FHIR Implementation Guide for ABDM
6.5.0 - active
FHIR Implementation Guide for ABDM
6.5.0 - active
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
<Bundle xmlns="http://hl7.org/fhir">
<id value="CoverageEligibilityResponseBundle-validation-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:4ecd2358-0fe4-40d7-a76c-9e1b00af2bed"/>
<resource>
<CoverageEligibilityResponse>
<id value="4ecd2358-0fe4-40d7-a76c-9e1b00af2bed"/>
<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_4ecd2358-0fe4-40d7-a76c-9e1b00af2bed"> </a><p class="res-header-id"><b>Generated Narrative: CoverageEligibilityResponse 4ecd2358-0fe4-40d7-a76c-9e1b00af2bed</b></p><a name="4ecd2358-0fe4-40d7-a76c-9e1b00af2bed"> </a><a name="hc4ecd2358-0fe4-40d7-a76c-9e1b00af2bed"> </a><a name="4ecd2358-0fe4-40d7-a76c-9e1b00af2bed-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 Validation</p><p><b>patient</b>: <a href="Bundle-CoverageEligibilityResponseBundle-validation-example-01.html#urn-uuid-6e479103-c550-4303-bab0-a06b6d8924e0">Patient</a></p><p><b>created</b>: 2025-03-07</p><p><b>requestor</b>: <a href="Bundle-CoverageEligibilityResponseBundle-validation-example-01.html#urn-uuid-9307fb56-4fa4-4c26-aa54-643686fd3ef4">Organization</a></p><p><b>request</b>: <a href="Bundle-CoverageEligibilityResponseBundle-validation-example-01.html#urn-uuid-efac0538-908f-4bb1-807a-0f037321bef4">CoverageEligibilityRequest-validation</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-validation-example-01.html#urn-uuid-160d35ce-4380-4c35-b1d2-cd792babb281">Organization</a></p><h3>Insurances</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Coverage</b></td><td><b>Inforce</b></td><td><b>BenefitPeriod</b></td></tr><tr><td style="display: none">*</td><td><a href="Bundle-CoverageEligibilityResponseBundle-validation-example-01.html#urn-uuid-23ce58e6-ce30-4a7f-ad97-85494a05fcef">Coverage</a></td><td>true</td><td>2023-09-07 --> 2026-08-07</td></tr></table></div>
</text>
<status value="active"/>
<purpose value="validation"/>
<patient>
<reference value="urn:uuid:6e479103-c550-4303-bab0-a06b6d8924e0"/>
<display value="Patient"/>
</patient>
<created value="2025-03-07"/>
<requestor>
<reference value="urn:uuid:9307fb56-4fa4-4c26-aa54-643686fd3ef4"/>
<display value="Organization"/>
</requestor>
<request>
<reference value="urn:uuid:efac0538-908f-4bb1-807a-0f037321bef4"/>
<display value="CoverageEligibilityRequest-validation"/>
</request>
<outcome value="complete"/>
<disposition value="Policy is currently in-force."/>
<insurer>
<reference value="urn:uuid:160d35ce-4380-4c35-b1d2-cd792babb281"/>
<display value="Organization"/>
</insurer>
<insurance>
<coverage>
<reference value="urn:uuid:23ce58e6-ce30-4a7f-ad97-85494a05fcef"/>
<display value="Coverage"/>
</coverage>
<inforce value="true"/>
<benefitPeriod>
<start value="2023-09-07"/>
<end value="2026-08-07"/>
</benefitPeriod>
</insurance>
</CoverageEligibilityResponse>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:6e479103-c550-4303-bab0-a06b6d8924e0"/>
<resource>
<Patient>
<id value="6e479103-c550-4303-bab0-a06b6d8924e0"/>
<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_6e479103-c550-4303-bab0-a06b6d8924e0"> </a><p class="res-header-id"><b>Generated Narrative: Patient 6e479103-c550-4303-bab0-a06b6d8924e0</b></p><a name="6e479103-c550-4303-bab0-a06b6d8924e0"> </a><a name="hc6e479103-c550-4303-bab0-a06b6d8924e0"> </a><a name="6e479103-c550-4303-bab0-a06b6d8924e0-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:fa95a74b-8175-43b6-8898-de37270bfffa"/>
