CMSgov/dpc-app

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                    <lastUpdated value='2020-04-24T18:46:01.720+00:00'/>
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                        <code value='10'/>
                        <display value='Aged without end-stage renal disease (ESRD)'/>
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                        <code value='0'/>
                        <display value='Old age and survivor’s insurance (OASI)'/>
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                        <display value='Old age and survivor’s insurance (OASI)'/>
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                        <code value='0'/>
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                        <display value='Not Terminated'/>
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                        <code value='C'/>
                        <display value='Part A and Part B state buy-in'/>
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                        <display value='Part A and Part B state buy-in'/>
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                        <code value='C'/>
                        <display value='Part A and Part B state buy-in'/>
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                        <code value='C'/>
                        <display value='Part A and Part B state buy-in'/>
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                        <display value='Part A and Part B state buy-in'/>
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                        <code value='C'/>
                        <display value='Part A and Part B state buy-in'/>
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                        <code value='C'/>
                        <display value='Part A and Part B state buy-in'/>
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                        <display value='Part A and Part B state buy-in'/>
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                        <display value='Part A and Part B state buy-in'/>
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                        <display value='Part A and Part B state buy-in'/>
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                        <code value='C'/>
                        <display value='Part A and Part B state buy-in'/>
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                        <code value='C'/>
                        <display value='Part A and Part B state buy-in'/>
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                <status value='active'/>
                <type>
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                        <code value='Part A'/>
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                    <start value='1983-03-24'/>
                </period>
                <grouping>
                    <subGroup value='Medicare'/>
                    <subPlan value='Part A'/>
                </grouping>
                <contract id='ptc-contract1'/>
                <contract>
                    <reference value='Coverage/part-a-contract1 reference'/>
                </contract>
            </Coverage>
        </resource>
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    <entry>
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            <Coverage xmlns='http://hl7.org/fhir'>
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                <meta>
                    <lastUpdated value='2020-04-24T18:46:01.720+00:00'/>
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                    <valueCoding>
                        <system value='https://bluebutton.cms.gov/resources/variables/ms_cd'/>
                        <code value='10'/>
                        <display value='Aged without end-stage renal disease (ESRD)'/>
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                    <valueCoding>
                        <system value='https://bluebutton.cms.gov/resources/variables/b_trm_cd'/>
                        <code value='0'/>
                        <display value='Not Terminated'/>
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                <extension url='https://bluebutton.cms.gov/resources/variables/rfrnc_yr'>
                    <valueDate value='0003'/>
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                        <code value='AA'/>
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                        <code value='AA'/>
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                        <code value='C'/>
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                        <display value='Part A and Part B state buy-in'/>
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                        <display value='Part A and Part B state buy-in'/>
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                        <display value='Part A and Part B state buy-in'/>
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                        <display value='Part A and Part B state buy-in'/>
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                        <display value='Part A and Part B state buy-in'/>
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                        <display value='Part A and Part B state buy-in'/>
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                        <display value='Part A and Part B state buy-in'/>
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                        <display value='Part A and Part B state buy-in'/>
