CoverageEligibilityResponseBundle-auth-requirements-example-01 - TTL Representation - FHIR Implementation Guide for ABDM v6.5.0

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
: CoverageEligibilityResponseBundle-auth-requirements-example-01 - TTL Representation

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@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 "CoverageEligibilityResponseBundle-auth-requirements-example-01"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "https://nrces.in/ndhm/fhir/r4/StructureDefinition/CoverageEligibilityResponseBundle"^^xsd:anyURI ;
fhir:link <https://nrces.in/ndhm/fhir/r4/StructureDefinition/CoverageEligibilityResponseBundle>     ] )
  ] ; # 
  fhir:identifier [
fhir:system [ fhir:v "http://hip.in"^^xsd:anyURI ] ;
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:fd4fb0db-e2f5-45ca-bd8d-0dea24776e18"^^xsd:anyURI ] ;
    ( fhir:resource <urn:uuid:fd4fb0db-e2f5-45ca-bd8d-0dea24776e18> )
  ] [
fhir:fullUrl [ fhir:v "urn:uuid:d7ac4f66-455d-4e12-b656-a55b976b352c"^^xsd:anyURI ] ;
    ( fhir:resource <urn:uuid:d7ac4f66-455d-4e12-b656-a55b976b352c> )
  ] [
fhir:fullUrl [ fhir:v "urn:uuid:9fb2a38c-697c-4a1c-94ea-2ddfe52c9389"^^xsd:anyURI ] ;
    ( fhir:resource <urn:uuid:9fb2a38c-697c-4a1c-94ea-2ddfe52c9389> )
  ] [
fhir:fullUrl [ fhir:v "urn:uuid:26748d18-9935-4224-bbd0-5c2ae24620b5"^^xsd:anyURI ] ;
    ( fhir:resource <urn:uuid:26748d18-9935-4224-bbd0-5c2ae24620b5> )
  ] [
fhir:fullUrl [ fhir:v "urn:uuid:3877486b-1fae-4049-a5d0-afa2416da898"^^xsd:anyURI ] ;
    ( fhir:resource <urn:uuid:3877486b-1fae-4049-a5d0-afa2416da898> )
  ] [
fhir:fullUrl [ fhir:v "urn:uuid:54878741-032f-4c07-b464-f4eaea8b7712"^^xsd:anyURI ] ;
    ( fhir:resource <urn:uuid:54878741-032f-4c07-b464-f4eaea8b7712> )
  ] [
fhir:fullUrl [ fhir:v "urn:uuid:6f5b74a7-dd29-4c05-87e3-2188096cb0eb"^^xsd:anyURI ] ;
    ( fhir:resource <urn:uuid:6f5b74a7-dd29-4c05-87e3-2188096cb0eb> )
  ] [
fhir:fullUrl [ fhir:v "urn:uuid:00fb258d-f692-4a62-9eed-db09e2bcbb7a"^^xsd:anyURI ] ;
    ( fhir:resource <urn:uuid:00fb258d-f692-4a62-9eed-db09e2bcbb7a> )
  ] ) . # 

<urn:uuid:fd4fb0db-e2f5-45ca-bd8d-0dea24776e18> a fhir:CoverageEligibilityResponse ;
  fhir:id [ fhir:v "fd4fb0db-e2f5-45ca-bd8d-0dea24776e18"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "https://nrces.in/ndhm/fhir/r4/StructureDefinition/CoverageEligibilityResponse"^^xsd:anyURI ;
fhir:link <https://nrces.in/ndhm/fhir/r4/StructureDefinition/CoverageEligibilityResponse>     ] )
  ] ; # 
  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=\"CoverageEligibilityResponse_fd4fb0db-e2f5-45ca-bd8d-0dea24776e18\"> </a><p class=\"res-header-id\"><b>Generated Narrative: CoverageEligibilityResponse fd4fb0db-e2f5-45ca-bd8d-0dea24776e18</b></p><a name=\"fd4fb0db-e2f5-45ca-bd8d-0dea24776e18\"> </a><a name=\"hcfd4fb0db-e2f5-45ca-bd8d-0dea24776e18\"> </a><a name=\"fd4fb0db-e2f5-45ca-bd8d-0dea24776e18-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-CoverageEligibilityResponse.html\">CoverageEligibilityResponse</a></p></div><p><b>status</b>: Active</p><p><b>purpose</b>: Coverage auth-requirements</p><p><b>patient</b>: <a