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
<Bundle xmlns="http://hl7.org/fhir">
<id value="ClaimBundle-enhancement-example-01"/>
<meta>
<profile
value="https://nrces.in/ndhm/fhir/r4/StructureDefinition/ClaimBundle"/>
<security>
<system
value="http://terminology.hl7.org/CodeSystem/v3-Confidentiality"/>
<code value="V"/>
<display value="very restricted"/>
</security>
</meta>
<identifier>
<value value="bc3c6c57-2053-4d0e-ac40-139ccccff645"/>
</identifier>
<type value="collection"/>
<timestamp value="2025-03-13T15:32:26.605+05:30"/>
<entry>
<fullUrl value="urn:uuid:b356ed3b-6da5-41fe-93e4-de08d9f4987a"/>
<resource>
<Claim>
<id value="b356ed3b-6da5-41fe-93e4-de08d9f4987a"/>
<meta>
<profile
value="https://nrces.in/ndhm/fhir/r4/StructureDefinition/Claim"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Claim_b356ed3b-6da5-41fe-93e4-de08d9f4987a"> </a><p class="res-header-id"><b>Generated Narrative: Claim b356ed3b-6da5-41fe-93e4-de08d9f4987a</b></p><a name="b356ed3b-6da5-41fe-93e4-de08d9f4987a"> </a><a name="hcb356ed3b-6da5-41fe-93e4-de08d9f4987a"> </a><a name="b356ed3b-6da5-41fe-93e4-de08d9f4987a-hi-IN"> </a><p><b>identifier</b>: 7612345</p><p><b>status</b>: Active</p><p><b>type</b>: <span title="Codes:{http://snomed.info/sct 737481003}">Inpatient care management (procedure)</span></p><p><b>use</b>: Preauthorization</p><p><b>patient</b>: <a href="Bundle-ClaimBundle-enhancement-example-01.html#urn-uuid-7955f675-880f-48c4-94eb-b573ca1d1fc9">Patient</a></p><p><b>billablePeriod</b>: 2025-03-07 11:01:00+0500 --> 2025-04-07 11:01:00+0500</p><p><b>created</b>: 2025-03-13 11:01:00+0500</p><p><b>insurer</b>: <a href="Bundle-ClaimBundle-enhancement-example-01.html#urn-uuid-f42fe22c-ed56-458f-b1db-8800e005fb59">Organization</a></p><p><b>provider</b>: <a href="Bundle-ClaimBundle-enhancement-example-01.html#urn-uuid-0682cb2a-032b-4e08-80b1-80c866ece6cc">Organization</a></p><p><b>priority</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/processpriority normal}">Normal</span></p><h3>Relateds</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Claim</b></td><td><b>Relationship</b></td></tr><tr><td style="display: none">*</td><td><a href="Bundle-ClaimBundle-enhancement-example-01.html#urn-uuid-5790d1d0-7167-4502-a231-15fead40d24a">Claim-preauth</a></td><td><span title="Codes:{http://terminology.hl7.org/CodeSystem/ex-relatedclaimrelationship prior}">Prior Claim</span></td></tr></table><h3>CareTeams</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Sequence</b></td><td><b>Provider</b></td><td><b>Role</b></td><td><b>Qualification</b></td></tr><tr><td style="display: none">*</td><td>1</td><td><a href="Bundle-ClaimBundle-enhancement-example-01.html#urn-uuid-ed3a499d-6de6-416e-884d-87f5c655b781">Practitioner</a></td><td><span title="Codes:{http://snomed.info/sct 223366009}">Healthcare professional (occupation)</span></td><td><span title="Codes:{http://snomed.info/sct 394658006}">Clinical specialty (qualifier value)</span></td></tr></table><h3>Diagnoses</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Sequence</b></td><td><b>Diagnosis[x]</b></td><td><b>Type</b></td></tr><tr><td style="display: none">*</td><td>1</td><td><span title="Codes:{http://hl7.org/fhir/sid/icd-10 I46.9}">Cardiac arrest, unspecified</span></td><td><span title="Codes:{http://snomed.info/sct 89100005}">Final diagnosis (discharge) (contextual qualifier) (qualifier value)</span></td></tr></table><blockquote><p><b>procedure</b></p><p><b>sequence</b>: 1</p><p><b>procedure</b>: <span title="Codes:{http://snomed.info/sct 77343006}">Angiography</span></p></blockquote><blockquote><p><b>procedure</b></p><p><b>sequence</b>: 2</p><p><b>procedure</b>: <span title="Codes:{http://snomed.info/sct 418285008}">Angioplasty of blood