<resource>
<Practitioner>
<id value="fa95a74b-8175-43b6-8898-de37270bfffa"/>
<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_fa95a74b-8175-43b6-8898-de37270bfffa"> </a><p class="res-header-id"><b>Generated Narrative: Practitioner fa95a74b-8175-43b6-8898-de37270bfffa</b></p><a name="fa95a74b-8175-43b6-8898-de37270bfffa"> </a><a name="hcfa95a74b-8175-43b6-8898-de37270bfffa"> </a><a name="fa95a74b-8175-43b6-8898-de37270bfffa-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:efac0538-908f-4bb1-807a-0f037321bef4"/>
<resource>
<CoverageEligibilityRequest>
<id value="efac0538-908f-4bb1-807a-0f037321bef4"/>
<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_efac0538-908f-4bb1-807a-0f037321bef4"> </a><p class="res-header-id"><b>Generated Narrative: CoverageEligibilityRequest efac0538-908f-4bb1-807a-0f037321bef4</b></p><a name="efac0538-908f-4bb1-807a-0f037321bef4"> </a><a name="hcefac0538-908f-4bb1-807a-0f037321bef4"> </a><a name="efac0538-908f-4bb1-807a-0f037321bef4-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 Validation</p><p><b>patient</b>: <a href="Bundle-CoverageEligibilityResponseBundle-validation-example-01.html#urn-uuid-6e479103-c550-4303-bab0-a06b6d8924e0">Patient</a></p><p><b>created</b>: 2025-03-07 11:01:00+0500</p><p><b>enterer</b>: <a href="Bundle-CoverageEligibilityResponseBundle-validation-example-01.html#urn-uuid-fa95a74b-8175-43b6-8898-de37270bfffa">Practitioner</a></p><p><b>provider</b>: <a href="Bundle-CoverageEligibilityResponseBundle-validation-example-01.html#urn-uuid-9307fb56-4fa4-4c26-aa54-643686fd3ef4">Organization</a></p><p><b>insurer</b>: <a href="Bundle-CoverageEligibilityResponseBundle-validation-example-01.html#urn-uuid-160d35ce-4380-4c35-b1d2-cd792babb281">Organization</a></p><p><b>facility</b>: <a href="Bundle-CoverageEligibilityResponseBundle-validation-example-01.html#urn-uuid-94036e9a-0e67-4b95-b1a0-410d0da90a5b">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-validation-example-01.html#urn-uuid-23ce58e6-ce30-4a7f-ad97-85494a05fcef">Bundle: identifier = bc3c6c57-2053-4d0e-ac40-139ccccff645; type = collection; timestamp = 2025-03-07 15:32:26+0530</a></td></tr></table></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="validation"/>
<patient>
<reference value="urn:uuid:6e479103-c550-4303-bab0-a06b6d8924e0"/>
<display value="Patient"/>
</patient>
<created value="2025-03-07T11:01:00+05:00"/>
<enterer>
<reference value="urn:uuid:fa95a74b-8175-43b6-8898-de37270bfffa"/>
<display value="Practitioner"/>
</enterer>
<provider>
<reference value="urn:uuid:9307fb56-4fa4-4c26-aa54-643686fd3ef4"/>
<display value="Organization"/>
</provider>
<insurer>
<reference value="urn:uuid:160d35ce-4380-4c35-b1d2-cd792babb281"/>
<display value="Organization"/>
</insurer>
<facility>
<reference value="urn:uuid:94036e9a-0e67-4b95-b1a0-410d0da90a5b"/>
<display value="Location"/>
</facility>
<insurance>
<focal value="true"/>
<coverage>
<reference value="urn:uuid:23ce58e6-ce30-4a7f-ad97-85494a05fcef"/>
</coverage>
</insurance>
</CoverageEligibilityRequest>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:160d35ce-4380-4c35-b1d2-cd792babb281"/>
