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

: TaskBundleForPaymentNoticeRequest-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 xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:Bundle ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "TaskBundleForPaymentNoticeRequest-example-01"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "https://nrces.in/ndhm/fhir/r4/StructureDefinition/TaskBundle"^^xsd:anyURI ;
fhir:link <https://nrces.in/ndhm/fhir/r4/StructureDefinition/TaskBundle>     ] ) ;
    ( fhir:security [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-Confidentiality"^^xsd:anyURI ] ;
fhir:code [ fhir:v "V" ] ;
fhir:display [ fhir:v "very restricted" ]     ] )
  ] ; # 
  fhir:identifier [
fhir:value [ fhir:v "bc3c6c57-2053-4d0e-ac40-139ccccff645" ]
  ] ; # 
  fhir:type [ fhir:v "collection"] ; # 
  fhir:entry ( [
fhir:fullUrl [ fhir:v "urn:uuid:c147ae4a-f6c1-4375-a5bb-cedf69235521"^^xsd:anyURI ] ;
    ( fhir:resource <urn:uuid:c147ae4a-f6c1-4375-a5bb-cedf69235521> )
  ] [
fhir:fullUrl [ fhir:v "urn:uuid:dd6916d4-485d-45d3-bcc9-f067cab42a70"^^xsd:anyURI ] ;
    ( fhir:resource <urn:uuid:dd6916d4-485d-45d3-bcc9-f067cab42a70> )
  ] [
fhir:fullUrl [ fhir:v "urn:uuid:a5b973a0-7274-4158-9f47-398be057b8e1"^^xsd:anyURI ] ;
    ( fhir:resource <urn:uuid:a5b973a0-7274-4158-9f47-398be057b8e1> )
  ] [
fhir:fullUrl [ fhir:v "urn:uuid:5adfff18-d900-4016-bfa1-987af186bf8f"^^xsd:anyURI ] ;
    ( fhir:resource <urn:uuid:5adfff18-d900-4016-bfa1-987af186bf8f> )
  ] [
fhir:fullUrl [ fhir:v "urn:uuid:498c0785-7cb6-4e18-9848-e61f515ca257"^^xsd:anyURI ] ;
    ( fhir:resource <urn:uuid:498c0785-7cb6-4e18-9848-e61f515ca257> )
  ] ) . # 

<urn:uuid:c147ae4a-f6c1-4375-a5bb-cedf69235521> a fhir:Task ;
  fhir:id [ fhir:v "c147ae4a-f6c1-4375-a5bb-cedf69235521"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "https://nrces.in/ndhm/fhir/r4/StructureDefinition/Task"^^xsd:anyURI ;
fhir:link <https://nrces.in/ndhm/fhir/r4/StructureDefinition/Task>     ] )
  ] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Task_c147ae4a-f6c1-4375-a5bb-cedf69235521\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Task c147ae4a-f6c1-4375-a5bb-cedf69235521</b></p><a name=\"c147ae4a-f6c1-4375-a5bb-cedf69235521\"> </a><a name=\"hcc147ae4a-f6c1-4375-a5bb-cedf69235521\"> </a><a name=\"c147ae4a-f6c1-4375-a5bb-cedf69235521-hi-IN\"> </a><p><b>status</b>: Requested</p><p><b>intent</b>: order</p><p><b>code</b>: <span title=\"Codes:{https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-task-codes deliver}\">deliver</span></p><p><b>description</b>: payment status Check</p><p><b>authoredOn</b>: 2025-03-07</p><p><b>requester</b>: <a href=\"Bundle-TaskBundleForPaymentNoticeRequest-example-01.html#urn-uuid-a5b973a0-7274-4158-9f47-398be057b8e1\">Organization-insurance-company</a></p><p><b>owner</b>: <a href=\"Bundle-TaskBundleForPaymentNoticeRequest-example-01.html#urn-uuid-5adfff18-d900-4016-bfa1-987af186bf8f\">Organization-hospital</a></p><h3>Inputs</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Type</b></td><td><b>Value[x]</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/financialtaskinputtype status}\">Status code</span></td><td><a href=\"Bundle-TaskBundleForPaymentNoticeRequest-example-01.html#urn-uuid-dd6916d4-485d-45d3-bcc9-f067cab42a70\">PaymentNotice</a></td></tr></table></div>"^^rdf:XMLLiteral
  ] ; # 
  fhir:status [ fhir:v "requested"] ; # 
  fhir:intent [ fhir:v "order"] ; # 
  fhir:code [
    ( fhir:coding [
fhir:system [ fhir:v "https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-task-codes"^^xsd:anyURI ] ;