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                        <display value='Part A and Part B state buy-in'/>
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                        <code value='C'/>
                        <display value='Part A and Part B state buy-in'/>
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                <status value='active'/>
                <type>
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                        <system value='Medicare'/>
                        <code value='Part B'/>
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                    <reference value='Patient/-19990000002208'/>
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                <period>
                    <start value='1983-03-24'/>
                </period>
                <grouping>
                    <subGroup value='Medicare'/>
                    <subPlan value='Part B'/>
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    <entry>
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            <Coverage xmlns='http://hl7.org/fhir'>
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                    <lastUpdated value='2020-04-24T18:46:01.720+00:00'/>
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                    <valueCoding>
                        <system value='https://bluebutton.cms.gov/resources/variables/ptc_pbp_id_10'/>
                        <code value='C'/>
                    </valueCoding>
                </extension>
                <extension url='https://bluebutton.cms.gov/resources/variables/ptc_pbp_id_11'>
                    <valueCoding>
                        <system value='https://bluebutton.cms.gov/resources/variables/ptc_pbp_id_11'/>
                        <code value='C'/>
                    </valueCoding>
                </extension>
                <extension url='https://bluebutton.cms.gov/resources/variables/ptc_pbp_id_12'>
                    <valueCoding>
                        <system value='https://bluebutton.cms.gov/resources/variables/ptc_pbp_id_12'/>
                        <code value='C'/>
                    </valueCoding>
                </extension>
                <extension url='https://bluebutton.cms.gov/resources/variables/ptc_plan_type_cd_01'>
                    <valueCoding>
                        <system value='https://bluebutton.cms.gov/resources/variables/ptc_plan_type_cd_01'/>
                        <code value='C'/>
                    </valueCoding>
                </extension>
                <extension url='https://bluebutton.cms.gov/resources/variables/ptc_plan_type_cd_02'>
                    <valueCoding>
                        <system value='https://bluebutton.cms.gov/resources/variables/ptc_plan_type_cd_02'/>
                        <code value='C'/>
                    </valueCoding>
                </extension>
                <extension url='https://bluebutton.cms.gov/resources/variables/ptc_plan_type_cd_03'>
                    <valueCoding>
                        <system value='https://bluebutton.cms.gov/resources/variables/ptc_plan_type_cd_03'/>
                        <code value='C'/>
                    </valueCoding>
                </extension>
                <extension url='https://bluebutton.cms.gov/resources/variables/ptc_plan_type_cd_04'>
                    <valueCoding>
                        <system value='https://bluebutton.cms.gov/resources/variables/ptc_plan_type_cd_04'/>
                        <code value='C'/>
                    </valueCoding>
                </extension>
                <extension url='https://bluebutton.cms.gov/resources/variables/ptc_plan_type_cd_05'>
                    <valueCoding>
                        <system value='https://bluebutton.cms.gov/resources/variables/ptc_plan_type_cd_05'/>
                        <code value='C'/>
                    </valueCoding>
                </extension>
                <extension url='https://bluebutton.cms.gov/resources/variables/ptc_plan_type_cd_06'>
                    <valueCoding>
                        <system value='https://bluebutton.cms.gov/resources/variables/ptc_plan_type_cd_06'/>
                        <code value='C'/>
                    </valueCoding>
                </extension>
                <extension url='https://bluebutton.cms.gov/resources/variables/ptc_plan_type_cd_07'>
                    <valueCoding>
                        <system value='https://bluebutton.cms.gov/resources/variables/ptc_plan_type_cd_07'/>
                        <code value='C'/>
                    </valueCoding>
                </extension>
                <extension url='https://bluebutton.cms.gov/resources/variables/ptc_plan_type_cd_08'>
                    <valueCoding>
                        <system value='https://bluebutton.cms.gov/resources/variables/ptc_plan_type_cd_08'/>
                        <code value='C'/>
                    </valueCoding>
                </extension>
                <extension url='https://bluebutton.cms.gov/resources/variables/ptc_plan_type_cd_09'>
                    <valueCoding>
                        <system value='https://bluebutton.cms.gov/resources/variables/ptc_plan_type_cd_09'/>
                        <code value='C'/>
                    </valueCoding>
                </extension>
                <extension url='https://bluebutton.cms.gov/resources/variables/ptc_plan_type_cd_10'>
                    <valueCoding>
                        <system value='https://bluebutton.cms.gov/resources/variables/ptc_plan_type_cd_10'/>
                        <code value='C'/>
                    </valueCoding>
                </extension>
