{
  "resourceType" : "CoverageEligibilityRequest",
  "id" : "OncologyCoverageEligibilityRequestExample",
  "meta" : {
    "profile" : ["https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-oncology-coverage-eligibility-request"]
  },
  "language" : "en",
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CoverageEligibilityRequest OncologyCoverageEligibilityRequestExample</b></p><a name=\"OncologyCoverageEligibilityRequestExample\"> </a><a name=\"hcOncologyCoverageEligibilityRequestExample\"> </a><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\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-nccp-oncology-coverage-eligibility-request.html\">NCCP Oncology Coverage Eligibility Request</a></p></div><p><b>Regimen Reference Extension</b>: <a href=\"CarePlan-example-careplan.html\">CarePlan: status = active; intent = plan</a></p><p><b>status</b>: Active</p><p><b>purpose</b>: Coverage auth-requirements</p><p><b>patient</b>: <a href=\"Patient-example-patient.html\">Mary Wanjiku  Female, DoB: 1975-06-15</a></p><p><b>created</b>: 2026-01-08</p><p><b>provider</b>: <a href=\"Organization-example-organization.html\">Organization Kenyatta National Hospital — Oncology Unit</a></p><p><b>insurer</b>: <a href=\"Organization-sha-kenya.html\">Organization Social Health Authority — Kenya</a></p><h3>Insurances</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Coverage</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"Coverage-example-coverage.html\">Coverage: status = active</a></td></tr></table><h3>Items</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>ProductOrService</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{https://nshr-uat.sha.go.ke/fhir/CodeSystem/sha-interventions-cs SHA-CHEMO-NEO-ADJUVANT}\">SHA: Chemotherapy — Neo-adjuvant</span></td></tr></table></div>"
  },
  "extension" : [{
    "url" : "https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-regimen-reference-extension",
    "valueReference" : {
      "reference" : "CarePlan/example-careplan"
    }
  }],
  "status" : "active",
  "purpose" : ["auth-requirements"],
  "patient" : {
    "reference" : "Patient/example-patient"
  },
  "created" : "2026-01-08",
  "provider" : {
    "reference" : "Organization/example-organization"
  },
  "insurer" : {
    "reference" : "Organization/sha-kenya"
  },
  "insurance" : [{
    "coverage" : {
      "reference" : "Coverage/example-coverage"
    }
  }],
  "item" : [{
    "productOrService" : {
      "coding" : [{
        "system" : "https://nshr-uat.sha.go.ke/fhir/CodeSystem/sha-interventions-cs",
        "code" : "SHA-CHEMO-NEO-ADJUVANT",
        "display" : "SHA: Chemotherapy — Neo-adjuvant"
      }]
    }
  }]
}