vessel</span></p></blockquote><h3>Insurances</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Sequence</b></td><td><b>Focal</b></td><td><b>Coverage</b></td><td><b>PreAuthRef</b></td></tr><tr><td style="display: none">*</td><td>1</td><td>true</td><td><a href="Bundle-ClaimBundle-enhancement-example-01.html#urn-uuid-7120c410-1c60-4cfb-87ee-3cab3cbcc84b">Coverage</a></td><td>123456</td></tr></table><blockquote><p><b>item</b></p><p><b>sequence</b>: 1</p><p><b>careTeamSequence</b>: 1</p><p><b>productOrService</b>: <span title="Codes:{http://snomed.info/sct 77343006}">Angiography</span></p><p><b>serviced</b>: 2023-12-09</p><h3>UnitPrices</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style="display: none">*</td><td>10000</td><td>Indian rupee</td></tr></table><h3>Nets</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style="display: none">*</td><td>10000</td><td>Indian rupee</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>sequence</b>: 2</p><p><b>careTeamSequence</b>: 1</p><p><b>productOrService</b>: <span title="Codes:{http://snomed.info/sct 418285008}">Angioplasty of blood vessel</span></p><h3>UnitPrices</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style="display: none">*</td><td>10000</td><td>Indian rupee</td></tr></table><h3>Nets</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style="display: none">*</td><td>10000</td><td>Indian rupee</td></tr></table></blockquote><h3>Totals</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style="display: none">*</td><td>20000</td><td>Indian rupee</td></tr></table></div>
</text>
<identifier>
<value value="7612345"/>
</identifier>
<status value="active"/>
<type>
<coding>
<system value="http://snomed.info/sct"/>
<code value="737481003"/>
<display value="Inpatient care management (procedure)"/>
</coding>
</type>
<use value="preauthorization"/>
<patient>
<reference value="urn:uuid:7955f675-880f-48c4-94eb-b573ca1d1fc9"/>
<display value="Patient"/>
</patient>
<billablePeriod>
<start value="2025-03-07T11:01:00+05:00"/>
<end value="2025-04-07T11:01:00+05:00"/>
</billablePeriod>
<created value="2025-03-13T11:01:00+05:00"/>
<insurer>
<reference value="urn:uuid:f42fe22c-ed56-458f-b1db-8800e005fb59"/>
<display value="Organization"/>
</insurer>
<provider>
<reference value="urn:uuid:0682cb2a-032b-4e08-80b1-80c866ece6cc"/>
<display value="Organization"/>
</provider>
<priority>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/processpriority"/>
<code value="normal"/>
</coding>
</priority>
<related>
<claim>
<reference value="urn:uuid:5790d1d0-7167-4502-a231-15fead40d24a"/>
<display value="Claim-preauth"/>
</claim>
<relationship>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/ex-relatedclaimrelationship"/>
<code value="prior"/>
<display value="Prior Claim"/>
</coding>
</relationship>
</related>
<careTeam>
<sequence value="1"/>
<provider>
<reference value="urn:uuid:ed3a499d-6de6-416e-884d-87f5c655b781"/>
<display value="Practitioner"/>
</provider>
<role>
<coding>
<system value="http://snomed.info/sct"/>
<code value="223366009"/>
<display value="Healthcare professional (occupation)"/>
</coding>
</role>
<qualification>
<coding>
<system value="http://snomed.info/sct"/>
<code value="394658006"/>
<display value="Clinical specialty (qualifier value)"/>
</coding>
</qualification>
</careTeam>
<diagnosis>
<sequence value="1"/>
<diagnosisCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/sid/icd-10"/>
<code value="I46.9"/>
<display value="Cardiac arrest, unspecified"/>
</coding>
</diagnosisCodeableConcept>
<type>
<coding>
<system value="http://snomed.info/sct"/>
<code value="89100005"/>
<display
value="Final diagnosis (discharge) (contextual qualifier) (qualifier value)"/>
</coding>
</type>
</diagnosis>
<procedure>
<sequence value="1"/>
<procedureCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="77343006"/>