                <extension url='https://bluebutton.cms.gov/resources/variables/ptc_plan_type_cd_11'>
                    <valueCoding>
                        <system value='https://bluebutton.cms.gov/resources/variables/ptc_plan_type_cd_11'/>
                        <code value='C'/>
                    </valueCoding>
                </extension>
                <extension url='https://bluebutton.cms.gov/resources/variables/ptc_plan_type_cd_12'>
                    <valueCoding>
                        <system value='https://bluebutton.cms.gov/resources/variables/ptc_plan_type_cd_12'/>
                        <code value='C'/>
                    </valueCoding>
                </extension>
                <extension url='https://bluebutton.cms.gov/resources/variables/hmo_ind_01'>
                    <valueCoding>
                        <system value='https://bluebutton.cms.gov/resources/variables/hmo_ind_01'/>
                        <code value='D'/>
                    </valueCoding>
                </extension>
                <extension url='https://bluebutton.cms.gov/resources/variables/hmo_ind_02'>
                    <valueCoding>
                        <system value='https://bluebutton.cms.gov/resources/variables/hmo_ind_02'/>
                        <code value='D'/>
                    </valueCoding>
                </extension>
                <extension url='https://bluebutton.cms.gov/resources/variables/hmo_ind_03'>
                    <valueCoding>
                        <system value='https://bluebutton.cms.gov/resources/variables/hmo_ind_03'/>
                        <code value='D'/>
                    </valueCoding>
                </extension>
                <extension url='https://bluebutton.cms.gov/resources/variables/hmo_ind_04'>
                    <valueCoding>
                        <system value='https://bluebutton.cms.gov/resources/variables/hmo_ind_04'/>
                        <code value='D'/>
                    </valueCoding>
                </extension>
                <extension url='https://bluebutton.cms.gov/resources/variables/hmo_ind_05'>
                    <valueCoding>
                        <system value='https://bluebutton.cms.gov/resources/variables/hmo_ind_05'/>
                        <code value='D'/>
                    </valueCoding>
                </extension>
                <extension url='https://bluebutton.cms.gov/resources/variables/hmo_ind_06'>
                    <valueCoding>
                        <system value='https://bluebutton.cms.gov/resources/variables/hmo_ind_06'/>
                        <code value='D'/>
                    </valueCoding>
                </extension>
                <extension url='https://bluebutton.cms.gov/resources/variables/hmo_ind_07'>
                    <valueCoding>
                        <system value='https://bluebutton.cms.gov/resources/variables/hmo_ind_07'/>
                        <code value='D'/>
                    </valueCoding>
                </extension>
                <extension url='https://bluebutton.cms.gov/resources/variables/hmo_ind_08'>
                    <valueCoding>
                        <system value='https://bluebutton.cms.gov/resources/variables/hmo_ind_08'/>
                        <code value='D'/>
                    </valueCoding>
                </extension>
                <extension url='https://bluebutton.cms.gov/resources/variables/hmo_ind_09'>
                    <valueCoding>
                        <system value='https://bluebutton.cms.gov/resources/variables/hmo_ind_09'/>
                        <code value='D'/>
                    </valueCoding>
                </extension>
                <extension url='https://bluebutton.cms.gov/resources/variables/hmo_ind_10'>
                    <valueCoding>
                        <system value='https://bluebutton.cms.gov/resources/variables/hmo_ind_10'/>
                        <code value='D'/>
                    </valueCoding>
                </extension>
                <extension url='https://bluebutton.cms.gov/resources/variables/hmo_ind_11'>
                    <valueCoding>
                        <system value='https://bluebutton.cms.gov/resources/variables/hmo_ind_11'/>
                        <code value='D'/>
                    </valueCoding>
                </extension>
                <extension url='https://bluebutton.cms.gov/resources/variables/hmo_ind_12'>
                    <valueCoding>
                        <system value='https://bluebutton.cms.gov/resources/variables/hmo_ind_12'/>
                        <code value='D'/>
                    </valueCoding>
                </extension>
                <extension url='https://bluebutton.cms.gov/resources/variables/rfrnc_yr'>
                    <valueDate value='0003'/>
                </extension>
                <extension url='https://bluebutton.cms.gov/resources/variables/dual_01'>
                    <valueCoding>
                        <system value='https://bluebutton.cms.gov/resources/variables/dual_01'/>
                        <code value='AA'/>
                    </valueCoding>
                </extension>
                <extension url='https://bluebutton.cms.gov/resources/variables/dual_02'>
                    <valueCoding>
                        <system value='https://bluebutton.cms.gov/resources/variables/dual_02'/>
                        <code value='AA'/>
                    </valueCoding>
                </extension>
                <extension url='https://bluebutton.cms.gov/resources/variables/dual_03'>
                    <valueCoding>
                        <system value='https://bluebutton.cms.gov/resources/variables/dual_03'/>
                        <code value='AA'/>