fhir:code [ fhir:v "deliver" ]     ] )
  ] ; # 
  fhir:description [ fhir:v "payment status Check"] ; # 
  fhir:authoredOn [ fhir:v "2025-03-07"^^xsd:date] ; # 
  fhir:requester [
fhir:reference [ fhir:v "urn:uuid:a5b973a0-7274-4158-9f47-398be057b8e1" ] ;
fhir:display [ fhir:v "Organization-insurance-company" ]
  ] ; # 
  fhir:owner [
fhir:reference [ fhir:v "urn:uuid:5adfff18-d900-4016-bfa1-987af186bf8f" ] ;
fhir:display [ fhir:v "Organization-hospital" ]
  ] ; # 
  fhir:input ( [
fhir:type [
      ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/financialtaskinputtype"^^xsd:anyURI ] ;
fhir:code [ fhir:v "status" ]       ] )     ] ;
fhir:value [
a fhir:Reference ;
fhir:reference [ fhir:v "urn:uuid:dd6916d4-485d-45d3-bcc9-f067cab42a70" ] ;
fhir:display [ fhir:v "PaymentNotice" ]     ]
  ] ) . # 

<urn:uuid:dd6916d4-485d-45d3-bcc9-f067cab42a70> a fhir:PaymentNotice ;
  fhir:id [ fhir:v "dd6916d4-485d-45d3-bcc9-f067cab42a70"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "https://nrces.in/ndhm/fhir/r4/StructureDefinition/PaymentNotice"^^xsd:anyURI ;
fhir:link <https://nrces.in/ndhm/fhir/r4/StructureDefinition/PaymentNotice>     ] )
  ] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"PaymentNotice_dd6916d4-485d-45d3-bcc9-f067cab42a70\"> </a><p class=\"res-header-id\"><b>Generated Narrative: PaymentNotice dd6916d4-485d-45d3-bcc9-f067cab42a70</b></p><a name=\"dd6916d4-485d-45d3-bcc9-f067cab42a70\"> </a><a name=\"hcdd6916d4-485d-45d3-bcc9-f067cab42a70\"> </a><a name=\"dd6916d4-485d-45d3-bcc9-f067cab42a70-hi-IN\"> </a><p><b>identifier</b>: <code>http://benefitsinc.com/paymentnotice</code>/776543</p><p><b>status</b>: Active</p><p><b>created</b>: 2025-03-07 14:58:58+0530</p><p><b>payment</b>: <a href=\"Bundle-TaskBundleForPaymentNoticeRequest-example-01.html#urn-uuid-498c0785-7cb6-4e18-9848-e61f515ca257\">PaymentReconciliation</a></p><p><b>paymentDate</b>: 2025-03-07</p><p><b>recipient</b>: <a href=\"Bundle-TaskBundleForPaymentNoticeRequest-example-01.html#urn-uuid-5adfff18-d900-4016-bfa1-987af186bf8f\">Organization-hospital</a></p><h3>Amounts</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style=\"display: none\">*</td><td>180000</td><td>Indian rupee</td></tr></table><p><b>paymentStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/paymentstatus paid}\">Paid</span></p></div>"^^rdf:XMLLiteral
  ] ; # 
  fhir:identifier ( [
fhir:system [ fhir:v "http://benefitsinc.com/paymentnotice"^^xsd:anyURI ] ;
fhir:value [ fhir:v "776543" ]
  ] ) ; # 
  fhir:status [ fhir:v "active"] ; # 
  fhir:created [ fhir:v "2025-03-07T14:58:58.181+05:30"^^xsd:dateTime] ; # 
  fhir:payment [
fhir:reference [ fhir:v "urn:uuid:498c0785-7cb6-4e18-9848-e61f515ca257" ] ;
fhir:display [ fhir:v "PaymentReconciliation" ]
  ] ; # 
  fhir:paymentDate [ fhir:v "2025-03-07"^^xsd:date] ; # 
  fhir:recipient [
fhir:reference [ fhir:v "urn:uuid:5adfff18-d900-4016-bfa1-987af186bf8f" ] ;
fhir:display [ fhir:v "Organization-hospital" ]
  ] ; # 
  fhir:amount [
fhir:value [ fhir:v "180000"^^xsd:decimal ] ;
fhir:currency [ fhir:v "INR" ]
  ] ; # 
  fhir:paymentStatus [
    ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/paymentstatus"^^xsd:anyURI ] ;
fhir:code [ fhir:v "paid" ]     ] )
  ] . # 

<urn:uuid:a5b973a0-7274-4158-9f47-398be057b8e1> a fhir:Organization ;
  fhir:id [ fhir:v "a5b973a0-7274-4158-9f47-398be057b8e1"] ; # 
