FHIR Implementation Guide for ABDM
3.1.0 - active India flag

Banner

FHIR Implementation Guide for ABDM - Local Development build (v3.1.0). See the Directory of published versions

: InsurancePlanBundle-example-01 - JSON Representation

Raw json | Download


{
  "resourceType" : "Bundle",
  "id" : "InsurancePlanBundle-example-01",
  "meta" : {
    "profile" : [
      "https://nrces.in/ndhm/fhir/r4/StructureDefinition/InsurancePlanBundle"
    ]
  },
  "identifier" : {
    "system" : "http://hip.in",
    "value" : "53624746346543"
  },
  "type" : "collection",
  "timestamp" : "2023-02-09T16:14:34.427+05:30",
  "entry" : [
    {
      "fullUrl" : "InsurancePlan/example-01",
      "resource" : {
        "resourceType" : "InsurancePlan",
        "id" : "example-01",
        "meta" : {
          "profile" : [
            "https://nrces.in/ndhm/fhir/r4/StructureDefinition/InsurancePlan"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: InsurancePlan</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 InsurancePlan &quot;example-01&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-InsurancePlan.html\">InsurancePlan</a></p></div><p><b>identifier</b>: id:\u00a0761234556546</p><p><b>status</b>: active</p><p><b>type</b>: Mass policy <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-ndhm-insuranceplan-type.html\">InsurancePlan Type</a>#90)</span></p><p><b>name</b>: Mahatma Jyotiba Phule Jan Arogya Yojana</p><p><b>period</b>: 2017-04-01 --&gt; (ongoing)</p><p><b>ownedBy</b>: <a href=\"#Organization_example-02\">See above (Organization/example-02: Maharashtra State Government)</a></p><p><b>administeredBy</b>: <a href=\"#Organization_example-02\">See above (Organization/example-02: Maharashtra State Government)</a></p><p><b>coverageArea</b>: <a href=\"#Location_example-02\">See above (Location/example-02)</a></p><h3>Contacts</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Purpose</b></td><td><b>Name</b></td><td><b>Telecom</b></td><td><b>Address</b></td></tr><tr><td style=\"display: none\">*</td><td>Administrative <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-contactentity-type.html\">Contact entity type</a>#ADMIN)</span></td><td>Mahatma Jyotiba Phule Jan Arogya Yojana</td><td>ph: 1800-233-2200</td><td>Project Office, ESIC Hospital, Third Floor, Ganpat Jadhav Marg, Near Worli Naka, Worli, Mumbai 400018</td></tr></table><blockquote><p><b>coverage</b></p><p><b>type</b>: In Patient Hospitalization <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-ndhm-coverage-type.html\">Coverage Type</a>#00)</span></p><blockquote><p><b>benefit</b></p><p><b>type</b>: Room Rent <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-ndhm-benefit-type.html\">Benefit Type</a>#03)</span></p><h3>Limits</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td></tr><tr><td style=\"display: none\">*</td><td>150000 INR</td></tr></table></blockquote></blockquote><blockquote><p><b>plan</b></p><p><b>type</b>: Group Floater <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-ndhm-plan-type.html\">Plan Type</a>#04)</span></p><p><b>coverageArea</b>: <a href=\"#Location_example-02\">See above (Location/example-02)</a></p><blockquote><p><b>generalCost</b></p><h3>Costs</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style=\"display: none\">*</td><td>0</td><td>INR</td></tr></table></blockquote></blockquote></div>"
        },
        "identifier" : [
          {
            "system" : "https://irdai.gov.in/InsurancePlan",
            "value" : "761234556546"
          }
        ],
        "status" : "active",
        "type" : [
          {
            "coding" : [
              {
                "system" : "https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-insuranceplan-type",
                "code" : "90",
                "display" : "Mass policy"
              }
            ]
          }
        ],
        "name" : "Mahatma Jyotiba Phule Jan Arogya Yojana",
        "period" : {
          "start" : "2017-04-01"
        },
        "ownedBy" : {
          "reference" : "Organization/example-02",
          "display" : "Maharashtra State Government"
        },
        "administeredBy" : {
          "reference" : "Organization/example-02",
          "display" : "Maharashtra State Government"
        },
        "coverageArea" : [
          {
            "reference" : "Location/example-02"
          }
        ],
        "contact" : [
          {
            "purpose" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/contactentity-type",
                  "code" : "ADMIN"
                }
              ]
            },
            "name" : {
