FHIR Implementation Guide for ABDM
3.0.1 - CI Build
FHIR Implementation Guide for ABDM
3.0.1 - CI Build
FHIR Implementation Guide for ABDM - Local Development build (v3.0.1). See the Directory of published versions
<Bundle xmlns="http://hl7.org/fhir">
<id value="ClaimResponseBundle-example-01"/>
<meta>
<profile
value="https://nrces.in/ndhm/fhir/r4/StructureDefinition/ClaimResponseBundle"/>
<security>
<system
value="http://terminology.hl7.org/CodeSystem/v3-Confidentiality"/>
<code value="V"/>
<display value="very restricted"/>
</security>
</meta>
<identifier>
<system value="http://hip.in"/>
<value value="bc3c6c57-2053-4d0e-ac40-139ccccff645"/>
</identifier>
<type value="collection"/>
<timestamp value="2020-07-09T15:32:26.605+05:30"/>
<entry>
<fullUrl value="ClaimResponse/example-01"/>
<resource>
<ClaimResponse>
<id value="example-01"/>
<meta>
<profile
value="https://nrces.in/ndhm/fhir/r4/StructureDefinition/ClaimResponse"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: ClaimResponse</b><a name="example-01"> </a></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource ClaimResponse "example-01" </p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-ClaimResponse.html">ClaimResponse</a></p></div><p><b>status</b>: active</p><p><b>type</b>: Oral <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.0.0/CodeSystem-claim-type.html">Claim Type Codes</a>#oral)</span></p><p><b>use</b>: preauthorization</p><p><b>patient</b>: <a href="#Patient_Patient-example-01">See above (Patient/Patient-example-01)</a></p><p><b>created</b>: 2022-12-20 03:32:26+0530</p><p><b>insurer</b>: <a href="#Organization_Organization-example-01">See above (Organization/Organization-example-01)</a></p><p><b>requestor</b>: <a href="#Organization_Organization-example-01">See above (Organization/Organization-example-01)</a></p><p><b>request</b>: <a href="#Claim_preauth-example-01">See above (Claim/preauth-example-01)</a></p><p><b>outcome</b>: complete</p><p><b>disposition</b>: The enclosed services are authorized for your provision within 30 days of this notice.</p><p><b>preAuthRef</b>: 18SS12345</p><p><b>payeeType</b>: Provider <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.0.0/CodeSystem-payeetype.html">Claim Payee Type Codes</a>#provider)</span></p><blockquote><p><b>addItem</b></p><p><b>itemSequence</b>: 1</p><p><b>productOrService</b>: Dengue <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#38362002)</span></p><p><b>programCode</b>: Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB-PMJAY) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-ndhm-program-code.html">Program Code</a>#AB-PMJAY)</span></p><h3>Nets</h3><table class="grid"><tr><td>-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td>*</td><td>25000</td><td>INR</td></tr></table><blockquote><p><b>adjudication</b></p><p><b>category</b>: eligible <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> ([not stated]#eligible)</span></p></blockquote></blockquote><blockquote><p><b>addItem</b></p><p><b>itemSequence</b>: 2</p><p><b>productOrService</b>: Chronic diarrhea <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#236071009)</span></p><p><b>programCode</b>: Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB-PMJAY) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-ndhm-program-code.html">Program Code</a>#AB-PMJAY)</span></p><h3>Nets</h3><table class="grid"><tr><td>-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td>*</td><td>15000</td><td>INR</td></tr></table><blockquote><p><b>adjudication</b></p><p><b>category</b>: eligible <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> ([not stated]#eligible)</span></p></blockquote></blockquote><h3>ProcessNotes</h3><table class="grid"><tr><td>-</td><td><b>Number</b></td><td><b>Type</b></td><td><b>Text</b></td><td><b>Language</b></td></tr><tr><td>*</td><td>101</td><td>print</td><td>Please submit a Pre-Authorization request if a more extensive examination or urgent services are required.</td><td>English (Region=India) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.0.0/CodeSystem-v3-ietf3066.html">Tags for the Identification of Languages</a>#en-IN)</span></td></tr></table><h3>Insurances</h3><table class="grid"><tr><td>-</td><td><b>Sequence</b></td><td><b>Focal</b></td><td><b>Coverage</b></td></tr><tr><td>*</td><td>1</td><td>true</td><td><a href="#Coverage_Coverage-example-01">See above (Coverage/Coverage-example-01)</a></td></tr></table></div>