                    </valueCoding>
                </extension>
                <extension url='https://bluebutton.cms.gov/resources/variables/dual_04'>
                    <valueCoding>
                        <system value='https://bluebutton.cms.gov/resources/variables/dual_04'/>
                        <code value='AA'/>
                    </valueCoding>
                </extension>
                <extension url='https://bluebutton.cms.gov/resources/variables/dual_05'>
                    <valueCoding>
                        <system value='https://bluebutton.cms.gov/resources/variables/dual_05'/>
                        <code value='AA'/>
                    </valueCoding>
                </extension>
                <extension url='https://bluebutton.cms.gov/resources/variables/dual_06'>
                    <valueCoding>
                        <system value='https://bluebutton.cms.gov/resources/variables/dual_06'/>
                        <code value='AA'/>
                    </valueCoding>
                </extension>
                <extension url='https://bluebutton.cms.gov/resources/variables/dual_07'>
                    <valueCoding>
                        <system value='https://bluebutton.cms.gov/resources/variables/dual_07'/>
                        <code value='AA'/>
                    </valueCoding>
                </extension>
                <extension url='https://bluebutton.cms.gov/resources/variables/dual_08'>
                    <valueCoding>
                        <system value='https://bluebutton.cms.gov/resources/variables/dual_08'/>
                        <code value='AA'/>
                    </valueCoding>
                </extension>
                <extension url='https://bluebutton.cms.gov/resources/variables/dual_09'>
                    <valueCoding>
                        <system value='https://bluebutton.cms.gov/resources/variables/dual_09'/>
                        <code value='AA'/>
                    </valueCoding>
                </extension>
                <extension url='https://bluebutton.cms.gov/resources/variables/dual_10'>
                    <valueCoding>
                        <system value='https://bluebutton.cms.gov/resources/variables/dual_10'/>
                        <code value='AA'/>
                    </valueCoding>
                </extension>
                <extension url='https://bluebutton.cms.gov/resources/variables/dual_11'>
                    <valueCoding>
                        <system value='https://bluebutton.cms.gov/resources/variables/dual_11'/>
                        <code value='AA'/>
                    </valueCoding>
                </extension>
                <extension url='https://bluebutton.cms.gov/resources/variables/dual_12'>
                    <valueCoding>
                        <system value='https://bluebutton.cms.gov/resources/variables/dual_12'/>
                        <code value='AA'/>
                    </valueCoding>
                </extension>
                <status value='active'/>
                <type>
                    <coding>
                        <system value='Medicare'/>
                        <code value='Part C'/>
                    </coding>
                </type>
                <beneficiary>
                    <reference value='Patient/-19990000002208'/>
                </beneficiary>
                <grouping>
                    <subGroup value='Medicare'/>
                    <subPlan value='Part C'/>
                </grouping>
            </Coverage>
        </resource>
    </entry>
    <entry>
        <resource>
            <Coverage xmlns='http://hl7.org/fhir'>
                <id value='part-d--19990000002208'/>
                <meta>
                    <lastUpdated value='2020-04-24T18:46:01.720+00:00'/>
                </meta>
                <extension url='https://bluebutton.cms.gov/resources/variables/ms_cd'>
                    <valueCoding>
                        <system value='https://bluebutton.cms.gov/resources/variables/ms_cd'/>
                        <code value='10'/>
                        <display value='Aged without end-stage renal disease (ESRD)'/>
                    </valueCoding>
                </extension>
                <extension url='https://bluebutton.cms.gov/resources/variables/ptdcntrct01'>
                    <valueCoding>
                        <system value='https://bluebutton.cms.gov/resources/variables/ptdcntrct01'/>
                        <code value='Z0002'/>
                    </valueCoding>
                </extension>
                <extension url='https://bluebutton.cms.gov/resources/variables/ptdcntrct02'>
                    <valueCoding>
                        <system value='https://bluebutton.cms.gov/resources/variables/ptdcntrct02'/>
                        <code value='Z0002'/>
                    </valueCoding>
                </extension>
                <extension url='https://bluebutton.cms.gov/resources/variables/ptdcntrct03'>
                    <valueCoding>
                        <system value='https://bluebutton.cms.gov/resources/variables/ptdcntrct03'/>
                        <code value='Z0002'/>
                    </valueCoding>
                </extension>
                <extension url='https://bluebutton.cms.gov/resources/variables/ptdcntrct04'>
                    <valueCoding>
                        <system value='https://bluebutton.cms.gov/resources/variables/ptdcntrct04'/>
                        <code value='Z0002'/>
                    </valueCoding>
                </extension>
                <extension url='https://bluebutton.cms.gov/resources/variables/ptdcntrct05'>
                    <valueCoding>
