Release 4 5

This page is part of the FHIR Specification (v4.0.1: R4 (v5.0.0: R5 - Mixed Normative and STU ) ). This is the current published version in it's permanent home (it will always be available at this URL). 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.xml

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.