FHIR Implementation Guide for HCX - Local Development build (v0.8.0). 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"
}
}
}
]
}