FHIR Implementation Guide for ABDM
6.5.0 - active
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
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
Coverage Inforce BenefitPeriod Coverage true 2023-09-07 --> 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
Focal Coverage true Bundle: 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
Longitude Latitude Altitude -83.6945691 42.25475478 0 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/
/235037120status: Active
type: health insurance plan policy
subscriber: Patient
subscriberId: ABC123456BI007
beneficiary: Patient
relationship: Self
period: ?? --> 2026-03-17
payor: Organization