                        <system value='https://bluebutton.cms.gov/resources/variables/ptdcntrct05'/>
                        <code value='Z0002'/>
                    </valueCoding>
                </extension>
                <extension url='https://bluebutton.cms.gov/resources/variables/ptdcntrct06'>
                    <valueCoding>
                        <system value='https://bluebutton.cms.gov/resources/variables/ptdcntrct06'/>
                        <code value='Z0002'/>
                    </valueCoding>
                </extension>
                <extension url='https://bluebutton.cms.gov/resources/variables/ptdcntrct07'>
                    <valueCoding>
                        <system value='https://bluebutton.cms.gov/resources/variables/ptdcntrct07'/>
                        <code value='Z0002'/>
                    </valueCoding>
                </extension>
                <extension url='https://bluebutton.cms.gov/resources/variables/ptdcntrct08'>
                    <valueCoding>
                        <system value='https://bluebutton.cms.gov/resources/variables/ptdcntrct08'/>
                        <code value='Z0002'/>
                    </valueCoding>
                </extension>
                <extension url='https://bluebutton.cms.gov/resources/variables/ptdcntrct09'>
                    <valueCoding>
                        <system value='https://bluebutton.cms.gov/resources/variables/ptdcntrct09'/>
                        <code value='Z0002'/>
                    </valueCoding>
                </extension>
                <extension url='https://bluebutton.cms.gov/resources/variables/ptdcntrct10'>
                    <valueCoding>
                        <system value='https://bluebutton.cms.gov/resources/variables/ptdcntrct10'/>
                        <code value='Z0002'/>
                    </valueCoding>
                </extension>
                <extension url='https://bluebutton.cms.gov/resources/variables/ptdcntrct11'>
                    <valueCoding>
                        <system value='https://bluebutton.cms.gov/resources/variables/ptdcntrct11'/>
                        <code value='Z0002'/>
                    </valueCoding>
                </extension>
                <extension url='https://bluebutton.cms.gov/resources/variables/ptdcntrct12'>
                    <valueCoding>
                        <system value='https://bluebutton.cms.gov/resources/variables/ptdcntrct12'/>
                        <code value='Z0002'/>
                    </valueCoding>
                </extension>
                <extension url='https://bluebutton.cms.gov/resources/variables/ptdpbpid01'>
                    <valueCoding>
                        <system value='https://bluebutton.cms.gov/resources/variables/ptdpbpid01'/>
                        <code value='C'/>
                    </valueCoding>
                </extension>
                <extension url='https://bluebutton.cms.gov/resources/variables/ptdpbpid02'>
                    <valueCoding>
                        <system value='https://bluebutton.cms.gov/resources/variables/ptdpbpid02'/>
                        <code value='C'/>
                    </valueCoding>
                </extension>
                <extension url='https://bluebutton.cms.gov/resources/variables/ptdpbpid03'>
                    <valueCoding>
                        <system value='https://bluebutton.cms.gov/resources/variables/ptdpbpid03'/>
                        <code value='C'/>
                    </valueCoding>
                </extension>
                <extension url='https://bluebutton.cms.gov/resources/variables/ptdpbpid04'>
                    <valueCoding>
                        <system value='https://bluebutton.cms.gov/resources/variables/ptdpbpid04'/>
                        <code value='C'/>
                    </valueCoding>
                </extension>
                <extension url='https://bluebutton.cms.gov/resources/variables/ptdpbpid05'>
                    <valueCoding>
                        <system value='https://bluebutton.cms.gov/resources/variables/ptdpbpid05'/>
                        <code value='C'/>
                    </valueCoding>
                </extension>
                <extension url='https://bluebutton.cms.gov/resources/variables/ptdpbpid06'>
                    <valueCoding>
                        <system value='https://bluebutton.cms.gov/resources/variables/ptdpbpid06'/>
                        <code value='C'/>
                    </valueCoding>
                </extension>
                <extension url='https://bluebutton.cms.gov/resources/variables/ptdpbpid07'>
                    <valueCoding>
                        <system value='https://bluebutton.cms.gov/resources/variables/ptdpbpid07'/>
                        <code value='C'/>
                    </valueCoding>
                </extension>
                <extension url='https://bluebutton.cms.gov/resources/variables/ptdpbpid08'>
                    <valueCoding>
                        <system value='https://bluebutton.cms.gov/resources/variables/ptdpbpid08'/>
                        <code value='C'/>
                    </valueCoding>
                </extension>
                <extension url='https://bluebutton.cms.gov/resources/variables/ptdpbpid09'>
                    <valueCoding>
                        <system value='https://bluebutton.cms.gov/resources/variables/ptdpbpid09'/>
                        <code value='C'/>
                    </valueCoding>
                </extension>
                <extension url='https://bluebutton.cms.gov/resources/variables/ptdpbpid10'>
                    <valueCoding>
                        <system value='https://bluebutton.cms.gov/resources/variables/ptdpbpid10'/>
