Example Document Reference - Expired Insurance Cover

This document reference example supports the illustration of related documents. It is referenced within Example DocumentReference - Not Event-based as the document directly replaced by that example, which represents renewed insurance cover.

  • Overview
  • Table
  • XML
  • JSON
  • Narrative
DocumentReference
DocumentReference.id[0]Example-DSW-DocumentReference-ExpiredInsuranceCover
DocumentReference.meta[0].source[0]urn:oid:2.16.840.1.113883.2.1.8.1.3.193
DocumentReference.meta[0].profile[0]https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-DocumentReference
DocumentReference.meta[0].tag[0].system[0]seqno
DocumentReference.meta[0].tag[0].display[0]1
DocumentReference.meta[0].tag[1].system[0]docattr_documenttypecode
DocumentReference.meta[0].tag[1].display[0]MEDICALINSURANCE
DocumentReference.extension[0].url[0]https://fhir.nhs.wales/StructureDefinition/Extension-DataStandardsWales-DocumentDigitalStatus
DocumentReference.extension[0].value[0]scanned-paper-document
DocumentReference.identifier[0].system[0]www.localnamespace
DocumentReference.identifier[0].value[0]CONF-A123-10
DocumentReference.status[0]current
DocumentReference.docStatus[0]final
DocumentReference.type[0].coding[0].system[0]http://snomed.info/sct
DocumentReference.type[0].coding[0].code[0]722447009
DocumentReference.type[0].coding[0].display[0]Confirmation of insurance coverage for treatment
DocumentReference.category[0].coding[0].system[0]http://snomed.info/sct
DocumentReference.category[0].coding[0].code[0]826651000000100
DocumentReference.category[0].coding[0].display[0]Notification and legal document
DocumentReference.subject[0].reference[0]Patient/Example-DataStandardsWales-Patient-HaroldJames
DocumentReference.subject[0].display[0]JAMES, Harold A, Mr
DocumentReference.date[0]2025-07-22T11:20:17+00:00
DocumentReference.author[0].reference[0]Organization/Example-DataStandardsWales-Organization-MedicalInsurer
DocumentReference.author[0].display[0]Star Value Medical Insurance Ltd
DocumentReference.custodian[0].reference[0]Organization/Example-DataStandardsWales-Organization-HDUHB
DocumentReference.custodian[0].display[0]Hywel Dda University Health Board
DocumentReference.description[0]Insurance certificate covering surgical treatment
DocumentReference.securityLabel[0].coding[0].system[0]http://terminology.hl7.org/CodeSystem/v3-Confidentiality
DocumentReference.securityLabel[0].coding[0].code[0]N
DocumentReference.securityLabel[0].coding[0].display[0]Normal
DocumentReference.content[0].attachment[0].contentType[0]application/pdf
DocumentReference.content[0].attachment[0].language[0]eng
DocumentReference.content[0].attachment[0].url[0]https://www.example.com/documentref1234
DocumentReference.context[0].period[0].start[0]2024-02-20T00:00:00+00:00
DocumentReference.context[0].period[0].end[0]2025-02-19T23:59:00+00:00
<DocumentReference xmlns="http://hl7.org/fhir">
<id value="Example-DSW-DocumentReference-ExpiredInsuranceCover" />
<meta>
<source value="urn:oid:2.16.840.1.113883.2.1.8.1.3.193" />
<profile value="https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-DocumentReference" />
<tag>
<system value="seqno" />
<display value="1" />
</tag>
<tag>
<system value="docattr_documenttypecode" />
<display value="MEDICALINSURANCE" />
</tag>
</meta>
<extension url="https://fhir.nhs.wales/StructureDefinition/Extension-DataStandardsWales-DocumentDigitalStatus">
<valueCode value="scanned-paper-document" />
</extension>
<identifier>
<system value="www.localnamespace" />
<value value="CONF-A123-10" />
</identifier>
<status value="current" />
<docStatus value="final" />
<type>
<coding>
<system value="http://snomed.info/sct" />
<code value="722447009" />
<display value="Confirmation of insurance coverage for treatment" />
</coding>
</type>
<category>
<coding>
<system value="http://snomed.info/sct" />
<code value="826651000000100" />
<display value="Notification and legal document" />
</coding>
</category>
<subject>
<reference value="Patient/Example-DataStandardsWales-Patient-HaroldJames" />
<display value="JAMES, Harold A, Mr" />
</subject>
<date value="2025-07-22T11:20:17+00:00" />
<author>
<reference value="Organization/Example-DataStandardsWales-Organization-MedicalInsurer" />
<display value="Star Value Medical Insurance Ltd" />
</author>
<custodian>
<reference value="Organization/Example-DataStandardsWales-Organization-HDUHB" />
<display value="Hywel Dda University Health Board" />
</custodian>
<description value="Insurance certificate covering surgical treatment" />
<securityLabel>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v3-Confidentiality" />
<code value="N" />
<display value="Normal" />
</coding>
</securityLabel>
<content>
<attachment>
<contentType value="application/pdf" />
<language value="eng" />
<url value="https://www.example.com/documentref1234" />
</attachment>
</content>
<context>
<period>
<start value="2024-02-20T00:00:00+00:00" />
<end value="2025-02-19T23:59:00+00:00" />
</period>
</context>
</DocumentReference>
{
"resourceType": "DocumentReference",
"id": "Example-DSW-DocumentReference-ExpiredInsuranceCover",
"meta": {
"source": "urn:oid:2.16.840.1.113883.2.1.8.1.3.193",
"profile": [
"https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-DocumentReference"
],
"tag": [
{
"system": "seqno",
"display": "1"
},
{
"system": "docattr_documenttypecode",
"display": "MEDICALINSURANCE"
}
]
},
"extension": [
{
"url": "https://fhir.nhs.wales/StructureDefinition/Extension-DataStandardsWales-DocumentDigitalStatus",
"valueCode": "scanned-paper-document"
}
],
"identifier": [
{
"system": "www.localnamespace",
"value": "CONF-A123-10"
}
],
"status": "current",
"docStatus": "final",
"type": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "722447009",
"display": "Confirmation of insurance coverage for treatment"
}
]
},
"category": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "826651000000100",
"display": "Notification and legal document"
}
]
}
],
"subject": {
"reference": "Patient/Example-DataStandardsWales-Patient-HaroldJames",
"display": "JAMES, Harold A, Mr"
},
"date": "2025-07-22T11:20:17+00:00",
"author": [
{
"reference": "Organization/Example-DataStandardsWales-Organization-MedicalInsurer",
"display": "Star Value Medical Insurance Ltd"
}
],
"custodian": {
"reference": "Organization/Example-DataStandardsWales-Organization-HDUHB",
"display": "Hywel Dda University Health Board"
},
"description": "Insurance certificate covering surgical treatment",
"securityLabel": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-Confidentiality",
"code": "N",
"display": "Normal"
}
]
}
],
"content": [
{
"attachment": {
"contentType": "application/pdf",
"language": "eng",
"url": "https://www.example.com/documentref1234"
}
}
],
"context": {
"period": {
"start": "2024-02-20T00:00:00+00:00",
"end": "2025-02-19T23:59:00+00:00"
}
}
}