Finance and Insurance Service (FAIS)
1.0.0 - trial-use International flag

This page is part of the IHE ITI Finance and Insurance Services (v1.0.0: Publication) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions

: Use Case 2 - Example Coverage Eligibility Response - XML Representation

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<CoverageEligibilityResponse xmlns="http://hl7.org/fhir">
  <id value="ex-check-coverage-resp-2"/>
  <meta>
    <profile
             value="https://profiles.ihe.net/ITI/FAIS/StructureDefinition/IHE.FAIS.CoverageEligibilityResponse"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: CoverageEligibilityResponse ex-check-coverage-resp-2</b></p><a name="ex-check-coverage-resp-2"> </a><a name="hcex-check-coverage-resp-2"> </a><a name="ex-check-coverage-resp-2-en-US"> </a><p><b>status</b>: Active</p><p><b>purpose</b>: Coverage benefits</p><p><b>patient</b>: <a href="Patient-ex-beneficiary-1.html">Purity Atieno  Female, DoB: 2000-05-04</a></p><p><b>created</b>: 2024-06-01 15:01:00+0000</p><p><b>request</b>: <a href="CoverageEligibilityRequest-ex-check-coverage-2.html">CoverageEligibilityRequest: status = active; purpose = benefits; serviced[x] = 2024-07-01 --&gt; 2024-12-31; created = 2024-06-01 15:00:00+0000</a></p><p><b>outcome</b>: Processing Complete</p><p><b>disposition</b>: Allowed</p><p><b>insurer</b>: <a href="Organization-ex-insurer-1.html">Organization National Health Insurance Scheme</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="Coverage-ex-coverage-1.html">Coverage: status = active; type = public healthcare; subscriberId = 05710b56-4448-11ef-b676-774a043da147; relationship = Self; period = 2024-01-01 --&gt; 2024-12-31</a></td><td>true</td></tr></table></div>
  </text>
  <status value="active"/>
  <purpose value="benefits"/>
  <patient>🔗 
    <reference value="Patient/ex-beneficiary-1"/>
  </patient>
  <created value="2024-06-01T15:01:00Z"/>
  <request>🔗 
    <reference value="CoverageEligibilityRequest/ex-check-coverage-2"/>
  </request>
  <outcome value="complete"/>
  <disposition value="Allowed"/>
  <insurer>🔗 
    <reference value="Organization/ex-insurer-1"/>
  </insurer>
  <insurance>
    <coverage>🔗 
      <reference value="Coverage/ex-coverage-1"/>
    </coverage>
    <inforce value="true"/>
  </insurance>
</CoverageEligibilityResponse>