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Packageke.fhir.nccp
Resource TypeCoverageEligibilityRequest
IdCoverageEligibilityRequest-OncologyCoverageEligibilityRequestExample.json
FHIR VersionR4

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Narrative

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

Request to verify SHA coverage eligibility for AC-T chemotherapy regimen (breast cancer)


Source1

{
  "resourceType": "CoverageEligibilityRequest",
  "id": "OncologyCoverageEligibilityRequestExample",
  "meta": {
    "profile": [
      "https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-oncology-coverage-eligibility-request"
    ]
  },
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "extension": [
    {
      "url": "https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-regimen-reference-extension",
      "valueReference": {
        "reference": "CarePlan/example-careplan"
      }
    }
  ],
  "status": "active",
  "purpose": [
    "auth-requirements"
  ],
  "patient": {
    "reference": "Patient/example-patient"
  },
  "created": "2026-01-08",
  "provider": {
    "reference": "Organization/example-organization"
  },
  "insurer": {
    "reference": "Organization/sha-kenya"
  },
  "insurance": [
    {
      "coverage": {
        "reference": "Coverage/example-coverage"
      }
    }
  ],
  "item": [
    {
      "productOrService": {
        "coding": [
          {
            "system": "https://nshr-uat.sha.go.ke/fhir/CodeSystem/sha-interventions-cs",
            "code": "SHA-CHEMO-NEO-ADJUVANT",
            "display": "SHA: Chemotherapy — Neo-adjuvant"
          }
        ]
      }
    }
  ]
}