  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_a5b973a0-7274-4158-9f47-398be057b8e1\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Organization a5b973a0-7274-4158-9f47-398be057b8e1</b></p><a name=\"a5b973a0-7274-4158-9f47-398be057b8e1\"> </a><a name=\"hca5b973a0-7274-4158-9f47-398be057b8e1\"> </a><a name=\"a5b973a0-7274-4158-9f47-398be057b8e1-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:5adfff18-d900-4016-bfa1-987af186bf8f> a fhir:Organization ;
  fhir:id [ fhir:v "5adfff18-d900-4016-bfa1-987af186bf8f"] ; # 
  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_5adfff18-d900-4016-bfa1-987af186bf8f\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Organization 5adfff18-d900-4016-bfa1-987af186bf8f</b></p><a name=\"5adfff18-d900-4016-bfa1-987af186bf8f\"> </a><a name=\"hc5adfff18-d900-4016-bfa1-987af186bf8f\"> </a><a name=\"5adfff18-d900-4016-bfa1-987af186bf8f-hi-IN\"> </a><p><b>identifier</b>: Provider number/45675454</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 "45675454" ]
  ] ) ; # 
  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:498c0785-7cb6-4e18-9848-e61f515ca257> a fhir:PaymentReconciliation ;
  fhir:id [ fhir:v "498c0785-7cb6-4e18-9848-e61f515ca257"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "https://nrces.in/ndhm/fhir/r4/StructureDefinition/PaymentReconciliation"^^xsd:anyURI ;
fhir:link <https://nrces.in/ndhm/fhir/r4/StructureDefinition/PaymentReconciliation>     ] )
  ] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"PaymentReconciliation_498c0785-7cb6-4e18-9848-e61f515ca257\"> </a><p class=\"res-header-id\"><b>Generated Narrative: PaymentReconciliation 498c0785-7cb6-4e18-9848-e61f515ca257</b></p><a name=\"498c0785-7cb6-4e18-9848-e61f515ca257\"> </a><a name=\"hc498c0785-7cb6-4e18-9848-e61f515ca257\"> </a><a name=\"498c0785-7cb6-4e18-9848-e61f515ca257-hi-IN\"> </a><p><b>identifier</b>: <code>http://www.BenefitsInc.com/fhir/enrollmentresponse</code>/781234</p><p><b>status</b>: Active</p><p><b>period</b>: 2025-03-01 11:01:00+0500 --&gt; 2025-03-07 11:01:00+0500</p><p><b>created</b>: 2025-03-07</p><p><b>paymentIssuer</b>: <a href=\"Bundle-TaskBundleForPaymentNoticeRequest-example-01.html#urn-uuid-a5b973a0-7274-4158-9f47-398be057b8e1\">Organization-Insurance-Company</a></p><p><b>requestor</b>: <a href=\"Bundle-TaskBundleForPaymentNoticeRequest-example-01.html#urn-uuid-5adfff18-d900-4016-bfa1-987af186bf8f\">Organization-hospital</a></p><p><b>outcome</b>: Processing Complete</p><p><b>disposition</b>: 2025 march month settlement.</p><p><b>paymentDate</b>: 2025-03-07</p><h3>PaymentAmounts</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style=\"display: none\">*</td><td>180000</td><td>Indian rupee</td></tr></table><p><b>paymentIdentifier</b>: UTRNUMBER2920287229</p><blockquote><p><b>detail</b></p><p><b>identifier</b>: CLAIMREFNUM7612345</p><p><b>type</b>: <span title=\"Codes:{https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-payment-type approvedAmount}\">Approved Amount</span></p><p><b>date</b>: 2024-03-31</p><h3>Amounts</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style=\"display: none\">*</td><td>90000</td><td>Indian rupee</td></tr></table></blockquote><blockquote><p><b>detail</b></p><p><b>identifier</b>: CLAIMREFNUM7612345</p><p><b>type</b>: <span title=\"Codes:{https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-payment-type tds}\">TDS Deduction</span></p><p><b>date</b>: 2024-03-31</p><h3>Amounts</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style=\"display: none\">*</td><td>9000</td><td>Indian rupee</td></tr></table></blockquote><blockquote><p><b>detail</b></p><p><b>identifier</b>: CLAIMREFNUM6789054</p><p><b>type</b>: <span title=\"Codes:{https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-payment-type approvedAmount}\">Approved