FHIR Implementation Guide for ABDM
5.0.0 - active India

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FHIR Implementation Guide for ABDM - Local Development build (v5.0.0). See the Directory of published versions

: Coverage/example-02 - JSON Representation

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{
  "resourceType" : "Coverage",
  "id" : "example-02",
  "meta" : {
    "profile" : [
      "https://nrces.in/ndhm/fhir/r4/StructureDefinition/Coverage"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Coverage</b><a name=\"example-02\"> </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 &quot;example-02&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-Coverage.html\">Coverage</a></p></div><p><b>identifier</b>: id:\u00a0235037120</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-example-01.html\">Patient/example-01</a> &quot;&quot;</p><p><b>subscriberId</b>: ABC123456BI007</p><p><b>beneficiary</b>: <a href=\"Patient-example-01.html\">Patient/example-01</a> &quot;&quot;</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>: ?? --&gt; 2026-03-17</p><p><b>payor</b>: <a href=\"Organization-example-02.html\">Organization/example-02</a> &quot;XYZ Insurance Co. Ltd.&quot;</p></div>"
  },
  "identifier" : [
    {
      "system" : "https://xyzinsurance.in/policynumber/",
      "value" : "235037120"
    }
  ],
  "status" : "active",
  "type" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/coverage-selfpay",
        "code" : "pay",
        "display" : "PAY"
      }
    ]
  },
  "subscriber" : {
    "reference" : "Patient/example-01"
  },
  "subscriberId" : "ABC123456BI007",
  "beneficiary" : {
    "reference" : "Patient/example-01"
  },
  "relationship" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/subscriber-relationship",
        "code" : "self"
      }
    ]
  },
  "period" : {
    "end" : "2026-03-17"
  },
  "payor" : [
    {
      "reference" : "Organization/example-02"
    }
  ]
}