FHIR Implementation Guide for ABDM
3.1.0 - active
FHIR Implementation Guide for ABDM
3.1.0 - active
FHIR Implementation Guide for ABDM - Local Development build (v3.1.0). See the Directory of published versions
@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix sct: <http://snomed.info/id/> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .
# - resource -------------------------------------------------------------------
a fhir:Bundle ;
fhir:nodeRole fhir:treeRoot ;
fhir:id [ fhir:v "CoverageEligibilityResponseBundle-auth-requirements-example-01"] ; #
fhir:meta [
( fhir:profile [
fhir:v "https://nrces.in/ndhm/fhir/r4/StructureDefinition/CoverageEligibilityResponseBundle"^^xsd:anyURI ;
fhir:link <https://nrces.in/ndhm/fhir/r4/StructureDefinition/CoverageEligibilityResponseBundle> ] )
] ; #
fhir:identifier [
fhir:system [ fhir:v "http://hip.in"^^xsd:anyURI ] ;
fhir:value [ fhir:v "bc3c6c57-2053-4d0e-ac40-139ccccff645" ]
] ; #
fhir:type [ fhir:v "collection"] ; #
fhir:timestamp [ fhir:v "2020-07-09T15:32:26.605+05:30"^^xsd:dateTime] ; #
fhir:entry ( [
fhir:fullUrl [ fhir:v "CoverageEligibilityResponse/auth-requirements-example-01"^^xsd:anyURI ] ;
( fhir:resource <CoverageEligibilityResponse/auth-requirements-example-01> )
] [
fhir:fullUrl [ fhir:v "Patient/example-01"^^xsd:anyURI ] ;
( fhir:resource <Patient/example-01> )
] [
fhir:fullUrl [ fhir:v "Organization/example-01"^^xsd:anyURI ] ;
( fhir:resource <Organization/example-01> )
] [
fhir:fullUrl [ fhir:v "CoverageEligibilityRequest/auth-requirement-example-01"^^xsd:anyURI ] ;
( fhir:resource <CoverageEligibilityRequest/auth-requirement-example-01> )
] [
fhir:fullUrl [ fhir:v "Organization/example-02"^^xsd:anyURI ] ;
( fhir:resource <Organization/example-02> )
] [
fhir:fullUrl [ fhir:v "Coverage/example-01"^^xsd:anyURI ] ;
( fhir:resource <Coverage/example-01> )
] ) . #
<CoverageEligibilityResponse/auth-requirements-example-01> a fhir:CoverageEligibilityResponse ;
fhir:id [ fhir:v "auth-requirements-example-01"] ; #
fhir:meta [
( fhir:profile [
fhir:v "https://nrces.in/ndhm/fhir/r4/StructureDefinition/CoverageEligibilityResponse"^^xsd:anyURI ;
fhir:link <https://nrces.in/ndhm/fhir/r4/StructureDefinition/CoverageEligibilityResponse> ] )
] ; #
fhir:language [ fhir:v "en"] ; #
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"en\" lang=\"en\"><p><b>Generated Narrative: CoverageEligibilityResponse</b><a name=\"auth-requirements-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 CoverageEligibilityResponse "auth-requirements-example-01" (Language "en") </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-CoverageEligibilityResponse.html\">CoverageEligibilityResponse</a></p></div><p><b>status</b>: active</p><p><b>purpose</b>: auth-requirements</p><p><b>patient</b>: <a href=\"#Patient_example-01\">See above (Patient/example-01)</a></p><p><b>created</b>: 2022-08-07</p><p><b>requestor</b>: <a href=\"#Organization_example-01\">See above (Organization/example-01)</a></p><p><b>request</b>: <a href=\"#CoverageEligibilityRequest_auth-requirement-example-01\">See above (CoverageEligibilityRequest/auth-requirement-example-01)</a></p><p><b>outcome</b>: complete</p><p><b>disposition</b>: Policy is currently in-force.</p><p><b>insurer</b>: <a href=\"#Organization_example-01\">See above (Organization/example-02)</a></p><blockquote><p><b>insurance</b></p><p><b>coverage</b>: <a href=\"#Coverage_example-01\">See above (Coverage/example-01)</a></p><p><b>inforce</b>: true</p><p><b>benefitPeriod</b>: 2022-05-07 --> 2025-08-07</p><h3>Items</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>ProductOrService</b></td></tr><tr><td style=\"display: none\">*</td><td>Removal of foreign body <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#10849003)</span></td></tr></table></blockquote></div>"
