{
  "resourceType" : "CoverageEligibilityRequest",
  "id" : "OncologyCoverageEligibilityRequestExample",
  "meta" : {
    "profile" : ["https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-oncology-coverage-eligibility-request"]
  },
  "language" : "en",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Request to verify SHA coverage eligibility for AC-T chemotherapy regimen (breast cancer)</p></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"
      }]
    }
  }]
}