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

: CoverageEligibilityResponseBundle-benefits-example-01 - XML Representation

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<Bundle xmlns="http://hl7.org/fhir">
  <id value="CoverageEligibilityResponseBundle-benefits-example-01"/>
  <meta>
    <profile
             value="https://nrces.in/ndhm/fhir/r4/StructureDefinition/CoverageEligibilityResponseBundle"/>
  </meta>
  <identifier>
    <value value="bc3c6c57-2053-4d0e-ac40-139ccccff645"/>
  </identifier>
  <type value="collection"/>
  <timestamp value="2025-03-07T15:32:26.605+05:30"/>
  <entry>
    <fullUrl value="urn:uuid:e7bf6383-fb7e-4bb2-a5fc-d65ab75f34c0"/>
    <resource>
      <CoverageEligibilityResponse>
        <id value="e7bf6383-fb7e-4bb2-a5fc-d65ab75f34c0"/>
        <meta>
          <profile
                   value="https://nrces.in/ndhm/fhir/r4/StructureDefinition/CoverageEligibilityResponse"/>
        </meta>
        <language value="en"/>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml" xml:lang="en" lang="en"><a name="CoverageEligibilityResponse_e7bf6383-fb7e-4bb2-a5fc-d65ab75f34c0"> </a><p class="res-header-id"><b>Generated Narrative: CoverageEligibilityResponse e7bf6383-fb7e-4bb2-a5fc-d65ab75f34c0</b></p><a name="e7bf6383-fb7e-4bb2-a5fc-d65ab75f34c0"> </a><a name="hce7bf6383-fb7e-4bb2-a5fc-d65ab75f34c0"> </a><a name="e7bf6383-fb7e-4bb2-a5fc-d65ab75f34c0-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 benefits</p><p><b>patient</b>: <a href="Bundle-CoverageEligibilityResponseBundle-benefits-example-01.html#urn-uuid-37dbfdfb-cc6e-4cb5-86e9-6151679082e2">Patient</a></p><p><b>created</b>: 2025-03-07</p><p><b>requestor</b>: <a href="Bundle-CoverageEligibilityResponseBundle-benefits-example-01.html#urn-uuid-0e17029b-e167-4473-9679-4b9052a8eca8">Organization</a></p><p><b>request</b>: <a href="Bundle-CoverageEligibilityResponseBundle-benefits-example-01.html#urn-uuid-b15ef5ed-c9ac-4539-8c04-d162b7fcf3b2">CoverageEligibilityRequest-benefits</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-benefits-example-01.html#urn-uuid-01806af2-daf1-4473-a31b-657787eadee3">Organization</a></p><blockquote><p><b>insurance</b></p><p><b>coverage</b>: <a href="Bundle-CoverageEligibilityResponseBundle-benefits-example-01.html#urn-uuid-1c3642a2-2d2c-4812-8736-67c74862955a">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><h3>Benefits</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Type</b></td><td><b>Allowed[x]</b></td><td><b>Used[x]</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{http://terminology.hl7.org/CodeSystem/benefit-type benefit}">Benefit</span></td><td><span title="Indian Rupee">₹50,000.00</span> (INR)</td><td><span title="Indian Rupee">₹0.00</span> (INR)</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>Benefits</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Type</b></td><td><b>Allowed[x]</b></td><td><b>Used[x]</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{http://terminology.hl7.org/CodeSystem/benefit-type benefit}">Benefit</span></td><td><span title="Indian Rupee">₹50,000.00</span> (INR)</td><td><span title="Indian Rupee">₹0.00</span> (INR)</td></tr></table></blockquote></blockquote></div>
        </text>
        <status value="active"/>
        <purpose value="benefits"/>
        <patient>
          <reference value="urn:uuid:37dbfdfb-cc6e-4cb5-86e9-6151679082e2"/>
          <display value="Patient"/>
        </patient>
        <created value="2025-03-07"/>
        <requestor>
          <reference value="urn:uuid:0e17029b-e167-4473-9679-4b9052a8eca8"/>
          <display value="Organization"/>
        </requestor>
        <request>
          <reference value="urn:uuid:b15ef5ed-c9ac-4539-8c04-d162b7fcf3b2"/>
          <display value="CoverageEligibilityRequest-benefits"/>
        </request>
        <outcome value="complete"/>
        <disposition value="Policy is currently in-force."/>
        <insurer>
          <reference value="urn:uuid:01806af2-daf1-4473-a31b-657787eadee3"/>
          <display value="Organization"/>
        </insurer>
        <insurance>
          <coverage>
            <reference value="urn:uuid:1c3642a2-2d2c-4812-8736-67c74862955a"/>
            <display value="Coverage"/>
          </coverage>
          <inforce value="true"/>
          <benefitPeriod>
            <start value="2023-09-07"/>
