FHIR Implementation Guide for ABDM
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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

Example Bundle: CoverageEligibilityRequestBundle-benefits-example-01

Generated Narrative: Bundle CoverageEligibilityRequestBundle-benefits-example-01

Bundle CoverageEligibilityRequestBundle-benefits-example-01 of type collection


Entry 1 - fullUrl = urn:uuid:6eceece0-b8eb-412a-b80b-c1649ea0a738

Resource CoverageEligibilityRequest:

Generated Narrative: CoverageEligibilityRequest 6eceece0-b8eb-412a-b80b-c1649ea0a738

Language: en

Profile: CoverageEligibilityRequest

identifier: 7612345

status: Active

priority: Normal

purpose: Coverage benefits

patient: Patient

created: 2025-03-07 15:32:26+0530

enterer: Practitioner

provider: Organization

insurer: Organization

facility: Location

Insurances

-FocalCoverage
*trueCoverage

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:00c9295b-14b4-44c4-994b-2b16421b6890

Resource Patient:

Generated Narrative: Patient 00c9295b-14b4-44c4-994b-2b16421b6890

Adarsh Agrawal Male, DoB: 1981-01-12 ( Adhaar number: 7225-4829-5255)


Contact Detail+919818512600

Entry 3 - fullUrl = urn:uuid:012f6df9-5848-4e9b-9a5a-b52294668c58

Resource Practitioner:

Generated Narrative: Practitioner 012f6df9-5848-4e9b-9a5a-b52294668c58

identifier: Medical License number/21-1521-3828-3227

name: Dr. Aayush Agrawal


Entry 4 - fullUrl = urn:uuid:1d0c29a5-09fd-4710-8d95-1e8890af97d4

Resource Organization:

Generated Narrative: Organization 1d0c29a5-09fd-4710-8d95-1e8890af97d4

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:97efda8f-eb46-46d2-92d7-ba3c070b73a5

Resource Organization:

Generated Narrative: Organization 97efda8f-eb46-46d2-92d7-ba3c070b73a5

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:2bdf8689-b5b8-4b16-81a1-f51ee7a6a639

Resource Location:

Generated Narrative: Location 2bdf8689-b5b8-4b16-81a1-f51ee7a6a639

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

-LongitudeLatitudeAltitude
*-83.694569142.254754780

managingOrganization: Organization


Entry 7 - fullUrl = urn:uuid:0055335e-a525-46bd-872c-78b94d4f4591

Resource Coverage:

Generated Narrative: Coverage 0055335e-a525-46bd-872c-78b94d4f4591

identifier: https://xyzinsurance.in/policynumber//235037120

status: Active

type: health insurance plan policy

subscriber: Patient

subscriberId: ABC123456BI007

beneficiary: Patient

relationship: Self

period: ?? --> 2026-03-17