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
<Bundle xmlns="http://hl7.org/fhir">
<id value="ex-check-coverage-resp-bundle-2"/>
<meta>
<profile
value="https://profiles.ihe.net/ITI/FAIS/StructureDefinition/IHE.FAIS.CEResponse.Bundle"/>
</meta>
<type value="collection"/>
<entry>
<fullUrl
value="https://profiles.ihe.net/ITI/FAIS/CoverageEligibilityResponse/ex-check-coverage-resp-2"/>
<resource>
<CoverageEligibilityResponse>
<id value="ex-check-coverage-resp-2"/>
<meta>
<profile
value="https://profiles.ihe.net/ITI/FAIS/StructureDefinition/IHE.FAIS.CoverageEligibilityResponse"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="CoverageEligibilityResponse_ex-check-coverage-resp-2"> </a><p class="res-header-id"><b>Generated Narrative: CoverageEligibilityResponse ex-check-coverage-resp-2</b></p><a name="ex-check-coverage-resp-2"> </a><a name="hcex-check-coverage-resp-2"> </a><a name="ex-check-coverage-resp-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>created</b>: 2024-06-01 15:01:00+0000</p><p><b>request</b>: <a href="CoverageEligibilityRequest-ex-check-coverage-2.html">CoverageEligibilityRequest: status = active; purpose = benefits; serviced[x] = 2024-07-01 --> 2024-12-31; created = 2024-06-01 15:00:00+0000</a></p><p><b>outcome</b>: Processing Complete</p><p><b>disposition</b>: Allowed</p><p><b>insurer</b>: <a href="Organization-ex-insurer-1.html">Organization National Health Insurance Scheme</a></p><h3>Insurances</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Coverage</b></td><td><b>Inforce</b></td></tr><tr><td style="display: none">*</td><td><a href="Coverage-ex-coverage-1.html">Coverage: status = active; type = public healthcare; subscriberId = 05710b56-4448-11ef-b676-774a043da147; relationship = Self; period = 2024-01-01 --> 2024-12-31</a></td><td>true</td></tr></table></div>
</text>
<status value="active"/>
<purpose value="benefits"/>
<patient>🔗
<reference value="Patient/ex-beneficiary-1"/>
</patient>
<created value="2024-06-01T15:01:00Z"/>
<request>🔗
<reference value="CoverageEligibilityRequest/ex-check-coverage-2"/>
</request>
<outcome value="complete"/>
<disposition value="Allowed"/>
<insurer>🔗
<reference value="Organization/ex-insurer-1"/>
</insurer>
<insurance>
<coverage>🔗
<reference value="Coverage/ex-coverage-1"/>
</coverage>
<inforce value="true"/>
</insurance>
</CoverageEligibilityResponse>
</resource>
</entry>
<entry>
<fullUrl
value="https://profiles.ihe.net/ITI/FAIS/Organization/ex-insurer-1"/>
<resource>
<Organization>
<id value="ex-insurer-1"/>
<text>
<status value="generated"/>
<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>
</text>
<name value="National Health Insurance Scheme"/>
</Organization>
</resource>
</entry>
<entry>
<fullUrl
value="https://profiles.ihe.net/ITI/FAIS/Patient/ex-beneficiary-1"/>
<resource>
<Patient>
<id value="ex-beneficiary-1"/>
<text>
<status value="generated"/>
<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>
</text>
<name>
<family value="Atieno"/>
<given value="Purity"/>
</name>
<gender value="female"/>
<birthDate value="2000-05-04"/>
</Patient>
</resource>
</entry>
<entry>
<fullUrl
value="https://profiles.ihe.net/ITI/FAIS/Coverage/ex-coverage-1"/>
<resource>
<Coverage>
<id value="ex-coverage-1"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Coverage_ex-coverage-1"> </a><p class="res-header-id"><b>Generated Narrative: Coverage ex-coverage-1</b></p><a name="ex-coverage-1"> </a><a name="hcex-coverage-1"> </a><a name="ex-coverage-1-en-US"> </a><p><b>status</b>: Active</p><p><b>type</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/v3-ActCode PUBLICPOL}">public healthcare</span></p><p><b>policyHolder</b>: <a href="Patient-ex-beneficiary-1.html">Purity Atieno Female, DoB: 2000-05-04</a></p><p><b>subscriber</b>: <a href="Patient-ex-beneficiary-1.html">Purity Atieno Female, DoB: 2000-05-04</a></p><p><b>subscriberId</b>: 05710b56-4448-11ef-b676-774a043da147</p><p><b>beneficiary</b>: <a href="Patient-ex-beneficiary-1.html">Purity Atieno Female, DoB: 2000-05-04</a></p><p><b>relationship</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/subscriber-relationship self}">Self</span></p><p><b>period</b>: 2024-01-01 --> 2024-12-31</p><p><b>payor</b>: <a href="Organization-ex-insurer-1.html">Organization National Health Insurance Scheme</a></p></div>
</text>
<status value="active"/>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<code value="PUBLICPOL"/>
<display value="public healthcare"/>
</coding>
</type>
<policyHolder>🔗
<reference value="Patient/ex-beneficiary-1"/>
</policyHolder>
<subscriber>🔗
<reference value="Patient/ex-beneficiary-1"/>
</subscriber>
<subscriberId value="05710b56-4448-11ef-b676-774a043da147"/>
<beneficiary>🔗
<reference value="Patient/ex-beneficiary-1"/>
</beneficiary>
<relationship>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/subscriber-relationship"/>
<code value="self"/>
<display value="Self"/>
</coding>
</relationship>
<period>
<start value="2024-01-01"/>
<end value="2024-12-31"/>
</period>
<payor>🔗
<reference value="Organization/ex-insurer-1"/>
</payor>
</Coverage>
</resource>
</entry>
</Bundle>