<display value="Angiography"/>
</coding>
</procedureCodeableConcept>
</procedure>
<procedure>
<sequence value="2"/>
<procedureCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="418285008"/>
<display value="Angioplasty of blood vessel"/>
</coding>
</procedureCodeableConcept>
</procedure>
<insurance>
<sequence value="1"/>
<focal value="true"/>
<coverage>
<reference value="urn:uuid:7120c410-1c60-4cfb-87ee-3cab3cbcc84b"/>
<display value="Coverage"/>
</coverage>
<preAuthRef value="123456"/>
</insurance>
<item>
<sequence value="1"/>
<careTeamSequence value="1"/>
<productOrService>
<coding>
<system value="http://snomed.info/sct"/>
<code value="77343006"/>
<display value="Angiography"/>
</coding>
</productOrService>
<servicedDate value="2023-12-09"/>
<unitPrice>
<value value="10000"/>
<currency value="INR"/>
</unitPrice>
<net>
<value value="10000"/>
<currency value="INR"/>
</net>
</item>
<item>
<sequence value="2"/>
<careTeamSequence value="1"/>
<productOrService>
<coding>
<system value="http://snomed.info/sct"/>
<code value="418285008"/>
<display value="Angioplasty of blood vessel"/>
</coding>
</productOrService>
<unitPrice>
<value value="10000"/>
<currency value="INR"/>
</unitPrice>
<net>
<value value="10000"/>
<currency value="INR"/>
</net>
</item>
<total>
<value value="20000"/>
<currency value="INR"/>
</total>
</Claim>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:7955f675-880f-48c4-94eb-b573ca1d1fc9"/>
<resource>
<Patient>
<id value="7955f675-880f-48c4-94eb-b573ca1d1fc9"/>
<meta>
<profile
value="https://nrces.in/ndhm/fhir/r4/StructureDefinition/Patient"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Patient_7955f675-880f-48c4-94eb-b573ca1d1fc9"> </a><p class="res-header-id"><b>Generated Narrative: Patient 7955f675-880f-48c4-94eb-b573ca1d1fc9</b></p><a name="7955f675-880f-48c4-94eb-b573ca1d1fc9"> </a><a name="hc7955f675-880f-48c4-94eb-b573ca1d1fc9"> </a><a name="7955f675-880f-48c4-94eb-b573ca1d1fc9-hi-IN"> </a><p style="border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;">Adarsh Agrawal Male, DoB: 1981-01-12 ( Adhaar number: 7225-4829-5255)</p><hr/><table class="grid"><tr><td style="background-color: #f3f5da" title="Ways to contact the Patient">Contact Detail</td><td colspan="3"><a href="tel:+919818512600">+919818512600</a></td></tr></table></div>
</text>
<identifier>
<type>
<coding>
<system
value="https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-identifier-type-code"/>
<code value="ADN"/>
<display value="Adhaar number"/>
</coding>
</type>
<system value="https://uidai.gov.in/"/>
<value value="7225-4829-5255"/>
</identifier>
<name>
<text value="Adarsh Agrawal"/>
</name>
<telecom>
<system value="phone"/>
<value value="+919818512600"/>
<use value="home"/>
</telecom>
<gender value="male"/>
<birthDate value="1981-01-12"/>
</Patient>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:f42fe22c-ed56-458f-b1db-8800e005fb59"/>
<resource>
<Organization>
<id value="f42fe22c-ed56-458f-b1db-8800e005fb59"/>
<meta>
<profile
value="https://nrces.in/ndhm/fhir/r4/StructureDefinition/Organization"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Organization_f42fe22c-ed56-458f-b1db-8800e005fb59"> </a><p class="res-header-id"><b>Generated Narrative: Organization f42fe22c-ed56-458f-b1db-8800e005fb59</b></p><a name="f42fe22c-ed56-458f-b1db-8800e005fb59"> </a><a name="hcf42fe22c-ed56-458f-b1db-8800e005fb59"> </a><a name="f42fe22c-ed56-458f-b1db-8800e005fb59-hi-IN"> </a><p><b>identifier</b>: Registry of Hospitals in Network of Insurance (ROHINI) ID/4567878</p><p><b>type</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/organization-type ins}">Insurance Company</span></p><p><b>name</b>: XYZ Insurance Co. Ltd.</p><p><b>telecom</b>: <a href="tel:+9124326341234">+91 243 2634 1234</a>, <a href="mailto:contact@xyz.org">contact@xyz.org</a></p></div>
