Release 4 FHIR CI-Build

This page is part of the Continuous Integration Build of FHIR Specification (v4.0.1: R4 - Mixed Normative and STU ) in it's permanent home (it will always (will be available incorrect/inconsistent at this URL). The current version which supercedes this version is 5.0.0 . For a full list of available versions, see times).
See the Directory of published versions . Page versions: R5 R4B R4

Coverageeligibilityresponse-example.json

Example CoverageEligibilityResponse/E2500 (JSON)

Maturity Level : N/A
Responsible Owner: Financial Management Work Group Standards Status : Informative Compartments : Patient , Practitioner

Raw JSON ( canonical form + also see JSON Format Specification )

General Person Primary Coverage Example 

{
  "resourceType": "CoverageEligibilityResponse",
  "id": "E2500",
  "text": {
    "status": "generated",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">A human-readable rendering of the CoverageEligibilityResponse.</div>"

  "resourceType" : "CoverageEligibilityResponse",
  "id" : "E2500",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">A human-readable rendering of the CoverageEligibilityResponse.</div>"

  },
  "identifier": [
    {
      "system": "http://www.BenefitsInc.com/fhir/coverageeligibilityresponse",
      "value": "881234"
    }
  ],
  "status": "active",
  "purpose": [
    "validation"
  ],
  "patient": {
    "reference": "Patient/pat1"

  "identifier" : [{
    "system" : "http://www.BenefitsInc.com/fhir/coverageeligibilityresponse",
    "value" : "881234"
  }],
  "status" : "active",
  "purpose" : ["validation"],
  "patient" : {
    "reference" : "Patient/pat1"

  },
  "created": "2014-08-16",
  "request": {
    "reference": "http://www.BenefitsInc.com/fhir/coverageeligibilityrequest/225476332402"

  "created" : "2014-08-16",
  "request" : {
    "reference" : "http://www.BenefitsInc.com/fhir/coverageeligibilityrequest/225476332402"

  },
  "outcome": "complete",
  "disposition": "Policy is currently in-force.",
  "insurer": {
    "reference": "Organization/2"

  "outcome" : "complete",
  "disposition" : "Policy is currently in-force.",
  "insurer" : {
    "reference" : "Organization/2"

  },
  "insurance": [
    {
      "coverage": {
        "reference": "Coverage/9876B1"
      },
      "inforce": true
    }
  ]

  "insurance" : [{
    "coverage" : {
      "reference" : "Coverage/9876B1"
    },
    "inforce" : true
  }]

}

Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.