Release 4B R5 Final QA

This page is part of the FHIR Specification (v4.3.0: R4B (v5.0.0-draft-final: Final QA Preview for R5 - STU see ballot notes ). The current version which supercedes this version is 5.0.0 . For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4

Coverageeligibilityrequest-example.json

Example CoverageEligibilityRequest/52345 (JSON)

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

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

General Person Primary Coverage Example 

{
  "resourceType": "CoverageEligibilityRequest",
  "id": "52345",
  "text": {
    "status": "generated",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">A human-readable rendering of the CoverageEligibilityRequest</div>"

  "resourceType" : "CoverageEligibilityRequest",
  "id" : "52345",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">A human-readable rendering of the CoverageEligibilityRequest</div>"

  },
  "identifier": [
    {
      "system": "http://happyvalley.com/coverageelegibilityrequest",
      "value": "52345"
    }
  ],
  "status": "active",
  "priority": {
    "coding": [
      {
        "code": "normal"
      }
    ]

  "identifier" : [{
    "system" : "http://happyvalley.com/coverageelegibilityrequest",
    "value" : "52345"
  }],
  "status" : "active",
  "priority" : {
    "coding" : [{
      "code" : "normal"
    }]

  },
  "purpose": [
    "validation"
  ],
  "patient": {
    "reference": "Patient/pat1"

  "purpose" : ["validation"],
  "patient" : {
    "reference" : "Patient/pat1"

  },
  "created": "2014-08-16",
  "provider": {
    "reference": "Organization/1"

  "created" : "2014-08-16",
  "provider" : {
    "reference" : "Organization/1"

  },
  "insurer": {
    "reference": "Organization/2"

  "insurer" : {
    "reference" : "Organization/2"

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

  "insurance" : [{
    "focal" : true,
    "coverage" : {
      "reference" : "Coverage/9876B1"

    }
  ]

  }]

}

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.