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Packagendhm.in
Resource TypeCoverageEligibilityRequest
IdCoverageEligibilityRequest-discovery-example-01.json
FHIR VersionR4

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Resources that this resource uses

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Narrative

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

Generated Narrative: CoverageEligibilityRequest discovery-example-01

Language: en

Profile: CoverageEligibilityRequest

identifier: 7612345

status: Active

priority: Normal

purpose: Coverage Discovery

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

Insurances

-FocalCoverage
*trueCoverage: 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

Source1

{
  "resourceType": "CoverageEligibilityRequest",
  "id": "discovery-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": [
    "discovery"
  ],
  "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"
              }
            ]
          }
        }
      ]
    }
  ]
}