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
Resource Claim "predeter-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: predetermination
patient: Patient/example-01 ""
created: 2023-09-07
insurer: Organization/example-02 "XYZ Insurance Co. Ltd."
provider: Organization/example-02 "XYZ Insurance Co. Ltd."
priority: Immediate (Process Priority Codes#stat)
| Type |
| Provider (Payee Type Codes#provider) |
| Sequence | Diagnosis[x] | Type |
| 1 | Type 2 diabetes mellitus : Without complications (ICD-10#E11.9) | Final diagnosis (discharge) (contextual qualifier) (qualifier value) (SNOMED CT#89100005) |
| Sequence | Procedure[x] |
| 1 | Consultant (SNOMED CT#768839008) |
| Sequence | Focal | Coverage | PreAuthRef |
| 1 | true | Coverage/example-01 | 12S52 |
item
sequence: 1
careTeamSequence: 1
productOrService: Consultant (SNOMED CT#768839008)
serviced: 2023-09-07
UnitPrices
Value Currency 500.00 INR Nets
Value Currency 500.00 INR
item
sequence: 2
careTeamSequence: 1
productOrService: Metformin hydrochloride 500 mg prolonged-release oral tablet (SNOMED CT#765507008)
serviced: 2023-09-07
UnitPrices
Value Currency 910.28 INR Nets
Value Currency 910.28 INR