FHIR Implementation Guide for ABDM
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This page is part of the FHIR Implementation Guide for ABDM (v6.0.0: Release) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

Example Bundle: CoverageEligibilityRequestBundle-auth-requirement-example-01

Bundle CoverageEligibilityRequestBundle-auth-requirement-example-01 of type collection

Entry 1 - fullUrl = urn:uuid:a752531b-67ad-4b33-9a8b-e1b9229d1505

Resource CoverageEligibilityRequest:

Generated Narrative: CoverageEligibilityRequest

Resource CoverageEligibilityRequest "a752531b-67ad-4b33-9a8b-e1b9229d1505" (Language "en")

Profile: CoverageEligibilityRequest

identifier: https://irdai.gov.in/7612345

status: ACTIVE

priority: Normal (Process Priority Codes#normal)

purpose: AUTHREQUIREMENTS

patient: See above (urn:uuid:7955f675-880f-48c4-94eb-b573ca1d1fc9: Patient)

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

enterer: See above (urn:uuid:ed3a499d-6de6-416e-884d-87f5c655b781: Practitioner)

provider: See above (urn:uuid:ed3a499d-6de6-416e-884d-87f5c655b781: Practitioner)

insurer: See above (urn:uuid:f42fe22c-ed56-458f-b1db-8800e005fb59: Organization)

facility: See above (urn:uuid:ea4f766b-b7c1-476a-8f19-095928b65ca5: Location)

Insurances

-FocalCoverage
*trueSee above (urn:uuid:7120c410-1c60-4cfb-87ee-3cab3cbcc84b: Coverage)

item

productOrService: Consultant (SNOMED CT#768839008)

Diagnoses

-Diagnosis[x]
*Type 2 diabetes mellitus : Without complications (ICD-10#E11.9)

item

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

Diagnoses

-Diagnosis[x]
*Type 2 diabetes mellitus : Without complications (ICD-10#E11.9)

Entry 2 - fullUrl = urn:uuid:7955f675-880f-48c4-94eb-b573ca1d1fc9

Resource Patient:

Adarsh Agrawal Male, DoB: 1981-01-12 ( Adhaar number: 7225-4829-5255)

Entry 3 - fullUrl = urn:uuid:ed3a499d-6de6-416e-884d-87f5c655b781

Resource Practitioner:

Generated Narrative: Practitioner

Resource Practitioner "ed3a499d-6de6-416e-884d-87f5c655b781" Version "1" Updated "2023-09-07 14:58:58+0530"

Profile: Practitioner

identifier: Medical License number/21-1521-3828-3227

name: Dr. Aayush Agrawal

Entry 4 - fullUrl = urn:uuid:f42fe22c-ed56-458f-b1db-8800e005fb59

Resource Organization:

Generated Narrative: Organization

Resource Organization "f42fe22c-ed56-458f-b1db-8800e005fb59"

Profile: Organization

identifier: Provider number/4567878

type: Insurance Company (Organization type#ins)

name: XYZ Insurance Co. Ltd.

Contacts

-Telecom
*+91 243 2634 1234, contact@xyz.org

Entry 5 - fullUrl = urn:uuid:ea4f766b-b7c1-476a-8f19-095928b65ca5

Resource Location:

Generated Narrative: Location

Resource Location "ea4f766b-b7c1-476a-8f19-095928b65ca5"

identifier: B1-S.F2

status: ACTIVE

name: South Wing, second floor

alias: IndiaFirst Life Insurance Co. Ltd., South Wing, second floor

description: Second floor of the Old South Wing, formerly in use by Psychiatry

mode: INSTANCE

address: 91, Building A Pune 451855 IND (WORK)

Positions

-LongitudeLatitudeAltitude
*-83.694569142.254754780

managingOrganization: See above (urn:uuid:f42fe22c-ed56-458f-b1db-8800e005fb59: Organization)

Entry 6 - fullUrl = urn:uuid:7120c410-1c60-4cfb-87ee-3cab3cbcc84b

Resource Coverage:

Generated Narrative: Coverage

Resource Coverage "7120c410-1c60-4cfb-87ee-3cab3cbcc84b"

Profile: Coverage

identifier: https://xyzinsurance.in/policynumber//235037120

status: ACTIVE

type: PAY (Coverage SelfPay Codes#pay)

subscriber: See above (urn:uuid:7955f675-880f-48c4-94eb-b573ca1d1fc9: Patient)

subscriberId: ABC123456BI007

beneficiary: See above (urn:uuid:7955f675-880f-48c4-94eb-b573ca1d1fc9: Patient)

relationship: Self (SubscriberPolicyholder Relationship Codes#self)

period: ?? --> 2026-03-17