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{
  "resourceType": "Coverage",
  "id": "jp-coverage-example-1",
  "meta": {
    "profile": [
      "http://jpfhir.jp/fhir/core/StructureDefinition/JP_Coverage"
    ]
  },
  "status": "active",
  "extension": [
    {
      "url": "http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_Coverage_InsuredPersonSymbol",
      "valueString": "１２－３４"
    },
    {
      "url": "http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_Coverage_InsuredPersonNumber",
      "valueString": "５６７８"
    },
    {
      "url": "http://jpfhir.jp/fhir/core/Extension/StructureDefinition/JP_Coverage_InsuredPersonSubNumber",
      "valueString": "００"
    }
  ],
  "identifier": [
    {
      "value": "\"１２－３４\",\"５６７８\",\"００\""
    }
  ],
  "subscriberId": "\"１２－３４\",\"５６７８\"",
  "dependent": "００",
  "payor": [
    {
      "reference": "Organization/jp-organization-example-payer"
    }
  ],
  "beneficiary": {
    "reference": "Patient/jp-patient-example-1"
  },
  "type": {
    "coding": [
      {
        "code": "PUBLICPOL",
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode"
      }
    ]
  }
}

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