FHIR Implementation Guide for ABDM
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FHIR Implementation Guide for ABDM - Local Development build (v4.0.0). See the Directory of published versions

Example Claim: Claim/example-01

Generated Narrative: Claim

Resource Claim "example-01"

Profile: Claim

identifier: id: 7612345

status: active

type: Management of health status after discharge from hospital (procedure) (SNOMED CT#710967003)

subType: Emergency Claim (Example Claim SubType Codes#emergency)

use: claim

patient: Patient/example-01 ""

created: 2023-09-07 11:01:00+0500

insurer: Organization/example-02 "XYZ Insurance Co. Ltd."

provider: Organization/example-02 "XYZ Insurance Co. Ltd."

priority: Normal (Process Priority Codes#normal)

prescription: MedicationRequest/example-02

Payees

-Type
*Provider (Payee Type Codes#provider)

CareTeams

-SequenceProviderRoleQualification
*1Practitioner/example-01 ""Consultant (SNOMED CT#768839008)Clinical specialty (qualifier value) (SNOMED CT#394658006)

SupportingInfos

-SequenceCategoryCodeValue[x]
*1proof of identity (SupportingInfo Category#POI)Adhaar number (Identifier Type Code#ADN)DocumentReference/example-02

Diagnoses

-SequenceDiagnosis[x]Type
*1Type 2 diabetes mellitus : Without complications (ICD-10#E11.9)Final diagnosis (discharge) (contextual qualifier) (qualifier value) (SNOMED CT#89100005)

Procedures

-SequenceProcedure[x]
*1Consultant (SNOMED CT#768839008)

Insurances

-SequenceFocalCoveragePreAuthRef
*1trueCoverage/example-0112S52

item

sequence: 1

careTeamSequence: 1

productOrService: Consultant (SNOMED CT#768839008)

serviced: 2023-09-07

UnitPrices

-ValueCurrency
*500.00INR

Nets

-ValueCurrency
*500.00INR

item

sequence: 2

careTeamSequence: 1

productOrService: Metformin hydrochloride 500 mg prolonged-release oral tablet (SNOMED CT#765507008)

serviced: 2023-09-07

UnitPrices

-ValueCurrency
*910.28INR

Nets

-ValueCurrency
*910.28INR