</text>
<status value="active"/>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/claim-type"/>
<code value="oral"/>
</coding>
</type>
<use value="preauthorization"/>
<patient>
<reference value="Patient/Patient-example-01"/>
</patient>
<created value="2022-12-20T15:32:26.605+05:30"/>
<insurer>
<reference value="Organization/Organization-example-01"/>
</insurer>
<requestor>
<reference value="Organization/Organization-example-01"/>
</requestor>
<request>
<reference value="Claim/preauth-example-01"/>
</request>
<outcome value="complete"/>
<disposition
value="The enclosed services are authorized for your provision within 30 days of this notice."/>
<preAuthRef value="18SS12345"/>
<payeeType>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/payeetype"/>
<code value="provider"/>
</coding>
</payeeType>
<addItem>
<itemSequence value="1"/>
<productOrService>
<coding>
<system value="http://snomed.info/sct"/>
<code value="38362002"/>
<display value="Dengue"/>
</coding>
</productOrService>
<programCode>
<coding>
<system
value="https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-program-code"/>
<code value="AB-PMJAY"/>
<display
value="Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB-PMJAY)"/>
</coding>
</programCode>
<net>
<value value="25000"/>
<currency value="INR"/>
</net>
<adjudication>
<category>
<coding>
<code value="eligible"/>
</coding>
</category>
<amount>
<value value="25000"/>
<currency value="INR"/>
</amount>
</adjudication>
</addItem>
<addItem>
<itemSequence value="2"/>
<productOrService>
<coding>
<system value="http://snomed.info/sct"/>
<code value="236071009"/>
<display value="Chronic diarrhea"/>
</coding>
</productOrService>
<programCode>
<coding>
<system
value="https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-program-code"/>
<code value="AB-PMJAY"/>
<display
value="Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB-PMJAY)"/>
</coding>
</programCode>
<net>
<value value="15000"/>
<currency value="INR"/>
</net>
<adjudication>
<category>
<coding>
<code value="eligible"/>
</coding>
</category>
<amount>
<value value="15000"/>
<currency value="INR"/>
</amount>
</adjudication>
</addItem>
<processNote>
<number value="101"/>
<type value="print"/>
<text
value="Please submit a Pre-Authorization request if a more extensive examination or urgent services are required."/>
<language>
<coding>
<system value="urn:ietf:bcp:47"/>
<code value="en-IN"/>
</coding>
</language>
</processNote>
<insurance>
<sequence value="1"/>
<focal value="true"/>
<coverage>
<reference value="Coverage/Coverage-example-01"/>
</coverage>
</insurance>
</ClaimResponse>
</resource>
</entry>
<entry>
<fullUrl value="Patient/Patient-example-01"/>
<resource>
<Patient>
<id value="Patient-example-01"/>
<meta>
<versionId value="1"/>
<lastUpdated value="2020-07-09T14:58:58.181+05:30"/>
<profile
value="https://nrces.in/ndhm/fhir/r4/StructureDefinition/Patient"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: Patient</b><a name="Patient-example-01"> </a></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource Patient "Patient-example-01" Version "1" Updated "2020-07-09 02:58:58+0530" </p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-Patient.html">Patient</a></p></div><p><b>identifier</b>: Adhaar number: 7225-4829-5255</p><p><b>name</b>: Ayush Sharma</p><p><b>telecom</b>: <a href="tel:+919818512600">+919818512600</a></p><p><b>gender</b>: male</p><p><b>birthDate</b>: 1981-01-12</p></div>
</text>
<identifier>
<type>
<coding>
<system
value="https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-identifier-type-code"/>
<code value="ADN"/>
<display value="Adhaar number"/>
</coding>
</type>
<system value="https://uidai.gov.in/"/>
<value value="7225-4829-5255"/>
</identifier>
<name>
<text value="Ayush Sharma"/>
</name>
<telecom>
<system value="phone"/>
<value value="+919818512600"/>
<use value="home"/>
</telecom>
<gender value="male"/>
<birthDate value="1981-01-12"/>
</Patient>
</resource>
</entry>
<entry>
<fullUrl value="Organization/Organization-example-01"/>
<resource>
<Organization>
<id value="Organization-example-01"/>
<meta>
<profile
