Sha256: 5856dee68db9dcc959ab620434ce6fcc1c2be2324adfd6978c6608df1bd57e27
Contents?: true
Size: 1.51 KB
Versions: 10
Compression:
Stored size: 1.51 KB
Contents
<?xml version="1.0" encoding="UTF-8"?>
<CoverageEligibilityRequest xmlns="http://hl7.org/fhir">
<id value="52346"/>
<meta>
<security>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
<code value="HTEST"/>
<display value="test health data"/>
</security>
</meta>
<identifier>
<system value="http://happyvalley.com/coverageelegibilityrequest"/>
<value value="52346"/>
</identifier>
<status value="active"/>
<priority>
<coding>
<code value="normal"/>
</coding>
</priority>
<purpose value="validation"/>
<purpose value="benefits"/>
<patient>
<reference value="Patient/pat1"/>
</patient>
<servicedDate value="2014-09-17"/> <!-- Anticipated service date -->
<created value="2014-08-16"/>
<enterer>
<identifier>
<system value="http://happyvalleyclinic.com/staff"/>
<value value="14"/>
</identifier>
</enterer>
<provider>
<reference value="Organization/1"/>
</provider>
<insurer>
<reference value="Organization/2"/>
</insurer>
<facility>
<identifier>
<system value="http://statecliniclicensor.com/clinicid"/>
<value value="G35B9"/>
</identifier>
</facility>
<insurance>
<coverage>
<reference value="Coverage/9876B1"/>
</coverage>
<businessArrangement value="NB8742"/>
</insurance>
<item>
<category>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/ex-benefitcategory"/>
<code value="69"/>
<display value="Maternity"/>
</coding>
</category>
</item>
</CoverageEligibilityRequest>
Version data entries
10 entries across 10 versions & 1 rubygems