            <end value="2026-08-07"/>
          </benefitPeriod>
          <item>
            <productOrService>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="768839008"/>
                <display value="Consultant"/>
              </coding>
            </productOrService>
            <benefit>
              <type>
                <coding>
                  <system
                          value="http://terminology.hl7.org/CodeSystem/benefit-type"/>
                  <code value="benefit"/>
                  <display value="Benefit"/>
                </coding>
              </type>
              <allowedMoney>
                <value value="50000"/>
                <currency value="INR"/>
              </allowedMoney>
              <usedMoney>
                <value value="0"/>
                <currency value="INR"/>
              </usedMoney>
            </benefit>
          </item>
          <item>
            <productOrService>
              <coding>
                <system value="http://snomed.info/sct"/>
                <code value="765507008"/>
                <display
                         value="Metformin hydrochloride 500 mg prolonged-release oral tablet"/>
              </coding>
            </productOrService>
            <benefit>
              <type>
                <coding>
                  <system
                          value="http://terminology.hl7.org/CodeSystem/benefit-type"/>
                  <code value="benefit"/>
                  <display value="Benefit"/>
                </coding>
              </type>
              <allowedMoney>
                <value value="50000"/>
                <currency value="INR"/>
              </allowedMoney>
              <usedMoney>
                <value value="0"/>
                <currency value="INR"/>
              </usedMoney>
            </benefit>
          </item>
        </insurance>
      </CoverageEligibilityResponse>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:37dbfdfb-cc6e-4cb5-86e9-6151679082e2"/>
    <resource>
      <Patient>
        <id value="37dbfdfb-cc6e-4cb5-86e9-6151679082e2"/>
        <meta>
          <profile
                   value="https://nrces.in/ndhm/fhir/r4/StructureDefinition/Patient"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Patient_37dbfdfb-cc6e-4cb5-86e9-6151679082e2"> </a><p class="res-header-id"><b>Generated Narrative: Patient 37dbfdfb-cc6e-4cb5-86e9-6151679082e2</b></p><a name="37dbfdfb-cc6e-4cb5-86e9-6151679082e2"> </a><a name="hc37dbfdfb-cc6e-4cb5-86e9-6151679082e2"> </a><a name="37dbfdfb-cc6e-4cb5-86e9-6151679082e2-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>
        </text>
        <identifier>
          <type>
            <coding>
              <system
                      value="https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-identifier-type-code"/>
              <code value="ADN"/>
              <display value="Adhaar number"/>
            </coding>
          </type>
          <system value="https://uidai.gov.in/"/>
          <value value="7225-4829-5255"/>
        </identifier>
        <name>
          <text value="Adarsh Agrawal"/>
        </name>
        <telecom>
          <system value="phone"/>
          <value value="+919818512600"/>
          <use value="home"/>
        </telecom>
        <gender value="male"/>
        <birthDate value="1981-01-12"/>
      </Patient>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:752681ee-5db5-4cff-b10c-f9d6f69fe014"/>
    <resource>
      <Practitioner>
        <id value="752681ee-5db5-4cff-b10c-f9d6f69fe014"/>
        <meta>
          <profile
                   value="https://nrces.in/ndhm/fhir/r4/StructureDefinition/Practitioner"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Practitioner_752681ee-5db5-4cff-b10c-f9d6f69fe014"> </a><p class="res-header-id"><b>Generated Narrative: Practitioner 752681ee-5db5-4cff-b10c-f9d6f69fe014</b></p><a name="752681ee-5db5-4cff-b10c-f9d6f69fe014"> </a><a name="hc752681ee-5db5-4cff-b10c-f9d6f69fe014"> </a><a name="752681ee-5db5-4cff-b10c-f9d6f69fe014-hi-IN"> </a><p><b>identifier</b>: Medical License number/21-1521-3828-3227</p><p><b>name</b>: Dr. Aayush Agrawal</p></div>
        </text>
        <identifier>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="MD"/>
              <display value="Medical License number"/>
            </coding>
