FHIR Implementation Guide for ABDM - Local Development build (v5.0.0). See the Directory of published versions
@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .
# - resource -------------------------------------------------------------------
a fhir:Bundle ;
fhir:nodeRole fhir:treeRoot ;
fhir:id [ fhir:v "CoverageEligibilityResponseBundle-validation-example-01"] ; #
fhir:meta [
fhir:versionId [ fhir:v "2" ] ;
( fhir:profile [
fhir:v "https://nrces.in/ndhm/fhir/r4/StructureDefinition/CoverageEligibilityResponseBundle"^^xsd:anyURI ;
fhir:link <https://nrces.in/ndhm/fhir/r4/StructureDefinition/CoverageEligibilityResponseBundle> ] )
] ; #
fhir:identifier [
fhir:system [ fhir:v "http://hip.in"^^xsd:anyURI ] ;
fhir:value [ fhir:v "bc3c6c57-2053-4d0e-ac40-139ccccff645" ]
] ; #
fhir:type [ fhir:v "collection"] ; #
fhir:timestamp [ fhir:v "2023-09-07T15:32:26.605+05:30"^^xsd:dateTime] ; #
fhir:entry ( [
fhir:fullUrl [ fhir:v "CoverageEligibilityResponse/CoverageEligibilityResponse-validation-example-01"^^xsd:anyURI ] ;
( fhir:resource <CoverageEligibilityResponse/CoverageEligibilityResponse-validation-example-01> )
] [
fhir:fullUrl [ fhir:v "Patient/Patient-example-01"^^xsd:anyURI ] ;
( fhir:resource <Patient/Patient-example-01> )
] [
fhir:fullUrl [ fhir:v "Practitioner/Practitioner-example-01"^^xsd:anyURI ] ;
( fhir:resource <Practitioner/Practitioner-example-01> )
] [
fhir:fullUrl [ fhir:v "CoverageEligibilityRequest/CoverageEligibilityRequest-validation-example-01"^^xsd:anyURI ] ;
( fhir:resource <CoverageEligibilityRequest/CoverageEligibilityRequest-validation-example-01> )
] [
fhir:fullUrl [ fhir:v "Organization/Organization-example-01"^^xsd:anyURI ] ;
( fhir:resource <Organization/Organization-example-01> )
] [
fhir:fullUrl [ fhir:v "Location/Location-example-01"^^xsd:anyURI ] ;
( fhir:resource <Location/Location-example-01> )
] [
fhir:fullUrl [ fhir:v "Coverage/Coverage-example-01"^^xsd:anyURI ] ;
( fhir:resource <Coverage/Coverage-example-01> )
] ) . #
<CoverageEligibilityResponse/CoverageEligibilityResponse-validation-example-01> a fhir:CoverageEligibilityResponse ;
fhir:id [ fhir:v "CoverageEligibilityResponse-validation-example-01"] ; #
fhir:meta [
( fhir:profile [
fhir:v "https://nrces.in/ndhm/fhir/r4/StructureDefinition/CoverageEligibilityResponse"^^xsd:anyURI ;
fhir:link <https://nrces.in/ndhm/fhir/r4/StructureDefinition/CoverageEligibilityResponse> ] )
] ; #
fhir:language [ fhir:v "en"] ; #
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"en\" lang=\"en\"><p><b>Generated Narrative: CoverageEligibilityResponse</b><a name=\"CoverageEligibilityResponse-validation-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 CoverageEligibilityResponse "CoverageEligibilityResponse-validation-example-01" (Language "en") </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-CoverageEligibilityResponse.html\">CoverageEligibilityResponse</a></p></div><p><b>status</b>: active</p><p><b>purpose</b>: validation</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>requestor</b>: <a href=\"#Practitioner_Practitioner-example-01\">See above (Practitioner/Practitioner-example-01)</a></p><p><b>request</b>: <a href=\"#CoverageEligibilityRequest_CoverageEligibilityRequest-validation-example-01\">See above (CoverageEligibilityRequest/CoverageEligibilityRequest-validation-example-01)</a></p><p><b>outcome</b>: complete</p><p><b>disposition</b>: Policy is currently in-force.</p><p><b>insurer</b>: <a href=\"#Organization_Organization-example-01\">See above (Organization/Organization-example-01)</a></p><h3>Insurances</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Coverage</b></td><td><b>Inforce</b></td><td><b>BenefitPeriod</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"#Coverage_Coverage-example-01\">See above (Coverage/Coverage-example-01)</a></td><td>true</td><td>2023-09-07 --> 2026-08-07</td></tr></table></div>"
