Release 5 R6 Ballot (3rd Draft)
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Example CoverageEligibilityRequest/52345 (XML)

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

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

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General Person Primary Coverage Example (id = "52345") 

<?xml version="1.0" encoding="UTF-8"?>

<CoverageEligibilityRequest xmlns="http://hl7.org/fhir">
  <id value="52345"/> 
  <text> 
    
    

    <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml">A human-readable rendering of the CoverageEligibilityRequest</div> 
  </text> 
  <identifier> 
    <system value="http://happyvalley.com/coverageelegibilityrequest"/> 
    <value value="52345"/> 
  </identifier> 
  <status value="active"/> 
  <priority> 
    <coding> 
      <code value="normal"/> 
    </coding> 
  </priority> 
  <purpose value="validation"/> 
  

  <patient> 
    <reference value="Patient/pat1"/> 
  </patient> 
  <created value="2014-08-16"/> 
  <provider> 
    <reference value="Organization/1"/> 
  </provider> 
  <insurer> 
    <reference value="Organization/2"/> 
  </insurer> 
  <insurance> 
    <focal value="true"/> 
    <coverage> 
      <reference value="Coverage/9876B1"/> 
    </coverage> 
  </insurance> 


</

CoverageEligibilityRequest

>

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.