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
@prefix fhir: <http://hl7.org/fhir/> . @prefix owl: <http://www.w3.org/2002/07/owl#> . @prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> . @prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> . @prefix sct: <http://snomed.info/id/> . @prefix xsd: <http://www.w3.org/2001/XMLSchema#> . # - resource ------------------------------------------------------------------- a fhir:Bundle ; fhir:nodeRole fhir:treeRoot ; fhir:id [ fhir:v "ClaimResponseBundle-predetermination-example-01"] ; # fhir:meta [ ( fhir:profile [ fhir:v "https://nrces.in/ndhm/fhir/r4/StructureDefinition/ClaimResponseBundle"^^xsd:anyURI ; fhir:link <https://nrces.in/ndhm/fhir/r4/StructureDefinition/ClaimResponseBundle> ] ) ; ( fhir:security [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-Confidentiality"^^xsd:anyURI ] ; fhir:code [ fhir:v "V" ] ; fhir:display [ fhir:v "very restricted" ] ] ) ] ; # fhir:identifier [ fhir:value [ fhir:v "bc3c6c57-2053-4d0e-ac40-139ccccff645" ] ] ; # fhir:type [ fhir:v "collection"] ; # fhir:timestamp [ fhir:v "2025-03-07T15:32:26.605+05:30"^^xsd:dateTime] ; # fhir:entry ( [ fhir:fullUrl [ fhir:v "urn:uuid:da33ae8f-7d0c-4729-b909-0fe991bd4c08"^^xsd:anyURI ] ; ( fhir:resource <urn:uuid:da33ae8f-7d0c-4729-b909-0fe991bd4c08> ) ] [ fhir:fullUrl [ fhir:v "urn:uuid:d683b789-b008-449a-8cf4-559effa3285e"^^xsd:anyURI ] ; ( fhir:resource <urn:uuid:d683b789-b008-449a-8cf4-559effa3285e> ) ] [ fhir:fullUrl [ fhir:v "urn:uuid:1761e489-1265-4574-a7ee-14379479c2b4"^^xsd:anyURI ] ; ( fhir:resource <urn:uuid:1761e489-1265-4574-a7ee-14379479c2b4> ) ] [ fhir:fullUrl [ fhir:v "urn:uuid:c3b14300-76b8-461f-a0e3-f8f642535a06"^^xsd:anyURI ] ; ( fhir:resource <urn:uuid:c3b14300-76b8-461f-a0e3-f8f642535a06> ) ] [ fhir:fullUrl [ fhir:v "urn:uuid:3edacfa8-10eb-413c-80b8-a21c2253f0e5"^^xsd:anyURI ] ; ( fhir:resource <urn:uuid:3edacfa8-10eb-413c-80b8-a21c2253f0e5> ) ] [ fhir:fullUrl [ fhir:v "urn:uuid:45abb9dc-8a64-4e82-ab69-6ee110bf4481"^^xsd:anyURI ] ; ( fhir:resource <urn:uuid:45abb9dc-8a64-4e82-ab69-6ee110bf4481> ) ] [ fhir:fullUrl [ fhir:v "urn:uuid:4f95b4e1-9f61-468b-802a-ece8094370d9"^^xsd:anyURI ] ; ( fhir:resource <urn:uuid:4f95b4e1-9f61-468b-802a-ece8094370d9> ) ] ) . # <urn:uuid:da33ae8f-7d0c-4729-b909-0fe991bd4c08> a fhir:ClaimResponse ; fhir:id [ fhir:v "da33ae8f-7d0c-4729-b909-0fe991bd4c08"] ; # fhir:meta [ ( fhir:profile [ fhir:v "https://nrces.in/ndhm/fhir/r4/StructureDefinition/ClaimResponse"^^xsd:anyURI ; fhir:link <https://nrces.in/ndhm/fhir/r4/StructureDefinition/ClaimResponse> ] ) ] ; # fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"ClaimResponse_da33ae8f-7d0c-4729-b909-0fe991bd4c08\"> </a><p class=\"res-header-id\"><b>Generated Narrative: ClaimResponse da33ae8f-7d0c-4729-b909-0fe991bd4c08</b></p><a name=\"da33ae8f-7d0c-4729-b909-0fe991bd4c08\"> </a><a name=\"hcda33ae8f-7d0c-4729-b909-0fe991bd4c08\"> </a><a name=\"da33ae8f-7d0c-4729-b909-0fe991bd4c08-hi-IN\"> </a><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>: Predetermination</p><p><b>patient</b>: <a href=\"Bundle-ClaimResponseBundle-predetermination-example-01.html#urn-uuid-1761e489-1265-4574-a7ee-14379479c2b4\">Patient</a></p><p><b>created</b>: 