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

• Narrative Content
• XML
• JSON
• TTL

: CoverageEligibilityRequest/preauth-example-01 - XML Representation

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<CoverageEligibilityRequest xmlns="http://hl7.org/fhir">
  <id value="preauth-example-01"/>
  <meta>
    <profile
             value="https://nrces.in/ndhm/fhir/r4/StructureDefinition/CoverageEligibilityRequest"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: CoverageEligibilityRequest</b><a name="preauth-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;preauth-example-01&quot; </p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-CoverageEligibilityRequest.html">CoverageEligibilityRequest</a></p></div><p><b>identifier</b>: id: 9900</p><p><b>status</b>: active</p><p><b>priority</b>: normal <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> ([not stated]#normal)</span></p><p><b>purpose</b>: validation, auth-requirements</p><p><b>patient</b>: <a href="Patient-example-01.html">Patient/example-01</a> &quot;&quot;</p><p><b>serviced</b>: 2025-08-08</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>222</blockquote><p><b>coverage</b>: <a href="Coverage-example-01.html">Coverage/example-01</a></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><blockquote><p><b>diagnosis</b></p><blockquote><p><b>id</b></p>1111</blockquote><p><b>diagnosis</b>: <a href="Condition-example-01.html">Condition/example-01</a></p></blockquote></blockquote></div>
  </text>
  <identifier>
    <value value="9900"/>
  </identifier>
  <status value="active"/>
  <priority>
    <coding>
      <code value="normal"/>
    </coding>
  </priority>
  <purpose value="validation"/>
  <purpose value="auth-requirements"/>
  <patient>
    <reference value="Patient/example-01"/>
  </patient>
  <servicedDate value="2025-08-08"/>
  <created value="2022-08-07"/>
  <enterer>
    <reference value="Practitioner/example-01"/>
  </enterer>
  <provider>
    <reference value="Practitioner/example-01"/>
  </provider>
  <insurer>
    <reference value="Organization/example-01"/>
  </insurer>
  <facility>
    <reference value="Location/example-01"/>
  </facility>
  <insurance id="222">
    <coverage>
      <reference value="Coverage/example-01"/>
    </coverage>
  </insurance>
  <item id="1243">
    <category>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="225362009"/>
        <display value="Dental care"/>
      </coding>
    </category>
    <productOrService>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="10849003"/>
        <display value="Removal of foreign body"/>
      </coding>
    </productOrService>
    <diagnosis id="1111">
      <diagnosisReference>
        <reference value="Condition/example-01"/>
      </diagnosisReference>
    </diagnosis>
  </item>
</CoverageEligibilityRequest>