value="https://nrces.in/ndhm/fhir/r4/StructureDefinition/Organization"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: Organization</b><a name="Organization-example-01"> </a></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource Organization "Organization-example-01" </p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-Organization.html">Organization</a></p></div><p><b>identifier</b>: Provider number: 4567878</p><p><b>name</b>: Appolo Hospital</p><p><b>telecom</b>: <a href="tel:+9124326341234">+91 243 2634 1234</a>, <a href="mailto:contact@xyz.org">contact@xyz.org</a></p></div>
</text>
<identifier>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="PRN"/>
<display value="Provider number"/>
</coding>
</type>
<system value="https://facility.ndhm.gov.in"/>
<value value="4567878"/>
</identifier>
<name value="Appolo Hospital"/>
<telecom>
<system value="phone"/>
<value value="+91 243 2634 1234"/>
<use value="work"/>
</telecom>
<telecom>
<system value="email"/>
<value value="contact@xyz.org"/>
<use value="work"/>
</telecom>
</Organization>
</resource>
</entry>
<entry>
<fullUrl value="Organization/Organization-example-02"/>
<resource>
<Organization>
<id value="Organization-example-02"/>
<meta>
<profile
value="https://nrces.in/ndhm/fhir/r4/StructureDefinition/Organization"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: Organization</b><a name="Organization-example-02"> </a></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource Organization "Organization-example-02" </p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-Organization.html">Organization</a></p></div><p><b>identifier</b>: Provider number: 555511</p><p><b>name</b>: Star Health Corporation.</p><p><b>telecom</b>: <a href="tel:+915552634888">+91 555 2634 888</a>, <a href="mailto:contact@xyz.org">contact@xyz.org</a></p></div>
</text>
<identifier>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="PRN"/>
<display value="Provider number"/>
</coding>
</type>
<system value="https://facility.ndhm.gov.in"/>
<value value="555511"/>
</identifier>
<name value="Star Health Corporation."/>
<telecom>
<system value="phone"/>
<value value="+91 555 2634 888"/>
<use value="work"/>
</telecom>
<telecom>
<system value="email"/>
<value value="contact@xyz.org"/>
<use value="work"/>
</telecom>
</Organization>
</resource>
</entry>
<entry>
<fullUrl value="Claim/preauth-example-01"/>
<resource>
<Claim>
<id value="preauth-example-01"/>
<meta>
<profile
value="https://nrces.in/ndhm/fhir/r4/StructureDefinition/Claim"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: Claim</b><a name="preauth-example-01"> </a></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource Claim "preauth-example-01" </p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-Claim.html">Claim</a></p></div><p><b>identifier</b>: id: 7612345</p><p><b>status</b>: active</p><p><b>type</b>: Professional <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.0.0/CodeSystem-claim-type.html">Claim Type Codes</a>#professional)</span></p><p><b>use</b>: preauthorization</p><p><b>patient</b>: <a href="Patient-example-01.html">Patient/example-01</a> ""</p><p><b>created</b>: 2022-07-20 11:01:00+0500</p><p><b>insurer</b>: <a href="#Organization_Organization-example-02">See above (Organization/Organization-example-02)</a></p><p><b>provider</b>: <a href="#Organization_Organization-example-02">See above (Organization/Organization-example-02)</a></p><p><b>priority</b>: Normal <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.0.0/CodeSystem-processpriority.html">Process Priority Codes</a>#normal)</span></p><h3>SupportingInfos</h3><table class="grid"><tr><td>-</td><td><b>Sequence</b></td><td><b>Category</b></td><td><b>Code</b></td><td><b>Value[x]</b></td></tr><tr><td>*</td><td>1</td><td>proof of identity <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-ndhm-supportinginfo-category.html">SupportingInfo Category</a>#POI)</span></td><td>Adhaar number <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-ndhm-identifier-type-code.html">Identifier Type Code</a>#ADN)</span></td><td><a href="DocumentReference-example-01.html">DocumentReference/example-01</a></td></tr></table><blockquote><p><b>diagnosis</b></p><p><b>sequence</b>: 1</p><p><b>diagnosis</b>: <a href="Condition-example-01.html">Condition/example-01</a></p><p><b>type</b>: Clinical Diagnosis <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.0.0/CodeSystem-ex-diagnosistype.html">Example Diagnosis Type