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: TaskBundleForPaymentNoticeRequest-example-01

Generated Narrative: Bundle TaskBundleForPaymentNoticeRequest-example-01

Bundle TaskBundleForPaymentNoticeRequest-example-01 of type collection


Entry 1 - fullUrl = urn:uuid:c147ae4a-f6c1-4375-a5bb-cedf69235521

Resource Task:

Generated Narrative: Task c147ae4a-f6c1-4375-a5bb-cedf69235521

status: Requested

intent: order

code: deliver

description: payment status Check

authoredOn: 2025-03-07

requester: Organization-insurance-company

owner: Organization-hospital

Inputs

-TypeValue[x]
*Status codePaymentNotice

Entry 2 - fullUrl = urn:uuid:dd6916d4-485d-45d3-bcc9-f067cab42a70

Resource PaymentNotice:

Generated Narrative: PaymentNotice dd6916d4-485d-45d3-bcc9-f067cab42a70

identifier: http://benefitsinc.com/paymentnotice/776543

status: Active

created: 2025-03-07 14:58:58+0530

payment: PaymentReconciliation

paymentDate: 2025-03-07

recipient: Organization-hospital

Amounts

-ValueCurrency
*180000Indian rupee

paymentStatus: Paid


Entry 3 - fullUrl = urn:uuid:a5b973a0-7274-4158-9f47-398be057b8e1

Resource Organization:

Generated Narrative: Organization a5b973a0-7274-4158-9f47-398be057b8e1

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 4 - fullUrl = urn:uuid:5adfff18-d900-4016-bfa1-987af186bf8f

Resource Organization:

Generated Narrative: Organization 5adfff18-d900-4016-bfa1-987af186bf8f

identifier: Provider number/45675454

type: Healthcare Provider

name: XYZ Hospital Co. Ltd.

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


Entry 5 - fullUrl = urn:uuid:498c0785-7cb6-4e18-9848-e61f515ca257

Resource PaymentReconciliation:

Generated Narrative: PaymentReconciliation 498c0785-7cb6-4e18-9848-e61f515ca257

identifier: http://www.BenefitsInc.com/fhir/enrollmentresponse/781234

status: Active

period: 2025-03-01 11:01:00+0500 --> 2025-03-07 11:01:00+0500

created: 2025-03-07

paymentIssuer: Organization-Insurance-Company

requestor: Organization-hospital

outcome: Processing Complete

disposition: 2025 march month settlement.

paymentDate: 2025-03-07

PaymentAmounts

-ValueCurrency
*180000Indian rupee

paymentIdentifier: UTRNUMBER2920287229

detail

identifier: CLAIMREFNUM7612345

type: Approved Amount

date: 2024-03-31

Amounts

-ValueCurrency
*90000Indian rupee

detail

identifier: CLAIMREFNUM7612345

type: TDS Deduction

date: 2024-03-31

Amounts

-ValueCurrency
*9000Indian rupee

detail

identifier: CLAIMREFNUM6789054

type: Approved Amount

date: 2024-03-31

Amounts

-ValueCurrency
*110000Indian rupee

detail

identifier: CLAIMREFNUM6789054

type: TDS Deduction

date: 2024-03-31

Amounts

-ValueCurrency
*11000Indian rupee