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

: CoverageEligibilityResponse/preauth-example-01 - JSON Representation

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{
  "resourceType" : "CoverageEligibilityResponse",
  "id" : "discovery-example-01",
  "meta" : {
    "profile" : [
      "https://nrces.in/ndhm/fhir/r4/StructureDefinition/CoverageEligibilityResponse"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: CoverageEligibilityResponse</b><a name=\"discovery-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 CoverageEligibilityResponse &quot;discovery-example-01&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-CoverageEligibilityResponse.html\">CoverageEligibilityResponse</a></p></div><p><b>status</b>: active</p><p><b>purpose</b>: validation, discovery</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>: 2022-07-08</p><p><b>requestor</b>: <a href=\"Practitioner-example-01.html\">Practitioner/example-01</a> &quot;&quot;</p><p><b>request</b>: <a href=\"CoverageEligibilityRequest-discovery-example-01.html\">CoverageEligibilityRequest/discovery-example-01</a></p><p><b>outcome</b>: complete</p><p><b>disposition</b>: Policy is currently in-force.</p><p><b>insurer</b>: <a href=\"Organization-example-01.html\">Organization/example-01</a> &quot;XYZ Lab Pvt.Ltd.&quot;</p><blockquote><p><b>insurance</b></p><blockquote><p><b>id</b></p>1221</blockquote><p><b>coverage</b>: <a href=\"Coverage-example-01.html\">Coverage/example-01</a></p><p><b>inforce</b>: true</p><h3>Items</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>ProductOrService</b></td></tr><tr><td style=\"display: none\">*</td><td>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></td></tr></table></blockquote></div>"
  },
  "status" : "active",
  "purpose" : [
    "validation",
    "discovery"
  ],
  "patient" : {
    "reference" : "Patient/example-01"
  },
  "servicedDate" : "2023-07-08",
  "created" : "2022-07-08",
  "requestor" : {
    "reference" : "Practitioner/example-01"
  },
  "request" : {
    "reference" : "CoverageEligibilityRequest/discovery-example-01"
  },
  "outcome" : "complete",
  "disposition" : "Policy is currently in-force.",
  "insurer" : {
    "reference" : "Organization/example-01"
  },
  "insurance" : [
    {
      "id" : "1221",
      "coverage" : {
        "reference" : "Coverage/example-01"
      },
      "inforce" : true,
      "item" : [
        {
          "productOrService" : {
            "coding" : [
              {
                "system" : "http://snomed.info/sct",
                "code" : "10849003",
                "display" : "Removal of foreign body"
              }
            ]
          }
        }
      ]
    }
  ]
}