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-covreq-bundle"/>
<meta>
<profile
value="https://profiles.ihe.net/ITI/FAIS/StructureDefinition/IHE.FAIS.CoverageEligibilityRequest.Bundle"/>
</meta>
<type value="collection"/>
<entry>
<fullUrl
value="https://profiles.ihe.net/ITI/FAIS/CoverageEligibilityRequest/ex-check-coverage"/>
<resource>
<CoverageEligibilityRequest>
<id value="ex-check-coverage"/>
<meta>
<profile
value="https://profiles.ihe.net/ITI/FAIS/StructureDefinition/IHE.FAIS.CoverageEligibilityRequest"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="CoverageEligibilityRequest_ex-check-coverage"> </a><p class="res-header-id"><b>Generated Narrative: CoverageEligibilityRequest ex-check-coverage</b></p><a name="ex-check-coverage"> </a><a name="hcex-check-coverage"> </a><a name="ex-check-coverage-en-US"> </a><p><b>status</b>: Active</p><p><b>purpose</b>: Coverage Validation</p><p><b>patient</b>: <a href="Patient-ex-beneficiary.html">Jane Doe Female, DoB: 2000-05-04</a></p><p><b>created</b>: 2024-05-04</p><p><b>insurer</b>: <a href="Organization-ex-insurer.html">Organization Example Public Insurance</a></p><h3>Insurances</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Focal</b></td><td><b>Coverage</b></td></tr><tr><td style="display: none">*</td><td>true</td><td><a href="Coverage-ex-coverage.html">Coverage: status = active; type = public healthcare; subscriberId = a8978d4a-0c9f-11ef-9633-cb733e9641ef; relationship = Self; period = 2024-01-01 --> 2024-12-31</a></td></tr></table></div>
</text>
<status value="active"/>
<purpose value="validation"/>
<patient>🔗
<reference value="Patient/ex-beneficiary"/>
</patient>
<created value="2024-05-04"/>
<insurer>🔗
<reference value="Organization/ex-insurer"/>
</insurer>
<insurance>
<focal value="true"/>
<coverage>🔗
<reference value="Coverage/ex-coverage"/>
</coverage>
</insurance>
</CoverageEligibilityRequest>
</resource>
</entry>
<entry>
<fullUrl
value="https://profiles.ihe.net/ITI/FAIS/Patient/ex-beneficiary"/>
<resource>
<Patient>
<id value="ex-beneficiary"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Patient_ex-beneficiary"> </a><p class="res-header-id"><b>Generated Narrative: Patient ex-beneficiary</b></p><a name="ex-beneficiary"> </a><a name="hcex-beneficiary"> </a><a name="ex-beneficiary-en-US"> </a><p style="border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;">Jane Doe Female, DoB: 2000-05-04</p><hr/></div>
</text>
<name>
<family value="Doe"/>
<given value="Jane"/>
</name>
<gender value="female"/>
<birthDate value="2000-05-04"/>
</Patient>
</resource>
</entry>
<entry>
<fullUrl
value="https://profiles.ihe.net/ITI/FAIS/Organization/ex-insurer"/>
<resource>
<Organization>
<id value="ex-insurer"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Organization_ex-insurer"> </a><p class="res-header-id"><b>Generated Narrative: Organization ex-insurer</b></p><a name="ex-insurer"> </a><a name="hcex-insurer"> </a><a name="ex-insurer-en-US"> </a><p><b>name</b>: Example Public Insurance</p></div>
</text>
<name value="Example Public Insurance"/>
</Organization>
</resource>
</entry>
<entry>
<fullUrl value="https://profiles.ihe.net/ITI/FAIS/Coverage/ex-coverage"/>
<resource>
<Coverage>
<id value="ex-coverage"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Coverage_ex-coverage"> </a><p class="res-header-id"><b>Generated Narrative: Coverage ex-coverage</b></p><a name="ex-coverage"> </a><a name="hcex-coverage"> </a><a name="ex-coverage-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.html">Jane Doe Female, DoB: 2000-05-04</a></p><p><b>subscriber</b>: <a href="Patient-ex-beneficiary.html">Jane Doe Female, DoB: 2000-05-04</a></p><p><b>subscriberId</b>: a8978d4a-0c9f-11ef-9633-cb733e9641ef</p><p><b>beneficiary</b>: <a href="Patient-ex-beneficiary.html">Jane Doe 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.html">Organization Example Public Insurance</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"/>
</policyHolder>
<subscriber>🔗
<reference value="Patient/ex-beneficiary"/>
</subscriber>
<subscriberId value="a8978d4a-0c9f-11ef-9633-cb733e9641ef"/>
<beneficiary>🔗
<reference value="Patient/ex-beneficiary"/>
</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"/>
</payor>
</Coverage>
</resource>
</entry>
</Bundle>