] ; #
fhir:status [ fhir:v "active"] ; #
fhir:purpose ( [ fhir:v "auth-requirements"] ) ; #
fhir:patient [
fhir:reference [ fhir:v "Patient/example-01" ]
] ; #
fhir:created [ fhir:v "2022-08-07"^^xsd:date] ; #
fhir:requestor [
fhir:reference [ fhir:v "Organization/example-01" ]
] ; #
fhir:request [
fhir:reference [ fhir:v "CoverageEligibilityRequest/auth-requirement-example-01" ]
] ; #
fhir:outcome [ fhir:v "complete"] ; #
fhir:disposition [ fhir:v "Policy is currently in-force."] ; #
fhir:insurer [
fhir:reference [ fhir:v "Organization/example-02" ]
] ; #
fhir:insurance ( [
fhir:coverage [
fhir:reference [ fhir:v "Coverage/example-01" ] ] ;
fhir:inforce [ fhir:v "true"^^xsd:boolean ] ;
fhir:benefitPeriod [
fhir:start [ fhir:v "2022-05-07"^^xsd:date ] ;
fhir:end [ fhir:v "2025-08-07"^^xsd:date ] ] ;
( fhir:item [
fhir:productOrService [
( fhir:coding [
a sct:10849003 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "10849003" ] ;
fhir:display [ fhir:v "Removal of foreign body" ] ] ) ] ] )
] ) . #
<Patient/example-01> a fhir:Patient ;
fhir:id [ fhir:v "example-01"] ; #
fhir:meta [
fhir:versionId [ fhir:v "1" ] ;
fhir:lastUpdated [ fhir:v "2020-07-09T14:58:58.181+05:30"^^xsd:dateTime ] ;
( fhir:profile [
fhir:v "https://nrces.in/ndhm/fhir/r4/StructureDefinition/Patient"^^xsd:anyURI ;
fhir:link <https://nrces.in/ndhm/fhir/r4/StructureDefinition/Patient> ] )
] ; #
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Patient</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 Patient "example-01" Version "1" Updated "2020-07-09 14:58:58+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>"
] ; #
fhir:identifier ( [
fhir:type [
( fhir:coding [
fhir:system [ fhir:v "https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-identifier-type-code"^^xsd:anyURI ] ;
fhir:code [ fhir:v "ADN" ] ;
fhir:display [ fhir:v "Adhaar number" ] ] ) ] ;
fhir:system [ fhir:v "https://uidai.gov.in/"^^xsd:anyURI ] ;
fhir:value [ fhir:v "7225-4829-5255" ]
] ) ; #
fhir:name ( [
fhir:text [ fhir:v "Ayush Sharma" ]
] ) ; #
fhir:telecom ( [
fhir:system [ fhir:v "phone" ] ;
fhir:value [ fhir:v "+919818512600" ] ;
fhir:use [ fhir:v "home" ]
] ) ; #
fhir:gender [ fhir:v "male"] ; #
fhir:birthDate [ fhir:v "1981-01-12"^^xsd:date] . #
<Organization/example-01> a fhir:Organization ;
fhir:id [ fhir:v "example-01"] ; #
fhir:meta [
( fhir:profile [
fhir:v "https://nrces.in/ndhm/fhir/r4/StructureDefinition/Organization"^^xsd:anyURI ;
fhir:link <https://nrces.in/ndhm/fhir/r4/StructureDefinition/Organization> ] )
] ; #
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Organization</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 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>: Apollo Hospital Pvt.Ltd.</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>"
] ; #
fhir:identifier ( [
fhir:type [
( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ] ;
fhir:code [ fhir:v "PRN" ] ;
fhir:display [ fhir:v "Provider number" ] ] ) ] ;
