Healthcare Financial Services IG Edition 1 - Local Development build (v0.3.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

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: Coverage Eligibility Response #2 - JSON Representation

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{
  "resourceType" : "CoverageEligibilityResponse",
  "id" : "1491678",
  "meta" : {
    "profile" : [
      🔗 "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/eligibility-response"
    ],
    "tag" : [
      {
        "display" : "NPHIES generated"
      }
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CoverageEligibilityResponse 1491678</b></p><a name=\"1491678\"> </a><a name=\"hc1491678\"> </a><a name=\"1491678-en-US\"> </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-eligibility-response.html\">Nphies CoverageEligibilityResponse</a></p><p style=\"margin-bottom: 0px\">Tag: NPHIES generated (Details: [not stated] code null = 'NPHIES generated')</p></div><p><b>identifier</b>: <code>http://nphies.sa/identifiers/coverageeligibilityresponse</code>/728</p><p><b>status</b>: Active</p><p><b>purpose</b>: Coverage Validation, Coverage benefits</p><p><b>patient</b>: <a href=\"Bundle-4350490e-98f0-4c23-9e7d-4cd2c7011959.html#http-//saudigeneralhospital.com.sa/Patient/123454186\">Bundle: type = message; timestamp = 2023-07-15 14:56:49+0300</a></p><p><b>serviced</b>: 2023-07-15 --&gt; 2023-07-16</p><p><b>created</b>: 2023-12-19 08:20:29+0000</p><p><b>requestor</b>: <a href=\"Bundle-4350490e-98f0-4c23-9e7d-4cd2c7011959.html#http-//saudigeneralhospital.com.sa/Organization/b1b3432921324f97af3be9fd0b1a14ae\">Bundle: type = message; timestamp = 2023-07-15 14:56:49+0300</a></p><p><b>request</b>: Identifier: <code>http://saudigeneralhospital.com.sa/identifiers/coverageeligibilityrequest</code>/req_161959</p><p><b>outcome</b>: Error</p><p><b>insurer</b>: <a href=\"Bundle-4350490e-98f0-4c23-9e7d-4cd2c7011959.html#http-//saudigeneralhospital.com.sa/Organization/bff3aa1fbd3648619ac082357bf135db\">Bundle: type = message; timestamp = 2023-07-15 14:56:49+0300</a></p><h3>Insurances</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Coverage</b></td><td><b>Inforce</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"Bundle-4350490e-98f0-4c23-9e7d-4cd2c7011959.html#http-//saudigeneralhospital.com.sa/Coverage/1333\">Bundle: type = message; timestamp = 2023-07-15 14:56:49+0300</a></td><td>true</td></tr></table><h3>Errors</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Extension</b></td><td><b>Code</b></td></tr><tr><td style=\"display: none\">*</td><td/><td><span title=\"Codes:{http://nphies.sa/terminology/CodeSystem/adjudication-error 12}\">Missing element: [entry.CoverageEligibilityRequest] within the message</span></td></tr></table></div>"
  },
  "identifier" : [
    {
      "system" : "http://nphies.sa/identifiers/coverageeligibilityresponse",
      "value" : "728"
    }
  ],
  "status" : "active",
  "purpose" : [
    "validation",
    "benefits"
  ],
  "patient" : {
    "reference" : "http://saudigeneralhospital.com.sa/Patient/123454186"
  },
  "servicedPeriod" : {
    "start" : "2023-07-15",
    "end" : "2023-07-16"
  },
  "created" : "2023-12-19T08:20:29.933+00:00",
  "requestor" : {
    "reference" : "http://saudigeneralhospital.com.sa/Organization/b1b3432921324f97af3be9fd0b1a14ae"
  },
  "request" : {
    "identifier" : {
      "system" : "http://saudigeneralhospital.com.sa/identifiers/coverageeligibilityrequest",
      "value" : "req_161959"
    }
  },
  "outcome" : "error",
  "insurer" : {
    "reference" : "http://saudigeneralhospital.com.sa/Organization/bff3aa1fbd3648619ac082357bf135db"
  },
  "insurance" : [
    {
      "coverage" : {
        "reference" : "http://saudigeneralhospital.com.sa/Coverage/1333"
      },
      "inforce" : true
    }
  ],
  "error" : [
    {
      "extension" : [
        {
          "url" : "http://nphies.sa/fhir/ksa/nphies-fs/StructureDefinition/extension-error-expression",
          "valueString" : "Bundle.entry[1]"
        }
      ],
      "code" : {
        "coding" : [
          {
            "system" : "http://nphies.sa/terminology/CodeSystem/adjudication-error",
            "code" : "12",
            "display" : "Missing element: [entry.CoverageEligibilityRequest] within the message"
          }
        ]
      }
    }
  ]
}