FHIR Implementation Guide for ABDM - Local Development build (v3.0.0). See the Directory of published versions
: CoverageEligibilityResponse/preauth-example-01 - XML Representation
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<CoverageEligibilityResponse xmlns="http://hl7.org/fhir">
<id value="preauth-example-01"/>
<meta>
<profile
value="https://nrces.in/ndhm/fhir/r4/StructureDefinition/CoverageEligibilityResponse"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: CoverageEligibilityResponse</b><a name="preauth-example-01"> </a></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource CoverageEligibilityResponse "preauth-example-01" </p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-CoverageEligibilityResponse.html">CoverageEligibilityResponse</a></p></div><p><b>status</b>: active</p><p><b>purpose</b>: auth-requirements</p><p><b>patient</b>: <a href="Patient-example-01.html">Patient/example-01</a> ""</p><p><b>serviced</b>: 2025-08-07</p><p><b>created</b>: 2022-07-08</p><p><b>requestor</b>: <a href="Practitioner-example-01.html">Practitioner/example-01</a> ""</p><p><b>request</b>: <a href="CoverageEligibilityRequest-preauth-example-01.html">CoverageEligibilityRequest/preauth-example-01</a></p><p><b>outcome</b>: complete</p><p><b>disposition</b>: Policy is currently in-force.</p><p><b>insurer</b>: <a href="Organization-example-01.html">Organization/example-01</a> "XYZ Lab Pvt.Ltd."</p><blockquote><p><b>insurance</b></p><p><b>coverage</b>: <a href="Coverage-example-01.html">Coverage/example-01</a></p><p><b>inforce</b>: true</p><blockquote><p><b>item</b></p><p><b>productOrService</b>: Removal of foreign body <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#10849003)</span></p><p><b>authorizationRequired</b>: true</p><p><b>authorizationSupporting</b>: Lab Order <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.0.0/CodeSystem-coverageeligibilityresponse-ex-auth-support.html">CoverageEligibilityResponse Auth Support Codes</a>#laborder)</span></p></blockquote></blockquote></div>
</text>
<status value="active"/>
<purpose value="auth-requirements"/>
<patient>
<reference value="Patient/example-01"/>
</patient>
<servicedDate value="2025-08-07"/>
<created value="2022-07-08"/>
<requestor>
<reference value="Practitioner/example-01"/>
</requestor>
<request>
<reference value="CoverageEligibilityRequest/preauth-example-01"/>
</request>
<outcome value="complete"/>
<disposition value="Policy is currently in-force."/>
<insurer>
<reference value="Organization/example-01"/>
</insurer>
<insurance id="2222">
<coverage>
<reference value="Coverage/example-01"/>
</coverage>
<inforce value="true"/>
<item id="11111">
<productOrService>
<coding>
<system value="http://snomed.info/sct"/>
<code value="10849003"/>
<display value="Removal of foreign body"/>
</coding>
</productOrService>
<authorizationRequired value="true"/>
<authorizationSupporting>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/coverageeligibilityresponse-ex-auth-support"/>
<code value="laborder"/>
<display value="Lab Order"/>
</coding>
</authorizationSupporting>
</item>
</insurance>
</CoverageEligibilityResponse>