Codes</a>#clinical)</span></p></blockquote><blockquote><p><b>diagnosis</b></p><p><b>sequence</b>: 2</p><p><b>diagnosis</b>: <a href="#Condition_Condition-example-02">See above (Condition/Condition-example-02)</a></p><p><b>type</b>: Clinical Diagnosis <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.0.0/CodeSystem-ex-diagnosistype.html">Example Diagnosis Type Codes</a>#clinical)</span></p></blockquote><h3>Insurances</h3><table class="grid"><tr><td>-</td><td><b>Sequence</b></td><td><b>Focal</b></td><td><b>Coverage</b></td><td><b>PreAuthRef</b></td></tr><tr><td>*</td><td>1</td><td>true</td><td><a href="Coverage-example-01.html">Coverage/example-01</a></td><td>12S52</td></tr></table><blockquote><p><b>item</b></p><p><b>sequence</b>: 1</p><p><b>category</b>: Medical care <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#781087000)</span></p><p><b>productOrService</b>: Dengue <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#38362002)</span></p><p><b>programCode</b>: Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB-PMJAY) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-ndhm-program-code.html">Program Code</a>#AB-PMJAY)</span></p><h3>UnitPrices</h3><table class="grid"><tr><td>-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td>*</td><td>25000</td><td>INR</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>sequence</b>: 2</p><p><b>category</b>: Medical care <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#781087000)</span></p><p><b>productOrService</b>: Chronic diarrhea <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#236071009)</span></p><p><b>programCode</b>: Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB-PMJAY) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-ndhm-program-code.html">Program Code</a>#AB-PMJAY)</span></p><h3>UnitPrices</h3><table class="grid"><tr><td>-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td>*</td><td>15000</td><td>INR</td></tr></table></blockquote></div>
</text>
<identifier>
<system value="http://happypharma.com/claim"/>
<value value="7612345"/>
</identifier>
<status value="active"/>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/claim-type"/>
<code value="professional"/>
</coding>
</type>
<use value="preauthorization"/>
<patient>
<reference value="Patient/example-01"/>
</patient>
<created value="2022-07-20T11:01:00+05:00"/>
<insurer>
<reference value="Organization/Organization-example-02"/>
</insurer>
<provider>
<reference value="Organization/Organization-example-02"/>
</provider>
<priority>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/processpriority"/>
<code value="normal"/>
</coding>
</priority>
<supportingInfo>
<sequence value="1"/>
<category>
<coding>
<system
value="https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-supportinginfo-category"/>
<code value="POI"/>
<display value="proof of identity"/>
</coding>
</category>
<code>
<coding>
<system
value="https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-identifier-type-code"/>
<code value="ADN"/>
<display value="Adhaar number"/>
</coding>
</code>
<valueReference>
<reference value="DocumentReference/example-01"/>
</valueReference>
</supportingInfo>
<diagnosis>
<sequence value="1"/>
<diagnosisReference>
<reference value="Condition/example-01"/>
</diagnosisReference>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/ex-diagnosistype"/>
<code value="clinical"/>
<display value="Clinical Diagnosis"/>
</coding>
</type>
</diagnosis>
<diagnosis>
<sequence value="2"/>
<diagnosisReference>
<reference value="Condition/Condition-example-02"/>
</diagnosisReference>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/ex-diagnosistype"/>
<code value="clinical"/>
<display value="Clinical Diagnosis"/>
</coding>
</type>
</diagnosis>
<insurance>
<sequence value="1"/>
<focal value="true"/>
<coverage>
<reference value="Coverage/example-01"/>
</coverage>
<preAuthRef value="12S52"/>
</insurance>
<item>
<sequence value="1"/>
<category>
<coding>
<system value="http://snomed.info/sct"/>
<code value="781087000"/>
<display value="Medical care"/>
</coding>
</category>
<productOrService>
<coding>
<system value="http://snomed.info/sct"/>
<code value="38362002"/>
<display value="Dengue"/>
</coding>
</productOrService>
<programCode>
<coding>
<system
value="https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-program-code"/>
<code value="AB-PMJAY"/>
<display
