@prefix fhir: . @prefix owl: . @prefix rdf: . @prefix rdfs: . @prefix sct: . @prefix xsd: . # - resource ------------------------------------------------------------------- a fhir:Bundle ; fhir:nodeRole fhir:treeRoot ; fhir:id [ fhir:v "CoverageEligibilityResponseBundle-benefits-example-01"] ; # fhir:meta [ fhir:profile ( [ fhir:v "https://nrces.in/ndhm/fhir/r4/StructureDefinition/CoverageEligibilityResponseBundle"^^xsd:anyURI ; fhir:link ] ) ] ; # 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:e7bf6383-fb7e-4bb2-a5fc-d65ab75f34c0"^^xsd:anyURI ] ; fhir:resource ( ) ] [ fhir:fullUrl [ fhir:v "urn:uuid:37dbfdfb-cc6e-4cb5-86e9-6151679082e2"^^xsd:anyURI ] ; fhir:resource ( ) ] [ fhir:fullUrl [ fhir:v "urn:uuid:752681ee-5db5-4cff-b10c-f9d6f69fe014"^^xsd:anyURI ] ; fhir:resource ( ) ] [ fhir:fullUrl [ fhir:v "urn:uuid:b15ef5ed-c9ac-4539-8c04-d162b7fcf3b2"^^xsd:anyURI ] ; fhir:resource ( ) ] [ fhir:fullUrl [ fhir:v "urn:uuid:01806af2-daf1-4473-a31b-657787eadee3"^^xsd:anyURI ] ; fhir:resource ( ) ] [ fhir:fullUrl [ fhir:v "urn:uuid:0e17029b-e167-4473-9679-4b9052a8eca8"^^xsd:anyURI ] ; fhir:resource ( ) ] [ fhir:fullUrl [ fhir:v "urn:uuid:2ce7ebf4-6fe4-44e9-8709-1a935e48f2ef"^^xsd:anyURI ] ; fhir:resource ( ) ] [ fhir:fullUrl [ fhir:v "urn:uuid:1c3642a2-2d2c-4812-8736-67c74862955a"^^xsd:anyURI ] ; fhir:resource ( ) ] ) . # a fhir:CoverageEligibilityResponse ; fhir:id [ fhir:v "e7bf6383-fb7e-4bb2-a5fc-d65ab75f34c0"] ; # fhir:meta [ fhir:profile ( [ fhir:v "https://nrces.in/ndhm/fhir/r4/StructureDefinition/CoverageEligibilityResponse"^^xsd:anyURI ; fhir:link ] ) ] ; # fhir:language [ fhir:v "en"] ; # fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "

Generated Narrative: CoverageEligibilityResponse e7bf6383-fb7e-4bb2-a5fc-d65ab75f34c0

Language: en

Profile: CoverageEligibilityResponse

status: Active

purpose: Coverage benefits

patient: Patient

created: 2025-03-07

requestor: Organization

request: CoverageEligibilityRequest-benefits

outcome: Processing Complete

disposition: Policy is currently in-force.

insurer: Organization

insurance

coverage: Coverage

inforce: true

benefitPeriod: 2023-09-07 --> 2026-08-07

item

productOrService: Consultant

Benefits

-TypeAllowed[x]Used[x]
*Benefit₹50,000.00 (INR)₹0.00 (INR)