</text>
<identifier>
<type>
<coding>
<system
value="https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-identifier-type-code"/>
<code value="ROHINI"/>
<display
value="Registry of Hospitals in Network of Insurance (ROHINI) ID"/>
</coding>
</type>
<system value="https://rohini.iib.gov.in/"/>
<value value="4567878"/>
</identifier>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/organization-type"/>
<code value="ins"/>
<display value="Insurance Company"/>
</coding>
</type>
<name value="XYZ Insurance Co. Ltd."/>
<telecom>
<system value="phone"/>
<value value="+91 243 2634 1234"/>
<use value="work"/>
</telecom>
<telecom>
<system value="email"/>
<value value="contact@xyz.org"/>
<use value="work"/>
</telecom>
</Organization>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:0682cb2a-032b-4e08-80b1-80c866ece6cc"/>
<resource>
<Organization>
<id value="0682cb2a-032b-4e08-80b1-80c866ece6cc"/>
<meta>
<profile
value="https://nrces.in/ndhm/fhir/r4/StructureDefinition/Organization"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Organization_0682cb2a-032b-4e08-80b1-80c866ece6cc"> </a><p class="res-header-id"><b>Generated Narrative: Organization 0682cb2a-032b-4e08-80b1-80c866ece6cc</b></p><a name="0682cb2a-032b-4e08-80b1-80c866ece6cc"> </a><a name="hc0682cb2a-032b-4e08-80b1-80c866ece6cc"> </a><a name="0682cb2a-032b-4e08-80b1-80c866ece6cc-hi-IN"> </a><p><b>identifier</b>: Provider number/45675454</p><p><b>type</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/organization-type prov}">Healthcare Provider</span></p><p><b>name</b>: XYZ Hospital Co. Ltd.</p><p><b>telecom</b>: <a href="tel:+9124326341278">+91 243 2634 1278</a>, <a href="mailto:contact@xyz.org">contact@xyz.org</a></p></div>
</text>
<identifier>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="PRN"/>
<display value="Provider number"/>
</coding>
</type>
<system value="https://facility.ndhm.gov.in"/>
<value value="45675454"/>
</identifier>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/organization-type"/>
<code value="prov"/>
<display value="Healthcare Provider"/>
</coding>
</type>
<name value="XYZ Hospital Co. Ltd."/>
<telecom>
<system value="phone"/>
<value value="+91 243 2634 1278"/>
<use value="work"/>
</telecom>
<telecom>
<system value="email"/>
<value value="contact@xyz.org"/>
<use value="work"/>
</telecom>
</Organization>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:ed3a499d-6de6-416e-884d-87f5c655b781"/>
<resource>
<Practitioner>
<id value="ed3a499d-6de6-416e-884d-87f5c655b781"/>
<meta>
<profile
value="https://nrces.in/ndhm/fhir/r4/StructureDefinition/Practitioner"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Practitioner_ed3a499d-6de6-416e-884d-87f5c655b781"> </a><p class="res-header-id"><b>Generated Narrative: Practitioner ed3a499d-6de6-416e-884d-87f5c655b781</b></p><a name="ed3a499d-6de6-416e-884d-87f5c655b781"> </a><a name="hced3a499d-6de6-416e-884d-87f5c655b781"> </a><a name="ed3a499d-6de6-416e-884d-87f5c655b781-hi-IN"> </a><p><b>identifier</b>: Medical License number/21-1521-3828-3227</p><p><b>name</b>: Dr. Aayush Agrawal</p></div>
</text>
<identifier>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="MD"/>
<display value="Medical License number"/>
</coding>
</type>
<system value="https://doctor.ndhm.gov.in"/>
<value value="21-1521-3828-3227"/>
</identifier>
<name>
<text value="Dr. Aayush Agrawal"/>
</name>
</Practitioner>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:7120c410-1c60-4cfb-87ee-3cab3cbcc84b"/>
<resource>
<Coverage>
<id value="7120c410-1c60-4cfb-87ee-3cab3cbcc84b"/>
<meta>
<profile