value="Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB-PMJAY)"/>
</coding>
</programCode>
<unitPrice>
<value value="25000"/>
<currency value="INR"/>
</unitPrice>
</item>
<item>
<sequence value="2"/>
<category>
<coding>
<system value="http://snomed.info/sct"/>
<code value="781087000"/>
<display value="Medical care"/>
</coding>
</category>
<productOrService>
<coding>
<system value="http://snomed.info/sct"/>
<code value="236071009"/>
<display value="Chronic diarrhea"/>
</coding>
</productOrService>
<programCode>
<coding>
<system
value="https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-program-code"/>
<code value="AB-PMJAY"/>
<display
value="Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB-PMJAY)"/>
</coding>
</programCode>
<unitPrice>
<value value="15000"/>
<currency value="INR"/>
</unitPrice>
</item>
</Claim>
</resource>
</entry>
<entry>
<fullUrl value="Coverage/Coverage-example-01"/>
<resource>
<Coverage>
<id value="Coverage-example-01"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: Coverage</b><a name="Coverage-example-01"> </a></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource Coverage "Coverage-example-01" </p></div><p><b>identifier</b>: id: SP12345678</p><p><b>status</b>: active</p><p><b>type</b>: PAY <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.0.0/CodeSystem-coverage-selfpay.html">Coverage SelfPay Codes</a>#pay)</span></p><p><b>subscriber</b>: <a href="Patient-example-01.html">Patient/example-01</a> ""</p><p><b>beneficiary</b>: <a href="Patient-example-01.html">Patient/example-01</a> ""</p><p><b>relationship</b>: Self <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.0.0/CodeSystem-subscriber-relationship.html">SubscriberPolicyholder Relationship Codes</a>#self)</span></p><p><b>period</b>: 2022-12-01 --> 2025-03-17</p><p><b>payor</b>: <a href="Organization-example-01.html">Organization/example-01</a> "XYZ Lab Pvt.Ltd."</p></div>
</text>
<identifier>
<system value="http://hospitalx.com/selfpayagreement"/>
<value value="SP12345678"/>
</identifier>
<status value="active"/>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/coverage-selfpay"/>
<code value="pay"/>
<display value="PAY"/>
</coding>
</type>
<subscriber>
<reference value="Patient/example-01"/>
</subscriber>
<beneficiary>
<reference value="Patient/example-01"/>
</beneficiary>
<relationship>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/subscriber-relationship"/>
<code value="self"/>
</coding>
</relationship>
<period>
<start value="2022-12-01"/>
<end value="2025-03-17"/>
</period>
<payor>
<reference value="Organization/example-01"/>
</payor>
</Coverage>
</resource>
</entry>
<entry>
<fullUrl value="Condition/Condition-example-01"/>
<resource>
<Condition>
<id value="Condition-example-01"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: Condition</b><a name="Condition-example-01"> </a></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource Condition "Condition-example-01" </p></div><p><b>code</b>: Dengue (disorder) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#38362002)</span></p><p><b>subject</b>: <a href="Patient-example-01.html">Patient/example-01</a> ""</p></div>
</text>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="38362002"/>
<display value="Dengue (disorder)"/>
</coding>
</code>
<subject>
<reference value="Patient/example-01"/>
</subject>
</Condition>
</resource>
</entry>
<entry>
<fullUrl value="Condition/Condition-example-02"/>
<resource>
<Condition>
<id value="Condition-example-02"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: Condition</b><a name="Condition-example-02"> </a></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource Condition "Condition-example-02" </p></div><p><b>code</b>: Chronic diarrhea of unknown origin (disorder) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#17551007)</span></p><p><b>subject</b>: <a href="Patient-example-01.html">Patient/example-01</a> ""</p></div>
</text>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="17551007"/>
<display value="Chronic diarrhea of unknown origin (disorder)"/>
</coding>
</code>
<subject>
<reference value="Patient/example-01"/>
</subject>
</Condition>
</resource>
</entry>
</Bundle>
IG © 2020+ National Resource Center for EHR Standards. Package ndhm.in#3.0.1 based on FHIR 4.0.1. Generated 2023-07-05
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