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

: InsurancePlan-example-01 - JSON Representation

Raw json | Download


{
  "resourceType" : "InsurancePlan",
  "id" : "InsurancePlan-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=\"InsurancePlan-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;InsurancePlan-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-Organization-example-03.html\">Organization/Organization-example-03: Maharashtra State Government</a> &quot;Maharashtra State Government&quot;</p><p><b>administeredBy</b>: <a href=\"Organization-Organization-example-03.html\">Organization/Organization-example-03: Maharashtra State Government</a> &quot;Maharashtra State Government&quot;</p><p><b>coverageArea</b>: <a href=\"Location-Location-example-02.html\">Location/Location-example-02</a> &quot;Maharashtra&quot;</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-Location-example-02.html\">Location/Location-example-02</a> &quot;Maharashtra&quot;</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/Organization-example-03",
    "display" : "Maharashtra State Government"
  },
  "administeredBy" : {
    "reference" : "Organization/Organization-example-03",
    "display" : "Maharashtra State Government"
  },
  "coverageArea" : [
    {
      "reference" : "Location/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/Location-example-02"
        }
      ],
      "generalCost" : [
        {
          "cost" : {
            "value" : 0,
            "currency" : "INR"
          }
        }
      ]
    }
  ]
}