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 CoverageEligibilityRequestBundle-auth-requirement-example-01
Bundle CoverageEligibilityRequestBundle-auth-requirement-example-01 of type collection
Entry 1 - fullUrl = urn:uuid:a752531b-67ad-4b33-9a8b-e1b9229d1505
Resource CoverageEligibilityRequest:
Generated Narrative: CoverageEligibilityRequest a752531b-67ad-4b33-9a8b-e1b9229d1505
Language: en
Profile: CoverageEligibilityRequest
identifier: 7612345
status: Active
priority: Normal
purpose: Coverage auth-requirements
patient: Patient
created: 2025-03-07 11:01:00+0500
enterer: Practitioner
provider: Organization
insurer: Organization
facility: Location
Insurances
Focal Coverage true Coverage item
productOrService: Consultant
Diagnoses
Diagnosis[x] Type 2 diabetes mellitus : Without complications item
productOrService: Metformin hydrochloride 500 mg prolonged-release oral tablet
Diagnoses
Diagnosis[x] Type 2 diabetes mellitus : Without complications
Entry 2 - fullUrl = urn:uuid:a4dbd17d-35f8-4f36-9dac-f276fa75a4c8
Resource Patient:
Generated Narrative: Patient a4dbd17d-35f8-4f36-9dac-f276fa75a4c8
Adarsh Agrawal Male, DoB: 1981-01-12 ( Adhaar number: 7225-4829-5255)
Contact Detail +919818512600
Entry 3 - fullUrl = urn:uuid:9ee37afe-e35a-4ee8-80b1-7f4786cdd507
Resource Practitioner:
Generated Narrative: Practitioner 9ee37afe-e35a-4ee8-80b1-7f4786cdd507
identifier: Medical License number/21-1521-3828-3227
name: Dr. Aayush Agrawal
Entry 4 - fullUrl = urn:uuid:66ec8a06-3a04-454e-bace-0ad07f70405a
Resource Organization:
Generated Narrative: Organization 66ec8a06-3a04-454e-bace-0ad07f70405a
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 5 - fullUrl = urn:uuid:48d6ee22-e2bf-427e-878a-19b5f264f46a
Resource Organization:
Generated Narrative: Organization 48d6ee22-e2bf-427e-878a-19b5f264f46a
identifier: Provider number/1234567890
type: Healthcare Provider
name: XYZ Hospital Co. Ltd.
contact
telecom: +91 243 2634 1278, contact@xyz.org
Entry 6 - fullUrl = urn:uuid:ea4f766b-b7c1-476a-8f19-095928b65ca5
Resource Location:
Generated Narrative: Location ea4f766b-b7c1-476a-8f19-095928b65ca5
identifier: B1-S.F2
status: Active
name: South Wing, second floor
alias: XYZ Life Hospital Co. Ltd., South Wing, second floor
description:
Second floor of the Old South Wing, formerly in use by Psychiatry
mode: Instance
address: 91, Building A Pune 451855 IND (work)
Positions
Longitude Latitude Altitude -83.6945691 42.25475478 0 managingOrganization: Organization
Entry 7 - fullUrl = urn:uuid:462d36b1-4171-4ebb-871d-94fdb3f7eb11
Resource Coverage:
Generated Narrative: Coverage 462d36b1-4171-4ebb-871d-94fdb3f7eb11
identifier:
https://xyzinsurance.in/policynumber//235037120status: Active
type: health insurance plan policy
subscriber: Patient
subscriberId: ABC123456BI007
beneficiary: Patient
relationship: Self
period: ?? --> 2026-03-17