FHIR Implementation Guide for ABDM
4.0.0 - active
FHIR Implementation Guide for ABDM
4.0.0 - active
FHIR Implementation Guide for ABDM - Local Development build (v4.0.0). See the Directory of published versions
<Bundle xmlns="http://hl7.org/fhir">
<id value="ClaimResponseBundle-predeter-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/ClaimResponse-predeter-example-01"/>
<resource>
<ClaimResponse>
<id value="ClaimResponse-predeter-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="ClaimResponse-predeter-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 "ClaimResponse-predeter-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>: Management of health status after discharge from hospital (procedure) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#710967003)</span></p><p><b>subType</b>: Emergency Claim <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.3.0/CodeSystem-ex-claimsubtype.html">Example Claim SubType Codes</a>#emergency)</span></p><p><b>use</b>: predetermination</p><p><b>patient</b>: <a href="#Patient_Patient-example-01">See above (Patient/Patient-example-01)</a></p><p><b>created</b>: 2023-09-07 15:32:26+0530</p><p><b>insurer</b>: <a href="#Organization_Organization-example-01">See above (Organization/Organization-example-01)</a></p><p><b>request</b>: <a href="#Claim_Claim-predeter-example-01">See above (Claim/Claim-predeter-example-01)</a></p><p><b>outcome</b>: complete</p><p><b>payeeType</b>: Provider <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.3.0/CodeSystem-payeetype.html">Payee Type Codes</a>#provider)</span></p><blockquote><p><b>addItem</b></p><p><b>itemSequence</b>: 1</p><p><b>productOrService</b>: Consultant <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#768839008)</span></p><h3>Nets</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>500.00</td><td>INR</td></tr></table><blockquote><p><b>adjudication</b></p><p><b>category</b>: Eligible Amount <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.3.0/CodeSystem-adjudication.html">Adjudication Value Codes</a>#eligible)</span></p><p><b>reason</b>: Covered <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#255334000)</span></p><blockquote><p><b>amount</b></p><p><span title="Indian Rupee">₹500.00</span> (INR)</p></blockquote></blockquote></blockquote><blockquote><p><b>addItem</b></p><p><b>itemSequence</b>: 2</p><p><b>productOrService</b>: Metformin hydrochloride 500 mg prolonged-release oral tablet <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#765507008)</span></p><h3>Nets</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>910.28</td><td>INR</td></tr></table><blockquote><p><b>adjudication</b></p><p><b>category</b>: Eligible Amount <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.3.0/CodeSystem-adjudication.html">Adjudication Value Codes</a>#eligible)</span></p><p><b>reason</b>: Covered <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#255334000)</span></p><blockquote><p><b>amount</b></p><p><span title="Indian Rupee">₹910.28</span> (INR)</p></blockquote></blockquote></blockquote><blockquote><p><b>total</b></p><p><b>category</b>: Submitted Amount <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.3.0/CodeSystem-adjudication.html">Adjudication Value Codes</a>#submitted)</span></p><h3>Amounts</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>1410.28</td><td>INR</td></tr></table></blockquote><h3>Insurances</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Sequence</b></td><td><b>Focal</b></td><td><b>Coverage</b></td></tr><tr><td style="display: none">*</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://snomed.info/sct"/>
<code value="710967003"/>
<display
value="Management of health status after discharge from hospital (procedure)"/>
</coding>
</type>
<subType>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/ex-claimsubtype"/>
<code value="emergency"/>
</coding>
</subType>
<use value="predetermination"/>
<patient>
<reference value="Patient/Patient-example-01"/>
</patient>
<created value="2023-09-07T15:32:26.605+05:30"/>
<insurer>
<reference value="Organization/Organization-example-01"/>
</insurer>
<request>
<reference value="Claim/Claim-predeter-example-01"/>
</request>
<outcome value="complete"/>
<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="768839008"/>
<display value="Consultant"/>
</coding>
</productOrService>
<net>
<value value="500.00"/>
<currency value="INR"/>
</net>
<adjudication>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/adjudication"/>
<code value="eligible"/>
<display value="Eligible Amount"/>
</coding>
</category>
<reason>
<coding>
<system value="http://snomed.info/sct"/>
<code value="255334000"/>
<display value="Covered"/>
</coding>
</reason>
<amount>
<value value="500"/>
<currency value="INR"/>
</amount>
</adjudication>
</addItem>