                        <code value='C'/>
                    </valueCoding>
                </extension>
                <extension url='https://bluebutton.cms.gov/resources/variables/ptdpbpid11'>
                    <valueCoding>
                        <system value='https://bluebutton.cms.gov/resources/variables/ptdpbpid11'/>
                        <code value='C'/>
                    </valueCoding>
                </extension>
                <extension url='https://bluebutton.cms.gov/resources/variables/ptdpbpid12'>
                    <valueCoding>
                        <system value='https://bluebutton.cms.gov/resources/variables/ptdpbpid12'/>
                        <code value='C'/>
                    </valueCoding>
                </extension>
                <extension url='https://bluebutton.cms.gov/resources/variables/sgmtid01'>
                    <valueCoding>
                        <system value='https://bluebutton.cms.gov/resources/variables/sgmtid01'/>
                        <code value='C'/>
                    </valueCoding>
                </extension>
                <extension url='https://bluebutton.cms.gov/resources/variables/sgmtid02'>
                    <valueCoding>
                        <system value='https://bluebutton.cms.gov/resources/variables/sgmtid02'/>
                        <code value='C'/>
                    </valueCoding>
                </extension>
                <extension url='https://bluebutton.cms.gov/resources/variables/sgmtid03'>
                    <valueCoding>
                        <system value='https://bluebutton.cms.gov/resources/variables/sgmtid03'/>
                        <code value='C'/>
                    </valueCoding>
                </extension>
                <extension url='https://bluebutton.cms.gov/resources/variables/sgmtid04'>
                    <valueCoding>
                        <system value='https://bluebutton.cms.gov/resources/variables/sgmtid04'/>
                        <code value='C'/>
                    </valueCoding>
                </extension>
                <extension url='https://bluebutton.cms.gov/resources/variables/sgmtid05'>
                    <valueCoding>
                        <system value='https://bluebutton.cms.gov/resources/variables/sgmtid05'/>
                        <code value='C'/>
                    </valueCoding>
                </extension>
                <extension url='https://bluebutton.cms.gov/resources/variables/sgmtid06'>
                    <valueCoding>
                        <system value='https://bluebutton.cms.gov/resources/variables/sgmtid06'/>
                        <code value='C'/>
                    </valueCoding>
                </extension>
                <extension url='https://bluebutton.cms.gov/resources/variables/sgmtid07'>
                    <valueCoding>
                        <system value='https://bluebutton.cms.gov/resources/variables/sgmtid07'/>
                        <code value='C'/>
                    </valueCoding>
                </extension>
                <extension url='https://bluebutton.cms.gov/resources/variables/sgmtid08'>
                    <valueCoding>
                        <system value='https://bluebutton.cms.gov/resources/variables/sgmtid08'/>
                        <code value='C'/>
                    </valueCoding>
                </extension>
                <extension url='https://bluebutton.cms.gov/resources/variables/sgmtid09'>
                    <valueCoding>
                        <system value='https://bluebutton.cms.gov/resources/variables/sgmtid09'/>
                        <code value='C'/>
                    </valueCoding>
                </extension>
                <extension url='https://bluebutton.cms.gov/resources/variables/sgmtid10'>
                    <valueCoding>
                        <system value='https://bluebutton.cms.gov/resources/variables/sgmtid10'/>
                        <code value='C'/>
                    </valueCoding>
                </extension>
                <extension url='https://bluebutton.cms.gov/resources/variables/sgmtid11'>
                    <valueCoding>
                        <system value='https://bluebutton.cms.gov/resources/variables/sgmtid11'/>
                        <code value='C'/>
                    </valueCoding>
                </extension>
                <extension url='https://bluebutton.cms.gov/resources/variables/sgmtid12'>
                    <valueCoding>
                        <system value='https://bluebutton.cms.gov/resources/variables/sgmtid12'/>
                        <code value='C'/>
                    </valueCoding>
                </extension>
                <extension url='https://bluebutton.cms.gov/resources/variables/cstshr01'>
                    <valueCoding>
                        <system value='https://bluebutton.cms.gov/resources/variables/cstshr01'/>
                        <code value='AA'/>
                    </valueCoding>
                </extension>
                <extension url='https://bluebutton.cms.gov/resources/variables/cstshr02'>
                    <valueCoding>
                        <system value='https://bluebutton.cms.gov/resources/variables/cstshr02'/>
                        <code value='AA'/>
                    </valueCoding>
                </extension>
                <extension url='https://bluebutton.cms.gov/resources/variables/cstshr03'>
                    <valueCoding>
                        <system value='https://bluebutton.cms.gov/resources/variables/cstshr03'/>
                        <code value='AA'/>
                    </valueCoding>
                </extension>
                <extension url='https://bluebutton.cms.gov/resources/variables/cstshr04'>
