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: CoverageEligibilityResponseBundle-discovery-example-01

Generated Narrative: Bundle CoverageEligibilityResponseBundle-discovery-example-01

Bundle CoverageEligibilityResponseBundle-discovery-example-01 of type collection


Entry 1 - fullUrl = urn:uuid:5f0d3c31-d06d-493a-8cad-d786fb34f565

Resource CoverageEligibilityResponse:

Generated Narrative: CoverageEligibilityResponse 5f0d3c31-d06d-493a-8cad-d786fb34f565

Language: en

Profile: CoverageEligibilityResponse

status: Active

purpose: Coverage Discovery

patient: Patient

created: 2023-09-11

requestor: Organization

request: CoverageEligibilityRequest-discovery

outcome: Processing Complete

disposition: Policy is currently in-force.

insurer: Organization

Insurances

-CoverageInforceBenefitPeriod
*Coveragetrue2023-09-07 --> 2026-08-07

Entry 2 - fullUrl = urn:uuid:6aa94e1c-7b4b-42fa-9d5f-f7c7e489404e

Resource Patient:

Generated Narrative: Patient 6aa94e1c-7b4b-42fa-9d5f-f7c7e489404e

version: 1; Last updated: 2023-09-15 14:58:58+0530

Profile: Patient

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


Contact Detail+919818512600

Entry 3 - fullUrl = urn:uuid:1647b8bd-7370-4182-8d01-62532f920a75

Resource Practitioner:

Generated Narrative: Practitioner 1647b8bd-7370-4182-8d01-62532f920a75

version: 1; Last updated: 2023-09-15 14:58:58+0530

Profile: Practitioner

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

name: Dr. Aayush Agrawal


Entry 4 - fullUrl = urn:uuid:4a94adea-b220-4f7a-82bf-eeba6f7b3473

Resource CoverageEligibilityRequest:

Generated Narrative: CoverageEligibilityRequest 4a94adea-b220-4f7a-82bf-eeba6f7b3473

Language: en

Profile: CoverageEligibilityRequest

identifier: 7612345

status: Active

priority: Normal

purpose: Coverage Discovery

patient: Patient

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

enterer: Practitioner

provider: Organization

insurer: Organization

facility: Location

Insurances

-FocalCoverage
*trueCoverage

Entry 5 - fullUrl = urn:uuid:9c214228-bd79-44d3-b599-1bd46170b938

Resource Organization:

Generated Narrative: Organization 9c214228-bd79-44d3-b599-1bd46170b938

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


Entry 6 - fullUrl = urn:uuid:c80cb253-1436-4ebb-a7ff-2ec737869db8

Resource Organization:

Generated Narrative: Organization c80cb253-1436-4ebb-a7ff-2ec737869db8

identifier: Provider number/1234567890

type: Healthcare Provider

name: XYZ Hospital Co. Ltd.

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


Entry 7 - fullUrl = urn:uuid:561bcf42-257d-4f5b-9b62-24fc11dc4325

Resource Location:

Generated Narrative: Location 561bcf42-257d-4f5b-9b62-24fc11dc4325

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


Entry 8 - fullUrl = urn:uuid:e67150f3-5a12-4e9b-a6e6-da8fd21693cc

Resource Coverage:

Generated Narrative: Coverage e67150f3-5a12-4e9b-a6e6-da8fd21693cc

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