Bundle CoverageEligibilityRequestBundle-benefit-example-01 of type collection

Entry 1 - fullUrl = CoverageEligibilityRequest/benefit-example-01

Resource CoverageEligibilityRequest:

Generated Narrative: CoverageEligibilityRequest

Resource CoverageEligibilityRequest "benefit-example-01" (Language "en")

Profile: CoverageEligibilityRequest

identifier: id: dc82673b-8c71-48c2-8a17-16dcb3b035f6

status: ACTIVE

priority: Normal (Process Priority Codes#normal)

purpose: BENEFITS

patient: See above (Patient/Patient-example-01)

created: 2022-12-20 11:01:00+0500

enterer: See above (Practitioner/Practitioner-example-01)

provider: See above (Organization/Organization-example-02)

insurer: See above (Organization/Organization-example-01)

facility: See above (Location/Location-example-01)

SupportingInfos

-	Sequence	Information	AppliesToAll
*	1	See above (DocumentReference/DocumentReference-example-01)	true

Insurances

-	Focal	Coverage
*	true	See above (Coverage/Coverage-example-01)

item

supportingInfoSequence: 1

productOrService: Removal of foreign body (SNOMED CT#10849003)

UnitPrices

-	Value	Currency
*	40000	INR

Diagnoses

-	Diagnosis[x]
*	See above (Condition/Condition-example-01)

Entry 2 - fullUrl = Patient/Patient-example-01

Resource Patient:

Ayush Sharma Male, DoB: 1981-01-12 ( Adhaar number: 5555-7225-4829)

Entry 3 - fullUrl = Practitioner/Practitioner-example-01

Resource Practitioner:

Generated Narrative: Practitioner

Resource Practitioner "Practitioner-example-01" Version "1" Updated "2019-05-29 14:58:58+0530"

Profile: Practitioner

identifier: Medical License number: 21-1521-3828-3227

name: Dr. Suresh Sharma

Entry 4 - fullUrl = Organization/Organization-example-01

Resource Organization:

Generated Narrative: Organization

Resource Organization "Organization-example-01"

Profile: Organization

identifier: Provider number: 4567878

name: Appolo Hospital

Contacts

-	Telecom
*	+91 243 2634 1234, contact@xyz.org

Entry 5 - fullUrl = Organization/Organization-example-02

Resource Organization:

Generated Narrative: Organization

Resource Organization "Organization-example-02"

Profile: Organization

identifier: Provider number: 555511

name: Star Health Corporation.

Contacts

-	Telecom
*	+91 555 2634 888, contact@xyz.org

Entry 6 - fullUrl = Location/Location-example-01

Resource Location:

Generated Narrative: Location

Resource Location "Location-example-01"

identifier: id: B1-S.F2

status: ACTIVE

name: South Wing, second floor

alias: University Medical Center, South Wing, second floor

description: Second floor of the Old South Wing, formerly in use by Psychiatry

mode: INSTANCE

address: Galapagosweg 91, Building A New Delhi 411058 IND (WORK)

Positions

-	Longitude	Latitude	Altitude
*	-83.6945691	42.25475478	0

managingOrganization: Organization/example-01 "XYZ Lab Pvt.Ltd."

Entry 7 - fullUrl = Coverage/Coverage-example-01

Resource Coverage:

Generated Narrative: Coverage

Resource Coverage "Coverage-example-01"

identifier: id: policy-RVH1003

status: ACTIVE

type: PAY (Coverage SelfPay Codes#pay)

subscriber: Patient/example-01 ""

beneficiary: Patient/example-01 ""

relationship: Self (SubscriberPolicyholder Relationship Codes#self)

period: ?? --> 2023-03-17

Entry 8 - fullUrl = DocumentReference/DocumentReference-example-01

Resource DocumentReference:

Generated Narrative: DocumentReference

Resource DocumentReference "DocumentReference-example-01"

Profile: DocumentReference

status: CURRENT

docStatus: FINAL

subject: Patient/example-01 ""

content

Attachments

-	ContentType	Language	Data	Title	Creation
*	application/pdf	en-IN	(base64 data - 80793 bytes)	Adhar Card PDF	2019-05-29 14:58:58+0530

Entry 9 - fullUrl = Condition/Condition-example-01

Resource Condition:

Generated Narrative: Condition

Resource Condition "Condition-example-01"

Profile: Condition

code: Exposure to electric current, with passage of current through tissue (SNOMED CT#4989003 "Electrical burns to skin")

subject: Patient/example-01 ""