<resource>
<Organization>
<id value="160d35ce-4380-4c35-b1d2-cd792babb281"/>
<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_160d35ce-4380-4c35-b1d2-cd792babb281"> </a><p class="res-header-id"><b>Generated Narrative: Organization 160d35ce-4380-4c35-b1d2-cd792babb281</b></p><a name="160d35ce-4380-4c35-b1d2-cd792babb281"> </a><a name="hc160d35ce-4380-4c35-b1d2-cd792babb281"> </a><a name="160d35ce-4380-4c35-b1d2-cd792babb281-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:9307fb56-4fa4-4c26-aa54-643686fd3ef4"/>
<resource>
<Organization>
<id value="9307fb56-4fa4-4c26-aa54-643686fd3ef4"/>
<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_9307fb56-4fa4-4c26-aa54-643686fd3ef4"> </a><p class="res-header-id"><b>Generated Narrative: Organization 9307fb56-4fa4-4c26-aa54-643686fd3ef4</b></p><a name="9307fb56-4fa4-4c26-aa54-643686fd3ef4"> </a><a name="hc9307fb56-4fa4-4c26-aa54-643686fd3ef4"> </a><a name="9307fb56-4fa4-4c26-aa54-643686fd3ef4-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:94036e9a-0e67-4b95-b1a0-410d0da90a5b"/>
<resource>
<Location>
<id value="94036e9a-0e67-4b95-b1a0-410d0da90a5b"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Location_94036e9a-0e67-4b95-b1a0-410d0da90a5b"> </a><p class="res-header-id"><b>Generated Narrative: Location 94036e9a-0e67-4b95-b1a0-410d0da90a5b</b></p><a name="94036e9a-0e67-4b95-b1a0-410d0da90a5b"> </a><a name="hc94036e9a-0e67-4b95-b1a0-410d0da90a5b"> </a><a name="94036e9a-0e67-4b95-b1a0-410d0da90a5b-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-validation-example-01.html#urn-uuid-9307fb56-4fa4-4c26-aa54-643686fd3ef4">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:9307fb56-4fa4-4c26-aa54-643686fd3ef4"/>
<display value="Organization"/>
</managingOrganization>
</Location>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:23ce58e6-ce30-4a7f-ad97-85494a05fcef"/>
<resource>
<Coverage>
<id value="23ce58e6-ce30-4a7f-ad97-85494a05fcef"/>
<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_23ce58e6-ce30-4a7f-ad97-85494a05fcef"> </a><p class="res-header-id"><b>Generated Narrative: Coverage 23ce58e6-ce30-4a7f-ad97-85494a05fcef</b></p><a name="23ce58e6-ce30-4a7f-ad97-85494a05fcef"> </a><a name="hc23ce58e6-ce30-4a7f-ad97-85494a05fcef"> </a><a name="23ce58e6-ce30-4a7f-ad97-85494a05fcef-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-validation-example-01.html#urn-uuid-6e479103-c550-4303-bab0-a06b6d8924e0">Patient</a></p><p><b>subscriberId</b>: ABC123456BI007</p><p><b>beneficiary</b>: <a href="Bundle-CoverageEligibilityResponseBundle-validation-example-01.html#urn-uuid-6e479103-c550-4303-bab0-a06b6d8924e0">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>: ?? --> 2026-03-17</p><p><b>payor</b>: <a href="Bundle-CoverageEligibilityResponseBundle-validation-example-01.html#urn-uuid-160d35ce-4380-4c35-b1d2-cd792babb281">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:6e479103-c550-4303-bab0-a06b6d8924e0"/>
<display value="Patient"/>
</subscriber>
<subscriberId value="ABC123456BI007"/>
<beneficiary>
<reference value="urn:uuid:6e479103-c550-4303-bab0-a06b6d8924e0"/>
<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:160d35ce-4380-4c35-b1d2-cd792babb281"/>
<display value="Organization"/>
</payor>
</Coverage>
</resource>
</entry>
</Bundle>