FHIR Implementation Guide for HCX
0.7.0 - CI Build

FHIR Implementation Guide for HCX - Local Development build (v0.7.0). See the Directory of published versions

Example Bundle: HCX Coverage Eligibility Request Document example

Hina Patel Female, DoB: ( Subscriber Number: BEN-101)

Generated Narrative: Composition

Resource Composition "42ff4a07-3e36-402f-a99e-29f16c0c9eee"

identifier: id: 42ff4a07-3e36-402f-a99e-29f16c0c9eee

status: FINAL

type: Coverage Eligibility Request Doc (document-type#HcxCoverageEligibilityRequest)

date: 2022-02-08 09:49:55+0530

author: See above (Organization/Tmh01)

title: Coverage Eligibility Request

# Eligibility Request

Additional Document Content

2. Organization/Tmh01 (Organization/Tmh01)

Generated Narrative: Organization

Resource Organization "Tmh01"

identifier: id: HFR-ID-FOR-TMH, id: IRDA-ID-FOR-TMH

name: Tata Memorial Hospital

alias: TMH, TMC

Contacts

-TelecomAddress
*ph: (+91) 022-2417-7000Dr Ernest Borges Rd, Parel East, Parel, Mumbai, Maharashtra 400012 Mumbai Maharashtra 400012 INDIA

endpoint: https://www.tmc.gov.in/: Website

3. Patient/RVH1003 (Patient/RVH1003)

Hina Patel Female, DoB: ( Subscriber Number: BEN-101)

4. CoverageEligibilityRequest/dc82673b-8c71-48c2-8a17-16dcb3b035f6 (CoverageEligibilityRequest/dc82673b-8c71-48c2-8a17-16dcb3b035f6)

Generated Narrative: CoverageEligibilityRequest

Resource CoverageEligibilityRequest "dc82673b-8c71-48c2-8a17-16dcb3b035f6"

identifier: id: dc82673b-8c71-48c2-8a17-16dcb3b035f6

status: ACTIVE

purpose: DISCOVERY

patient: See above (Patient/RVH1003)

serviced: 2022-02-07 09:49:56+0530 --> 2022-02-09 09:49:56+0530

created: 2022-02-08 09:49:56+0530

provider: See above (Organization/Tmh01)

insurer: See above (Organization/GICOFINDIA)

Insurances

-FocalCoverage
*trueSee above (Coverage/dadde132-ad64-4d18-8c18-1d52d7e86abc)

5. Organization/GICOFINDIA (Organization/GICOFINDIA)

Generated Narrative: Organization

Resource Organization "GICOFINDIA"

identifier: id: 112

name: General Insurance Corporation of India

6. Coverage/dadde132-ad64-4d18-8c18-1d52d7e86abc (Coverage/dadde132-ad64-4d18-8c18-1d52d7e86abc)

Generated Narrative: Coverage

Resource Coverage "dadde132-ad64-4d18-8c18-1d52d7e86abc"

identifier: id: policy-RVH1003

status: ACTIVE

subscriber: See above (Patient/RVH1003)

subscriberId: id: SN-RVH1003

beneficiary: See above (Patient/RVH1003)

relationship: self (subscriber-relationship#self)