value="https://nrces.in/ndhm/fhir/r4/StructureDefinition/Coverage"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Coverage_7120c410-1c60-4cfb-87ee-3cab3cbcc84b"> </a><p class="res-header-id"><b>Generated Narrative: Coverage 7120c410-1c60-4cfb-87ee-3cab3cbcc84b</b></p><a name="7120c410-1c60-4cfb-87ee-3cab3cbcc84b"> </a><a name="hc7120c410-1c60-4cfb-87ee-3cab3cbcc84b"> </a><a name="7120c410-1c60-4cfb-87ee-3cab3cbcc84b-hi-IN"> </a><p><b>identifier</b>: <code>https://xyzinsurance.in/policynumber/</code>/235037120</p><p><b>status</b>: Active</p><p><b>type</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/v3-ActCode HIP}">health insurance plan policy</span></p><p><b>subscriber</b>: <a href="Bundle-ClaimBundle-enhancement-example-01.html#urn-uuid-7955f675-880f-48c4-94eb-b573ca1d1fc9">Patient</a></p><p><b>subscriberId</b>: ABC123456BI007</p><p><b>beneficiary</b>: <a href="Bundle-ClaimBundle-enhancement-example-01.html#urn-uuid-7955f675-880f-48c4-94eb-b573ca1d1fc9">Patient</a></p><p><b>relationship</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/subscriber-relationship self}">Self</span></p><p><b>period</b>: ?? --> 2026-03-17</p><p><b>payor</b>: <a href="Bundle-ClaimBundle-enhancement-example-01.html#urn-uuid-f42fe22c-ed56-458f-b1db-8800e005fb59">Organization</a></p></div>
</text>
<identifier>
<system value="https://xyzinsurance.in/policynumber/"/>
<value value="235037120"/>
</identifier>
<status value="active"/>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<code value="HIP"/>
<display value="health insurance plan policy"/>
</coding>
</type>
<subscriber>
<reference value="urn:uuid:7955f675-880f-48c4-94eb-b573ca1d1fc9"/>
<display value="Patient"/>
</subscriber>
<subscriberId value="ABC123456BI007"/>
<beneficiary>
<reference value="urn:uuid:7955f675-880f-48c4-94eb-b573ca1d1fc9"/>
<display value="Patient"/>
</beneficiary>
<relationship>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/subscriber-relationship"/>
<code value="self"/>
</coding>
</relationship>
<period>
<end value="2026-03-17"/>
</period>
<payor>
<reference value="urn:uuid:f42fe22c-ed56-458f-b1db-8800e005fb59"/>
<display value="Organization"/>
</payor>
</Coverage>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:5790d1d0-7167-4502-a231-15fead40d24a"/>
<resource>
<Claim>
<id value="5790d1d0-7167-4502-a231-15fead40d24a"/>
<meta>
<profile
value="https://nrces.in/ndhm/fhir/r4/StructureDefinition/Claim"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Claim_5790d1d0-7167-4502-a231-15fead40d24a"> </a><p class="res-header-id"><b>Generated Narrative: Claim 5790d1d0-7167-4502-a231-15fead40d24a</b></p><a name="5790d1d0-7167-4502-a231-15fead40d24a"> </a><a name="hc5790d1d0-7167-4502-a231-15fead40d24a"> </a><a name="5790d1d0-7167-4502-a231-15fead40d24a-hi-IN"> </a><p><b>identifier</b>: 7612345</p><p><b>status</b>: Active</p><p><b>type</b>: <span title="Codes:{http://snomed.info/sct 737481003}">Inpatient care management (procedure)</span></p><p><b>use</b>: Preauthorization</p><p><b>patient</b>: <a href="Bundle-ClaimBundle-enhancement-example-01.html#urn-uuid-7955f675-880f-48c4-94eb-b573ca1d1fc9">Patient</a></p><p><b>billablePeriod</b>: 2025-03-07 11:01:00+0500 --> 2025-04-07 11:01:00+0500</p><p><b>created</b>: 2023-12-11 11:01:00+0500</p><p><b>insurer</b>: <a href="Bundle-ClaimBundle-enhancement-example-01.html#urn-uuid-f42fe22c-ed56-458f-b1db-8800e005fb59">Organization</a></p><p><b>provider</b>: <a href="Bundle-ClaimBundle-enhancement-example-01.html#urn-uuid-0682cb2a-032b-4e08-80b1-80c866ece6cc">Organization</a></p><p><b>priority</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/processpriority normal}">Normal</span></p><h3>CareTeams</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Sequence</b></td><td><b>Provider</b></td><td><b>Role</b></td><td><b>Qualification</b></td></tr><tr><td style="display: none">*</td><td>1</td><td><a