FHIR IG analytics| Package | ndhm.in |
| Resource Type | CoverageEligibilityRequest |
| Id | CoverageEligibilityRequest-auth-requirement-example-01.json |
| FHIR Version | R4 |
No resources found
No resources found
Note: links and images are rebased to the (stated) source
Generated Narrative: CoverageEligibilityRequest auth-requirement-example-01
Language: en
Profile: CoverageEligibilityRequest
identifier: 7612345
status: Active
priority: Normal
purpose: Coverage auth-requirements
patient: ABC Male, DoB: 1981-01-12 ( Medical record number: 22-7225-4829-5255)
created: 2023-09-07 11:01:00+0500
enterer: Practitioner Dr. DEF
provider: Practitioner Dr. DEF
insurer: Organization XYZ Insurance Co. Ltd.
facility: Location South Wing, second floor
| Focal | Coverage |
| true | Coverage: identifier = https://xyzinsurance.in/policynumber/#235037120; status = active; type = PAY; subscriberId = ABC123456BI007; relationship = Self; period = (?) --> 2026-03-17 |
item
productOrService: Consultant
Diagnoses
Diagnosis[x] Type 2 diabetes mellitus : Without complications
item
productOrService: Metformin hydrochloride 500 mg prolonged-release oral tablet
Diagnoses
Diagnosis[x] Type 2 diabetes mellitus : Without complications
FHIR
FHIRsmith{
"resourceType": "CoverageEligibilityRequest",
"id": "auth-requirement-example-01",
"meta": {
"profile": [
"https://nrces.in/ndhm/fhir/r4/StructureDefinition/CoverageEligibilityRequest"
]
},
"language": "en",
"text": {
"status": "generated",
"div": "<!-- snip (see above) -->"
},
"identifier": [
{
"value": "7612345"
}
],
"status": "active",
"priority": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/processpriority",
"code": "normal",
"display": "Normal"
}
]
},
"purpose": [
"auth-requirements"
],
"patient": {
"reference": "Patient/example-01"
},
"created": "2023-09-07T11:01:00+05:00",
"enterer": {
"reference": "Practitioner/example-01"
},
"provider": {
"reference": "Practitioner/example-01"
},
"insurer": {
"reference": "Organization/example-02"
},
"facility": {
"reference": "Location/example-03"
},
"insurance": [
{
"focal": true,
"coverage": {
"reference": "Coverage/example-01"
}
}
],
"item": [
{
"productOrService": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "768839008",
"display": "Consultant"
}
]
},
"diagnosis": [
{
"diagnosisCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/sid/icd-10",
"code": "E11.9",
"display": "Type 2 diabetes mellitus : Without complications"
}
]
}
}
]
},
{
"productOrService": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "765507008",
"display": "Metformin hydrochloride 500 mg prolonged-release oral tablet"
}
]
},
"diagnosis": [
{
"diagnosisCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/sid/icd-10",
"code": "E11.9",
"display": "Type 2 diabetes mellitus : Without complications"
}
]
}
}
]
}
]
}