FHIR Implementation Guide for ABDM
6.0.0 - active
This page is part of the FHIR Implementation Guide for ABDM (v6.0.0: Release) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions
<CoverageEligibilityRequest xmlns="http://hl7.org/fhir">
<id value="discovery-example-01"/>
<meta>
<profile
value="https://nrces.in/ndhm/fhir/r4/StructureDefinition/CoverageEligibilityRequest"/>
</meta>
<language value="en"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml" xml:lang="en" lang="en"><p><b>Generated Narrative: CoverageEligibilityRequest</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 CoverageEligibilityRequest "discovery-example-01" (Language "en") </p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-CoverageEligibilityRequest.html">CoverageEligibilityRequest</a></p></div><p><b>identifier</b>: <code>https://irdai.gov.in</code>/7612345</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/5.3.0/CodeSystem-processpriority.html">Process Priority Codes</a>#normal)</span></p><p><b>purpose</b>: discovery</p><p><b>patient</b>: <a href="Patient-example-01.html">Patient/example-01</a> ""</p><p><b>created</b>: 2023-09-07 11:01:00+0500</p><p><b>enterer</b>: <a href="Practitioner-example-01.html">Practitioner/example-01</a> ""</p><p><b>provider</b>: <a href="Practitioner-example-01.html">Practitioner/example-01</a> ""</p><p><b>insurer</b>: <a href="Organization-example-02.html">Organization/example-02</a> "XYZ Insurance Co. Ltd."</p><p><b>facility</b>: <a href="Location-example-03.html">Location/example-03</a> "South Wing, second floor"</p><h3>Insurances</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Focal</b></td><td><b>Coverage</b></td></tr><tr><td style="display: none">*</td><td>true</td><td><a href="Coverage-example-01.html">Coverage/example-01</a></td></tr></table><blockquote><p><b>item</b></p><p><b>productOrService</b>: Consultant <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#768839008)</span></p><h3>Diagnoses</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Diagnosis[x]</b></td></tr><tr><td style="display: none">*</td><td>Type 2 diabetes mellitus : Without complications <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.3.0/CodeSystem-icd10.html">ICD-10</a>#E11.9)</span></td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>productOrService</b>: Metformin hydrochloride 500 mg prolonged-release oral tablet <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#765507008)</span></p><h3>Diagnoses</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Diagnosis[x]</b></td></tr><tr><td style="display: none">*</td><td>Type 2 diabetes mellitus : Without complications <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.3.0/CodeSystem-icd10.html">ICD-10</a>#E11.9)</span></td></tr></table></blockquote></div>
</text>
<identifier>
<system value="https://irdai.gov.in"/>
<value value="7612345"/>
</identifier>
<status value="active"/>
<priority>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/processpriority"/>
<code value="normal"/>
<display value="Normal"/>
</coding>
</priority>
<purpose value="discovery"/>
<patient>🔗
<reference value="Patient/example-01"/>
</patient>
<created value="2023-09-07T11:01:00+05:00"/>
<enterer>🔗
<reference value="Practitioner/example-01"/>
</enterer>
<provider>🔗
<reference value="Practitioner/example-01"/>
</provider>
<insurer>🔗
<reference value="Organization/example-02"/>
</insurer>
<facility>🔗
<reference value="Location/example-03"/>
</facility>
<insurance>
<focal value="true"/>
<coverage>🔗
<reference value="Coverage/example-01"/>
</coverage>
</insurance>
<item>
<productOrService>
<coding>
<system value="http://snomed.info/sct"/>
<code value="768839008"/>
<display value="Consultant"/>
</coding>
</productOrService>
<diagnosis>
<diagnosisCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/sid/icd-10"/>
<code value="E11.9"/>
<display value="Type 2 diabetes mellitus : Without complications"/>
</coding>
</diagnosisCodeableConcept>
</diagnosis>
</item>
<item>
<productOrService>
<coding>
<system value="http://snomed.info/sct"/>
<code value="765507008"/>
<display
value="Metformin hydrochloride 500 mg prolonged-release oral tablet"/>
</coding>
</productOrService>
<diagnosis>
<diagnosisCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/sid/icd-10"/>
<code value="E11.9"/>
<display value="Type 2 diabetes mellitus : Without complications"/>
</coding>
</diagnosisCodeableConcept>
</diagnosis>
</item>
</CoverageEligibilityRequest>