item

productOrService: Metformin hydrochloride 500 mg prolonged-release oral tablet

Benefits

-TypeAllowed[x]Used[x]
*Benefit₹50,000.00 (INR)₹0.00 (INR)
"^^rdf:XMLLiteral ] ; # fhir:status [ fhir:v "active"] ; # fhir:purpose ( [ fhir:v "benefits"] ) ; # fhir:patient [ fhir:reference [ fhir:v "urn:uuid:37dbfdfb-cc6e-4cb5-86e9-6151679082e2" ] ; fhir:display [ fhir:v "Patient" ] ] ; # fhir:created [ fhir:v "2025-03-07"^^xsd:date] ; # fhir:requestor [ fhir:reference [ fhir:v "urn:uuid:0e17029b-e167-4473-9679-4b9052a8eca8" ] ; fhir:display [ fhir:v "Organization" ] ] ; # fhir:request [ fhir:reference [ fhir:v "urn:uuid:b15ef5ed-c9ac-4539-8c04-d162b7fcf3b2" ] ; fhir:display [ fhir:v "CoverageEligibilityRequest-benefits" ] ] ; # fhir:outcome [ fhir:v "complete"] ; # fhir:disposition [ fhir:v "Policy is currently in-force."] ; # fhir:insurer [ fhir:reference [ fhir:v "urn:uuid:01806af2-daf1-4473-a31b-657787eadee3" ] ; fhir:display [ fhir:v "Organization" ] ] ; # fhir:insurance ( [ fhir:coverage [ fhir:reference [ fhir:v "urn:uuid:1c3642a2-2d2c-4812-8736-67c74862955a" ] ; 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:benefit ( [ fhir:type [ fhir:coding ( [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/benefit-type"^^xsd:anyURI ] ; fhir:code [ fhir:v "benefit" ] ; fhir:display [ fhir:v "Benefit" ] ] ) ] ; fhir:allowed [ a fhir:Money ; fhir:value [ fhir:v "50000"^^xsd:decimal ] ; fhir:currency [ fhir:v "INR" ] ] ; fhir:used [ a fhir:Money ; fhir:value [ fhir:v "0"^^xsd:decimal ] ; fhir:currency [ fhir:v "INR" ] ] ] ) ] [ 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:benefit ( [ fhir:type [ fhir:coding ( [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/benefit-type"^^xsd:anyURI ] ; fhir:code [ fhir:v "benefit" ] ; fhir:display [ fhir:v "Benefit" ] ] ) ] ; fhir:allowed [ a fhir:Money ; fhir:value [ fhir:v "50000"^^xsd:decimal ] ; fhir:currency [ fhir:v "INR" ] ] ; fhir:used [ a fhir:Money ; fhir:value [ fhir:v "0"^^xsd:decimal ] ; fhir:currency [ fhir:v "INR" ] ] ] ) ] ) ] ) . # a fhir:Patient ; fhir:id [ fhir:v "37dbfdfb-cc6e-4cb5-86e9-6151679082e2"] ; # fhir:meta [ fhir:profile ( [ fhir:v "https://nrces.in/ndhm/fhir/r4/StructureDefinition/Patient"^^xsd:anyURI ; fhir:link ] ) ] ; # fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "

Generated Narrative: Patient 37dbfdfb-cc6e-4cb5-86e9-6151679082e2

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


Contact Detail+919818512600
"^^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] . # a fhir:Practitioner ; fhir:id [ fhir:v "752681ee-5db5-4cff-b10c-f9d6f69fe014"] ; # fhir:meta [ fhir:profile ( [ fhir:v "https://nrces.in/ndhm/fhir/r4/StructureDefinition/Practitioner"^^xsd:anyURI ; fhir:link ] ) ] ; # fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "

Generated Narrative: Practitioner 752681ee-5db5-4cff-b10c-f9d6f69fe014

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

name: Dr. Aayush Agrawal

"^^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" ] ] ) . # a fhir:CoverageEligibilityRequest ; fhir:id [ fhir:v "b15ef5ed-c9ac-4539-8c04-d162b7fcf3b2"] ; # fhir:meta [ fhir:profile ( [ fhir:v "https://nrces.in/ndhm/fhir/r4/StructureDefinition/CoverageEligibilityRequest"^^xsd:anyURI ; fhir:link ] ) ] ; # fhir:language [ fhir:v "en"] ; # fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "

Generated Narrative: CoverageEligibilityRequest b15ef5ed-c9ac-4539-8c04-d162b7fcf3b2

