FHIR IG analytics

Resources that use this resource

No resources found

Resources that this resource uses

No resources found

Narrative

Note: links and images are rebased to the (stated) source

Source1

{
  "resourceType": "CoverageEligibilityRequest",
  "id": "t17-request",
  "meta": {
    "profile": [
      "http://ig.fhir-il-community.org/T17/StructureDefinition/t17-request"
    ]
  },
  "text": {
    "div": "<!-- snip (see above) -->",
    "status": "generated"
  },
  "identifier": [
    {
      "system": "http://fhir.tlvmc.gov.il/identifier/preauth-req-no",
      "value": "3772"
    }
  ],
  "purpose": [
    "validation"
  ],
  "patient": {
    "identifier": {
      "system": "http://fhir.leumit.co.il/identifier/magnetic-card",
      "value": "1-123456-123456-789"
    },
    "reference": "urn:uuid:8be7c2eb-07a2-4dfb-b27d-821863201199"
  },
  "provider": {
    "identifier": {
      "system": "http://fhir.health.gov.il/identifier/legal-entity",
      "value": "500106919"
    },
    "type": "Organization",
    "display": "בי\"ח איכילוב"
  },
  "insurer": {
    "identifier": {
      "system": "http://fhir.health.gov.il/identifier/legal-entity",
      "value": "5899584495"
    },
    "display": "מאוחדת"
  },
  "facility": {
    "reference": "urn:uuid:6e77f7eb-1693-4d19-b64b-b6ae92ec4aba",
    "type": "Location"
  },
  "supportingInfo": [
    {
      "information": {
        "type": "Appointment",
        "reference": "urn:uuid:792cc202-b6dd-4b45-bbf9-31358841836a"
      },
      "sequence": 1
    },
    {
      "information": {
        "type": "DocumentReference",
        "reference": "urn:uuid:df9c48ad-f1a2-41a0-9755-7a5726cf6050",
        "display": "מסמך סיכום ביקור עם המלצה לביקור חוזר"
      },
      "sequence": 2
    }
  ],
  "item": [
    {
      "productOrService": {
        "coding": [
          {
            "system": "http://fhir.health.gov.il/cs/medical-service-moh",
            "code": "L9258",
            "display": "בדיקת רופא ילדים במרפאה"
          }
        ]
      },
      "quantity": {
        "value": 2
      },
      "unitPrice": {
        "value": 210,
        "currency": "ILS"
      }
    },
    {
      "productOrService": {
        "coding": [
          {
            "system": "http://fhir.health.gov.il/cs/medical-service-moh",
            "code": "L9261",
            "display": "תיאור קוד שירות L9261"
          }
        ]
      },
      "quantity": {
        "value": 1
      },
      "unitPrice": {
        "value": 242,
        "currency": "ILS"
      }
    },
    {
      "productOrService": {
        "coding": [
          {
            "system": "http://fhir.health.gov.il/cs/medical-service-moh",
            "code": "L9266",
            "display": "תיאור קוד שירות L9266"
          }
        ]
      },
      "quantity": {
        "value": 2
      },
      "unitPrice": {
        "value": 136,
        "currency": "ILS"
      }
    },
    {
      "productOrService": {
        "coding": [
          {
            "system": "http://fhir.health.gov.il/cs/medical-service-moh",
            "code": "99242",
            "display": "תיאור קוד שירות 99242"
          }
        ]
      },
      "quantity": {
        "value": 2
      },
      "unitPrice": {
        "value": 80,
        "currency": "ILS"
      }
    }
  ],
  "status": "active",
  "servicedDate": "2023-07-02",
  "created": "2023-07-04T04:52:03.001Z"
}