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Packageihe.iti.fais
Resource TypeBundle
IdBundle-ex-check-coverage-bundle-2.json
FHIR VersionR4

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Source1

{
  "resourceType": "Bundle",
  "id": "ex-check-coverage-bundle-2",
  "meta": {
    "profile": [
      "https://profiles.ihe.net/ITI/FAIS/StructureDefinition/IHE.FAIS.CoverageEligibilityRequest.Bundle"
    ]
  },
  "type": "collection",
  "entry": [
    {
      "fullUrl": "https://profiles.ihe.net/ITI/FAIS/CoverageEligibilityRequest/ex-check-coverage-2",
      "resource": {
        "resourceType": "CoverageEligibilityRequest",
        "id": "ex-check-coverage-2",
        "meta": {
          "profile": [
            "https://profiles.ihe.net/ITI/FAIS/StructureDefinition/IHE.FAIS.CoverageEligibilityRequest"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"CoverageEligibilityRequest_ex-check-coverage-2\"> </a><p class=\"res-header-id\"><b>Generated Narrative: CoverageEligibilityRequest ex-check-coverage-2</b></p><a name=\"ex-check-coverage-2\"> </a><a name=\"hcex-check-coverage-2\"> </a><a name=\"ex-check-coverage-2-en-US\"> </a><p><b>status</b>: Active</p><p><b>purpose</b>: Coverage benefits</p><p><b>patient</b>: <a href=\"Patient-ex-beneficiary-1.html\">Purity Atieno  Female, DoB: 2000-05-04</a></p><p><b>serviced</b>: 2024-07-01 --&gt; 2024-12-31</p><p><b>created</b>: 2024-06-01 15:00:00+0000</p><p><b>enterer</b>: <a href=\"Practitioner-ex-doctor-2.html\">Practitioner Kalu Kalu </a></p><p><b>provider</b>: <a href=\"Practitioner-ex-doctor-2.html\">Practitioner Kalu Kalu </a></p><p><b>insurer</b>: <a href=\"Organization-ex-insurer-1.html\">Organization National Health Insurance Scheme</a></p><p><b>facility</b>: <a href=\"Location-ex-hospital-2.html\">Location Local Hospital</a></p><blockquote><p><b>item</b></p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/ex-benefitcategory 1}\">Medical Care</span></p><p><b>productOrService</b>: <span title=\"Codes:{http://loinc.org 21946-9}\">Chemotherapy treatment Cancer</span></p><p><b>provider</b>: <a href=\"Practitioner-ex-doctor-2.html\">Practitioner Kalu Kalu </a></p><p><b>facility</b>: <a href=\"Location-ex-hospital-2.html\">Location Local Hospital</a></p><h3>Diagnoses</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Diagnosis[x]</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://id.who.int/icd/release/11/mms XH1VB1}\">Hybrid oncocytic chromophobe tumour</span></td></tr></table></blockquote></div>"
        },
        "status": "active",
        "purpose": [
          "benefits"
        ],
        "patient": {
          "reference": "Patient/ex-beneficiary-1"
        },
        "servicedPeriod": {
          "start": "2024-07-01",
          "end": "2024-12-31"
        },
        "created": "2024-06-01T15:00:00Z",
        "enterer": {
          "reference": "Practitioner/ex-doctor-2"
        },
        "provider": {
          "reference": "Practitioner/ex-doctor-2"
        },
        "insurer": {
          "reference": "Organization/ex-insurer-1"
        },
        "facility": {
          "reference": "Location/ex-hospital-2"
        },
        "item": [
          {
            "category": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/ex-benefitcategory",
                  "code": "1"
                }
              ]
            },
            "productOrService": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "21946-9",
                  "display": "Chemotherapy treatment Cancer"
                }
              ]
            },
            "provider": {
              "reference": "Practitioner/ex-doctor-2"
            },
            "facility": {
              "reference": "Location/ex-hospital-2"
            },
            "diagnosis": [
              {
                "diagnosisCodeableConcept": {
                  "coding": [
                    {
                      "system": "http://id.who.int/icd/release/11/mms",
                      "code": "XH1VB1",
                      "display": "Hybrid oncocytic chromophobe tumour"
                    }
                  ]
                }
              }
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://profiles.ihe.net/ITI/FAIS/Practitioner/ex-doctor-2",
      "resource": {
        "resourceType": "Practitioner",
        "id": "ex-doctor-2",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Practitioner_ex-doctor-2\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Practitioner ex-doctor-2</b></p><a name=\"ex-doctor-2\"> </a><a name=\"hcex-doctor-2\"> </a><a name=\"ex-doctor-2-en-US\"> </a><p><b>name</b>: Kalu Kalu </p></div>"
        },
        "name": [
          {
            "family": "Kalu",
            "given": [
              "Kalu"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://profiles.ihe.net/ITI/FAIS/Organization/ex-insurer-1",
      "resource": {
        "resourceType": "Organization",
        "id": "ex-insurer-1",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Organization_ex-insurer-1\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Organization ex-insurer-1</b></p><a name=\"ex-insurer-1\"> </a><a name=\"hcex-insurer-1\"> </a><a name=\"ex-insurer-1-en-US\"> </a><p><b>name</b>: National Health Insurance Scheme</p></div>"
        },
        "name": "National Health Insurance Scheme"
      }
    },
    {
      "fullUrl": "https://profiles.ihe.net/ITI/FAIS/Patient/ex-beneficiary-1",
      "resource": {
        "resourceType": "Patient",
        "id": "ex-beneficiary-1",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_ex-beneficiary-1\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient ex-beneficiary-1</b></p><a name=\"ex-beneficiary-1\"> </a><a name=\"hcex-beneficiary-1\"> </a><a name=\"ex-beneficiary-1-en-US\"> </a><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Purity Atieno  Female, DoB: 2000-05-04</p><hr/></div>"
        },
        "name": [
          {
            "family": "Atieno",
            "given": [
              "Purity"
            ]
          }
        ],
        "gender": "female",
        "birthDate": "2000-05-04"
      }
    },
    {
      "fullUrl": "https://profiles.ihe.net/ITI/FAIS/Location/ex-hospital-2",
      "resource": {
        "resourceType": "Location",
        "id": "ex-hospital-2",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Location_ex-hospital-2\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Location ex-hospital-2</b></p><a name=\"ex-hospital-2\"> </a><a name=\"hcex-hospital-2\"> </a><a name=\"ex-hospital-2-en-US\"> </a><p><b>name</b>: Local Hospital</p></div>"
        },
        "name": "Local Hospital"
      }
    }
  ]
}