fhir:system [ fhir:v "https://facility.ndhm.gov.in"^^xsd:anyURI ] ;
fhir:value [ fhir:v "4567878" ]
] ) ; #
fhir:name [ fhir:v "Apollo Hospital Pvt.Ltd."] ; #
fhir:telecom ( [
fhir:system [ fhir:v "phone" ] ;
fhir:value [ fhir:v "+91 243 2634 1234" ] ;
fhir:use [ fhir:v "work" ]
] [
fhir:system [ fhir:v "email" ] ;
fhir:value [ fhir:v "contact@xyz.org" ] ;
fhir:use [ fhir:v "work" ]
] ) . #
<CoverageEligibilityRequest/auth-requirement-example-01> a fhir:CoverageEligibilityRequest ;
fhir:id [ fhir:v "auth-requirement-example-01"] ; #
fhir:language [ fhir:v "en"] ; #
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"en\" lang=\"en\"><p><b>Generated Narrative: CoverageEligibilityRequest</b><a name=\"auth-requirement-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 CoverageEligibilityRequest "auth-requirement-example-01" (Language "en") </p></div><p><b>identifier</b>: id: 7612345</p><p><b>status</b>: active</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><p><b>purpose</b>: auth-requirements</p><p><b>patient</b>: <a href=\"#Patient_example-01\">See above (Patient/example-01)</a></p><p><b>created</b>: 2022-12-20 11:01:00+0500</p><p><b>enterer</b>: <a href=\"Practitioner-example-01.html\">Practitioner/example-01</a> ""</p><p><b>provider</b>: <a href=\"#Organization_example-01\">See above (Organization/example-01)</a></p><p><b>insurer</b>: <a href=\"#Organization_example-01\">See above (Organization/example-01)</a></p><p><b>facility</b>: <a href=\"Location-example-01.html\">Location/example-01</a> "South Wing, second floor"</p><h3>SupportingInfos</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Sequence</b></td><td><b>Information</b></td><td><b>AppliesToAll</b></td></tr><tr><td style=\"display: none\">*</td><td>1</td><td><a href=\"DocumentReference-example-01.html\">DocumentReference/example-01</a></td><td>true</td></tr></table><h3>Insurances</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Focal</b></td><td><b>Coverage</b></td></tr><tr><td style=\"display: none\">*</td><td>true</td><td><a href=\"#Coverage_example-01\">See above (Coverage/example-01)</a></td></tr></table><blockquote><p><b>item</b></p><p><b>supportingInfoSequence</b>: 1</p><p><b>productOrService</b>: Cardiac tamponade <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#35304003)</span></p><h3>Diagnoses</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Diagnosis[x]</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"Condition-example-01.html\">Condition/example-01</a></td></tr></table></blockquote></div>"
] ; #
fhir:identifier ( [
fhir:system [ fhir:v "http://happypharma.com/claim"^^xsd:anyURI ] ;
fhir:value [ fhir:v "7612345" ]
] ) ; #
fhir:status [ fhir:v "active"] ; #
fhir:priority [
( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/processpriority"^^xsd:anyURI ] ;
fhir:code [ fhir:v "normal" ] ;
fhir:display [ fhir:v "Normal" ] ] )
] ; #
fhir:purpose ( [ fhir:v "auth-requirements"] ) ; #
fhir:patient [
fhir:reference [ fhir:v "Patient/example-01" ]
] ; #
fhir:created [ fhir:v "2022-12-20T11:01:00+05:00"^^xsd:dateTime] ; #
fhir:enterer [
fhir:reference [ fhir:v "Practitioner/example-01" ]
] ; #
fhir:provider [
fhir:reference [ fhir:v "Organization/example-01" ]
] ; #
fhir:insurer [
fhir:reference [ fhir:v "Organization/example-01" ]
] ; #
fhir:facility [
fhir:reference [ fhir:v "Location/example-01" ]
] ; #