2025-03-07 15:32:26+0530</p><p><b>insurer</b>: <a href=\"Bundle-ClaimResponseBundle-predetermination-example-01.html#urn-uuid-c3b14300-76b8-461f-a0e3-f8f642535a06\">Organization</a></p><p><b>requestor</b>: <a href=\"Bundle-ClaimResponseBundle-predetermination-example-01.html#urn-uuid-3edacfa8-10eb-413c-80b8-a21c2253f0e5\">Organization</a></p><p><b>request</b>: <a href=\"Bundle-ClaimResponseBundle-predetermination-example-01.html#urn-uuid-d683b789-b008-449a-8cf4-559effa3285e\">Bundle: identifier = bc3c6c57-2053-4d0e-ac40-139ccccff645; type = collection; timestamp = 2025-03-07 15:32:26+0530</a></p><p><b>outcome</b>: Processing Complete</p><blockquote><p><b>item</b></p><p><b>itemSequence</b>: 1</p><blockquote><p><b>adjudication</b></p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/adjudication submitted}\">Submitted Amount</span></p><h3>Amounts</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>adjudication</b></p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/adjudication eligpercent}\">Eligible %</span></p><p><b>reason</b>: <span title=\"Codes:{https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-adjudication-reason covered}\">Product or Service requested is covered by the policy.</span></p><h3>Amounts</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><blockquote><p><b>item</b></p><p><b>itemSequence</b>: 2</p><blockquote><p><b>adjudication</b></p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/adjudication submitted}\">Submitted Amount</span></p><h3>Amounts</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>adjudication</b></p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/adjudication eligpercent}\">Eligible %</span></p><p><b>reason</b>: <span title=\"Codes:{https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-adjudication-reason covered}\">Product or Service requested is covered by the policy.</span></p><h3>Amounts</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><blockquote><p><b>item</b></p><p><b>itemSequence</b>: 3</p><blockquote><p><b>adjudication</b></p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/adjudication submitted}\">Submitted Amount</span></p><h3>Amounts</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><blockquote><p><b>adjudication</b></p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/adjudication eligpercent}\">Eligible %</span></p><p><b>reason</b>: <span title=\"Codes:{https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-adjudication-reason covered}\">Product or Service requested is covered by the policy.</span></p><h3>Amounts</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></blockquote><blockquote><p><b>total</b></p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/adjudication submitted}\">Submitted Amount</span></p><h3>Amounts</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></blockquote><blockquote><p><b>total</b></p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/adjudication eligpercent}\">Eligible %</span></p><h3>Amounts</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></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-ClaimResponseBundle-predetermination-example-01.html#urn-uuid-4f95b4e1-9f61-468b-802a-ece8094370d9\">Coverage</a></td></tr></table></div>"^^rdf:XMLLiteral ] ; # fhir:status [ fhir:v "active"] ; # fhir:type [ ( fhir:coding [ a sct:737481003 ; fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ; fhir:code [ fhir:v "737481003" ] ; fhir:display [ fhir:v "Inpatient care management (procedure)" ] ] ) ] ; # fhir:use [ fhir:v "predetermination"] ; # fhir:patient [ fhir:reference [ fhir:v "urn:uuid:1761e489-1265-4574-a7ee-14379479c2b4" ] ; fhir:display [ fhir:v "Patient" ] ] ; # fhir:created [ fhir:v "2025-03-07T15:32:26.605+05:30"^^xsd:dateTime] ; # fhir:insurer [ fhir:reference [ fhir:v "urn:uuid:c3b14300-76b8-461f-a0e3-f8f642535a06" ] ; fhir:display [ fhir:v "Organization" ] ] ; # fhir:requestor [ fhir:reference [ fhir:v "urn:uuid:3edacfa8-10eb-413c-80b8-a21c2253f0e5" ] ; fhir:display [ fhir:v "Organization" ] ] ; # fhir:request [ fhir:reference [ fhir:v "urn:uuid:d683b789-b008-449a-8cf4-559effa3285e" ] ] ; # fhir:outcome [ fhir:v "complete"] ; # fhir:item ( [ fhir:itemSequence [ fhir:v "1"^^xsd:positiveInteger ] ; ( fhir:adjudication [ fhir:category [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/adjudication"^^xsd:anyURI ] ; fhir:code [ fhir:v "submitted" ] ; fhir:display [ fhir:v "Submitted Amount" ] ] ) ] ; fhir:amount [ fhir:value [ fhir:v "10000"^^xsd:decimal ] ; fhir:currency [ fhir:v "INR" ] ] ] [ fhir:category [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/adjudication"^^xsd:anyURI ] ; fhir:code [ fhir:v "eligpercent" ] ; fhir:display [ fhir:v "Eligible %" ] ] ) ] ; fhir:reason [ ( fhir:coding [ fhir:system [ fhir:v "https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-adjudication-reason"^^xsd:anyURI ] ; fhir:code [ fhir:v "covered" ] ; fhir:display [ fhir:v "Product or Service requested is covered by the policy." ] ] ) ] ; fhir:amount [ fhir:value [ fhir:v "10000"^^xsd:decimal ] ; fhir:currency [ fhir:v "INR" ] ] ] ) ] [ fhir:itemSequence [ fhir:v "2"^^xsd:positiveInteger ] ; ( fhir:adjudication [ fhir:category [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/adjudication"^^xsd:anyURI ] ; fhir:code [ fhir:v "submitted" ] ; fhir:display [ fhir:v "Submitted Amount" ] ] ) ] ; fhir:amount [ fhir:value [ fhir:v "40000"^^xsd:decimal ] ; fhir:currency [ fhir:v "INR" ] ] ] [ fhir:category [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/adjudication"^^xsd:anyURI ] ; fhir:code [ fhir:v "eligpercent" ] ; fhir:display [ fhir:v "Eligible %" ] ] ) ] ; fhir:reason [ ( fhir:coding [ fhir:system [ fhir:v "https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-adjudication-reason"^^xsd:anyURI ] ; fhir:code [ fhir:v "covered" ] ; fhir:display [ fhir:v "Product or Service requested is covered by the policy." ] ] ) ] ; fhir:amount [ fhir:value [ fhir:v "40000"^^xsd:decimal ] ; fhir:currency [ fhir:v "INR" ] ] ] ) ] [ fhir:itemSequence [ fhir:v "3"^^xsd:positiveInteger ] ; ( fhir:adjudication [ fhir:category [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/adjudication"^^xsd:anyURI ] ; fhir:code [ fhir:v "submitted" ] ; fhir:display [ fhir:v "Submitted Amount" ] ] ) ] ; fhir:amount [ fhir:value [ fhir:v "20000"^^xsd:decimal ] ; fhir:currency [ fhir:v "INR" ] ] ] [ fhir:category [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/adjudication"^^xsd:anyURI ] ; fhir:code [ fhir:v "eligpercent" ] ; fhir:display [ fhir:v "Eligible %" ] ] ) ] ; fhir:reason [ ( fhir:coding [ fhir:system [ fhir:v "https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-adjudication-reason"^^xsd:anyURI ] ; fhir:code [ fhir:v "covered" ] ; fhir:display [ fhir:v "Product or Service requested is covered by the policy." ] ] ) ] ; fhir:amount [ fhir:value [ fhir:v "20000"^^xsd:decimal ] ; fhir:currency [ fhir:v "INR" ] ] ] ) ] ) ; # fhir:total ( [ fhir:category [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/adjudication"^^xsd:anyURI ] ; fhir:code [ fhir:v "submitted" ] ; fhir:display [ fhir:v "Submitted Amount" ] ] ) ] ; fhir:amount [ fhir:value [ fhir:v "70000"^^xsd:decimal ] ; fhir:currency [ fhir:v "INR" ] ] ] [ fhir:category [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/adjudication"^^xsd:anyURI ] ; fhir:code [ fhir:v "eligpercent" ] ; fhir:display [ fhir:v "Eligible %" ] ] ) ] ; fhir:amount [ fhir:value [ fhir:v "70000"^^xsd:decimal ] ; fhir:currency [ fhir:v "INR" ] ] ] ) ; # fhir:insurance ( [ fhir:sequence [ fhir:v "1"^^xsd:positiveInteger ] ; fhir:focal [ fhir:v "true"^^xsd:boolean ] ; fhir:coverage [ fhir:reference [ fhir:v "urn:uuid:4f95b4e1-9f61-468b-802a-ece8094370d9" ] ; fhir:display [ fhir:v "Coverage" ] ] ] ) . # <urn:uuid:d683b789-b008-449a-8cf4-559effa3285e> a fhir:Claim ; fhir:id [ fhir:v "d683b789-b008-449a-8cf4-559effa3285e"] ; # fhir:meta [ ( fhir:profile [ fhir:v "https://nrces.in/ndhm/fhir/r4/StructureDefinition/Claim"^^xsd:anyURI ; fhir:link <https://nrces.in/ndhm/fhir/r4/StructureDefinition/Claim> ] ) ] ; # fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Claim_d683b789-b008-449a-8cf4-559effa3285e\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Claim d683b789-b008-449a-8cf4-559effa3285e</b></p><a name=\"d683b789-b008-449a-8cf4-559effa3285e\"> </a><a name=\"hcd683b789-b008-449a-8cf4-559effa3285e\"> </a><a name=\"d683b789-b008-449a-8cf4-559effa3285e-hi-IN\"> </a><p><b>identifier</b>: 7612345, 98765432</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>: Predetermination</p><p><b>patient</b>: <a href=\"Bundle-ClaimResponseBundle-predetermination-example-01.html#urn-uuid-1761e489-1265-4574-a7ee-14379479c2b4\">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>: 2025-03-07 11:01:00+0500</p><p><b>insurer</b>: <a href=\"Bundle-ClaimResponseBundle-predetermination-example-01.html#urn-uuid-c3b14300-76b8-461f-a0e3-f8f642535a06\">Organization</a></p><p><b>provider</b>: <a href=\"Bundle-ClaimResponseBundle-predetermination-example-01.html#urn-uuid-3edacfa8-10eb-413c-80b8-a21c2253f0e5\">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-ClaimResponseBundle-predetermination-example-01.html#urn-uuid-45abb9dc-8a64-4e82-ab69-6ee110bf4481\">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-ClaimResponseBundle-predetermination-example-01.html#urn-uuid-4f95b4e1-9f61-468b-802a-ece8094370d9\">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><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><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>"^^rdf:XMLLiteral ] ; # fhir:identifier ( [ fhir:value [ fhir:v "7612345" ] ] [ fhir:value [ fhir:v "98765432" ] ] ) ; # fhir:status [ fhir:v "active"] ; # fhir:type [ ( fhir:coding [ a sct:737481003 ; fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ; fhir:code [ fhir:v "737481003" ] ; fhir:display [ fhir:v "Inpatient care management (procedure)" ] ] ) ] ; # fhir:use [ fhir:v "predetermination"] ; # fhir:patient [ fhir:reference [ fhir:v "urn:uuid:1761e489-1265-4574-a7ee-14379479c2b4" ] ; fhir:display [ fhir:v "Patient" ] ] ; # fhir:billablePeriod [ fhir:start [ fhir:v "2025-03-07T11:01:00+05:00"^^xsd:dateTime ] ; fhir:end [ fhir:v "2025-04-07T11:01:00+05:00"^^xsd:dateTime ] ] ; # fhir:created [ fhir:v "2025-03-07T11:01:00+05:00"^^xsd:dateTime] ; # fhir:insurer [ fhir:reference [ fhir:v "urn:uuid:c3b14300-76b8-461f-a0e3-f8f642535a06" ] ; fhir:display [ fhir:v "Organization" ] ] ; # fhir:provider [ fhir:reference [ fhir:v "urn:uuid:3edacfa8-10eb-413c-80b8-a21c2253f0e5" ] ; fhir:display [ fhir:v "Organization" ] ] ; # fhir:priority [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/processpriority"^^xsd:anyURI ] ; fhir:code [ fhir:v "normal" ] ] ) ] ; # fhir:careTeam ( [ fhir:sequence [ fhir:v "1"^^xsd:positiveInteger ] ; fhir:provider [ fhir:reference [ fhir:v "urn:uuid:45abb9dc-8a64-4e82-ab69-6ee110bf4481" ] ; fhir:display [ fhir:v "Practitioner" ] ] ; fhir:role [ ( fhir:coding [ a sct:223366009 ; fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ; fhir:code [ fhir:v "223366009" ] ; fhir:display [ fhir:v "Healthcare professional (occupation)" ] ] ) ] ; fhir:qualification [ ( fhir:coding [ a sct:394658006 ; fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ; fhir:code [ fhir:v "394658006" ] ; fhir:display [ fhir:v "Clinical specialty (qualifier value)" ] ] ) ] ] ) ; # fhir:diagnosis ( [ fhir:sequence [ fhir:v "1"^^xsd:positiveInteger ] ; fhir:diagnosis [ a fhir:CodeableConcept ; ( fhir:coding [ fhir:system [ fhir:v "http://hl7.org/fhir/sid/icd-10"^^xsd:anyURI ] ; fhir:code [ fhir:v "I46.9" ] ; fhir:display [ fhir:v "Cardiac arrest, unspecified" ] ] ) ] ; ( fhir:type [ ( fhir:coding [ a sct:89100005 ; fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ; fhir:code [ fhir:v "89100005" ] ; fhir:display [ fhir:v "Final diagnosis (discharge) (contextual qualifier) (qualifier value)" ] ] ) ] ) ] ) ; # fhir:procedure ( [ fhir:sequence [ fhir:v "1"^^xsd:positiveInteger ] ; fhir:procedure [ a fhir:CodeableConcept ; ( fhir:coding [ a sct:77343006 ; fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ; fhir:code [ fhir:v "77343006" ] ; fhir:display [ fhir:v "Angiography" ] ] ) ] ] [ fhir:sequence [ fhir:v "2"^^xsd:positiveInteger ] ; fhir:procedure [ a fhir:CodeableConcept ; ( fhir:coding [ a sct:418285008 ; fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ; fhir:code [ fhir:v "418285008" ] ; fhir:display [ fhir:v "Angioplasty of blood vessel" ] ] ) ] ] ) ; # fhir:insurance ( [ fhir:sequence [ fhir:v "1"^^xsd:positiveInteger ] ; fhir:focal [ fhir:v "true"^^xsd:boolean ] ; fhir:coverage [ fhir:reference [ fhir:v "urn:uuid:4f95b4e1-9f61-468b-802a-ece8094370d9" ] ; fhir:display [ fhir:v "Coverage" ] ] ] ) ; # fhir:item ( [ fhir:sequence [ fhir:v "1"^^xsd:positiveInteger ] ; ( fhir:careTeamSequence [ fhir:v "1"^^xsd:positiveInteger ] ) ; fhir:productOrService [ ( fhir:coding [ a sct:77343006 ; fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ; fhir:code [ fhir:v "77343006" ] ; fhir:display [ fhir:v "Angiography" ] ] ) ] ; fhir:unitPrice [ fhir:value [ fhir:v "10000"^^xsd:decimal ] ; fhir:currency [ fhir:v "INR" ] ] ; fhir:net [ fhir:value [ fhir:v "10000"^^xsd:decimal ] ; fhir:currency [ fhir:v "INR" ] ] ] [ fhir:sequence [ fhir:v "2"^^xsd:positiveInteger ] ; ( fhir:careTeamSequence [ fhir:v "1"^^xsd:positiveInteger ] ) ; fhir:productOrService [ ( fhir:coding [ a sct:418285008 ; fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ; fhir:code [ fhir:v "418285008" ] ; fhir:display [ fhir:v "Angioplasty of blood vessel" ] ] ) ] ; fhir:unitPrice [ fhir:value [ fhir:v "40000"^^xsd:decimal ] ; fhir:currency [ fhir:v "INR" ] ] ; fhir:net [ fhir:value [ fhir:v "40000"^^xsd:decimal ] ; fhir:currency [ fhir:v "INR" ] ] ] [ fhir:sequence [ fhir:v "3"^^xsd:positiveInteger ] ; ( fhir:careTeamSequence [ fhir:v "1"^^xsd:positiveInteger ] ) ; fhir:productOrService [ ( fhir:coding [ a sct:309904001 ; fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ; fhir:code [ fhir:v "309904001" ] ; fhir:display [ fhir:v "Intensive care unit" ] ] ) ] ; fhir:unitPrice [ fhir:value [ fhir:v "2000"^^xsd:decimal ] ; fhir:currency [ fhir:v "INR" ] ] ; fhir:net [ fhir:value [ fhir:v "20000"^^xsd:decimal ] ; fhir:currency [ fhir:v "INR" ] ] ] ) ; # fhir:total [ fhir:value [ fhir:v "70000"^^xsd:decimal ] ; fhir:currency [ fhir:v "INR" ] ] . # <urn:uuid:1761e489-1265-4574-a7ee-14379479c2b4> a fhir:Patient ; fhir:id [ fhir:v "1761e489-1265-4574-a7ee-14379479c2b4"] ; # fhir:meta [ ( fhir:profile [ fhir:v "https://nrces.in/ndhm/fhir/r4/StructureDefinition/Patient"^^xsd:anyURI ; fhir:link <https://nrces.in/ndhm/fhir/r4/StructureDefinition/Patient> ] ) ] ; # fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_1761e489-1265-4574-a7ee-14379479c2b4\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient 1761e489-1265-4574-a7ee-14379479c2b4</b></p><a name=\"1761e489-1265-4574-a7ee-14379479c2b4\"> </a><a name=\"hc1761e489-1265-4574-a7ee-14379479c2b4\"> </a><a name=\"1761e489-1265-4574-a7ee-14379479c2b4-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>"^^rdf:XMLLiteral ] ; # fhir:identifier ( [ fhir:type [ ( fhir:coding [ fhir:system [ fhir:v "https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-identifier-type-code"^^xsd:anyURI ] ; fhir:code [ fhir:v "ADN" ] ; fhir:display [ fhir:v "Adhaar number" ] ] ) ] ; fhir:system [ fhir:v "https://uidai.gov.in/"^^xsd:anyURI ] ; fhir:value [ fhir:v "7225-4829-5255" ] ] ) ; # fhir:name ( [ fhir:text [ fhir:v "Adarsh Agrawal" ] ] ) ; # fhir:telecom ( [ fhir:system [ fhir:v "phone" ] ; fhir:value [ fhir:v "+919818512600" ] ; fhir:use [ fhir:v "home" ] ] ) ; # fhir:gender [ fhir:v "male"] ; # fhir:birthDate [ fhir:v "1981-01-12"^^xsd:date] . # <urn:uuid:c3b14300-76b8-461f-a0e3-f8f642535a06> a fhir:Organization ; fhir:id [ fhir:v "c3b14300-76b8-461f-a0e3-f8f642535a06"] ; # fhir:meta [ ( fhir:profile [ fhir:v "https://nrces.in/ndhm/fhir/r4/StructureDefinition/Organization"^^xsd:anyURI ; fhir:link <https://nrces.in/ndhm/fhir/r4/StructureDefinition/Organization> ] ) ] ; # fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Organization_c3b14300-76b8-461f-a0e3-f8f642535a06\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Organization