          </type>
          <system value="https://doctor.ndhm.gov.in"/>
          <value value="21-1521-3828-3227"/>
        </identifier>
        <name>
          <text value="Dr. Aayush Agrawal"/>
        </name>
      </Practitioner>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:b15ef5ed-c9ac-4539-8c04-d162b7fcf3b2"/>
    <resource>
      <CoverageEligibilityRequest>
        <id value="b15ef5ed-c9ac-4539-8c04-d162b7fcf3b2"/>
        <meta>
          <profile
                   value="https://nrces.in/ndhm/fhir/r4/StructureDefinition/CoverageEligibilityRequest"/>
        </meta>
        <language value="en"/>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml" xml:lang="en" lang="en"><a name="CoverageEligibilityRequest_b15ef5ed-c9ac-4539-8c04-d162b7fcf3b2"> </a><p class="res-header-id"><b>Generated Narrative: CoverageEligibilityRequest b15ef5ed-c9ac-4539-8c04-d162b7fcf3b2</b></p><a name="b15ef5ed-c9ac-4539-8c04-d162b7fcf3b2"> </a><a name="hcb15ef5ed-c9ac-4539-8c04-d162b7fcf3b2"> </a><a name="b15ef5ed-c9ac-4539-8c04-d162b7fcf3b2-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 benefits</p><p><b>patient</b>: <a href="Bundle-CoverageEligibilityResponseBundle-benefits-example-01.html#urn-uuid-37dbfdfb-cc6e-4cb5-86e9-6151679082e2">Patient</a></p><p><b>created</b>: 2025-03-07 11:01:00+0500</p><p><b>enterer</b>: <a href="Bundle-CoverageEligibilityResponseBundle-benefits-example-01.html#urn-uuid-752681ee-5db5-4cff-b10c-f9d6f69fe014">Practitioner</a></p><p><b>provider</b>: <a href="Bundle-CoverageEligibilityResponseBundle-benefits-example-01.html#urn-uuid-0e17029b-e167-4473-9679-4b9052a8eca8">Organization</a></p><p><b>insurer</b>: <a href="Bundle-CoverageEligibilityResponseBundle-benefits-example-01.html#urn-uuid-01806af2-daf1-4473-a31b-657787eadee3">Organization</a></p><p><b>facility</b>: <a href="Bundle-CoverageEligibilityResponseBundle-benefits-example-01.html#urn-uuid-2ce7ebf4-6fe4-44e9-8709-1a935e48f2ef">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-benefits-example-01.html#urn-uuid-1c3642a2-2d2c-4812-8736-67c74862955a">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>
        </text>
        <identifier>
          <value value="7612345"/>
        </identifier>
        <status value="active"/>
        <priority>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/processpriority"/>
            <code value="normal"/>
            <display value="Normal"/>
          </coding>
        </priority>
        <purpose value="benefits"/>
        <patient>
          <reference value="urn:uuid:37dbfdfb-cc6e-4cb5-86e9-6151679082e2"/>
          <display value="Patient"/>
        </patient>
        <created value="2025-03-07T11:01:00+05:00"/>
        <enterer>
          <reference value="urn:uuid:752681ee-5db5-4cff-b10c-f9d6f69fe014"/>
          <display value="Practitioner"/>
        </enterer>
        <provider>
          <reference value="urn:uuid:0e17029b-e167-4473-9679-4b9052a8eca8"/>
          <display value="Organization"/>
        </provider>
        <insurer>
          <reference value="urn:uuid:01806af2-daf1-4473-a31b-657787eadee3"/>
          <display value="Organization"/>
        </insurer>
        <facility>
          <reference value="urn:uuid:2ce7ebf4-6fe4-44e9-8709-1a935e48f2ef"/>
          <display value="Location"/>
        </facility>
        <insurance>
          <focal value="true"/>
          <coverage>
            <reference value="urn:uuid:1c3642a2-2d2c-4812-8736-67c74862955a"/>
            <display value="Coverage"/>
          </coverage>
        </insurance>
        <item>
          <productOrService>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="768839008"/>
              <display value="Consultant"/>
            </coding>
          </productOrService>
          <diagnosis>
            <diagnosisCodeableConcept>
              <coding>
                <system value="http://hl7.org/fhir/sid/icd-10"/>
                <code value="E11.9"/>
                <display
                         value="Type 2 diabetes mellitus : Without complications"/>
              </coding>
            </diagnosisCodeableConcept>
          </diagnosis>
        </item>
        <item>
          <productOrService>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="765507008"/>
              <display
                       value="Metformin hydrochloride 500 mg prolonged-release oral tablet"/>
