HdBe-Payer.PayerPerson-01 example

{
    "resourceType": "Coverage",
    "id": "HdBe-Payer.PayerPerson-01",
    "meta": {
        "profile":  [
            "https://fhir.healthdata.be/StructureDefinition/HdBe-Payer.PayerPerson"
        ]
    },
    "extension":  [
        {
            "url": "https://fhir.healthdata.be/StructureDefinition/ext-Payer.BankInformation",
            "extension":  [
                {
                    "url": "bankName",
                    "valueString": "BELFIUS BANK"
                },
                {
                    "url": "bankCode",
                    "valueString": "GKCC BE BB"
                },
                {
                    "url": "accountNumber",
                    "valueString": "BE68539007547034"
                }
            ]
        }
    ],
    "status": "active",
    "type": {
        "coding":  [
            {
                "system": "http://terminology.hl7.org/CodeSystem/coverage-selfpay",
                "code": "pay",
                "display": "Pay"
            }
        ]
    },
    "beneficiary": {
        "reference": "Patient/HdBe-Patient-01",
        "type": "Patient",
        "display": "Belle Ulijn"
    },
    "payor":  [
        {
            "reference": "Organization/HdBe-Payer-Organization-01",
            "type": "Organization",
            "display": "Payer-Organization, Stichting Het Goede Doel"
        }
    ]
}

<Coverage xmlns="http://hl7.org/fhir">
    <id value="HdBe-Payer.PayerPerson-01" />
    <meta>
        <profile value="https://fhir.healthdata.be/StructureDefinition/HdBe-Payer.PayerPerson" />
    </meta>
    <extension url="https://fhir.healthdata.be/StructureDefinition/ext-Payer.BankInformation">
        <extension url="bankName">
            <valueString value="BELFIUS BANK" />
        </extension>
        <extension url="bankCode">
            <valueString value="GKCC BE BB" />
        </extension>
        <extension url="accountNumber">
            <valueString value="BE68539007547034" />
        </extension>
    </extension>
    <status value="active" />
    <type>
        <coding>
            <system value="http://terminology.hl7.org/CodeSystem/coverage-selfpay" />
            <code value="pay" />
            <display value="Pay" />
        </coding>
    </type>
    <beneficiary>
        <reference value="Patient/HdBe-Patient-01" />
        <type value="Patient" />
        <display value="Belle Ulijn" />
    </beneficiary>
    <payor>
        <reference value="Organization/HdBe-Payer-Organization-01" />
        <type value="Organization" />
        <display value="Payer-Organization, Stichting Het Goede Doel" />
    </payor>
</Coverage>