              "text" : "Mahatma Jyotiba Phule Jan Arogya Yojana"
            },
            "telecom" : [
              {
                "system" : "phone",
                "value" : "1800-233-2200"
              }
            ],
            "address" : {
              "text" : "Project Office, ESIC Hospital, Third Floor, Ganpat Jadhav Marg, Near Worli Naka, Worli, Mumbai 400018"
            }
          }
        ],
        "coverage" : [
          {
            "type" : {
              "coding" : [
                {
                  "system" : "https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-coverage-type",
                  "code" : "00",
                  "display" : "In Patient Hospitalization"
                }
              ]
            },
            "benefit" : [
              {
                "type" : {
                  "coding" : [
                    {
                      "system" : "https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-benefit-type",
                      "code" : "03",
                      "display" : "Room Rent"
                    }
                  ]
                },
                "limit" : [
                  {
                    "value" : {
                      "value" : 150000,
                      "unit" : "INR"
                    }
                  }
                ]
              }
            ]
          }
        ],
        "plan" : [
          {
            "type" : {
              "coding" : [
                {
                  "system" : "https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-plan-type",
                  "code" : "04",
                  "display" : "Group Floater"
                }
              ]
            },
            "coverageArea" : [
              {
                "reference" : "Location/example-02"
              }
            ],
            "generalCost" : [
              {
                "cost" : {
                  "value" : 0,
                  "currency" : "INR"
                }
              }
            ]
          }
        ]
      }
    },
    {
      "fullUrl" : "Organization/example-02",
      "resource" : {
        "resourceType" : "Organization",
        "id" : "example-02",
        "meta" : {
          "profile" : [
            "https://nrces.in/ndhm/fhir/r4/StructureDefinition/Organization"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Organization</b><a name=\"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 &quot;example-02&quot; </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>: Maharashtra State Government</p><p><b>telecom</b>: ph: 1800-233-2200(WORK), <a href=\"mailto:contact@xyz.org\">contact@xyz.org</a></p></div>"
        },
        "identifier" : [
          {
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "PRN",
                  "display" : "Provider number"
                }
              ]
            },
            "system" : "https://facility.ndhm.gov.in",
            "value" : "555511"
          }
        ],
        "name" : "Maharashtra State Government",
        "telecom" : [
          {
            "system" : "phone",
            "value" : "1800-233-2200",
            "use" : "work"
          },
          {
            "system" : "email",
            "value" : "contact@xyz.org",
            "use" : "work"
          }
        ]
      }
    },
    {
      "fullUrl" : "Location/example-02",
      "resource" : {
        "resourceType" : "Location",
        "id" : "example-02",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Location</b><a name=\"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 Location &quot;example-02&quot; </p></div><p><b>status</b>: active</p><p><b>name</b>: Maharashtra</p><p><b>mode</b>: kind</p><p><b>type</b>: Diagnostics or therapeutics unit <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-v3-RoleCode.html\">RoleCode</a>#DX)</span></p><p><b>physicalType</b>: Jurisdiction <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-location-physical-type.html\">Location type</a>#jdn)</span></p></div>"
        },
        "status" : "active",
        "name" : "Maharashtra",
        "mode" : "kind",
        "type" : [
          {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
                "code" : "DX",
                "display" : "Diagnostics or therapeutics unit"
              }
            ]
          }
        ],
        "physicalType" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/location-physical-type",
              "code" : "jdn",
              "display" : "Jurisdiction"
            }
          ]
        }
      }
    }
  ]
}