href="Bundle-ClaimBundle-enhancement-example-01.html#urn-uuid-ed3a499d-6de6-416e-884d-87f5c655b781">Practitioner</a></td><td><span title="Codes:{http://snomed.info/sct 223366009}">Healthcare professional (occupation)</span></td><td><span title="Codes:{http://snomed.info/sct 394658006}">Clinical specialty (qualifier value)</span></td></tr></table><h3>Diagnoses</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Sequence</b></td><td><b>Diagnosis[x]</b></td><td><b>Type</b></td></tr><tr><td style="display: none">*</td><td>1</td><td><span title="Codes:{http://hl7.org/fhir/sid/icd-10 I46.9}">Cardiac arrest, unspecified</span></td><td><span title="Codes:{http://snomed.info/sct 89100005}">Final diagnosis (discharge) (contextual qualifier) (qualifier value)</span></td></tr></table><blockquote><p><b>procedure</b></p><p><b>sequence</b>: 1</p><p><b>procedure</b>: <span title="Codes:{http://snomed.info/sct 77343006}">Angiography</span></p></blockquote><blockquote><p><b>procedure</b></p><p><b>sequence</b>: 2</p><p><b>procedure</b>: <span title="Codes:{http://snomed.info/sct 418285008}">Angioplasty of blood vessel</span></p></blockquote><h3>Insurances</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Sequence</b></td><td><b>Focal</b></td><td><b>Coverage</b></td></tr><tr><td style="display: none">*</td><td>1</td><td>true</td><td><a href="Bundle-ClaimBundle-enhancement-example-01.html#urn-uuid-7120c410-1c60-4cfb-87ee-3cab3cbcc84b">Coverage</a></td></tr></table><blockquote><p><b>item</b></p><p><b>sequence</b>: 1</p><p><b>careTeamSequence</b>: 1</p><p><b>productOrService</b>: <span title="Codes:{http://snomed.info/sct 77343006}">Angiography</span></p><p><b>serviced</b>: 2023-12-09</p><h3>UnitPrices</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style="display: none">*</td><td>10000</td><td>Indian rupee</td></tr></table><h3>Nets</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style="display: none">*</td><td>10000</td><td>Indian rupee</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>sequence</b>: 2</p><p><b>careTeamSequence</b>: 1</p><p><b>productOrService</b>: <span title="Codes:{http://snomed.info/sct 418285008}">Angioplasty of blood vessel</span></p><h3>UnitPrices</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style="display: none">*</td><td>40000</td><td>Indian rupee</td></tr></table><h3>Nets</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style="display: none">*</td><td>40000</td><td>Indian rupee</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>sequence</b>: 3</p><p><b>careTeamSequence</b>: 1</p><p><b>productOrService</b>: <span title="Codes:{http://snomed.info/sct 309904001}">Intensive care unit</span></p><p><b>serviced</b>: 2023-12-11</p><p><b>quantity</b>: 10 day</p><h3>UnitPrices</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style="display: none">*</td><td>2000</td><td>Indian rupee</td></tr></table><h3>Nets</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style="display: none">*</td><td>20000</td><td>Indian rupee</td></tr></table></blockquote><h3>Totals</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style="display: none">*</td><td>70000</td><td>Indian rupee</td></tr></table></div>
</text>
<identifier>
<value value="7612345"/>
</identifier>
<status value="active"/>
<type>
<coding>
<system value="http://snomed.info/sct"/>
<code value="737481003"/>
<display value="Inpatient care management (procedure)"/>
</coding>
</type>
<use value="preauthorization"/>
<patient>
<reference value="urn:uuid:7955f675-880f-48c4-94eb-b573ca1d1fc9"/>
<display value="Patient"/>
</patient>
<billablePeriod>
<start value="2025-03-07T11:01:00+05:00"/>
<end value="2025-04-07T11:01:00+05:00"/>
</billablePeriod>
<created value="2023-12-11T11:01:00+05:00"/>
<insurer>
<reference value="urn:uuid:f42fe22c-ed56-458f-b1db-8800e005fb59"/>