            </coding>
          </productOrService>
          <diagnosis>
            <diagnosisCodeableConcept>
              <coding>
                <system value="http://hl7.org/fhir/sid/icd-10"/>
                <code value="E11.9"/>
                <display
                         value="Type 2 diabetes mellitus : Without complications"/>
              </coding>
            </diagnosisCodeableConcept>
          </diagnosis>
        </item>
      </CoverageEligibilityRequest>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:01806af2-daf1-4473-a31b-657787eadee3"/>
    <resource>
      <Organization>
        <id value="01806af2-daf1-4473-a31b-657787eadee3"/>
        <meta>
          <profile
                   value="https://nrces.in/ndhm/fhir/r4/StructureDefinition/Organization"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Organization_01806af2-daf1-4473-a31b-657787eadee3"> </a><p class="res-header-id"><b>Generated Narrative: Organization 01806af2-daf1-4473-a31b-657787eadee3</b></p><a name="01806af2-daf1-4473-a31b-657787eadee3"> </a><a name="hc01806af2-daf1-4473-a31b-657787eadee3"> </a><a name="01806af2-daf1-4473-a31b-657787eadee3-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>
        </text>
        <identifier>
          <type>
            <coding>
              <system
                      value="https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-identifier-type-code"/>
              <code value="ROHINI"/>
              <display
                       value="Registry of Hospitals in Network of Insurance (ROHINI) ID"/>
            </coding>
          </type>
          <system value="https://rohini.iib.gov.in/"/>
          <value value="4567878"/>
        </identifier>
        <type>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/organization-type"/>
            <code value="ins"/>
            <display value="Insurance Company"/>
          </coding>
        </type>
        <name value="XYZ Insurance Co. Ltd."/>
        <telecom>
          <system value="phone"/>
          <value value="+91 243 2634 1234"/>
          <use value="work"/>
        </telecom>
        <telecom>
          <system value="email"/>
          <value value="contact@xyz.org"/>
          <use value="work"/>
        </telecom>
      </Organization>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:0e17029b-e167-4473-9679-4b9052a8eca8"/>
    <resource>
      <Organization>
        <id value="0e17029b-e167-4473-9679-4b9052a8eca8"/>
        <meta>
          <profile
                   value="https://nrces.in/ndhm/fhir/r4/StructureDefinition/Organization"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Organization_0e17029b-e167-4473-9679-4b9052a8eca8"> </a><p class="res-header-id"><b>Generated Narrative: Organization 0e17029b-e167-4473-9679-4b9052a8eca8</b></p><a name="0e17029b-e167-4473-9679-4b9052a8eca8"> </a><a name="hc0e17029b-e167-4473-9679-4b9052a8eca8"> </a><a name="0e17029b-e167-4473-9679-4b9052a8eca8-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>
        </text>
        <identifier>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="PRN"/>
              <display value="Provider number"/>
            </coding>
          </type>
          <system value="https://facility.ndhm.gov.in"/>
          <value value="1234567890"/>
        </identifier>
        <type>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/organization-type"/>
            <code value="prov"/>
            <display value="Healthcare Provider"/>
          </coding>
        </type>
        <name value="XYZ Hospital Co. Ltd."/>
        <telecom>
          <system value="phone"/>
          <value value="+91 243 2634 1278"/>
          <use value="work"/>
        </telecom>
        <telecom>
          <system value="email"/>
          <value value="contact@xyz.org"/>
          <use value="work"/>
        </telecom>
      </Organization>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:2ce7ebf4-6fe4-44e9-8709-1a935e48f2ef"/>
    <resource>
      <Location>