] ; #
fhir:status [ fhir:v "active"] ; #
fhir:purpose ( [ fhir:v "validation"] ) ; #
fhir:patient [
fhir:reference [ fhir:v "Patient/Patient-example-01" ]
] ; #
fhir:created [ fhir:v "2023-09-07"^^xsd:date] ; #
fhir:requestor [
fhir:reference [ fhir:v "Practitioner/Practitioner-example-01" ]
] ; #
fhir:request [
fhir:reference [ fhir:v "CoverageEligibilityRequest/CoverageEligibilityRequest-validation-example-01" ]
] ; #
fhir:outcome [ fhir:v "complete"] ; #
fhir:disposition [ fhir:v "Policy is currently in-force."] ; #
fhir:insurer [
fhir:reference [ fhir:v "Organization/Organization-example-01" ]
] ; #
fhir:insurance ( [
fhir:coverage [
fhir:reference [ fhir:v "Coverage/Coverage-example-01" ] ] ;
fhir:inforce [ fhir:v "true"^^xsd:boolean ] ;
fhir:benefitPeriod [
fhir:start [ fhir:v "2023-09-07"^^xsd:date ] ;
fhir:end [ fhir:v "2026-08-07"^^xsd:date ] ]
] ) . #
<Patient/Patient-example-01> a fhir:Patient ;
fhir:id [ fhir:v "Patient-example-01"] ; #
fhir:meta [
fhir:versionId [ fhir:v "1" ] ;
fhir:lastUpdated [ fhir:v "2023-09-07T14:58:58.181+05:30"^^xsd:dateTime ] ;
( fhir:profile [
fhir:v "https://nrces.in/ndhm/fhir/r4/StructureDefinition/Patient"^^xsd:anyURI ;
fhir:link <https://nrces.in/ndhm/fhir/r4/StructureDefinition/Patient> ] )
] ; #
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<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>"
] ; #
fhir:identifier ( [
fhir:type [
( fhir:coding [
fhir:system [ fhir:v "https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-identifier-type-code"^^xsd:anyURI ] ;
fhir:code [ fhir:v "ADN" ] ;
fhir:display [ fhir:v "Adhaar number" ] ] ) ] ;
fhir:system [ fhir:v "https://uidai.gov.in/"^^xsd:anyURI ] ;
fhir:value [ fhir:v "7225-4829-5255" ]
] ) ; #
fhir:name ( [
fhir:text [ fhir:v "Adarsh Agrawal" ]
] ) ; #
fhir:telecom ( [
fhir:system [ fhir:v "phone" ] ;
fhir:value [ fhir:v "+919818512600" ] ;
fhir:use [ fhir:v "home" ]
] ) ; #
fhir:gender [ fhir:v "male"] ; #
fhir:birthDate [ fhir:v "1981-01-12"^^xsd:date] . #
<Practitioner/Practitioner-example-01> a fhir:Practitioner ;
fhir:id [ fhir:v "Practitioner-example-01"] ; #
fhir:meta [
fhir:versionId [ fhir:v "1" ] ;
fhir:lastUpdated [ fhir:v "2023-09-07T14:58:58.181+05:30"^^xsd:dateTime ] ;
( fhir:profile [
fhir:v "https://nrces.in/ndhm/fhir/r4/StructureDefinition/Practitioner"^^xsd:anyURI ;
fhir:link <https://nrces.in/ndhm/fhir/r4/StructureDefinition/Practitioner> ] )
] ; #
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Practitioner</b><a name=\"Practitioner-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 Practitioner "Practitioner-example-01" Version "1" Updated "2023-09-07 14:58:58+0530" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-Practitioner.html\">Practitioner</a></p></div><p><b>identifier</b>: Medical License number: 21-1521-3828-3227</p><p><b>name</b>: Dr. Aayush Agrawal</p></div>"
] ; #
fhir:identifier ( [
fhir:type [
( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ] ;
fhir:code [ fhir:v "MD" ] ;
fhir:display [ fhir:v "Medical License number" ] ] ) ] ;
fhir:system [ fhir:v "https://doctor.ndhm.gov.in"^^xsd:anyURI ] ;
fhir:value [ fhir:v "21-1521-3828-3227" ]
] ) ; #
fhir:name ( [
fhir:text [ fhir:v "Dr. Aayush Agrawal" ]
] ) . #
<CoverageEligibilityRequest/CoverageEligibilityRequest-validation-example-01> a fhir:CoverageEligibilityRequest ;
fhir:id [ fhir:v "CoverageEligibilityRequest-validation-example-01"] ; #
fhir:meta [
( fhir:profile [
fhir:v "https://nrces.in/ndhm/fhir/r4/StructureDefinition/CoverageEligibilityRequest"^^xsd:anyURI ;
fhir:link <https://nrces.in/ndhm/fhir/r4/StructureDefinition/CoverageEligibilityRequest> ] )
] ; #
fhir:language [ fhir:v "en"] ; #
