Generated Narrative: CoverageEligibilityResponse
Resource CoverageEligibilityResponse "discovery-example-01" (Language "en")
Profile: CoverageEligibilityResponse
status: active
purpose: discovery
patient: See above (Patient/example-01)
created: 2022-08-07
requestor: See above (Organization/example-01)
request: See above (CoverageEligibilityRequest/discovery-example-01)
outcome: complete
disposition: No policy is associated with current plan
insurer: See above (Organization/example-02)
- | Coverage | Inforce | BenefitPeriod |
* | See above (Coverage/example-01) | true | 2022-05-07 --> 2025-08-07 |
Resource Patient "example-01" Version "1" Updated "2020-07-09 14:58:58+0530"
Profile: Patient
identifier: Adhaar number: 7225-4829-5255
name: Ayush Sharma
telecom: +919818512600
gender: male
birthDate: 1981-01-12
Generated Narrative: Organization
Resource Organization "example-01"
Profile: Organization
identifier: Provider number: 4567878
name: Apollo Hospital Pvt.Ltd.
telecom: +91 243 2634 1234, contact@xyz.org
Generated Narrative: CoverageEligibilityRequest
Resource CoverageEligibilityRequest "discovery-example-01" (Language "en")
Profile: CoverageEligibilityRequest
identifier: id: 7612345
status: active
priority: Normal (Process Priority Codes#normal)
purpose: discovery
patient: See above (Patient/example-01)
created: 2022-12-20 11:01:00+0500
enterer: Practitioner/example-01 ""
provider: See above (Organization/example-01)
insurer: See above (Organization/example-01)
facility: Location/example-01 "South Wing, second floor"
- | Sequence | Information | AppliesToAll |
* | 1 | DocumentReference/example-01 | true |
- | Focal | Coverage |
* | true | See above (Coverage/example-01) |
item
supportingInfoSequence: 1
category: Dental care (SNOMED CT#225362009)
productOrService: Removal of foreign body (SNOMED CT#10849003)
Diagnoses
- Diagnosis[x] * Condition/example-01
Generated Narrative: Organization
Resource Organization "example-02"
Profile: Organization
identifier: Provider number: 4567878
name: Star Health Insurance Pvt.Ltd.
telecom: +91 243 2634 1234, contact@xyz.org
Resource Coverage "example-01"
identifier: id: SP12345678
status: active
type: PAY (Coverage SelfPay Codes#pay)
subscriber: See above (Patient/example-01)
beneficiary: See above (Patient/example-01)
relationship: Self (SubscriberPolicyholder Relationship Codes#self)
period: 2022-05-07 --> 2025-08-07