Amount</span></p><p><b>date</b>: 2024-03-31</p><h3>Amounts</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style=\"display: none\">*</td><td>110000</td><td>Indian rupee</td></tr></table></blockquote><blockquote><p><b>detail</b></p><p><b>identifier</b>: CLAIMREFNUM6789054</p><p><b>type</b>: <span title=\"Codes:{https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-payment-type tds}\">TDS Deduction</span></p><p><b>date</b>: 2024-03-31</p><h3>Amounts</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style=\"display: none\">*</td><td>11000</td><td>Indian rupee</td></tr></table></blockquote></div>"^^rdf:XMLLiteral
  ] ; # 
  fhir:identifier ( [
fhir:system [ fhir:v "http://www.BenefitsInc.com/fhir/enrollmentresponse"^^xsd:anyURI ] ;
fhir:value [ fhir:v "781234" ]
  ] ) ; # 
  fhir:status [ fhir:v "active"] ; # 
  fhir:period [
fhir:start [ fhir:v "2025-03-01T11:01:00+05:00"^^xsd:dateTime ] ;
fhir:end [ fhir:v "2025-03-07T11:01:00+05:00"^^xsd:dateTime ]
  ] ; # 
  fhir:created [ fhir:v "2025-03-07"^^xsd:date] ; # 
  fhir:paymentIssuer [
fhir:reference [ fhir:v "urn:uuid:a5b973a0-7274-4158-9f47-398be057b8e1" ] ;
fhir:display [ fhir:v "Organization-Insurance-Company" ]
  ] ; # 
  fhir:requestor [
fhir:reference [ fhir:v "urn:uuid:5adfff18-d900-4016-bfa1-987af186bf8f" ] ;
fhir:display [ fhir:v "Organization-hospital" ]
  ] ; # 
  fhir:outcome [ fhir:v "complete"] ; # 
  fhir:disposition [ fhir:v "2025 march month settlement."] ; # 
  fhir:paymentDate [ fhir:v "2025-03-07"^^xsd:date] ; # 
  fhir:paymentAmount [
fhir:value [ fhir:v "180000"^^xsd:decimal ] ;
fhir:currency [ fhir:v "INR" ]
  ] ; # 
  fhir:paymentIdentifier [
fhir:value [ fhir:v "UTRNUMBER2920287229" ]
  ] ; # 
  fhir:detail ( [
fhir:identifier [
fhir:value [ fhir:v "CLAIMREFNUM7612345" ]     ] ;
fhir:type [
      ( fhir:coding [
fhir:system [ fhir:v "https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-payment-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "approvedAmount" ] ;
fhir:display [ fhir:v "Approved Amount" ]       ] )     ] ;
fhir:date [ fhir:v "2024-03-31"^^xsd:date ] ;
fhir:amount [
fhir:value [ fhir:v "90000"^^xsd:decimal ] ;
fhir:currency [ fhir:v "INR" ]     ]
  ] [
fhir:identifier [
fhir:value [ fhir:v "CLAIMREFNUM7612345" ]     ] ;
fhir:type [
      ( fhir:coding [
fhir:system [ fhir:v "https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-payment-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "tds" ] ;
fhir:display [ fhir:v "TDS Deduction" ]       ] )     ] ;
fhir:date [ fhir:v "2024-03-31"^^xsd:date ] ;
fhir:amount [
fhir:value [ fhir:v "9000"^^xsd:decimal ] ;
fhir:currency [ fhir:v "INR" ]     ]
  ] [
fhir:identifier [
fhir:value [ fhir:v "CLAIMREFNUM6789054" ]     ] ;
fhir:type [
      ( fhir:coding [
fhir:system [ fhir:v "https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-payment-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "approvedAmount" ] ;
fhir:display [ fhir:v "Approved Amount" ]       ] )     ] ;
fhir:date [ fhir:v "2024-03-31"^^xsd:date ] ;
fhir:amount [
fhir:value [ fhir:v "110000"^^xsd:decimal ] ;
fhir:currency [ fhir:v "INR" ]     ]
  ] [
fhir:identifier [
fhir:value [ fhir:v "CLAIMREFNUM6789054" ]     ] ;
fhir:type [
      ( fhir:coding [
fhir:system [ fhir:v "https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-payment-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "tds" ] ;
fhir:display [ fhir:v "TDS Deduction" ]       ] )     ] ;
fhir:date [ fhir:v "2024-03-31"^^xsd:date ] ;
fhir:amount [
fhir:value [ fhir:v "11000"^^xsd:decimal ] ;
fhir:currency [ fhir:v "INR" ]     ]
  ] ) . #