<display value="Organization"/>
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<provider>
<reference value="urn:uuid:0682cb2a-032b-4e08-80b1-80c866ece6cc"/>
<display value="Organization"/>
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<priority>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/processpriority"/>
<code value="normal"/>
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<careTeam>
<sequence value="1"/>
<provider>
<reference value="urn:uuid:ed3a499d-6de6-416e-884d-87f5c655b781"/>
<display value="Practitioner"/>
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<role>
<coding>
<system value="http://snomed.info/sct"/>
<code value="223366009"/>
<display value="Healthcare professional (occupation)"/>
</coding>
</role>
<qualification>
<coding>
<system value="http://snomed.info/sct"/>
<code value="394658006"/>
<display value="Clinical specialty (qualifier value)"/>
</coding>
</qualification>
</careTeam>
<diagnosis>
<sequence value="1"/>
<diagnosisCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/sid/icd-10"/>
<code value="I46.9"/>
<display value="Cardiac arrest, unspecified"/>
</coding>
</diagnosisCodeableConcept>
<type>
<coding>
<system value="http://snomed.info/sct"/>
<code value="89100005"/>
<display
value="Final diagnosis (discharge) (contextual qualifier) (qualifier value)"/>
</coding>
</type>
</diagnosis>
<procedure>
<sequence value="1"/>
<procedureCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="77343006"/>
<display value="Angiography"/>
</coding>
</procedureCodeableConcept>
</procedure>
<procedure>
<sequence value="2"/>
<procedureCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="418285008"/>
<display value="Angioplasty of blood vessel"/>
</coding>
</procedureCodeableConcept>
</procedure>
<insurance>
<sequence value="1"/>
<focal value="true"/>
<coverage>
<reference value="urn:uuid:7120c410-1c60-4cfb-87ee-3cab3cbcc84b"/>
<display value="Coverage"/>
</coverage>
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<item>
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<careTeamSequence value="1"/>
<productOrService>
<coding>
<system value="http://snomed.info/sct"/>
<code value="77343006"/>
<display value="Angiography"/>
</coding>
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<servicedDate value="2023-12-09"/>
<unitPrice>
<value value="10000"/>
<currency value="INR"/>
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<net>
<value value="10000"/>
<currency value="INR"/>
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<item>
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<careTeamSequence value="1"/>
<productOrService>
<coding>
<system value="http://snomed.info/sct"/>
<code value="418285008"/>
<display value="Angioplasty of blood vessel"/>
</coding>
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<unitPrice>
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<currency value="INR"/>
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<net>
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<currency value="INR"/>
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<sequence value="3"/>
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<productOrService>
<coding>
<system value="http://snomed.info/sct"/>
<code value="309904001"/>
<display value="Intensive care unit"/>
</coding>
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<quantity>
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<unit value="day"/>
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<unitPrice>
<value value="2000"/>
<currency value="INR"/>
</unitPrice>
<net>
<value value="20000"/>
<currency value="INR"/>
</net>
</item>
<total>
<value value="70000"/>
<currency value="INR"/>
</total>
</Claim>
</resource>
</entry>
</Bundle>