Generated Narrative: CoverageEligibilityRequest

Resource CoverageEligibilityRequest "6eceece0-b8eb-412a-b80b-c1649ea0a738" (Language "en")

Profile: CoverageEligibilityRequest

identifier: https://irdai.gov.in/7612345

status: active

priority: Normal (Process Priority Codes#normal)

purpose: benefits

patient: See above (urn:uuid:7955f675-880f-48c4-94eb-b573ca1d1fc9: Patient)

created: 2023-09-07 11:01:00+0500

enterer: See above (urn:uuid:ed3a499d-6de6-416e-884d-87f5c655b781: Practitioner)

provider: See above (urn:uuid:ed3a499d-6de6-416e-884d-87f5c655b781: Practitioner)

insurer: See above (urn:uuid:f42fe22c-ed56-458f-b1db-8800e005fb59: Organization)

facility: See above (urn:uuid:ea4f766b-b7c1-476a-8f19-095928b65ca5: Location)

Insurances

- Focal Coverage
* true See above (urn:uuid:7120c410-1c60-4cfb-87ee-3cab3cbcc84b: Coverage)

item

productOrService: Consultant (SNOMED CT#768839008)

Diagnoses

- Diagnosis[x]
* Type 2 diabetes mellitus : Without complications (ICD-10#E11.9)

item

productOrService: Metformin hydrochloride 500 mg prolonged-release oral tablet (SNOMED CT#765507008)

Diagnoses

- Diagnosis[x]
* Type 2 diabetes mellitus : Without complications (ICD-10#E11.9)

Generated Narrative: Patient

Resource Patient "7955f675-880f-48c4-94eb-b573ca1d1fc9" Version "1" Updated "2023-09-07 14:58:58+0530"

Profile: Patient

identifier: Adhaar number/7225-4829-5255

name: Adarsh Agrawal

telecom: +919818512600

gender: male

birthDate: 1981-01-12

Generated Narrative: Practitioner

Resource Practitioner "ed3a499d-6de6-416e-884d-87f5c655b781" Version "1" Updated "2023-09-07 14:58:58+0530"

Profile: Practitioner

identifier: Medical License number/21-1521-3828-3227

name: Dr. Aayush Agrawal

Generated Narrative: Organization

Resource Organization "f42fe22c-ed56-458f-b1db-8800e005fb59"

Profile: Organization

identifier: Provider number/4567878

type: Insurance Company (Organization type#ins)

name: XYZ Insurance Co. Ltd.

telecom: +91 243 2634 1234, contact@xyz.org

Generated Narrative: Location

Resource Location "ea4f766b-b7c1-476a-8f19-095928b65ca5"

identifier: B1-S.F2

status: active

name: South Wing, second floor

alias: IndiaFirst Life Insurance Co. Ltd., South Wing, second floor

description: Second floor of the Old South Wing, formerly in use by Psychiatry

mode: instance

telecom: ph: 2328(WORK), fax: 2329(WORK), http://sampleorg.com/southwing

address: 91, Building A Pune 451855 IND (WORK)

physicalType: Wing (Location type#wi)

Positions

- Longitude Latitude Altitude
* -83.6945691 42.25475478 0

managingOrganization: See above (urn:uuid:f42fe22c-ed56-458f-b1db-8800e005fb59: Organization)

Generated Narrative: Coverage

Resource Coverage "7120c410-1c60-4cfb-87ee-3cab3cbcc84b"

Profile: Coverage

identifier: https://xyzinsurance.in/policynumber//235037120

status: active

type: PAY (Coverage SelfPay Codes#pay)

subscriber: See above (urn:uuid:7955f675-880f-48c4-94eb-b573ca1d1fc9: Patient)

subscriberId: ABC123456BI007

beneficiary: See above (urn:uuid:7955f675-880f-48c4-94eb-b573ca1d1fc9: Patient)

relationship: Self (SubscriberPolicyholder Relationship Codes#self)

period: ?? --> 2026-03-17

payor: See above (urn:uuid:f42fe22c-ed56-458f-b1db-8800e005fb59: Organization)