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
<Bundle xmlns="http://hl7.org/fhir">
<id value="CoverageEligibilityResponseBundle-validation-example-01"/>
<meta>
<versionId value="2"/>
<profile
value="https://nrces.in/ndhm/fhir/r4/StructureDefinition/CoverageEligibilityResponseBundle"/>
</meta>
<identifier>
<system value="http://hip.in"/>
<value value="bc3c6c57-2053-4d0e-ac40-139ccccff645"/>
</identifier>
<type value="collection"/>
<timestamp value="2022-07-09T15:32:26.605+05:30"/>
<entry>
<fullUrl value="CoverageEligibilityResponse/validation-example-01"/>
<resource>
<CoverageEligibilityResponse>
<id value="validation-example-01"/>
<meta>
<profile
value="https://nrces.in/ndhm/fhir/r4/StructureDefinition/CoverageEligibilityResponse"/>
</meta>
<language value="en"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml" xml:lang="en" lang="en"><p><b>Generated Narrative: CoverageEligibilityResponse</b><a name="validation-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 "validation-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>: validation</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_validation-example-01">See above (CoverageEligibilityRequest/validation-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><h3>Insurances</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Coverage</b></td><td><b>Inforce</b></td><td><b>BenefitPeriod</b></td></tr><tr><td style="display: none">*</td><td><a href="#Coverage_example-01">See above (Coverage/example-01)</a></td><td>true</td><td>2022-05-07 --> 2025-08-07</td></tr></table></div>
</text>
<status value="active"/>
<purpose value="validation"/>
<patient>
<reference value="Patient/example-01"/>
</patient>
<created value="2022-08-07"/>
<requestor>
<reference value="Organization/example-01"/>
</requestor>
<request>
<reference
value="CoverageEligibilityRequest/validation-example-01"/>
</request>
<outcome value="complete"/>
<disposition value="Policy is currently in-force."/>
<insurer>
<reference value="Organization/example-02"/>
</insurer>
<insurance>
<coverage>
<reference value="Coverage/example-01"/>
</coverage>
<inforce value="true"/>
<benefitPeriod>
<start value="2022-05-07"/>
<end value="2025-08-07"/>
</benefitPeriod>
</insurance>
</CoverageEligibilityResponse>
</resource>
</entry>
<entry>
<fullUrl value="Patient/example-01"/>
<resource>
<Patient>
<id value="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="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>
</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/example-01"/>
<resource>
<Organization>
<id value="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="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>
</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="Apollo Hospital Pvt.Ltd."/>
<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="CoverageEligibilityRequest/validation-example-01"/>
<resource>
<CoverageEligibilityRequest>
<id value="validation-example-01"/>
<meta>
<profile
value="https://nrces.in/ndhm/fhir/r4/StructureDefinition/CoverageEligibilityRequest"/>
</meta>
<language value="en"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml" xml:lang="en" lang="en"><p><b>Generated Narrative: CoverageEligibilityRequest</b><a name="validation-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 "validation-example-01" (Language "en") </p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-CoverageEligibilityRequest.html">CoverageEligibilityRequest</a></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>: validation</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></div>
</text>
<identifier>
<system value="http://happypharma.com/claim"/>
<value value="7612345"/>
</identifier>
<status value="active"/>
<priority>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/processpriority"/>
<code value="normal"/>
<display value="Normal"/>
</coding>
</priority>
<purpose value="validation"/>
<patient>
<reference value="Patient/example-01"/>
</patient>
<created value="2022-12-20T11:01:00+05:00"/>
<enterer>
<reference value="Practitioner/example-01"/>
</enterer>
<provider>
<reference value="Organization/example-01"/>
</provider>
<insurer>
<reference value="Organization/example-01"/>
</insurer>
<facility>
<reference value="Location/example-01"/>
</facility>
<supportingInfo>
<sequence value="1"/>
<information>
<reference value="DocumentReference/example-01"/>
</information>
<appliesToAll value="true"/>
</supportingInfo>
<insurance>
<focal value="true"/>
<coverage>
<reference value="Coverage/example-01"/>
</coverage>
</insurance>
</CoverageEligibilityRequest>
</resource>
</entry>
<entry>
<fullUrl value="Organization/example-02"/>
<resource>
<Organization>
<id value="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="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>
</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="Star Health Insurance Pvt.Ltd."/>
<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="Coverage/example-01"/>
<resource>
<Coverage>
<id value="example-01"/>
<text>
<status value="generated"/>
<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>: 2022-05-07 --> 2025-08-07</p><p><b>payor</b>: <a href="#Patient_example-01">See above (Patient/example-01)</a></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="2022-05-07"/>
<end value="2025-08-07"/>
</period>
<payor>
<reference value="Patient/example-01"/>
</payor>
</Coverage>
</resource>
</entry>
</Bundle>
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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