href=\"Bundle-CoverageEligibilityResponseBundle-auth-requirements-example-01.html#urn-uuid-d7ac4f66-455d-4e12-b656-a55b976b352c\">Patient</a></p><p><b>created</b>: 2025-03-07 15:32:26+0530</p><p><b>requestor</b>: <a href=\"Bundle-CoverageEligibilityResponseBundle-auth-requirements-example-01.html#urn-uuid-3877486b-1fae-4049-a5d0-afa2416da898\">Organization</a></p><p><b>request</b>: <a href=\"Bundle-CoverageEligibilityResponseBundle-auth-requirements-example-01.html#urn-uuid-54878741-032f-4c07-b464-f4eaea8b7712\">CoverageEligibilityRequest-auth-requirements</a></p><p><b>outcome</b>: Processing Complete</p><p><b>disposition</b>: Policy is currently in-force.</p><p><b>insurer</b>: <a href=\"Bundle-CoverageEligibilityResponseBundle-auth-requirements-example-01.html#urn-uuid-26748d18-9935-4224-bbd0-5c2ae24620b5\">Organization</a></p><blockquote><p><b>insurance</b></p><p><b>coverage</b>: <a href=\"Bundle-CoverageEligibilityResponseBundle-auth-requirements-example-01.html#urn-uuid-00fb258d-f692-4a62-9eed-db09e2bcbb7a\">Coverage</a></p><p><b>inforce</b>: true</p><p><b>benefitPeriod</b>: 2023-09-07 --&gt; 2026-08-07</p><blockquote><p><b>item</b></p><p><b>productOrService</b>: <span title=\"Codes:{http://snomed.info/sct 768839008}\">Consultant</span></p></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></blockquote></blockquote></div>"^^rdf:XMLLiteral
  ] ; # 
  fhir:status [ fhir:v "active"] ; # 
  fhir:purpose ( [ fhir:v "auth-requirements"] ) ; # 
  fhir:patient [
fhir:reference [ fhir:v "urn:uuid:d7ac4f66-455d-4e12-b656-a55b976b352c" ] ;
fhir:display [ fhir:v "Patient" ]
  ] ; # 
  fhir:created [ fhir:v "2025-03-07T15:32:26.605+05:30"^^xsd:dateTime] ; # 
  fhir:requestor [
fhir:reference [ fhir:v "urn:uuid:3877486b-1fae-4049-a5d0-afa2416da898" ] ;
fhir:display [ fhir:v "Organization" ]
  ] ; # 
  fhir:request [
fhir:reference [ fhir:v "urn:uuid:54878741-032f-4c07-b464-f4eaea8b7712" ] ;
fhir:display [ fhir:v "CoverageEligibilityRequest-auth-requirements" ]
  ] ; # 
  fhir:outcome [ fhir:v "complete"] ; # 
  fhir:disposition [ fhir:v "Policy is currently in-force."] ; # 
  fhir:insurer [
fhir:reference [ fhir:v "urn:uuid:26748d18-9935-4224-bbd0-5c2ae24620b5" ] ;
fhir:display [ fhir:v "Organization" ]
  ] ; # 
  fhir:insurance ( [
fhir:coverage [
fhir:reference [ fhir:v "urn:uuid:00fb258d-f692-4a62-9eed-db09e2bcbb7a" ] ;
fhir:display [ fhir:v "Coverage" ]     ] ;
fhir:inforce [ fhir:v "true"^^xsd:boolean ] ;
fhir:benefitPeriod [
fhir:start [ fhir:v "2023-09-07"^^xsd:date ] ;
fhir:end [ fhir:v "2026-08-07"^^xsd:date ]     ] ;
    ( 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: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" ]         ] )       ]     ] )
  ] ) . # 

<urn:uuid:d7ac4f66-455d-4e12-b656-a55b976b352c> a fhir:Patient ;
  fhir:id [ fhir:v "d7ac4f66-455d-4e12-b656-a55b976b352c"] ; # 
  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_d7ac4f66-455d-4e12-b656-a55b976b352c\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient d7ac4f66-455d-4e12-b656-a55b976b352c</b></p><a name=\"d7ac4f66-455d-4e12-b656-a55b976b352c\"> </a><a name=\"hcd7ac4f66-455d-4e12-b656-a55b976b352c\"> </a><a name=\"d7ac4f66-455d-4e12-b656-a55b976b352c-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:9fb2a38c-697c-4a1c-94ea-2ddfe52c9389> a fhir:Practitioner ;
