FHIR Implementation Guide for ABDM - Local Development build (v3.1.0). See the Directory of published versions

• Narrative Content
• XML
• JSON
• TTL

: CoverageEligibilityRequest/benefit-example-01 - JSON Representation

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{
  "resourceType" : "CoverageEligibilityRequest",
  "id" : "benefit-example-01",
  "meta" : {
    "profile" : [
      "https://nrces.in/ndhm/fhir/r4/StructureDefinition/CoverageEligibilityRequest"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: CoverageEligibilityRequest</b><a name=\"benefit-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 CoverageEligibilityRequest &quot;benefit-example-01&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-CoverageEligibilityRequest.html\">CoverageEligibilityRequest</a></p></div><p><b>identifier</b>: id:\u00a012321</p><p><b>status</b>: active</p><p><b>priority</b>: Normal <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-processpriority.html\">Process Priority Codes</a>#normal)</span></p><p><b>purpose</b>: validation, benefits</p><p><b>patient</b>: <a href=\"Patient-example-01.html\">Patient/example-01</a> &quot;&quot;</p><p><b>serviced</b>: 2023-07-08</p><p><b>created</b>: 2022-08-07</p><p><b>enterer</b>: <a href=\"Practitioner-example-01.html\">Practitioner/example-01</a> &quot;&quot;</p><p><b>provider</b>: <a href=\"Practitioner-example-01.html\">Practitioner/example-01</a> &quot;&quot;</p><p><b>insurer</b>: <a href=\"Organization-example-01.html\">Organization/example-01</a> &quot;XYZ Lab Pvt.Ltd.&quot;</p><p><b>facility</b>: <a href=\"Location-example-01.html\">Location/example-01</a> &quot;South Wing, second floor&quot;</p><blockquote><p><b>insurance</b></p><blockquote><p><b>id</b></p>12312</blockquote><p><b>focal</b>: true</p><p><b>coverage</b>: <a href=\"Coverage-example-01.html\">Coverage/example-01</a></p><p><b>businessArrangement</b>: tata-aig</p></blockquote><blockquote><p><b>item</b></p><blockquote><p><b>id</b></p>1243</blockquote><p><b>category</b>: Dental care <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#225362009)</span></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>provider</b>: <a href=\"Practitioner-example-01.html\">Practitioner/example-01</a> &quot;&quot;</p><h3>UnitPrices</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style=\"display: none\">*</td><td>150000</td><td>INR</td></tr></table><p><b>facility</b>: <a href=\"Location-example-01.html\">Location/example-01</a> &quot;South Wing, second floor&quot;</p></blockquote></div>"
  },
  "identifier" : [
    {
      "value" : "12321"
    }
  ],
  "status" : "active",
  "priority" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/processpriority",
        "code" : "normal",
        "display" : "Normal"
      }
    ]
  },
  "purpose" : [
    "validation",
    "benefits"
  ],
  "patient" : {
    "reference" : "Patient/example-01"
  },
  "servicedDate" : "2023-07-08",
  "created" : "2022-08-07",
  "enterer" : {
    "reference" : "Practitioner/example-01"
  },
  "provider" : {
    "reference" : "Practitioner/example-01"
  },
  "insurer" : {
    "reference" : "Organization/example-01"
  },
  "facility" : {
    "reference" : "Location/example-01"
  },
  "insurance" : [
    {
      "id" : "12312",
      "focal" : true,
      "coverage" : {
        "reference" : "Coverage/example-01"
      },
      "businessArrangement" : "tata-aig"
    }
  ],
  "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"
          }
        ]
      },
      "provider" : {
        "reference" : "Practitioner/example-01"
      },
      "unitPrice" : {
        "value" : 150000,
        "currency" : "INR"
      },
      "facility" : {
        "reference" : "Location/example-01"
      }
    }
  ]
}