FHIR Implementation Guide for ABDM
6.5.0 - active
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 ClaimBundle-enhancement-example-01
Bundle ClaimBundle-enhancement-example-01 of type collection
Entry 1 - fullUrl = urn:uuid:b356ed3b-6da5-41fe-93e4-de08d9f4987a
Resource Claim:
Generated Narrative: Claim b356ed3b-6da5-41fe-93e4-de08d9f4987a
identifier: 7612345
status: Active
type: Inpatient care management (procedure)
use: Preauthorization
patient: Patient
billablePeriod: 2025-03-07 11:01:00+0500 --> 2025-04-07 11:01:00+0500
created: 2025-03-13 11:01:00+0500
insurer: Organization
provider: Organization
priority: Normal
Relateds
Claim Relationship Claim-preauth Prior Claim CareTeams
Sequence Provider Role 1 Practitioner Healthcare professional (occupation) Diagnoses
Sequence Diagnosis[x] Type 1 Cardiac arrest, unspecified Final diagnosis (discharge) (contextual qualifier) (qualifier value) procedure
sequence: 1
procedure: Angiography
procedure
sequence: 2
procedure: Angioplasty of blood vessel
Insurances
Sequence Focal Coverage PreAuthRef 1 true Coverage 123456 item
sequence: 1
careTeamSequence: 1
productOrService: Angiography
serviced: 2023-12-09
UnitPrices
Value Currency 10000 INR Nets
Value Currency 10000 INR item
sequence: 2
careTeamSequence: 1
productOrService: Angioplasty of blood vessel
UnitPrices
Value Currency 10000 INR Nets
Value Currency 10000 INR Totals
Value Currency 20000 INR
Entry 2 - fullUrl = urn:uuid:7955f675-880f-48c4-94eb-b573ca1d1fc9
Resource Patient:
Generated Narrative: Patient 7955f675-880f-48c4-94eb-b573ca1d1fc9
Adarsh Agrawal Male, DoB: 1981-01-12 ( Adhaar number: 7225-4829-5255)
Contact Detail +919818512600
Entry 3 - fullUrl = urn:uuid:f42fe22c-ed56-458f-b1db-8800e005fb59
Resource Organization:
Generated Narrative: Organization f42fe22c-ed56-458f-b1db-8800e005fb59
identifier: Registry of Hospitals in Network of Insurance (ROHINI) ID/4567878
type: Insurance Company
name: XYZ Insurance Co. Ltd.
contact
telecom: +91 243 2634 1234, contact@xyz.org
Entry 4 - fullUrl = urn:uuid:0682cb2a-032b-4e08-80b1-80c866ece6cc
Resource Organization:
Generated Narrative: Organization 0682cb2a-032b-4e08-80b1-80c866ece6cc
identifier: Provider number/45675454
type: Healthcare Provider
name: XYZ Hospital Co. Ltd.
contact
telecom: +91 243 2634 1278, contact@xyz.org
Entry 5 - fullUrl = urn:uuid:ed3a499d-6de6-416e-884d-87f5c655b781
Resource Practitioner:
Generated Narrative: Practitioner ed3a499d-6de6-416e-884d-87f5c655b781
identifier: Medical License number/21-1521-3828-3227
name: Dr. Aayush Agrawal
Entry 6 - fullUrl = urn:uuid:7120c410-1c60-4cfb-87ee-3cab3cbcc84b
Resource Coverage:
Generated Narrative: Coverage 7120c410-1c60-4cfb-87ee-3cab3cbcc84b
identifier:
https://xyzinsurance.in/policynumber//235037120status: Active
type: health insurance plan policy
subscriber: Patient
subscriberId: ABC123456BI007
beneficiary: Patient
relationship: Self
period: ?? --> 2026-03-17
Entry 7 - fullUrl = urn:uuid:5790d1d0-7167-4502-a231-15fead40d24a
Resource Claim:
Generated Narrative: Claim 5790d1d0-7167-4502-a231-15fead40d24a
identifier: 7612345
status: Active
type: Inpatient care management (procedure)
use: Preauthorization
patient: Patient
billablePeriod: 2025-03-07 11:01:00+0500 --> 2025-04-07 11:01:00+0500
created: 2023-12-11 11:01:00+0500
insurer: Organization
provider: Organization
priority: Normal
CareTeams
Sequence Provider Role 1 Practitioner Healthcare professional (occupation) Diagnoses
Sequence Diagnosis[x] Type 1 Cardiac arrest, unspecified Final diagnosis (discharge) (contextual qualifier) (qualifier value) procedure
sequence: 1
procedure: Angiography
procedure
sequence: 2
procedure: Angioplasty of blood vessel
Insurances
Sequence Focal Coverage 1 true Coverage item
sequence: 1
careTeamSequence: 1
productOrService: Angiography
serviced: 2023-12-09
UnitPrices
Value Currency 10000 INR Nets
Value Currency 10000 INR item
sequence: 2
careTeamSequence: 1
productOrService: Angioplasty of blood vessel
UnitPrices
Value Currency 40000 INR Nets
Value Currency 40000 INR item
sequence: 3
careTeamSequence: 1
productOrService: Intensive care unit
serviced: 2023-12-11
quantity: 10 day
UnitPrices
Value Currency 2000 INR Nets
Value Currency 20000 INR Totals
Value Currency 70000 INR