                    <valueCoding>
                        <system value='https://bluebutton.cms.gov/resources/variables/cstshr04'/>
                        <code value='AA'/>
                    </valueCoding>
                </extension>
                <extension url='https://bluebutton.cms.gov/resources/variables/cstshr05'>
                    <valueCoding>
                        <system value='https://bluebutton.cms.gov/resources/variables/cstshr05'/>
                        <code value='AA'/>
                    </valueCoding>
                </extension>
                <extension url='https://bluebutton.cms.gov/resources/variables/cstshr06'>
                    <valueCoding>
                        <system value='https://bluebutton.cms.gov/resources/variables/cstshr06'/>
                        <code value='AA'/>
                    </valueCoding>
                </extension>
                <extension url='https://bluebutton.cms.gov/resources/variables/cstshr07'>
                    <valueCoding>
                        <system value='https://bluebutton.cms.gov/resources/variables/cstshr07'/>
                        <code value='AA'/>
                    </valueCoding>
                </extension>
                <extension url='https://bluebutton.cms.gov/resources/variables/cstshr08'>
                    <valueCoding>
                        <system value='https://bluebutton.cms.gov/resources/variables/cstshr08'/>
                        <code value='AA'/>
                    </valueCoding>
                </extension>
                <extension url='https://bluebutton.cms.gov/resources/variables/cstshr09'>
                    <valueCoding>
                        <system value='https://bluebutton.cms.gov/resources/variables/cstshr09'/>
                        <code value='AA'/>
                    </valueCoding>
                </extension>
                <extension url='https://bluebutton.cms.gov/resources/variables/cstshr10'>
                    <valueCoding>
                        <system value='https://bluebutton.cms.gov/resources/variables/cstshr10'/>
                        <code value='AA'/>
                    </valueCoding>
                </extension>
                <extension url='https://bluebutton.cms.gov/resources/variables/cstshr11'>
                    <valueCoding>
                        <system value='https://bluebutton.cms.gov/resources/variables/cstshr11'/>
                        <code value='AA'/>
                    </valueCoding>
                </extension>
                <extension url='https://bluebutton.cms.gov/resources/variables/cstshr12'>
                    <valueCoding>
                        <system value='https://bluebutton.cms.gov/resources/variables/cstshr12'/>
                        <code value='BB'/>
                    </valueCoding>
                </extension>
                <extension url='https://bluebutton.cms.gov/resources/variables/rdsind01'>
                    <valueCoding>
                        <system value='https://bluebutton.cms.gov/resources/variables/rdsind01'/>
                        <code value='C'/>
                    </valueCoding>
                </extension>
                <extension url='https://bluebutton.cms.gov/resources/variables/rdsind02'>
                    <valueCoding>
                        <system value='https://bluebutton.cms.gov/resources/variables/rdsind02'/>
                        <code value='C'/>
                    </valueCoding>
                </extension>
                <extension url='https://bluebutton.cms.gov/resources/variables/rdsind03'>
                    <valueCoding>
                        <system value='https://bluebutton.cms.gov/resources/variables/rdsind03'/>
                        <code value='C'/>
                    </valueCoding>
                </extension>
                <extension url='https://bluebutton.cms.gov/resources/variables/rdsind04'>
                    <valueCoding>
                        <system value='https://bluebutton.cms.gov/resources/variables/rdsind04'/>
                        <code value='C'/>
                    </valueCoding>
                </extension>
                <extension url='https://bluebutton.cms.gov/resources/variables/rdsind05'>
                    <valueCoding>
                        <system value='https://bluebutton.cms.gov/resources/variables/rdsind05'/>
                        <code value='C'/>
                    </valueCoding>
                </extension>
                <extension url='https://bluebutton.cms.gov/resources/variables/rdsind06'>
                    <valueCoding>
                        <system value='https://bluebutton.cms.gov/resources/variables/rdsind06'/>
                        <code value='C'/>
                    </valueCoding>
                </extension>
                <extension url='https://bluebutton.cms.gov/resources/variables/rdsind07'>
                    <valueCoding>
                        <system value='https://bluebutton.cms.gov/resources/variables/rdsind07'/>
                        <code value='C'/>
                    </valueCoding>
                </extension>
                <extension url='https://bluebutton.cms.gov/resources/variables/rdsind08'>
                    <valueCoding>
                        <system value='https://bluebutton.cms.gov/resources/variables/rdsind08'/>
                        <code value='C'/>
                    </valueCoding>
                </extension>
                <extension url='https://bluebutton.cms.gov/resources/variables/rdsind09'>
                    <valueCoding>
                        <system value='https://bluebutton.cms.gov/resources/variables/rdsind09'/>