c3b14300-76b8-461f-a0e3-f8f642535a06</b></p><a name=\"c3b14300-76b8-461f-a0e3-f8f642535a06\"> </a><a name=\"hcc3b14300-76b8-461f-a0e3-f8f642535a06\"> </a><a name=\"c3b14300-76b8-461f-a0e3-f8f642535a06-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>"^^rdf:XMLLiteral ] ; # fhir:identifier ( [ fhir:type [ ( fhir:coding [ fhir:system [ fhir:v "https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-identifier-type-code"^^xsd:anyURI ] ; fhir:code [ fhir:v "ROHINI" ] ; fhir:display [ fhir:v "Registry of Hospitals in Network of Insurance (ROHINI) ID" ] ] ) ] ; fhir:system [ fhir:v "https://rohini.iib.gov.in/"^^xsd:anyURI ] ; fhir:value [ fhir:v "4567878" ] ] ) ; # fhir:type ( [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/organization-type"^^xsd:anyURI ] ; fhir:code [ fhir:v "ins" ] ; fhir:display [ fhir:v "Insurance Company" ] ] ) ] ) ; # fhir:name [ fhir:v "XYZ Insurance Co. Ltd."] ; # fhir:telecom ( [ fhir:system [ fhir:v "phone" ] ; fhir:value [ fhir:v "+91 243 2634 1234" ] ; fhir:use [ fhir:v "work" ] ] [ fhir:system [ fhir:v "email" ] ; fhir:value [ fhir:v "contact@xyz.org" ] ; fhir:use [ fhir:v "work" ] ] ) . # <urn:uuid:3edacfa8-10eb-413c-80b8-a21c2253f0e5> a fhir:Organization ; fhir:id [ fhir:v "3edacfa8-10eb-413c-80b8-a21c2253f0e5"] ; # fhir:meta [ ( fhir:profile [ fhir:v "https://nrces.in/ndhm/fhir/r4/StructureDefinition/Organization"^^xsd:anyURI ; fhir:link <https://nrces.in/ndhm/fhir/r4/StructureDefinition/Organization> ] ) ] ; # fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Organization_3edacfa8-10eb-413c-80b8-a21c2253f0e5\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Organization 3edacfa8-10eb-413c-80b8-a21c2253f0e5</b></p><a name=\"3edacfa8-10eb-413c-80b8-a21c2253f0e5\"> </a><a name=\"hc3edacfa8-10eb-413c-80b8-a21c2253f0e5\"> </a><a name=\"3edacfa8-10eb-413c-80b8-a21c2253f0e5-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>"^^rdf:XMLLiteral ] ; # fhir:identifier ( [ fhir:type [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ] ; fhir:code [ fhir:v "PRN" ] ; fhir:display [ fhir:v "Provider number" ] ] ) ] ; fhir:system [ fhir:v "https://facility.ndhm.gov.in"^^xsd:anyURI ] ; fhir:value [ fhir:v "45675454" ] ] ) ; # fhir:type ( [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/organization-type"^^xsd:anyURI ] ; fhir:code [ fhir:v "prov" ] ; fhir:display [ fhir:v "Healthcare Provider" ] ] ) ] ) ; # fhir:name [ fhir:v "XYZ Hospital Co. Ltd."] ; # fhir:telecom ( [ fhir:system [ fhir:v "phone" ] ; fhir:value [ fhir:v "+91 243 2634 1278" ] ; fhir:use [ fhir:v "work" ] ] [ fhir:system [ fhir:v "email" ] ; fhir:value [ fhir:v "contact@xyz.org" ] ; fhir:use [ fhir:v "work" ] ] ) . # <urn:uuid:45abb9dc-8a64-4e82-ab69-6ee110bf4481> a fhir:Practitioner ; fhir:id [ fhir:v "45abb9dc-8a64-4e82-ab69-6ee110bf4481"] ; # fhir:meta [ ( fhir:profile [ fhir:v "https://nrces.in/ndhm/fhir/r4/StructureDefinition/Practitioner"^^xsd:anyURI ; fhir:link <https://nrces.in/ndhm/fhir/r4/StructureDefinition/Practitioner> ] ) ] ; # fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Practitioner_45abb9dc-8a64-4e82-ab69-6ee110bf4481\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Practitioner 