fhir:supportingInfo ( [
fhir:sequence [ fhir:v "1"^^xsd:positiveInteger ] ;
fhir:information [
fhir:reference [ fhir:v "DocumentReference/example-01" ] ] ;
fhir:appliesToAll [ fhir:v "true"^^xsd:boolean ]
] ) ; #
fhir:insurance ( [
fhir:focal [ fhir:v "true"^^xsd:boolean ] ;
fhir:coverage [
fhir:reference [ fhir:v "Coverage/example-01" ] ]
] ) ; #
fhir:item ( [
( fhir:supportingInfoSequence [ fhir:v "1"^^xsd:positiveInteger ] ) ;
fhir:productOrService [
( fhir:coding [
a sct:35304003 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "35304003" ] ;
fhir:display [ fhir:v "Cardiac tamponade" ] ] ) ] ;
( fhir:diagnosis [
fhir:diagnosis [
a fhir:Reference ;
fhir:reference [ fhir:v "Condition/example-01" ] ] ] )
] ) . #
<Organization/example-02> a fhir:Organization ;
fhir:id [ fhir:v "example-01"] ; #
fhir:meta [
( fhir:profile [
fhir:v "https://nrces.in/ndhm/fhir/r4/StructureDefinition/Organization"^^xsd:anyURI ;
fhir:link <https://nrces.in/ndhm/fhir/r4/StructureDefinition/Organization> ] )
] ; #
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Organization</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 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>: Star Health Insurance Pvt.Ltd.</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>"
] ; #
fhir:identifier ( [
fhir:type [
( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ] ;
fhir:code [ fhir:v "PRN" ] ;
fhir:display [ fhir:v "Provider number" ] ] ) ] ;
fhir:system [ fhir:v "https://facility.ndhm.gov.in"^^xsd:anyURI ] ;
fhir:value [ fhir:v "4567878" ]
] ) ; #
fhir:name [ fhir:v "Star Health Insurance Pvt.Ltd."] ; #
fhir:telecom ( [
fhir:system [ fhir:v "phone" ] ;
fhir:value [ fhir:v "+91 243 2634 1234" ] ;
fhir:use [ fhir:v "work" ]
] [
fhir:system [ fhir:v "email" ] ;
fhir:value [ fhir:v "contact@xyz.org" ] ;
fhir:use [ fhir:v "work" ]
] ) . #
<Coverage/example-01> a fhir:Coverage ;
fhir:id [ fhir:v "example-01"] ; #
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Coverage</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 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\">See above (Patient/example-01)</a></p><p><b>beneficiary</b>: <a href=\"#Patient_example-01\">See above (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>: 2012-03-17 --> 2025-03-17</p><p><b>payor</b>: <a href=\"#Patient_example-01\">See above (Patient/example-01)</a></p></div>"
] ; #
fhir:identifier ( [
fhir:system [ fhir:v "http://hospitalx.com/selfpayagreement"^^xsd:anyURI ] ;
fhir:value [ fhir:v "SP12345678" ]
] ) ; #
fhir:status [ fhir:v "active"] ; #
fhir:type [
( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/coverage-selfpay"^^xsd:anyURI ] ;
fhir:code [ fhir:v "pay" ] ;
fhir:display [ fhir:v "PAY" ] ] )
] ; #
fhir:subscriber [
fhir:reference [ fhir:v "Patient/example-01" ]
] ; #
fhir:beneficiary [
fhir:reference [ fhir:v "Patient/example-01" ]
] ; #
fhir:relationship [
( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/subscriber-relationship"^^xsd:anyURI ] ;
fhir:code [ fhir:v "self" ] ] )
] ; #
fhir:period [
fhir:start [ fhir:v "2012-03-17"^^xsd:date ] ;
fhir:end [ fhir:v "2025-03-17"^^xsd:date ]
] ; #
fhir:payor ( [
fhir:reference [ fhir:v "Patient/example-01" ]
] ) . #
IG © 2020+ National Resource Center for EHR Standards. Package ndhm.in#3.1.0 based on FHIR 4.0.1. Generated 2023-08-10
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