CoverageEligibilityRequest Example: coverageeligibilityrequest-example

Narrative

A human-readable rendering of the CoverageEligibilityRequest

Example XML

<CoverageEligibilityRequest xmlns="http://hl7.org/fhir" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://hl7.org/fhir ../../schema/remittance.xsd">
    <id value="52345"/>

    <text>
        <status value="generated"/>
        <div xmlns="http://www.w3.org/1999/xhtml">A human-readable rendering of the CoverageEligibilityRequest</div>
    </text>

    <identifier>
        <system value="http://happyvalley.com/coverageelegibilityrequest"/>
        <value value="52345"/>
    </identifier>

    <status value="active"/>

    <priority>
        <coding>
            <code value="normal"/>
        </coding>
    </priority>

    <purpose value="validation"/>

    <patient>
        <reference value="Patient/pat1"/>
    </patient>

    <created value="2014-08-16"/>

    <provider>
        <reference value="Organization/1"/>
    </provider>

    <insurer>
        <reference value="Organization/2"/>
    </insurer>

    <insurance>
        <focal value="true"/>
        <coverage>
            <reference value="Coverage/9876B1"/>
        </coverage>
    </insurance>

</CoverageEligibilityRequest>