FHIR Implementation Guide for HCX
0.7.1 - CI Build

FHIR Implementation Guide for HCX - Local Development build (v0.7.1). See the Directory of published versions

: HCX Coverage Eligibility Request example - JSON Representation

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{
  "resourceType" : "CoverageEligibilityRequest",
  "id" : "example-01",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"> Admitted to Cardiac Unit,UVW Hospital between June 28 and July 9 2020</div>"
  },
  "identifier" : [
    {
      "system" : "https://www.tmh.in/coverage-eligibility-request",
      "value" : "dc82673b-8c71-48c2-8a17-16dcb3b035f6"
    }
  ],
  "status" : "active",
  "priority" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/processpriority",
        "code" : "normal"
      }
    ]
  },
  "purpose" : [
    "discovery"
  ],
  "patient" : {
    "id" : "RVH1003",
    "identifier" : {
      "type" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code" : "SN",
            "display" : "Subscriber Number"
          }
        ]
      },
      "system" : "http://gicofIndia.com/beneficiaries",
      "value" : "BEN-101"
    }
  },
  "servicedPeriod" : {
    "start" : "2022-02-07T21:49:56+05:30",
    "end" : "2022-02-09T21:49:56+05:30"
  },
  "created" : "2022-02-08T21:49:56+05:30",
  "enterer" : {
    "id" : "NPR-6897",
    "identifier" : {
      "system" : "https://ndhm.gov.in/npr",
      "value" : "NPR-6897"
    }
  },
  "provider" : {
    "id" : "Tmh01",
    "identifier" : {
      "system" : "http://abdm.gov.in/facilities",
      "value" : "HFR-ID-FOR-TMH"
    }
  },
  "insurer" : {
    "id" : "GICOFINDIA",
    "identifier" : {
      "system" : "http://irdai.gov.in/insurers",
      "value" : "112"
    }
  },
  "insurance" : [
    {
      "focal" : true,
      "coverage" : {
        "id" : "dadde132-ad64-4d18-8c18-1d52d7e86abc",
        "identifier" : {
          "system" : "https://www.gicofIndia.in/policies",
          "value" : "policy-RVH1003"
        }
      }
    }
  ]
}