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"en\" lang=\"en\"><p><b>Generated Narrative: CoverageEligibilityRequest</b><a name=\"CoverageEligibilityRequest-validation-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 CoverageEligibilityRequest "CoverageEligibilityRequest-validation-example-01" (Language "en") </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-CoverageEligibilityRequest.html\">CoverageEligibilityRequest</a></p></div><p><b>identifier</b>: id: 7612345</p><p><b>status</b>: active</p><p><b>priority</b>: Normal <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>#normal)</span></p><p><b>purpose</b>: validation</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 11:01:00+0500</p><p><b>enterer</b>: <a href=\"#Practitioner_Practitioner-example-01\">See above (Practitioner/Practitioner-example-01)</a></p><p><b>provider</b>: <a href=\"#Practitioner_Practitioner-example-01\">See above (Practitioner/Practitioner-example-01)</a></p><p><b>insurer</b>: <a href=\"#Organization_Organization-example-01\">See above (Organization/Organization-example-01)</a></p><p><b>facility</b>: <a href=\"#Location_Location-example-01\">See above (Location/Location-example-01)</a></p><h3>Insurances</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Focal</b></td><td><b>Coverage</b></td></tr><tr><td style=\"display: none\">*</td><td>true</td><td><a href=\"Coverage-example-01.html\">Coverage/example-01</a></td></tr></table></div>"
] ; #
fhir:identifier ( [
fhir:system [ fhir:v "https://irdai.gov.in"^^xsd:anyURI ] ;
fhir:value [ fhir:v "7612345" ]
] ) ; #
fhir:status [ fhir:v "active"] ; #
fhir:priority [
( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/processpriority"^^xsd:anyURI ] ;
fhir:code [ fhir:v "normal" ] ;
fhir:display [ fhir:v "Normal" ] ] )
] ; #
fhir:purpose ( [ fhir:v "validation"] ) ; #
fhir:patient [
fhir:reference [ fhir:v "Patient/Patient-example-01" ]
] ; #
fhir:created [ fhir:v "2023-09-07T11:01:00+05:00"^^xsd:dateTime] ; #
fhir:enterer [
fhir:reference [ fhir:v "Practitioner/Practitioner-example-01" ]
] ; #
fhir:provider [
fhir:reference [ fhir:v "Practitioner/Practitioner-example-01" ]
] ; #
fhir:insurer [
fhir:reference [ fhir:v "Organization/Organization-example-01" ]
] ; #
fhir:facility [
fhir:reference [ fhir:v "Location/Location-example-01" ]
] ; #
fhir:insurance ( [
fhir:focal [ fhir:v "true"^^xsd:boolean ] ;
fhir:coverage [
fhir:reference [ fhir:v "Coverage/example-01" ] ]
] ) . #
<Organization/Organization-example-01> a fhir:Organization ;
fhir:id [ fhir:v "Organization-example-01"] ; #
fhir:meta [
( fhir:profile [
fhir:v "https://nrces.in/ndhm/fhir/r4/StructureDefinition/Organization"^^xsd:anyURI ;
fhir:link <https://nrces.in/ndhm/fhir/r4/StructureDefinition/Organization> ] )
] ; #
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<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>"
] ; #
fhir:identifier ( [
fhir:type [
( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ] ;
fhir:code [ fhir:v "PRN" ] ;
fhir:display [ fhir:v "Provider number" ] ] ) ] ;
fhir:system [ fhir:v "https://facility.ndhm.gov.in"^^xsd:anyURI ] ;
fhir:value [ fhir:v "4567878" ]
] ) ; #
fhir:type ( [
( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/organization-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "ins" ] ;
fhir:display [ fhir:v "Insurance Company" ] ] )
] ) ; #
fhir:name [ fhir:v "XYZ Insurance Co. Ltd."] ; #
fhir:telecom ( [
fhir:system [ fhir:v "phone" ] ;
fhir:value [ fhir:v "+91 243 2634 1234" ] ;
fhir:use [ fhir:v "work" ]
] [
fhir:system [ fhir:v "email" ] ;
fhir:value [ fhir:v "contact@xyz.org" ] ;
fhir:use [ fhir:v "work" ]
] ) . #
<Location/Location-example-01> a fhir:Location ;
fhir:id [ fhir:v "Location-example-01"] ; #