        <id value="2ce7ebf4-6fe4-44e9-8709-1a935e48f2ef"/>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Location_2ce7ebf4-6fe4-44e9-8709-1a935e48f2ef"> </a><p class="res-header-id"><b>Generated Narrative: Location 2ce7ebf4-6fe4-44e9-8709-1a935e48f2ef</b></p><a name="2ce7ebf4-6fe4-44e9-8709-1a935e48f2ef"> </a><a name="hc2ce7ebf4-6fe4-44e9-8709-1a935e48f2ef"> </a><a name="2ce7ebf4-6fe4-44e9-8709-1a935e48f2ef-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>: IndiaFirst Life Insurance 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-benefits-example-01.html#urn-uuid-0e17029b-e167-4473-9679-4b9052a8eca8">Organization</a></p></div>
        </text>
        <identifier>
          <value value="B1-S.F2"/>
        </identifier>
        <status value="active"/>
        <name value="South Wing, second floor"/>
        <alias
               value="IndiaFirst Life Insurance Co. Ltd., South Wing, second floor"/>
        <description
                     value="Second floor of the Old South Wing, formerly in use by Psychiatry"/>
        <mode value="instance"/>
        <telecom>
          <system value="phone"/>
          <value value="2328"/>
          <use value="work"/>
        </telecom>
        <telecom>
          <system value="fax"/>
          <value value="2329"/>
          <use value="work"/>
        </telecom>
        <telecom>
          <system value="url"/>
          <value value="http://sampleorg.com/southwing"/>
          <use value="work"/>
        </telecom>
        <address>
          <use value="work"/>
          <line value="91, Building A"/>
          <city value="Pune"/>
          <postalCode value="451855"/>
          <country value="IND"/>
        </address>
        <physicalType>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/location-physical-type"/>
            <code value="wi"/>
            <display value="Wing"/>
          </coding>
        </physicalType>
        <position>
          <longitude value="-83.6945691"/>
          <latitude value="42.25475478"/>
          <altitude value="0"/>
        </position>
        <managingOrganization>
          <reference value="urn:uuid:0e17029b-e167-4473-9679-4b9052a8eca8"/>
          <display value="Organization"/>
        </managingOrganization>
      </Location>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:1c3642a2-2d2c-4812-8736-67c74862955a"/>
    <resource>
      <Coverage>
        <id value="1c3642a2-2d2c-4812-8736-67c74862955a"/>
        <meta>
          <profile
                   value="https://nrces.in/ndhm/fhir/r4/StructureDefinition/Coverage"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Coverage_1c3642a2-2d2c-4812-8736-67c74862955a"> </a><p class="res-header-id"><b>Generated Narrative: Coverage 1c3642a2-2d2c-4812-8736-67c74862955a</b></p><a name="1c3642a2-2d2c-4812-8736-67c74862955a"> </a><a name="hc1c3642a2-2d2c-4812-8736-67c74862955a"> </a><a name="1c3642a2-2d2c-4812-8736-67c74862955a-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-benefits-example-01.html#urn-uuid-37dbfdfb-cc6e-4cb5-86e9-6151679082e2">Patient</a></p><p><b>subscriberId</b>: ABC123456BI007</p><p><b>beneficiary</b>: <a href="Bundle-CoverageEligibilityResponseBundle-benefits-example-01.html#urn-uuid-37dbfdfb-cc6e-4cb5-86e9-6151679082e2">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-benefits-example-01.html#urn-uuid-01806af2-daf1-4473-a31b-657787eadee3">Organization</a></p></div>
        </text>
        <identifier>
          <system value="https://xyzinsurance.in/policynumber/"/>
          <value value="235037120"/>
        </identifier>
        <status value="active"/>
        <type>
          <coding>
            <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
            <code value="HIP"/>
            <display value="health insurance plan policy"/>
          </coding>
        </type>
        <subscriber>
          <reference value="urn:uuid:37dbfdfb-cc6e-4cb5-86e9-6151679082e2"/>
          <display value="Patient"/>
        </subscriber>
        <subscriberId value="ABC123456BI007"/>
        <beneficiary>
          <reference value="urn:uuid:37dbfdfb-cc6e-4cb5-86e9-6151679082e2"/>
          <display value="Patient"/>
        </beneficiary>
        <relationship>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/subscriber-relationship"/>
            <code value="self"/>
          </coding>
        </relationship>
        <period>
          <end value="2026-03-17"/>
        </period>
        <payor>
          <reference value="urn:uuid:01806af2-daf1-4473-a31b-657787eadee3"/>
          <display value="Organization"/>
        </payor>
      </Coverage>
    </resource>
  </entry>
</Bundle>