                        <code value='C'/>
                    </valueCoding>
                </extension>
                <extension url='https://bluebutton.cms.gov/resources/variables/rdsind10'>
                    <valueCoding>
                        <system value='https://bluebutton.cms.gov/resources/variables/rdsind10'/>
                        <code value='C'/>
                    </valueCoding>
                </extension>
                <extension url='https://bluebutton.cms.gov/resources/variables/rdsind11'>
                    <valueCoding>
                        <system value='https://bluebutton.cms.gov/resources/variables/rdsind11'/>
                        <code value='C'/>
                    </valueCoding>
                </extension>
                <extension url='https://bluebutton.cms.gov/resources/variables/rdsind12'>
                    <valueCoding>
                        <system value='https://bluebutton.cms.gov/resources/variables/rdsind12'/>
                        <code value='C'/>
                    </valueCoding>
                </extension>
                <extension url='https://bluebutton.cms.gov/resources/variables/rfrnc_yr'>
                    <valueDate value='0003'/>
                </extension>
                <extension url='https://bluebutton.cms.gov/resources/variables/dual_01'>
                    <valueCoding>
                        <system value='https://bluebutton.cms.gov/resources/variables/dual_01'/>
                        <code value='AA'/>
                    </valueCoding>
                </extension>
                <extension url='https://bluebutton.cms.gov/resources/variables/dual_02'>
                    <valueCoding>
                        <system value='https://bluebutton.cms.gov/resources/variables/dual_02'/>
                        <code value='AA'/>
                    </valueCoding>
                </extension>
                <extension url='https://bluebutton.cms.gov/resources/variables/dual_03'>
                    <valueCoding>
                        <system value='https://bluebutton.cms.gov/resources/variables/dual_03'/>
                        <code value='AA'/>
                    </valueCoding>
                </extension>
                <extension url='https://bluebutton.cms.gov/resources/variables/dual_04'>
                    <valueCoding>
                        <system value='https://bluebutton.cms.gov/resources/variables/dual_04'/>
                        <code value='AA'/>
                    </valueCoding>
                </extension>
                <extension url='https://bluebutton.cms.gov/resources/variables/dual_05'>
                    <valueCoding>
                        <system value='https://bluebutton.cms.gov/resources/variables/dual_05'/>
                        <code value='AA'/>
                    </valueCoding>
                </extension>
                <extension url='https://bluebutton.cms.gov/resources/variables/dual_06'>
                    <valueCoding>
                        <system value='https://bluebutton.cms.gov/resources/variables/dual_06'/>
                        <code value='AA'/>
                    </valueCoding>
                </extension>
                <extension url='https://bluebutton.cms.gov/resources/variables/dual_07'>
                    <valueCoding>
                        <system value='https://bluebutton.cms.gov/resources/variables/dual_07'/>
                        <code value='AA'/>
                    </valueCoding>
                </extension>
                <extension url='https://bluebutton.cms.gov/resources/variables/dual_08'>
                    <valueCoding>
                        <system value='https://bluebutton.cms.gov/resources/variables/dual_08'/>
                        <code value='AA'/>
                    </valueCoding>
                </extension>
                <extension url='https://bluebutton.cms.gov/resources/variables/dual_09'>
                    <valueCoding>
                        <system value='https://bluebutton.cms.gov/resources/variables/dual_09'/>
                        <code value='AA'/>
                    </valueCoding>
                </extension>
                <extension url='https://bluebutton.cms.gov/resources/variables/dual_10'>
                    <valueCoding>
                        <system value='https://bluebutton.cms.gov/resources/variables/dual_10'/>
                        <code value='AA'/>
                    </valueCoding>
                </extension>
                <extension url='https://bluebutton.cms.gov/resources/variables/dual_11'>
                    <valueCoding>
                        <system value='https://bluebutton.cms.gov/resources/variables/dual_11'/>
                        <code value='AA'/>
                    </valueCoding>
                </extension>
                <extension url='https://bluebutton.cms.gov/resources/variables/dual_12'>
                    <valueCoding>
                        <system value='https://bluebutton.cms.gov/resources/variables/dual_12'/>
                        <code value='AA'/>
                    </valueCoding>
                </extension>
                <status value='active'/>
                <type>
                    <coding>
                        <system value='Medicare'/>
                        <code value='Part D'/>
                    </coding>
                </type>
                <beneficiary>
                    <reference value='Patient/-19990000002208'/>
                </beneficiary>
                <grouping>
                    <subGroup value='Medicare'/>
                    <subPlan value='Part D'/>
                </grouping>
            </Coverage>
        </resource>
    </entry>
</Bundle>