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Location</b><a name=\"Location-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 Location "Location-example-01" </p></div><p><b>identifier</b>: id: B1-S.F2</p><p><b>status</b>: active</p><p><b>name</b>: South Wing, second floor</p><p><b>alias</b>: IndiaFirst Life Insurance Co. Ltd., South Wing, second floor</p><p><b>description</b>: Second floor of the Old South Wing, formerly in use by Psychiatry</p><p><b>mode</b>: instance</p><p><b>telecom</b>: ph: 2328(WORK), fax: 2329(WORK), <a href=\"http://sampleorg.com/southwing\">http://sampleorg.com/southwing</a></p><p><b>address</b>: 91, Building A Pune 451855 IND (WORK)</p><p><b>physicalType</b>: Wing <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.3.0/CodeSystem-location-physical-type.html\">Location type</a>#wi)</span></p><h3>Positions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Longitude</b></td><td><b>Latitude</b></td><td><b>Altitude</b></td></tr><tr><td style=\"display: none\">*</td><td>-83.6945691</td><td>42.25475478</td><td>0</td></tr></table><p><b>managingOrganization</b>: <a href=\"Organization-example-01.html\">Organization/example-01</a> "XYZ Lab Pvt.Ltd."</p></div>"
] ; #
fhir:identifier ( [
fhir:value [ fhir:v "B1-S.F2" ]
] ) ; #
fhir:status [ fhir:v "active"] ; #
fhir:name [ fhir:v "South Wing, second floor"] ; #
fhir:alias ( [ fhir:v "IndiaFirst Life Insurance Co. Ltd., South Wing, second floor"] ) ; #
fhir:description [ fhir:v "Second floor of the Old South Wing, formerly in use by Psychiatry"] ; #
fhir:mode [ fhir:v "instance"] ; #
fhir:telecom ( [
fhir:system [ fhir:v "phone" ] ;
fhir:value [ fhir:v "2328" ] ;
fhir:use [ fhir:v "work" ]
] [
fhir:system [ fhir:v "fax" ] ;
fhir:value [ fhir:v "2329" ] ;
fhir:use [ fhir:v "work" ]
] [
fhir:system [ fhir:v "url" ] ;
fhir:value [ fhir:v "http://sampleorg.com/southwing" ] ;
fhir:use [ fhir:v "work" ]
] ) ; #
fhir:address [
fhir:use [ fhir:v "work" ] ;
( fhir:line [ fhir:v "91, Building A" ] ) ;
fhir:city [ fhir:v "Pune" ] ;
fhir:postalCode [ fhir:v "451855" ] ;
fhir:country [ fhir:v "IND" ]
] ; #
fhir:physicalType [
( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/location-physical-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "wi" ] ;
fhir:display [ fhir:v "Wing" ] ] )
] ; #
fhir:position [
fhir:longitude [ fhir:v "-83.6945691"^^xsd:decimal ] ;
fhir:latitude [ fhir:v "42.25475478"^^xsd:decimal ] ;
fhir:altitude [ fhir:v "0"^^xsd:decimal ]
] ; #
fhir:managingOrganization [
fhir:reference [ fhir:v "Organization/example-01" ]
] . #
<Coverage/Coverage-example-01> a fhir:Coverage ;
fhir:id [ fhir:v "Coverage-example-01"] ; #
fhir:meta [
( fhir:profile [
fhir:v "https://nrces.in/ndhm/fhir/r4/StructureDefinition/Coverage"^^xsd:anyURI ;
fhir:link <https://nrces.in/ndhm/fhir/r4/StructureDefinition/Coverage> ] )
] ; #
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<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: 235037120</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>subscriberId</b>: ABC123456BI007</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>"
] ; #
fhir:identifier ( [
fhir:system [ fhir:v "https://xyzinsurance.in/policynumber/"^^xsd:anyURI ] ;
fhir:value [ fhir:v "235037120" ]
] ) ; #
fhir:status [ fhir:v "active"] ; #
fhir:type [
( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/coverage-selfpay"^^xsd:anyURI ] ;
fhir:code [ fhir:v "pay" ] ;
fhir:display [ fhir:v "PAY" ] ] )
] ; #
fhir:subscriber [
fhir:reference [ fhir:v "Patient/Patient-example-01" ]
] ; #
fhir:subscriberId [ fhir:v "ABC123456BI007"] ; #
fhir:beneficiary [
fhir:reference [ fhir:v "Patient/Patient-example-01" ]
] ; #
fhir:relationship [
( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/subscriber-relationship"^^xsd:anyURI ] ;
fhir:code [ fhir:v "self" ] ] )
] ; #
fhir:period [
fhir:end [ fhir:v "2026-03-17"^^xsd:date ]
] ; #
fhir:payor ( [
fhir:reference [ fhir:v "Organization/Organization-example-01" ]
] ) . #
IG © 2020+ National Resource Center for EHR Standards. Package ndhm.in#5.0.0 based on FHIR 4.0.1. Generated 2023-12-22
Links: Table of Contents |
QA Report
| Version History |