Generated Narrative: CoverageEligibilityRequest
Resource CoverageEligibilityRequest "validation-example-01" (Language "en")
Profile: CoverageEligibilityRequest
identifier: id: 7612345
status: active
priority: Normal (Process Priority Codes#normal)
purpose: validation
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)
- | Sequence | Information | AppliesToAll |
* | 1 | See above (DocumentReference/DocumentReference-example-01) | true |
- | Focal | Coverage |
* | true | See above (Coverage/Coverage-example-01) |
Resource Patient "Patient-example-01" Version "1" Updated "2020-07-09 14:58:58+0530"
Profile: Patient
identifier: Adhaar number: 5555-7225-4829
name: Ayush Sharma
telecom: +919818512600
gender: male
birthDate: 1981-01-12
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
Generated Narrative: Organization
Resource Organization "Organization-example-01"
Profile: Organization
identifier: Provider number: 4567878
name: Appolo Hospital
telecom: +91 243 2634 1234, contact@xyz.org
Generated Narrative: Organization
Resource Organization "Organization-example-02"
Profile: Organization
identifier: Provider number: 555511
name: Star Health Corporation.
telecom: +91 555 2634 888, contact@xyz.org
Resource Location "Location-example-01"
identifier: id: B1-S.F2
status: active
name: South Wing, second floor
alias: BU MC, SW, F2, Burgers University Medical Center, South Wing, second floor
description: Second floor of the Old South Wing, formerly in use by Psychiatry
mode: instance
telecom: ph: 2328(WORK), fax: 2329(WORK), http://sampleorg.com/southwing
address: Galapagosweg 91, Building A New Delhi 910533 IND (WORK)
physicalType: Wing (Location type#wi)
- | Longitude | Latitude | Altitude |
* | -83.6945691 | 42.25475478 | 0 |
managingOrganization: Organization/example-01 "XYZ Lab Pvt.Ltd."
Resource Coverage "Coverage-example-01"
identifier: id: SP12345678
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
payor: Patient/example-01 ""
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