  fhir:id [ fhir:v "9fb2a38c-697c-4a1c-94ea-2ddfe52c9389"] ; # 
  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_9fb2a38c-697c-4a1c-94ea-2ddfe52c9389\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Practitioner 9fb2a38c-697c-4a1c-94ea-2ddfe52c9389</b></p><a name=\"9fb2a38c-697c-4a1c-94ea-2ddfe52c9389\"> </a><a name=\"hc9fb2a38c-697c-4a1c-94ea-2ddfe52c9389\"> </a><a name=\"9fb2a38c-697c-4a1c-94ea-2ddfe52c9389-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:26748d18-9935-4224-bbd0-5c2ae24620b5> a fhir:Organization ;
  fhir:id [ fhir:v "26748d18-9935-4224-bbd0-5c2ae24620b5"] ; # 
  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_26748d18-9935-4224-bbd0-5c2ae24620b5\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Organization 26748d18-9935-4224-bbd0-5c2ae24620b5</b></p><a name=\"26748d18-9935-4224-bbd0-5c2ae24620b5\"> </a><a name=\"hc26748d18-9935-4224-bbd0-5c2ae24620b5\"> </a><a name=\"26748d18-9935-4224-bbd0-5c2ae24620b5-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:3877486b-1fae-4049-a5d0-afa2416da898> a fhir:Organization ;
  fhir:id [ fhir:v "3877486b-1fae-4049-a5d0-afa2416da898"] ; # 
  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_3877486b-1fae-4049-a5d0-afa2416da898\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Organization 3877486b-1fae-4049-a5d0-afa2416da898</b></p><a name=\"3877486b-1fae-4049-a5d0-afa2416da898\"> </a><a name=\"hc3877486b-1fae-4049-a5d0-afa2416da898\"> </a><a name=\"3877486b-1fae-4049-a5d0-afa2416da898-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:54878741-032f-4c07-b464-f4eaea8b7712> a fhir:CoverageEligibilityRequest ;
  fhir:id [ fhir:v "54878741-032f-4c07-b464-f4eaea8b7712"] ; # 
  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_54878741-032f-4c07-b464-f4eaea8b7712\"> </a><p class=\"res-header-id\"><b>Generated Narrative: CoverageEligibilityRequest 54878741-032f-4c07-b464-f4eaea8b7712</b></p><a name=\"54878741-032f-4c07-b464-f4eaea8b7712\"> </a><a name=\"hc54878741-032f-4c07-b464-f4eaea8b7712\"> </a><a name=\"54878741-032f-4c07-b464-f4eaea8b7712-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-CoverageEligibilityResponseBundle-auth-requirements-example-01.html#urn-uuid-d7ac4f66-455d-4e12-b656-a55b976b352c\">Patient</a></p><p><b>created</b>: 2025-03-07 11:01:00+0500</p><p><b>enterer</b>: <a href=\"Bundle-CoverageEligibilityResponseBundle-auth-requirements-example-01.html#urn-uuid-9fb2a38c-697c-4a1c-94ea-2ddfe52c9389\">Practitioner</a></p><p><b>provider</b>: <a href=\"Bundle-CoverageEligibilityResponseBundle-auth-requirements-example-01.html#urn-uuid-3877486b-1fae-4049-a5d0-afa2416da898\">Organization</a></p><p><b>insurer</b>: <a href=\"Bundle-CoverageEligibilityResponseBundle-auth-requirements-example-01.html#urn-uuid-26748d18-9935-4224-bbd0-5c2ae24620b5\">Organization</a></p><p><b>facility</b>: <a href=\"Bundle-CoverageEligibilityResponseBundle-auth-requirements-example-01.html#urn-uuid-6f5b74a7-dd29-4c05-87e3-2188096cb0eb\">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-CoverageEligibilityResponseBundle-auth-requirements-example-01.html#urn-uuid-00fb258d-f692-4a62-9eed-db09e2bcbb7a\">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:d7ac4f66-455d-4e12-b656-a55b976b352c" ] ;
