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Note: This is only an FHIR request draft which aims to show which data should be sent to the OpenIMIS openIMIS in order to verify patient insurance coverage.

The EligibilityRequest can be used via a provider to checks for valid insurance coverage. More info: http://hl7.org/fhir/STU3/financial-module.html#order

FHIR resource:

EligibilityRequest

Fields mapping:

FHIR fieldNote
createdDate of creating request
patient
A reference which helps determine the specific insuree (perhaps we can base only on patient identifier).
servicedDateEstimated date of Service
coverageInsurance or medical plan