<addItem>
<itemSequence value="2"/>
<productOrService>
<coding>
<system value="http://snomed.info/sct"/>
<code value="765507008"/>
<display
value="Metformin hydrochloride 500 mg prolonged-release oral tablet"/>
</coding>
</productOrService>
<net>
<value value="910.28"/>
<currency value="INR"/>
</net>
<adjudication>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/adjudication"/>
<code value="eligible"/>
<display value="Eligible Amount"/>
</coding>
</category>
<reason>
<coding>
<system value="http://snomed.info/sct"/>
<code value="255334000"/>
<display value="Covered"/>
</coding>
</reason>
<amount>
<value value="910.28"/>
<currency value="INR"/>
</amount>
</adjudication>
</addItem>
<total>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/adjudication"/>
<code value="submitted"/>
</coding>
</category>
<amount>
<value value="1410.28"/>
<currency value="INR"/>
</amount>
</total>
<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="2023-09-07T14:58:58.181+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 "2023-09-07 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>: Adarsh Agrawal</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="Adarsh Agrawal"/>
</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>type</b>: Insurance Company <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.3.0/CodeSystem-organization-type.html">Organization type</a>#ins)</span></p><p><b>name</b>: XYZ Insurance Co. 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>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/organization-type"/>
<code value="ins"/>
<display value="Insurance Company"/>
</coding>
</type>
<name value="XYZ Insurance Co. 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="Claim/Claim-predeter-example-01"/>
<resource>
<Claim>
<id value="Claim-predeter-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="Claim-predeter-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 "Claim-predeter-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>: Management of health status after discharge from hospital (procedure) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#710967003)</span></p><p><b>subType</b>: Emergency Claim <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.3.0/CodeSystem-ex-claimsubtype.html">Example Claim SubType Codes</a>#emergency)</span></p><p><b>use</b>: predetermination</p><p><b>patient</b>: <a href="#Patient_Patient-example-01">See above (Patient/Patient-example-01)</a></p><p><b>created</b>: 2023-09-07</p><p><b>insurer</b>: <a href="#Organization_Organization-example-01">See above (Organization/Organization-example-01)</a></p><p><b>provider</b>: <a href="#Organization_Organization-example-01">See above (Organization/Organization-example-01)</a></p><p><b>priority</b>: Immediate <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.3.0/CodeSystem-processpriority.html">Process Priority Codes</a>#stat)</span></p><h3>Payees</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Type</b></td></tr><tr><td style="display: none">*</td><td>Provider <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.3.0/CodeSystem-payeetype.html">Payee Type Codes</a>#provider)</span></td></tr></table><h3>Diagnoses</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Sequence</b></td><td><b>Diagnosis[x]</b></td><td><b>Type</b></td></tr><tr><td style="display: none">*</td><td>1</td><td>Type 2 diabetes mellitus : Without complications <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.3.0/CodeSystem-icd10.html">ICD-10</a>#E11.9)</span></td><td>Final diagnosis (discharge) (contextual qualifier) (qualifier value) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#89100005)</span></td></tr></table><h3>Procedures</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Sequence</b></td><td><b>Procedure[x]</b></td></tr><tr><td style="display: none">*</td><td>1</td><td>Consultant <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#768839008)</span></td></tr></table><h3>Insurances</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Sequence</b></td><td><b>Focal</b></td><td><b>Coverage</b></td><td><b>PreAuthRef</b></td></tr><tr><td style="display: none">*</td><td>1</td><td>true</td><td><a href="#Coverage_Coverage-example-01">See above (Coverage/Coverage-example-01)</a></td><td>12S52</td></tr></table><blockquote><p><b>item</b></p><p><b>sequence</b>: 1</p><p><b>careTeamSequence</b>: 1</p><p><b>productOrService</b>: Consultant <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#768839008)</span></p><p><b>serviced</b>: 2023-09-07</p><h3>UnitPrices</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>500.00</td><td>INR</td></tr></table><h3>Nets</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>500.00</td><td>INR</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>sequence</b>: 2</p><p><b>careTeamSequence</b>: 1</p><p><b>productOrService</b>: Metformin hydrochloride 500 mg prolonged-release oral tablet <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#765507008)</span></p><p><b>serviced</b>: 2023-09-07</p><h3>UnitPrices</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>910.28</td><td>INR</td></tr></table><h3>Nets</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>910.28</td><td>INR</td></tr></table></blockquote></div>