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:9fb2a38c-697c-4a1c-94ea-2ddfe52c9389" ] ;
fhir:display [ fhir:v "Practitioner" ]
  ] ; # 
  fhir:provider [
fhir:reference [ fhir:v "urn:uuid:3877486b-1fae-4049-a5d0-afa2416da898" ] ;
fhir:display [ fhir:v "Organization" ]
  ] ; # 
  fhir:insurer [
fhir:reference [ fhir:v "urn:uuid:26748d18-9935-4224-bbd0-5c2ae24620b5" ] ;
fhir:display [ fhir:v "Organization" ]
  ] ; # 
  fhir:facility [
fhir:reference [ fhir:v "urn:uuid:6f5b74a7-dd29-4c05-87e3-2188096cb0eb" ] ;
fhir:display [ fhir:v "Location" ]
  ] ; # 
  fhir:insurance ( [
fhir:focal [ fhir:v "true"^^xsd:boolean ] ;
fhir:coverage [
fhir:reference [ fhir:v "urn:uuid:00fb258d-f692-4a62-9eed-db09e2bcbb7a" ] ;
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:6f5b74a7-dd29-4c05-87e3-2188096cb0eb> a fhir:Location ;
  fhir:id [ fhir:v "6f5b74a7-dd29-4c05-87e3-2188096cb0eb"] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Location_6f5b74a7-dd29-4c05-87e3-2188096cb0eb\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Location 6f5b74a7-dd29-4c05-87e3-2188096cb0eb</b></p><a name=\"6f5b74a7-dd29-4c05-87e3-2188096cb0eb\"> </a><a name=\"hc6f5b74a7-dd29-4c05-87e3-2188096cb0eb\"> </a><a name=\"6f5b74a7-dd29-4c05-87e3-2188096cb0eb-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-CoverageEligibilityResponseBundle-auth-requirements-example-01.html#urn-uuid-3877486b-1fae-4049-a5d0-afa2416da898\">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:3877486b-1fae-4049-a5d0-afa2416da898" ] ;
fhir:display [ fhir:v "Organization" ]
  ] . # 

<urn:uuid:00fb258d-f692-4a62-9eed-db09e2bcbb7a> a fhir:Coverage ;
  fhir:id [ fhir:v "00fb258d-f692-4a62-9eed-db09e2bcbb7a"] ; # 
  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_00fb258d-f692-4a62-9eed-db09e2bcbb7a\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Coverage 00fb258d-f692-4a62-9eed-db09e2bcbb7a</b></p><a name=\"00fb258d-f692-4a62-9eed-db09e2bcbb7a\"> </a><a name=\"hc00fb258d-f692-4a62-9eed-db09e2bcbb7a\"> </a><a name=\"00fb258d-f692-4a62-9eed-db09e2bcbb7a-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-CoverageEligibilityResponseBundle-auth-requirements-example-01.html#urn-uuid-d7ac4f66-455d-4e12-b656-a55b976b352c\">Patient</a></p><p><b>subscriberId</b>: ABC123456BI007</p><p><b>beneficiary</b>: <a href=\"Bundle-CoverageEligibilityResponseBundle-auth-requirements-example-01.html#urn-uuid-d7ac4f66-455d-4e12-b656-a55b976b352c\">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>: ?? --&gt; 2026-03-17</p><p><b>payor</b>: <a href=\"Bundle-CoverageEligibilityResponseBundle-auth-requirements-example-01.html#urn-uuid-26748d18-9935-4224-bbd0-5c2ae24620b5\">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:d7ac4f66-455d-4e12-b656-a55b976b352c" ] ;
fhir:display [ fhir:v "Patient" ]
  ] ; # 
  fhir:subscriberId [ fhir:v "ABC123456BI007"] ; # 
  fhir:beneficiary [
fhir:reference [ fhir:v "urn:uuid:d7ac4f66-455d-4e12-b656-a55b976b352c" ] ;
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:26748d18-9935-4224-bbd0-5c2ae24620b5" ] ;
fhir:display [ fhir:v "Organization" ]
  ] ) . #