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="ClaimResponseBundle-predetermination-example-01"/>
<meta>
<profile
value="https://nrces.in/ndhm/fhir/r4/StructureDefinition/ClaimResponseBundle"/>
<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="2025-03-07T15:32:26.605+05:30"/>
<entry>
<fullUrl value="urn:uuid:da33ae8f-7d0c-4729-b909-0fe991bd4c08"/>
<resource>
<ClaimResponse>
<id value="da33ae8f-7d0c-4729-b909-0fe991bd4c08"/>
<meta>
<profile
value="https://nrces.in/ndhm/fhir/r4/StructureDefinition/ClaimResponse"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<status value="active"/>
<type>
<coding>
<system value="http://snomed.info/sct"/>
<code value="737481003"/>
<display value="Inpatient care management (procedure)"/>
</coding>
</type>
<use value="predetermination"/>
<patient>
<reference value="urn:uuid:1761e489-1265-4574-a7ee-14379479c2b4"/>
<display value="Patient"/>
</patient>
<created value="2025-03-07T15:32:26.605+05:30"/>
<insurer>
<reference value="urn:uuid:c3b14300-76b8-461f-a0e3-f8f642535a06"/>
<display value="Organization"/>
</insurer>
<requestor>
<reference value="urn:uuid:3edacfa8-10eb-413c-80b8-a21c2253f0e5"/>
<display value="Organization"/>
</requestor>
<request>
<reference value="urn:uuid:d683b789-b008-449a-8cf4-559effa3285e"/>
</request>
<outcome value="complete"/>
<item>
<itemSequence value="1"/>
<adjudication>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/adjudication"/>
<code value="submitted"/>
<display value="Submitted Amount"/>
</coding>
</category>
<amount>
<value value="10000"/>
<currency value="INR"/>
</amount>
</adjudication>
<adjudication>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/adjudication"/>
<code value="eligpercent"/>
<display value="Eligible %"/>
</coding>
</category>
<reason>
<coding>
<system
value="https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-adjudication-reason"/>
<code value="covered"/>
<display
value="Product or Service requested is covered by the policy."/>
</coding>
</reason>
<amount>
<value value="10000"/>
<currency value="INR"/>
</amount>
</adjudication>
</item>
<item>
<itemSequence value="2"/>
<adjudication>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/adjudication"/>
<code value="submitted"/>
<display value="Submitted Amount"/>
</coding>
</category>
<amount>
<value value="40000"/>
<currency value="INR"/>
</amount>
</adjudication>
<adjudication>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/adjudication"/>
<code value="eligpercent"/>
<display value="Eligible %"/>
</coding>
</category>
<reason>
<coding>
<system
value="https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-adjudication-reason"/>
<code value="covered"/>
<display
value="Product or Service requested is covered by the policy."/>
</coding>
</reason>
<amount>
<value value="40000"/>
<currency value="INR"/>
</amount>
</adjudication>
</item>
<item>
<itemSequence value="3"/>
<adjudication>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/adjudication"/>
<code value="submitted"/>
<display value="Submitted Amount"/>
</coding>
</category>
<amount>
<value value="20000"/>
<currency value="INR"/>
</amount>
</adjudication>
<adjudication>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/adjudication"/>
<code value="eligpercent"/>
<display value="Eligible %"/>
</coding>
</category>
<reason>
<coding>
<system
value="https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-adjudication-reason"/>
<code value="covered"/>
<display
value="Product or Service requested is covered by the policy."/>
</coding>
</reason>
<amount>
<value value="20000"/>
<currency value="INR"/>
</amount>
</adjudication>
</item>
<total>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/adjudication"/>
<code value="submitted"/>
<display value="Submitted Amount"/>
</coding>
</category>
<amount>
<value value="70000"/>
<currency value="INR"/>
</amount>
</total>
<total>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/adjudication"/>
<code value="eligpercent"/>
<display value="Eligible %"/>
</coding>
</category>
<amount>
<value value="70000"/>
<currency value="INR"/>
</amount>
</total>
<insurance>
<sequence value="1"/>
<focal value="true"/>
<coverage>
<reference value="urn:uuid:4f95b4e1-9f61-468b-802a-ece8094370d9"/>
<display value="Coverage"/>
</coverage>
</insurance>
</ClaimResponse>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:d683b789-b008-449a-8cf4-559effa3285e"/>
<resource>
<Claim>
<id value="d683b789-b008-449a-8cf4-559effa3285e"/>
<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_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>
</text>
<identifier>
<value value="7612345"/>
</identifier>
<identifier>
<value value="98765432"/>
</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="predetermination"/>
<patient>
<reference value="urn:uuid:1761e489-1265-4574-a7ee-14379479c2b4"/>
<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="2025-03-07T11:01:00+05:00"/>
<insurer>
<reference value="urn:uuid:c3b14300-76b8-461f-a0e3-f8f642535a06"/>
<display value="Organization"/>
</insurer>
<provider>
<reference value="urn:uuid:3edacfa8-10eb-413c-80b8-a21c2253f0e5"/>
<display value="Organization"/>
</provider>
<priority>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/processpriority"/>
<code value="normal"/>
</coding>
</priority>
<careTeam>
<sequence value="1"/>
<provider>
<reference value="urn:uuid:45abb9dc-8a64-4e82-ab69-6ee110bf4481"/>
<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:4f95b4e1-9f61-468b-802a-ece8094370d9"/>
<display value="Coverage"/>
</coverage>
</insurance>
<item>
<sequence value="1"/>
<careTeamSequence value="1"/>
<productOrService>
<coding>
<system value="http://snomed.info/sct"/>
<code value="77343006"/>
<display value="Angiography"/>
</coding>
</productOrService>
<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="40000"/>
<currency value="INR"/>
</unitPrice>
<net>
<value value="40000"/>
<currency value="INR"/>
</net>
</item>
<item>
<sequence value="3"/>
<careTeamSequence value="1"/>
<productOrService>
<coding>
<system value="http://snomed.info/sct"/>
<code value="309904001"/>
<display value="Intensive care unit"/>
</coding>
</productOrService>
<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>
<entry>
<fullUrl value="urn:uuid:1761e489-1265-4574-a7ee-14379479c2b4"/>
<resource>
<Patient>
<id value="1761e489-1265-4574-a7ee-14379479c2b4"/>
<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_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>
</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:c3b14300-76b8-461f-a0e3-f8f642535a06"/>
<resource>
<Organization>
<id value="c3b14300-76b8-461f-a0e3-f8f642535a06"/>
<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_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>
</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:3edacfa8-10eb-413c-80b8-a21c2253f0e5"/>
<resource>
<Organization>
<id value="3edacfa8-10eb-413c-80b8-a21c2253f0e5"/>
<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_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>
</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:45abb9dc-8a64-4e82-ab69-6ee110bf4481"/>
<resource>
<Practitioner>
<id value="45abb9dc-8a64-4e82-ab69-6ee110bf4481"/>
<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_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>
</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:4f95b4e1-9f61-468b-802a-ece8094370d9"/>
<resource>
<Coverage>
<id value="4f95b4e1-9f61-468b-802a-ece8094370d9"/>
<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_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>
</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:1761e489-1265-4574-a7ee-14379479c2b4"/>
<display value="Patient"/>
</subscriber>
<subscriberId value="ABC123456BI007"/>
<beneficiary>
<reference value="urn:uuid:1761e489-1265-4574-a7ee-14379479c2b4"/>
<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:c3b14300-76b8-461f-a0e3-f8f642535a06"/>
<display value="Organization"/>
</payor>
</Coverage>
</resource>
</entry>
</Bundle>