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

: CoverageEligibilityRequest/validation-example-01 - XML Representation

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<CoverageEligibilityRequest xmlns="http://hl7.org/fhir">
  <id value="validation-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">Coverage Eligibility Request for Validation </div>
  </text>
  <identifier id="13245"/>
  <status value="active"/>
  <priority>
    <coding>
      <code value="normal"/>
    </coding>
  </priority>
  <purpose value="validation"/>
  <patient>
    <reference value="Patient/example-01"/>
  </patient>
  <servicedDate value="2023-07-04"/>
  <created value="2022-07-04"/>
  <enterer>
    <reference value="Practitioner/example-01"/>
  </enterer>
  <provider>
    <reference value="Organization/example-01"/>
  </provider>
  <insurer>
    <reference value="Organization/example-01"/>
  </insurer>
  <facility>
    <reference value="Location/example-01"/>
  </facility>
  <insurance id="1a">
    <focal value="true"/>
    <coverage>
      <reference value="Coverage/example-01"/>
    </coverage>
    <businessArrangement value="star-health"/>
  </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="12453">
      <diagnosisReference>
        <reference value="Condition/example-01"/>
      </diagnosisReference>
    </diagnosis>
  </item>
</CoverageEligibilityRequest>