Finance and Insurance Service (FAIS)
1.0.0-current - ci-build
Finance and Insurance Service (FAIS), published by IHE IT Infrastructure Technical Committee. This guide is not an authorized publication; it is the continuous build for version 1.0.0-current built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/IHE/ITI.Finance/ and changes regularly. See the Directory of published versions
{
"resourceType" : "Bundle",
"id" : "ex-check-coverage-bundle-2",
"meta" : {
"profile" : [
🔗 "https://profiles.ihe.net/ITI/FAIS/StructureDefinition/IHE.FAIS.CoverageEligibilityRequest.Bundle"
]
},
"type" : "collection",
"entry" : [
{
"fullUrl" : "https://profiles.ihe.net/ITI/FAIS/CoverageEligibilityRequest/ex-check-coverage-2",
"resource" : {
"resourceType" : "CoverageEligibilityRequest",
"id" : "ex-check-coverage-2",
"meta" : {
"profile" : [
🔗 "https://profiles.ihe.net/ITI/FAIS/StructureDefinition/IHE.FAIS.CoverageEligibilityRequest"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"CoverageEligibilityRequest_ex-check-coverage-2\"> </a><p class=\"res-header-id\"><b>Generated Narrative: CoverageEligibilityRequest ex-check-coverage-2</b></p><a name=\"ex-check-coverage-2\"> </a><a name=\"hcex-check-coverage-2\"> </a><a name=\"ex-check-coverage-2-en-US\"> </a><p><b>status</b>: Active</p><p><b>purpose</b>: Coverage benefits</p><p><b>patient</b>: <a href=\"Patient-ex-beneficiary-1.html\">Purity Atieno Female, DoB: 2000-05-04</a></p><p><b>serviced</b>: 2024-07-01 --> 2024-12-31</p><p><b>created</b>: 2024-06-01 15:00:00+0000</p><p><b>enterer</b>: <a href=\"Practitioner-ex-doctor-2.html\">Practitioner Kalu Kalu </a></p><p><b>provider</b>: <a href=\"Practitioner-ex-doctor-2.html\">Practitioner Kalu Kalu </a></p><p><b>insurer</b>: <a href=\"Organization-ex-insurer-1.html\">Organization National Health Insurance Scheme</a></p><p><b>facility</b>: <a href=\"Location-ex-hospital-2.html\">Location Local Hospital</a></p><blockquote><p><b>item</b></p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/ex-benefitcategory 1}\">Medical Care</span></p><p><b>productOrService</b>: <span title=\"Codes:{http://loinc.org 21946-9}\">Chemotherapy treatment Cancer</span></p><p><b>provider</b>: <a href=\"Practitioner-ex-doctor-2.html\">Practitioner Kalu Kalu </a></p><p><b>facility</b>: <a href=\"Location-ex-hospital-2.html\">Location Local Hospital</a></p><h3>Diagnoses</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Diagnosis[x]</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://id.who.int/icd/release/11/mms XH1VB1}\">Hybrid oncocytic chromophobe tumour</span></td></tr></table></blockquote></div>"
},
"status" : "active",
"purpose" : [
"benefits"
],
"patient" : {
🔗 "reference" : "Patient/ex-beneficiary-1"
},
"servicedPeriod" : {
"start" : "2024-07-01",
"end" : "2024-12-31"
},
"created" : "2024-06-01T15:00:00Z",
"enterer" : {
🔗 "reference" : "Practitioner/ex-doctor-2"
},
"provider" : {
🔗 "reference" : "Practitioner/ex-doctor-2"
},
"insurer" : {
🔗 "reference" : "Organization/ex-insurer-1"
},
"facility" : {
🔗 "reference" : "Location/ex-hospital-2"
},
"item" : [
{
"category" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/ex-benefitcategory",
"code" : "1"
}
]
},
"productOrService" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "21946-9",
"display" : "Chemotherapy treatment Cancer"
}
]
},
"provider" : {
🔗 "reference" : "Practitioner/ex-doctor-2"
},
"facility" : {
🔗 "reference" : "Location/ex-hospital-2"
},
"diagnosis" : [
{
"diagnosisCodeableConcept" : {
"coding" : [
{
"system" : "http://id.who.int/icd/release/11/mms",
"code" : "XH1VB1",
"display" : "Hybrid oncocytic chromophobe tumour"
}
]
}
}
]
}
]
}
},
{
"fullUrl" : "https://profiles.ihe.net/ITI/FAIS/Practitioner/ex-doctor-2",
"resource" : {
"resourceType" : "Practitioner",
"id" : "ex-doctor-2",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Practitioner_ex-doctor-2\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Practitioner ex-doctor-2</b></p><a name=\"ex-doctor-2\"> </a><a name=\"hcex-doctor-2\"> </a><a name=\"ex-doctor-2-en-US\"> </a><p><b>name</b>: Kalu Kalu </p></div>"
},
"name" : [
{
"family" : "Kalu",
"given" : [
"Kalu"
]
}
]
}
},
{
"fullUrl" : "https://profiles.ihe.net/ITI/FAIS/Organization/ex-insurer-1",
"resource" : {
"resourceType" : "Organization",
"id" : "ex-insurer-1",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Organization_ex-insurer-1\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Organization ex-insurer-1</b></p><a name=\"ex-insurer-1\"> </a><a name=\"hcex-insurer-1\"> </a><a name=\"ex-insurer-1-en-US\"> </a><p><b>name</b>: National Health Insurance Scheme</p></div>"
},
"name" : "National Health Insurance Scheme"
}
},
{
"fullUrl" : "https://profiles.ihe.net/ITI/FAIS/Patient/ex-beneficiary-1",
"resource" : {
"resourceType" : "Patient",
"id" : "ex-beneficiary-1",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_ex-beneficiary-1\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient ex-beneficiary-1</b></p><a name=\"ex-beneficiary-1\"> </a><a name=\"hcex-beneficiary-1\"> </a><a name=\"ex-beneficiary-1-en-US\"> </a><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Purity Atieno Female, DoB: 2000-05-04</p><hr/></div>"
},
"name" : [
{
"family" : "Atieno",
"given" : [
"Purity"
]
}
],
"gender" : "female",
"birthDate" : "2000-05-04"
}
},
{
"fullUrl" : "https://profiles.ihe.net/ITI/FAIS/Location/ex-hospital-2",
"resource" : {
"resourceType" : "Location",
"id" : "ex-hospital-2",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Location_ex-hospital-2\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Location ex-hospital-2</b></p><a name=\"ex-hospital-2\"> </a><a name=\"hcex-hospital-2\"> </a><a name=\"ex-hospital-2-en-US\"> </a><p><b>name</b>: Local Hospital</p></div>"
},
"name" : "Local Hospital"
}
}
]
}