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. For a full list of available versions, see the Directory of published versions

Example Bundle: authroization-no-commitment-num-single-code

Generated Narrative: Bundle authroization-no-commitment-num-single-code

version: 1; Last updated: 2023-10-30 12:18:58+0000;

Information Source: #dha8QtvsWWnmJTY9

Bundle authroization-no-commitment-num-single-code of type collection

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

Resource CoverageEligibilityResponse:

Generated Narrative: CoverageEligibilityResponse 106917e1-a8e6-4ead-b419-83e7a43c9c4d

identifier: URI/urn:uuid:106917e1-a8e6-4ead-b419-83e7a43c9c4d

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 אושרה

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

insurance

coverage: התחייבות מאושרת - ללא מספר התחייבות

benefitPeriod: 2023-09-01 --> 2023-10-01

item

productOrService: בדיקת רופא ילדים במרפאה

excluded: false

name: בדיקת רופא - התמחות בכליות

description: בדיקת רופא ילדים עם התמחות לכליות

Benefits

-TypeAllowed[x]Used[x]
*benefit31