05-23" />
  </period>
  <type>
    <system value="http://hl7.org/fhir/v3/ActCode" />
    <code value="EHCPOL" />
    <display value="extended healthcare" />
  </type>
  <identifier>
    <system value="http://benefitsinc.com/certificate" />
    <value value="12345" />
  </identifier>
  <plan value="CBI35" />
  <subPlan value="123" />
  <dependent value="1" />
  <sequence value="1" />
  <subscriber>
    <reference value="Patient/4" />
  </subscriber>
</Coverage>