Language: en

Profile: CoverageEligibilityRequest

identifier: 7612345

status: Active

priority: Normal

purpose: Coverage benefits

patient: Patient

created: 2025-03-07 11:01:00+0500

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
"^^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 "benefits"] ) ; # fhir:patient [ fhir:reference [ fhir:v "urn:uuid:37dbfdfb-cc6e-4cb5-86e9-6151679082e2" ] ; 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:752681ee-5db5-4cff-b10c-f9d6f69fe014" ] ; fhir:display [ fhir:v "Practitioner" ] ] ; # fhir:provider [ fhir:reference [ fhir:v "urn:uuid:0e17029b-e167-4473-9679-4b9052a8eca8" ] ; fhir:display [ fhir:v "Organization" ] ] ; # fhir:insurer [ fhir:reference [ fhir:v "urn:uuid:01806af2-daf1-4473-a31b-657787eadee3" ] ; fhir:display [ fhir:v "Organization" ] ] ; # fhir:facility [ fhir:reference [ fhir:v "urn:uuid:2ce7ebf4-6fe4-44e9-8709-1a935e48f2ef" ] ; fhir:display [ fhir:v "Location" ] ] ; # fhir:insurance ( [ fhir:focal [ fhir:v "true"^^xsd:boolean ] ; fhir:coverage [ fhir:reference [ fhir:v "urn:uuid:1c3642a2-2d2c-4812-8736-67c74862955a" ] ; 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" ] ] ) ] ] ) ] ) . # a fhir:Organization ; fhir:id [ fhir:v "01806af2-daf1-4473-a31b-657787eadee3"] ; # fhir:meta [ fhir:profile ( [ fhir:v "https://nrces.in/ndhm/fhir/r4/StructureDefinition/Organization"^^xsd:anyURI ; fhir:link ] ) ] ; # fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "

Generated Narrative: Organization 01806af2-daf1-4473-a31b-657787eadee3

identifier: Registry of Hospitals in Network of Insurance (ROHINI) ID/4567878

type: Insurance Company

name: XYZ Insurance Co. Ltd.

telecom: +91 243 2634 1234, contact@xyz.org

"^^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" ] ] ) . # a fhir:Organization ; fhir:id [ fhir:v "0e17029b-e167-4473-9679-4b9052a8eca8"] ; # fhir:meta [ fhir:profile ( [ fhir:v "https://nrces.in/ndhm/fhir/r4/StructureDefinition/Organization"^^xsd:anyURI ; fhir:link ] ) ] ; # fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "

Generated Narrative: Organization 0e17029b-e167-4473-9679-4b9052a8eca8

identifier: Provider number/1234567890

type: Healthcare Provider

name: XYZ Hospital Co. Ltd.

telecom: +91 243 2634 1278, contact@xyz.org

"^^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" ] ] ) . # a fhir:Location ; fhir:id [ fhir:v "2ce7ebf4-6fe4-44e9-8709-1a935e48f2ef"] ; # fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "

Generated Narrative: Location 2ce7ebf4-6fe4-44e9-8709-1a935e48f2ef

identifier: B1-S.F2

status: Active

name: South Wing, second floor

alias: IndiaFirst Life Insurance Co. Ltd., South Wing, second floor

description: Second floor of the Old South Wing, formerly in use by Psychiatry

mode: Instance

telecom: ph: 2328(Work), fax: 2329(Work), http://sampleorg.com/southwing

address: 91, Building A Pune 451855 IND (work)

physicalType: Wing

Positions

-LongitudeLatitudeAltitude
*-83.694569142.254754780

managingOrganization: Organization

"^^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 "IndiaFirst Life Insurance 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:0e17029b-e167-4473-9679-4b9052a8eca8" ] ; fhir:display [ fhir:v "Organization" ] ] . # a fhir:Coverage ; fhir:id [ fhir:v "1c3642a2-2d2c-4812-8736-67c74862955a"] ; # fhir:meta [ fhir:profile ( [ fhir:v "https://nrces.in/ndhm/fhir/r4/StructureDefinition/Coverage"^^xsd:anyURI ; fhir:link ] ) ] ; # fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "

Generated Narrative: Coverage 1c3642a2-2d2c-4812-8736-67c74862955a

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

payor: Organization

"^^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:37dbfdfb-cc6e-4cb5-86e9-6151679082e2" ] ; fhir:display [ fhir:v "Patient" ] ] ; # fhir:subscriberId [ fhir:v "ABC123456BI007"] ; # fhir:beneficiary [ fhir:reference [ fhir:v "urn:uuid:37dbfdfb-cc6e-4cb5-86e9-6151679082e2" ] ; 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:01806af2-daf1-4473-a31b-657787eadee3" ] ; fhir:display [ fhir:v "Organization" ] ] ) . # # -------------------------------------------------------------------------------------