מדריך למטמיע - טופס 17
1.0.0 - ci-build

This page is part of the T17 IG (v1.0.0: draft-1 Draft) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

Example Bundle: no-authorization-single-code

Generated Narrative: Bundle no-authorization-single-code

version: 1; Last updated: 2023-10-30 12:16:52+0000;

Information Source: #OWv6TVW3y30WsF2S

Bundle no-authorization-single-code of type collection

Entry 1 - fullUrl = urn:uuid:7528e4d8-d2de-4e38-9792-eb0013e0570b

Resource CoverageEligibilityResponse:

Generated Narrative: CoverageEligibilityResponse 90f540a4-f1a8-4a8e-a031-0ed887ce980e

identifier: URI/urn:uuid:90f540a4-f1a8-4a8e-a031-0ed887ce980e

status: Active

purpose: Coverage Validation

patient: Identifier: http://fhir.leumit.co.il/identifier/magnetic-card/1-123456-123456-789

created: 2023-07-02 13:44:58+0000

requestor: בי"ח איכילוב (Identifier: Israeli Legal Entity/500106919)

request: Identifier: http://fhir.tlvmc.gov.il/identifier/preauth-req-no/3772

outcome: Processing Complete

disposition: הבקשה להתחייבות לא אושרה

insurer: לאומית (Identifier: Israeli Legal Entity/580039899)

insurance

coverage: אין מספר התחייבות

Items

-ProductOrServiceModifierExcludedNameDescription
*בדיקת רופא ילדים במרפאהללקוח אין הרשאת חיובtrueבדיקת רופא - התמחות בכליותבדיקת רופא ילדים עם התמחות לכליות