</text>
<identifier>
<system value="https://irdai.gov.in"/>
<value value="7612345"/>
</identifier>
<status value="active"/>
<type>
<coding>
<system value="http://snomed.info/sct"/>
<code value="710967003"/>
<display
value="Management of health status after discharge from hospital (procedure)"/>
</coding>
</type>
<subType>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/ex-claimsubtype"/>
<code value="emergency"/>
<display value="Emergency Claim"/>
</coding>
</subType>
<use value="predetermination"/>
<patient>
<reference value="Patient/Patient-example-01"/>
</patient>
<created value="2023-09-07"/>
<insurer>
<reference value="Organization/Organization-example-01"/>
</insurer>
<provider>
<reference value="Organization/Organization-example-01"/>
</provider>
<priority>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/processpriority"/>
<code value="stat"/>
<display value="Immediate"/>
</coding>
</priority>
<payee>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/payeetype"/>
<code value="provider"/>
<display value="Provider"/>
</coding>
</type>
</payee>
<diagnosis>
<sequence value="1"/>
<diagnosisCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/sid/icd-10"/>
<code value="E11.9"/>
<display
value="Type 2 diabetes mellitus : Without complications"/>
</coding>
</diagnosisCodeableConcept>
<type>
<coding>
<system value="http://snomed.info/sct"/>
<code value="89100005"/>
<display
value="Final diagnosis (discharge) (contextual qualifier) (qualifier value)"/>
</coding>
</type>
</diagnosis>
<procedure>
<sequence value="1"/>
<procedureCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="768839008"/>
<display value="Consultant"/>
</coding>
</procedureCodeableConcept>
</procedure>
<insurance>
<sequence value="1"/>
<focal value="true"/>
<coverage>
<reference value="Coverage/Coverage-example-01"/>
</coverage>
<preAuthRef value="12S52"/>
</insurance>
<item>
<sequence value="1"/>
<careTeamSequence value="1"/>
<productOrService>
<coding>
<system value="http://snomed.info/sct"/>
<code value="768839008"/>
<display value="Consultant"/>
</coding>
</productOrService>
<servicedDate value="2023-09-07"/>
<unitPrice>
<value value="500.00"/>
<currency value="INR"/>
</unitPrice>
<net>
<value value="500.00"/>
<currency value="INR"/>
</net>
</item>
<item>
<sequence value="2"/>
<careTeamSequence value="1"/>
<productOrService>
<coding>
<system value="http://snomed.info/sct"/>
<code value="765507008"/>
<display
value="Metformin hydrochloride 500 mg prolonged-release oral tablet"/>
</coding>
</productOrService>
<servicedDate value="2023-09-07"/>
<unitPrice>
<value value="910.28"/>
<currency value="INR"/>
</unitPrice>
<net>
<value value="910.28"/>
<currency value="INR"/>
</net>
</item>
</Claim>
</resource>
</entry>
<entry>
<fullUrl value="Coverage/Coverage-example-01"/>
<resource>
<Coverage>
<id value="Coverage-example-01"/>
<meta>
<profile
value="https://nrces.in/ndhm/fhir/r4/StructureDefinition/Coverage"/>
</meta>
<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><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-Coverage.html">Coverage</a></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/5.3.0/CodeSystem-coverage-selfpay.html">Coverage SelfPay Codes</a>#pay)</span></p><p><b>subscriber</b>: <a href="#Patient_Patient-example-01">See above (Patient/Patient-example-01)</a></p><p><b>beneficiary</b>: <a href="#Patient_Patient-example-01">See above (Patient/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/5.3.0/CodeSystem-subscriber-relationship.html">SubscriberPolicyholder Relationship Codes</a>#self)</span></p><p><b>period</b>: ?? --> 2026-03-17</p><p><b>payor</b>: <a href="#Organization_Organization-example-01">See above (Organization/Organization-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/Patient-example-01"/>
</subscriber>
<beneficiary>
<reference value="Patient/Patient-example-01"/>
</beneficiary>
<relationship>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/subscriber-relationship"/>
<code value="self"/>
</coding>
</relationship>
<period>
<end value="2026-03-17"/>
</period>
<payor>
<reference value="Organization/Organization-example-01"/>
</payor>
</Coverage>
</resource>
</entry>
</Bundle>
IG © 2020+ National Resource Center for EHR Standards. Package ndhm.in#4.0.0 based on FHIR 4.0.1. Generated 2023-11-06
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