Atrius India Core FHIR Implementation Guide
0.1.0 - ci-build

Atrius India Core FHIR Implementation Guide - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

: Example AtriusIn CoverageEligibilityResponse

Raw json | Download

{
  "resourceType" : "CoverageEligibilityResponse",
  "id" : "atrius-in-coverageeligibilityresponse-example",
  "meta" : {
    "profile" : [
      🔗 "https://atrius.in/fhir/r4/atrius-in/StructureDefinition/atrius-in-coverageeligibilityresponse"
    ]
  },
  "language" : "en",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CoverageEligibilityResponse atrius-in-coverageeligibilityresponse-example</b></p><a name=\"atrius-in-coverageeligibilityresponse-example\"> </a><a name=\"hcatrius-in-coverageeligibilityresponse-example\"> </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-atrius-in-coverageeligibilityresponse.html\">Atrius India Core CoverageEligibilityResponse</a></p></div><p><b>status</b>: Active</p><p><b>purpose</b>: Coverage benefits</p><p><b>patient</b>: <a href=\"Patient-atrius-in-patient-example.html\">Priya Sharma(official) Female, DoB: 1985-03-15 ( Ayushman Bharat Health Account (ABHA) ID: NDHMHealthId#ABHA-1234-5678-9012\u00a0(use:\u00a0official,\u00a0))</a></p><p><b>created</b>: 2026-05-19 16:00:00+0530</p><p><b>requestor</b>: <a href=\"Organization-atrius-in-organization-example.html\">Organization AtriusIn General Hospital</a></p><p><b>request</b>: <a href=\"CoverageEligibilityRequest-atrius-in-coverageeligibilityrequest-example.html\">CoverageEligibilityRequest: identifier = https://facility.ndhm.gov.in#NDHMFacilityId#ELIG-2026-0001; status = active; priority = Normal; purpose = benefits; created = 2026-05-19</a></p><p><b>outcome</b>: Processing Complete</p><p><b>insurer</b>: <a href=\"Organization-atrius-in-organization-example.html\">Organization AtriusIn General Hospital</a></p><blockquote><p><b>insurance</b></p><p><b>coverage</b>: <a href=\"Coverage-atrius-in-coverage-example.html\">Coverage: status = active; type = PM-JAY; relationship = Self</a></p><p><b>inforce</b>: true</p><blockquote><p><b>item</b></p><p><b>productOrService</b>: <span title=\"Codes:\">Inpatient hospitalization</span></p><h3>Benefits</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Type</b></td><td><b>Allowed[x]</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:\">Allowed</span></td><td><span title=\"Indian Rupee\">₹500,000.00</span> (INR)</td></tr></table></blockquote></blockquote></div>"
  },
  "status" : "active",
  "purpose" : [
    "benefits"
  ],
  "patient" : {
    🔗 "reference" : "Patient/atrius-in-patient-example"
  },
  "created" : "2026-05-19T16:00:00+05:30",
  "requestor" : {
    🔗 "reference" : "Organization/atrius-in-organization-example"
  },
  "request" : {
    🔗 "reference" : "CoverageEligibilityRequest/atrius-in-coverageeligibilityrequest-example"
  },
  "outcome" : "complete",
  "insurer" : {
    🔗 "reference" : "Organization/atrius-in-organization-example"
  },
  "insurance" : [
    {
      "coverage" : {
        🔗 "reference" : "Coverage/atrius-in-coverage-example"
      },
      "inforce" : true,
      "item" : [
        {
          "productOrService" : {
            "text" : "Inpatient hospitalization"
          },
          "benefit" : [
            {
              "type" : {
                "text" : "Allowed"
              },
              "allowedMoney" : {
                "value" : 500000,
                "currency" : "INR"
              }
            }
          ]
        }
      ]
    }
  ]
}