FHIR Implementation Guide for ABDM
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This page is part of the FHIR Implementation Guide for ABDM (v6.5.0: Release) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions

Example Bundle: CoverageEligibilityResponseBundle-validation-example-01

Generated Narrative: Bundle CoverageEligibilityResponseBundle-validation-example-01

Bundle CoverageEligibilityResponseBundle-validation-example-01 of type collection


Entry 1 - fullUrl = urn:uuid:4ecd2358-0fe4-40d7-a76c-9e1b00af2bed

Resource CoverageEligibilityResponse:

Generated Narrative: CoverageEligibilityResponse 4ecd2358-0fe4-40d7-a76c-9e1b00af2bed

Language: en

Profile: CoverageEligibilityResponse

status: Active

purpose: Coverage Validation

patient: Patient

created: 2025-03-07

requestor: Organization

request: CoverageEligibilityRequest-validation

outcome: Processing Complete

disposition: Policy is currently in-force.

insurer: Organization

Insurances

-CoverageInforceBenefitPeriod
*Coveragetrue2023-09-07 --> 2026-08-07

Entry 2 - fullUrl = urn:uuid:6e479103-c550-4303-bab0-a06b6d8924e0

Resource Patient:

Generated Narrative: Patient 6e479103-c550-4303-bab0-a06b6d8924e0

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


Contact Detail+919818512600

Entry 3 - fullUrl = urn:uuid:fa95a74b-8175-43b6-8898-de37270bfffa

Resource Practitioner:

Generated Narrative: Practitioner fa95a74b-8175-43b6-8898-de37270bfffa

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

name: Dr. Aayush Agrawal


Entry 4 - fullUrl = urn:uuid:efac0538-908f-4bb1-807a-0f037321bef4

Resource CoverageEligibilityRequest:

Generated Narrative: CoverageEligibilityRequest efac0538-908f-4bb1-807a-0f037321bef4

Language: en

Profile: CoverageEligibilityRequest

identifier: 7612345

status: Active

priority: Normal

purpose: Coverage Validation

patient: Patient

created: 2025-03-07 11:01:00+0500

enterer: Practitioner

provider: Organization

insurer: Organization

facility: Location

Insurances

-FocalCoverage
*trueBundle: identifier = bc3c6c57-2053-4d0e-ac40-139ccccff645; type = collection; timestamp = 2025-03-07 15:32:26+0530

Entry 5 - fullUrl = urn:uuid:160d35ce-4380-4c35-b1d2-cd792babb281

Resource Organization:

Generated Narrative: Organization 160d35ce-4380-4c35-b1d2-cd792babb281

identifier: Registry of Hospitals in Network of Insurance (ROHINI) ID/4567878

type: Insurance Company

name: XYZ Insurance Co. Ltd.

telecom: +91 243 2634 1234, contact@xyz.org


Entry 6 - fullUrl = urn:uuid:9307fb56-4fa4-4c26-aa54-643686fd3ef4

Resource Organization:

Generated Narrative: Organization 9307fb56-4fa4-4c26-aa54-643686fd3ef4

identifier: Provider number/1234567890

type: Healthcare Provider

name: XYZ Hospital Co. Ltd.

telecom: +91 243 2634 1278, contact@xyz.org


Entry 7 - fullUrl = urn:uuid:94036e9a-0e67-4b95-b1a0-410d0da90a5b

Resource Location:

Generated Narrative: Location 94036e9a-0e67-4b95-b1a0-410d0da90a5b

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

telecom: ph: 2328(Work), fax: 2329(Work), http://sampleorg.com/southwing

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

physicalType: Wing

Positions

-LongitudeLatitudeAltitude
*-83.694569142.254754780

managingOrganization: Organization


Entry 8 - fullUrl = urn:uuid:23ce58e6-ce30-4a7f-ad97-85494a05fcef

Resource Coverage:

Generated Narrative: Coverage 23ce58e6-ce30-4a7f-ad97-85494a05fcef

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

status: Active

type: health insurance plan policy

subscriber: Patient

subscriberId: ABC123456BI007

beneficiary: Patient

relationship: Self

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

payor: Organization