45abb9dc-8a64-4e82-ab69-6ee110bf4481</b></p><a name=\"45abb9dc-8a64-4e82-ab69-6ee110bf4481\"> </a><a name=\"hc45abb9dc-8a64-4e82-ab69-6ee110bf4481\"> </a><a name=\"45abb9dc-8a64-4e82-ab69-6ee110bf4481-hi-IN\"> </a><p><b>identifier</b>: Medical License number/21-1521-3828-3227</p><p><b>name</b>: Dr. Aayush Agrawal</p></div>"^^rdf:XMLLiteral ] ; # fhir:identifier ( [ fhir:type [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ] ; fhir:code [ fhir:v "MD" ] ; fhir:display [ fhir:v "Medical License number" ] ] ) ] ; fhir:system [ fhir:v "https://doctor.ndhm.gov.in"^^xsd:anyURI ] ; fhir:value [ fhir:v "21-1521-3828-3227" ] ] ) ; # fhir:name ( [ fhir:text [ fhir:v "Dr. Aayush Agrawal" ] ] ) . # <urn:uuid:4f95b4e1-9f61-468b-802a-ece8094370d9> a fhir:Coverage ; fhir:id [ fhir:v "4f95b4e1-9f61-468b-802a-ece8094370d9"] ; # fhir:meta [ ( fhir:profile [ fhir:v "https://nrces.in/ndhm/fhir/r4/StructureDefinition/Coverage"^^xsd:anyURI ; fhir:link <https://nrces.in/ndhm/fhir/r4/StructureDefinition/Coverage> ] ) ] ; # fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Coverage_4f95b4e1-9f61-468b-802a-ece8094370d9\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Coverage 4f95b4e1-9f61-468b-802a-ece8094370d9</b></p><a name=\"4f95b4e1-9f61-468b-802a-ece8094370d9\"> </a><a name=\"hc4f95b4e1-9f61-468b-802a-ece8094370d9\"> </a><a name=\"4f95b4e1-9f61-468b-802a-ece8094370d9-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-ClaimResponseBundle-predetermination-example-01.html#urn-uuid-1761e489-1265-4574-a7ee-14379479c2b4\">Patient</a></p><p><b>subscriberId</b>: ABC123456BI007</p><p><b>beneficiary</b>: <a href=\"Bundle-ClaimResponseBundle-predetermination-example-01.html#urn-uuid-1761e489-1265-4574-a7ee-14379479c2b4\">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-ClaimResponseBundle-predetermination-example-01.html#urn-uuid-c3b14300-76b8-461f-a0e3-f8f642535a06\">Organization</a></p></div>"^^rdf:XMLLiteral ] ; # fhir:identifier ( [ fhir:system [ fhir:v "https://xyzinsurance.in/policynumber/"^^xsd:anyURI ] ; fhir:value [ fhir:v "235037120" ] ] ) ; # fhir:status [ fhir:v "active"] ; # fhir:type [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ActCode"^^xsd:anyURI ] ; fhir:code [ fhir:v "HIP" ] ; fhir:display [ fhir:v "health insurance plan policy" ] ] ) ] ; # fhir:subscriber [ fhir:reference [ fhir:v "urn:uuid:1761e489-1265-4574-a7ee-14379479c2b4" ] ; fhir:display [ fhir:v "Patient" ] ] ; # fhir:subscriberId [ fhir:v "ABC123456BI007"] ; # fhir:beneficiary [ fhir:reference [ fhir:v "urn:uuid:1761e489-1265-4574-a7ee-14379479c2b4" ] ; fhir:display [ fhir:v "Patient" ] ] ; # fhir:relationship [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/subscriber-relationship"^^xsd:anyURI ] ; fhir:code [ fhir:v "self" ] ] ) ] ; # fhir:period [ fhir:end [ fhir:v "2026-03-17"^^xsd:date ] ] ; # fhir:payor ( [ fhir:reference [ fhir:v "urn:uuid:c3b14300-76b8-461f-a0e3-f8f642535a06" ] ; fhir:display [ fhir:v "Organization" ] ] ) . #
IG © 2024+ National Resource Center for EHR Standards. Package ndhm.in#6.5.0 based on FHIR 4.0.1. Generated 2025-05-08
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