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 "CoverageEligibilityRequestBundle-auth-requirement-example-01"] ; # fhir:meta [ ( fhir:profile [ fhir:v "https://nrces.in/ndhm/fhir/r4/StructureDefinition/CoverageEligibilityRequestBundle"^^xsd:anyURI ; fhir:link <https://nrces.in/ndhm/fhir/r4/StructureDefinition/CoverageEligibilityRequestBundle> ] ) ] ; # 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:a752531b-67ad-4b33-9a8b-e1b9229d1505"^^xsd:anyURI ] ; ( fhir:resource <urn:uuid:a752531b-67ad-4b33-9a8b-e1b9229d1505> ) ] [ fhir:fullUrl [ fhir:v "urn:uuid:a4dbd17d-35f8-4f36-9dac-f276fa75a4c8"^^xsd:anyURI ] ; ( fhir:resource <urn:uuid:a4dbd17d-35f8-4f36-9dac-f276fa75a4c8> ) ] [ fhir:fullUrl [ fhir:v "urn:uuid:9ee37afe-e35a-4ee8-80b1-7f4786cdd507"^^xsd:anyURI ] ; ( fhir:resource <urn:uuid:9ee37afe-e35a-4ee8-80b1-7f4786cdd507> ) ] [ fhir:fullUrl [ fhir:v "urn:uuid:66ec8a06-3a04-454e-bace-0ad07f70405a"^^xsd:anyURI ] ; ( fhir:resource <urn:uuid:66ec8a06-3a04-454e-bace-0ad07f70405a> ) ] [ fhir:fullUrl [ fhir:v "urn:uuid:48d6ee22-e2bf-427e-878a-19b5f264f46a"^^xsd:anyURI ] ; ( fhir:resource <urn:uuid:48d6ee22-e2bf-427e-878a-19b5f264f46a> ) ] [ fhir:fullUrl [ fhir:v "urn:uuid:ea4f766b-b7c1-476a-8f19-095928b65ca5"^^xsd:anyURI ] ; ( fhir:resource <urn:uuid:ea4f766b-b7c1-476a-8f19-095928b65ca5> ) ] [ fhir:fullUrl [ fhir:v "urn:uuid:462d36b1-4171-4ebb-871d-94fdb3f7eb11"^^xsd:anyURI ] ; ( fhir:resource <urn:uuid:462d36b1-4171-4ebb-871d-94fdb3f7eb11> ) ] ) . # <urn:uuid:a752531b-67ad-4b33-9a8b-e1b9229d1505> a fhir:CoverageEligibilityRequest ; fhir:id [ fhir:v "a752531b-67ad-4b33-9a8b-e1b9229d1505"] ; # fhir:meta [ ( fhir:profile [ fhir:v "https://nrces.in/ndhm/fhir/r4/StructureDefinition/CoverageEligibilityRequest"^^xsd:anyURI ; fhir:link <https://nrces.in/ndhm/fhir/r4/StructureDefinition/CoverageEligibilityRequest> ] ) ] ; # fhir:language [ fhir:v "en"] ; # fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"en\" lang=\"en\"><a name=\"CoverageEligibilityRequest_a752531b-67ad-4b33-9a8b-e1b9229d1505\"> </a><p class=\"res-header-id\"><b>Generated Narrative: CoverageEligibilityRequest a752531b-67ad-4b33-9a8b-e1b9229d1505</b></p><a name=\"a752531b-67ad-4b33-9a8b-e1b9229d1505\"> </a><a name=\"hca752531b-67ad-4b33-9a8b-e1b9229d1505\"> </a><a name=\"a752531b-67ad-4b33-9a8b-e1b9229d1505-hi-IN\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Language: en</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-CoverageEligibilityRequest.html\">CoverageEligibilityRequest</a></p></div><p><b>identifier</b>: 7612345</p><p><b>status</b>: Active</p><p><b>priority</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/processpriority normal}\">Normal</span></p><p><b>purpose</b>: Coverage auth-requirements</p><p><b>patient</b>: <a href=\"Bundle-CoverageEligibilityRequestBundle-auth-requirement-example-01.html#urn-uuid-a4dbd17d-35f8-4f36-9dac-f276fa75a4c8\">Patient</a></p><p><b>created</b>: 2025-03-07 11:01:00+0500</p><p><b>enterer</b>: <a href=\"Bundle-CoverageEligibilityRequestBundle-auth-requirement-example-01.html#urn-uuid-9ee37afe-e35a-4ee8-80b1-7f4786cdd507\">Practitioner</a></p><p><b>provider</b>: <a href=\"Bundle-CoverageEligibilityRequestBundle-auth-requirement-example-01.html#urn-uuid-48d6ee22-e2bf-427e-878a-19b5f264f46a\">Organization</a></p><p><b>insurer</b>: <a href=\"Bundle-CoverageEligibilityRequestBundle-auth-requirement-example-01.html#urn-uuid-66ec8a06-3a04-454e-bace-0ad07f70405a\">Organization</a></p><p><b>facility</b>: <a href=\"Bundle-CoverageEligibilityRequestBundle-auth-requirement-example-01.html#urn-uuid-ea4f766b-b7c1-476a-8f19-095928b65ca5\">Location</a></p><h3>Insurances</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Focal</b></td><td><b>Coverage</b></td></tr><tr><td style=\"display: none\">*</td><td>true</td><td><a href=\"Bundle-CoverageEligibilityRequestBundle-auth-requirement-example-01.html#urn-uuid-462d36b1-4171-4ebb-871d-94fdb3f7eb11\">Coverage</a></td></tr></table><blockquote><p><b>item</b></p><p><b>productOrService</b>: <span title=\"Codes:{http://snomed.info/sct 768839008}\">Consultant</span></p><h3>Diagnoses</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Diagnosis[x]</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://hl7.org/fhir/sid/icd-10 E11.9}\">Type 2 diabetes mellitus : Without complications</span></td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>productOrService</b>: <span title=\"Codes:{http://snomed.info/sct 765507008}\">Metformin hydrochloride 500 mg prolonged-release oral tablet</span></p><h3>Diagnoses</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Diagnosis[x]</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://hl7.org/fhir/sid/icd-10 E11.9}\">Type 2 diabetes mellitus : Without complications</span></td></tr></table></blockquote></div>"^^rdf:XMLLiteral ] ; # fhir:identifier ( [ fhir:value [ fhir:v "7612345" ] ] ) ; # fhir:status [ fhir:v "active"] ; # fhir:priority [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/processpriority"^^xsd:anyURI ] ; fhir:code [ fhir:v "normal" ] ; fhir:display [ fhir:v "Normal" ] ] ) ] ; # fhir:purpose ( [ fhir:v "auth-requirements"] ) ; # fhir:patient [ fhir:reference [ fhir:v "urn:uuid:a4dbd17d-35f8-4f36-9dac-f276fa75a4c8" ] ; fhir:display [ fhir:v "Patient" ] ] ; # fhir:created [ fhir:v "2025-03-07T11:01:00+05:00"^^xsd:dateTime] ; # fhir:enterer [ fhir:reference [ fhir:v "urn:uuid:9ee37afe-e35a-4ee8-80b1-7f4786cdd507" ] ; fhir:display [ fhir:v "Practitioner" ] ] ; # fhir:provider [ fhir:reference [ fhir:v "urn:uuid:48d6ee22-e2bf-427e-878a-19b5f264f46a" ] ; fhir:display [ fhir:v "Organization" ] ] ; # fhir:insurer [ fhir:reference [ fhir:v "urn:uuid:66ec8a06-3a04-454e-bace-0ad07f70405a" ] ; fhir:display [ fhir:v "Organization" ] ] ; # fhir:facility [ fhir:reference [ fhir:v "urn:uuid:ea4f766b-b7c1-476a-8f19-095928b65ca5" ] ; fhir:display [ fhir:v "Location" ] ] ; # fhir:insurance ( [ fhir:focal [ fhir:v "true"^^xsd:boolean ] ; fhir:coverage [ fhir:reference [ fhir:v "urn:uuid:462d36b1-4171-4ebb-871d-94fdb3f7eb11" ] ; fhir:display [ fhir:v "Coverage" ] ] ] ) ; # fhir:item ( [ fhir:productOrService [ ( fhir:coding [ a sct:768839008 ; fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ; fhir:code [ fhir:v "768839008" ] ; fhir:display [ fhir:v "Consultant" ] ] ) ] ; ( fhir:diagnosis [ fhir:diagnosis [ a fhir:CodeableConcept ; ( fhir:coding [ fhir:system [ fhir:v "http://hl7.org/fhir/sid/icd-10"^^xsd:anyURI ] ; fhir:code [ fhir:v "E11.9" ] ; fhir:display [ fhir:v "Type 2 diabetes mellitus : Without complications" ] ] ) ] ] ) ] [ fhir:productOrService [ ( fhir:coding [ a sct:765507008 ; fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ; fhir:code [ fhir:v "765507008" ] ; fhir:display [ fhir:v "Metformin hydrochloride 500 mg prolonged-release oral tablet" ] ] ) ] ; ( fhir:diagnosis [ fhir:diagnosis [ a fhir:CodeableConcept ; ( fhir:coding [ fhir:system [ fhir:v "http://hl7.org/fhir/sid/icd-10"^^xsd:anyURI ] ; fhir:code [ fhir:v "E11.9" ] ; fhir:display [ fhir:v "Type 2 diabetes mellitus : Without complications" ] ] ) ] ] ) ] ) . # <urn:uuid:a4dbd17d-35f8-4f36-9dac-f276fa75a4c8> a fhir:Patient ; fhir:id [ fhir:v "a4dbd17d-35f8-4f36-9dac-f276fa75a4c8"] ; # 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_a4dbd17d-35f8-4f36-9dac-f276fa75a4c8\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient a4dbd17d-35f8-4f36-9dac-f276fa75a4c8</b></p><a name=\"a4dbd17d-35f8-4f36-9dac-f276fa75a4c8\"> </a><a name=\"hca4dbd17d-35f8-4f36-9dac-f276fa75a4c8\"> </a><a name=\"a4dbd17d-35f8-4f36-9dac-f276fa75a4c8-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:9ee37afe-e35a-4ee8-80b1-7f4786cdd507> a fhir:Practitioner ; fhir:id [ fhir:v "9ee37afe-e35a-4ee8-80b1-7f4786cdd507"] ; # 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_9ee37afe-e35a-4ee8-80b1-7f4786cdd507\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Practitioner 9ee37afe-e35a-4ee8-80b1-7f4786cdd507</b></p><a name=\"9ee37afe-e35a-4ee8-80b1-7f4786cdd507\"> </a><a name=\"hc9ee37afe-e35a-4ee8-80b1-7f4786cdd507\"> </a><a name=\"9ee37afe-e35a-4ee8-80b1-7f4786cdd507-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:66ec8a06-3a04-454e-bace-0ad07f70405a> a fhir:Organization ; fhir:id [ fhir:v "66ec8a06-3a04-454e-bace-0ad07f70405a"] ; # 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_66ec8a06-3a04-454e-bace-0ad07f70405a\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Organization 66ec8a06-3a04-454e-bace-0ad07f70405a</b></p><a name=\"66ec8a06-3a04-454e-bace-0ad07f70405a\"> </a><a name=\"hc66ec8a06-3a04-454e-bace-0ad07f70405a\"> </a><a name=\"66ec8a06-3a04-454e-bace-0ad07f70405a-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:48d6ee22-e2bf-427e-878a-19b5f264f46a> a fhir:Organization ; fhir:id [ fhir:v "48d6ee22-e2bf-427e-878a-19b5f264f46a"] ; # 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_48d6ee22-e2bf-427e-878a-19b5f264f46a\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Organization 48d6ee22-e2bf-427e-878a-19b5f264f46a</b></p><a name=\"48d6ee22-e2bf-427e-878a-19b5f264f46a\"> </a><a name=\"hc48d6ee22-e2bf-427e-878a-19b5f264f46a\"> </a><a name=\"48d6ee22-e2bf-427e-878a-19b5f264f46a-hi-IN\"> </a><p><b>identifier</b>: Provider number/1234567890</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 "1234567890" ] ] ) ; # 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:ea4f766b-b7c1-476a-8f19-095928b65ca5> a fhir:Location ; fhir:id [ fhir:v "ea4f766b-b7c1-476a-8f19-095928b65ca5"] ; # fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Location_ea4f766b-b7c1-476a-8f19-095928b65ca5\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Location ea4f766b-b7c1-476a-8f19-095928b65ca5</b></p><a name=\"ea4f766b-b7c1-476a-8f19-095928b65ca5\"> </a><a name=\"hcea4f766b-b7c1-476a-8f19-095928b65ca5\"> </a><a name=\"ea4f766b-b7c1-476a-8f19-095928b65ca5-hi-IN\"> </a><p><b>identifier</b>: B1-S.F2</p><p><b>status</b>: Active</p><p><b>name</b>: South Wing, second floor</p><p><b>alias</b>: XYZ Life Hospital Co. Ltd., South Wing, second floor</p><p><b>description</b>: Second floor of the Old South Wing, formerly in use by Psychiatry</p><p><b>mode</b>: Instance</p><p><b>telecom</b>: ph: 2328(Work), fax: 2329(Work), <a href=\"http://sampleorg.com/southwing\">http://sampleorg.com/southwing</a></p><p><b>address</b>: 91, Building A Pune 451855 IND (work)</p><p><b>physicalType</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/location-physical-type wi}\">Wing</span></p><h3>Positions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Longitude</b></td><td><b>Latitude</b></td><td><b>Altitude</b></td></tr><tr><td style=\"display: none\">*</td><td>-83.6945691</td><td>42.25475478</td><td>0</td></tr></table><p><b>managingOrganization</b>: <a href=\"Bundle-CoverageEligibilityRequestBundle-auth-requirement-example-01.html#urn-uuid-48d6ee22-e2bf-427e-878a-19b5f264f46a\">Organization</a></p></div>"^^rdf:XMLLiteral ] ; # fhir:identifier ( [ fhir:value [ fhir:v "B1-S.F2" ] ] ) ; # fhir:status [ fhir:v "active"] ; # fhir:name [ fhir:v "South Wing, second floor"] ; # fhir:alias ( [ fhir:v "XYZ Life Hospital Co. Ltd., South Wing, second floor"] ) ; # fhir:description [ fhir:v "Second floor of the Old South Wing, formerly in use by Psychiatry"] ; # fhir:mode [ fhir:v "instance"] ; # fhir:telecom ( [ fhir:system [ fhir:v "phone" ] ; fhir:value [ fhir:v "2328" ] ; fhir:use [ fhir:v "work" ] ] [ fhir:system [ fhir:v "fax" ] ; fhir:value [ fhir:v "2329" ] ; fhir:use [ fhir:v "work" ] ] [ fhir:system [ fhir:v "url" ] ; fhir:value [ fhir:v "http://sampleorg.com/southwing" ] ; fhir:use [ fhir:v "work" ] ] ) ; # fhir:address [ fhir:use [ fhir:v "work" ] ; ( fhir:line [ fhir:v "91, Building A" ] ) ; fhir:city [ fhir:v "Pune" ] ; fhir:postalCode [ fhir:v "451855" ] ; fhir:country [ fhir:v "IND" ] ] ; # fhir:physicalType [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/location-physical-type"^^xsd:anyURI ] ; fhir:code [ fhir:v "wi" ] ; fhir:display [ fhir:v "Wing" ] ] ) ] ; # fhir:position [ fhir:longitude [ fhir:v "-83.6945691"^^xsd:decimal ] ; fhir:latitude [ fhir:v "42.25475478"^^xsd:decimal ] ; fhir:altitude [ fhir:v "0"^^xsd:decimal ] ] ; # fhir:managingOrganization [ fhir:reference [ fhir:v "urn:uuid:48d6ee22-e2bf-427e-878a-19b5f264f46a" ] ; fhir:display [ fhir:v "Organization" ] ] . # <urn:uuid:462d36b1-4171-4ebb-871d-94fdb3f7eb11> a fhir:Coverage ; fhir:id [ fhir:v "462d36b1-4171-4ebb-871d-94fdb3f7eb11"] ; # 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_462d36b1-4171-4ebb-871d-94fdb3f7eb11\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Coverage 462d36b1-4171-4ebb-871d-94fdb3f7eb11</b></p><a name=\"462d36b1-4171-4ebb-871d-94fdb3f7eb11\"> </a><a name=\"hc462d36b1-4171-4ebb-871d-94fdb3f7eb11\"> </a><a name=\"462d36b1-4171-4ebb-871d-94fdb3f7eb11-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-CoverageEligibilityRequestBundle-auth-requirement-example-01.html#urn-uuid-a4dbd17d-35f8-4f36-9dac-f276fa75a4c8\">Patient</a></p><p><b>subscriberId</b>: ABC123456BI007</p><p><b>beneficiary</b>: <a href=\"Bundle-CoverageEligibilityRequestBundle-auth-requirement-example-01.html#urn-uuid-a4dbd17d-35f8-4f36-9dac-f276fa75a4c8\">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-CoverageEligibilityRequestBundle-auth-requirement-example-01.html#urn-uuid-66ec8a06-3a04-454e-bace-0ad07f70405a\">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:a4dbd17d-35f8-4f36-9dac-f276fa75a4c8" ] ; fhir:display [ fhir:v "Patient" ] ] ; # fhir:subscriberId [ fhir:v "ABC123456BI007"] ; # fhir:beneficiary [ fhir:reference [ fhir:v "urn:uuid:a4dbd17d-35f8-4f36-9dac-f276fa75a4c8" ] ; 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:66ec8a06-3a04-454e-bace-0ad07f70405a" ] ; 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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