FHIR Implementation Guide for ABDM
3.0.1 - CI Build India flag


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FHIR Implementation Guide for ABDM - Local Development build (v3.0.1). See the Directory of published versions

: CoverageEligibilityRequest/validation-example-01 - JSON Representation

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{
  "resourceType" : "CoverageEligibilityRequest",
  "id" : "validation-example-01",
  "meta" : {
    "profile" : [
      "https://nrces.in/ndhm/fhir/r4/StructureDefinition/CoverageEligibilityRequest"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Coverage Eligibility Request for Validation </div>"
  },
  "identifier" : [
    {
      "id" : "13245"
    }
  ],
  "status" : "active",
  "priority" : {
    "coding" : [
      {
        "code" : "normal"
      }
    ]
  },
  "purpose" : [
    "validation"
  ],
  "patient" : {
    "reference" : "Patient/example-01"
  },
  "servicedDate" : "2023-07-04",
  "created" : "2022-07-04",
  "enterer" : {
    "reference" : "Practitioner/example-01"
  },
  "provider" : {
    "reference" : "Organization/example-01"
  },
  "insurer" : {
    "reference" : "Organization/example-01"
  },
  "facility" : {
    "reference" : "Location/example-01"
  },
  "insurance" : [
    {
      "id" : "1a",
      "focal" : true,
      "coverage" : {
        "reference" : "Coverage/example-01"
      },
      "businessArrangement" : "star-health"
    }
  ],
  "item" : [
    {
      "id" : "1243",
      "category" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "225362009",
            "display" : "Dental care"
          }
        ]
      },
      "productOrService" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "10849003",
            "display" : "Removal of foreign body"
          }
        ]
      },
      "diagnosis" : [
        {
          "id" : "12453",
          "diagnosisReference" : {
            "reference" : "Condition/example-01"
          }
        }
      ]
    }
  ]
}