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="TaskBundleForPaymentNoticeRequest-example-01"/>
<meta>
<profile
value="https://nrces.in/ndhm/fhir/r4/StructureDefinition/TaskBundle"/>
<security>
<system
value="http://terminology.hl7.org/CodeSystem/v3-Confidentiality"/>
<code value="V"/>
<display value="very restricted"/>
</security>
</meta>
<identifier>
<value value="bc3c6c57-2053-4d0e-ac40-139ccccff645"/>
</identifier>
<type value="collection"/>
<entry>
<fullUrl value="urn:uuid:c147ae4a-f6c1-4375-a5bb-cedf69235521"/>
<resource>
<Task>
<id value="c147ae4a-f6c1-4375-a5bb-cedf69235521"/>
<meta>
<profile
value="https://nrces.in/ndhm/fhir/r4/StructureDefinition/Task"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<status value="requested"/>
<intent value="order"/>
<code>
<coding>
<system
value="https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-task-codes"/>
<code value="deliver"/>
</coding>
</code>
<description value="payment status Check"/>
<authoredOn value="2025-03-07"/>
<requester>
<reference value="urn:uuid:a5b973a0-7274-4158-9f47-398be057b8e1"/>
<display value="Organization-insurance-company"/>
</requester>
<owner>
<reference value="urn:uuid:5adfff18-d900-4016-bfa1-987af186bf8f"/>
<display value="Organization-hospital"/>
</owner>
<input>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/financialtaskinputtype"/>
<code value="status"/>
</coding>
</type>
<valueReference>
<reference value="urn:uuid:dd6916d4-485d-45d3-bcc9-f067cab42a70"/>
<display value="PaymentNotice"/>
</valueReference>
</input>
</Task>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:dd6916d4-485d-45d3-bcc9-f067cab42a70"/>
<resource>
<PaymentNotice>
<id value="dd6916d4-485d-45d3-bcc9-f067cab42a70"/>
<meta>
<profile
value="https://nrces.in/ndhm/fhir/r4/StructureDefinition/PaymentNotice"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<identifier>
<system value="http://benefitsinc.com/paymentnotice"/>
<value value="776543"/>
</identifier>
<status value="active"/>
<created value="2025-03-07T14:58:58.181+05:30"/>
<payment>
<reference value="urn:uuid:498c0785-7cb6-4e18-9848-e61f515ca257"/>
<display value="PaymentReconciliation"/>
</payment>
<paymentDate value="2025-03-07"/>
<recipient>
<reference value="urn:uuid:5adfff18-d900-4016-bfa1-987af186bf8f"/>
<display value="Organization-hospital"/>
</recipient>
<amount>
<value value="180000"/>
<currency value="INR"/>
</amount>
<paymentStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/paymentstatus"/>
<code value="paid"/>
</coding>
</paymentStatus>
</PaymentNotice>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:a5b973a0-7274-4158-9f47-398be057b8e1"/>
<resource>
<Organization>
<id value="a5b973a0-7274-4158-9f47-398be057b8e1"/>
<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_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>
</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:5adfff18-d900-4016-bfa1-987af186bf8f"/>
<resource>
<Organization>
<id value="5adfff18-d900-4016-bfa1-987af186bf8f"/>
<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_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>
</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="45675454"/>
</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:498c0785-7cb6-4e18-9848-e61f515ca257"/>
<resource>
<PaymentReconciliation>
<id value="498c0785-7cb6-4e18-9848-e61f515ca257"/>
<meta>
<profile
value="https://nrces.in/ndhm/fhir/r4/StructureDefinition/PaymentReconciliation"/>
</meta>
<text>
<status value="generated"/>
<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 --> 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>
</text>
<identifier>
<system value="http://www.BenefitsInc.com/fhir/enrollmentresponse"/>
<value value="781234"/>
</identifier>
<status value="active"/>
<period>
<start value="2025-03-01T11:01:00+05:00"/>
<end value="2025-03-07T11:01:00+05:00"/>
</period>
<created value="2025-03-07"/>
<paymentIssuer>
<reference value="urn:uuid:a5b973a0-7274-4158-9f47-398be057b8e1"/>
<display value="Organization-Insurance-Company"/>
</paymentIssuer>
<requestor>
<reference value="urn:uuid:5adfff18-d900-4016-bfa1-987af186bf8f"/>
<display value="Organization-hospital"/>
</requestor>
<outcome value="complete"/>
<disposition value="2025 march month settlement."/>
<paymentDate value="2025-03-07"/>
<paymentAmount>
<value value="180000"/>
<currency value="INR"/>
</paymentAmount>
<paymentIdentifier>
<value value="UTRNUMBER2920287229"/>
</paymentIdentifier>
<detail>
<identifier>
<value value="CLAIMREFNUM7612345"/>
</identifier>
<type>
<coding>
<system
value="https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-payment-type"/>
<code value="approvedAmount"/>
<display value="Approved Amount"/>
</coding>
</type>
<date value="2024-03-31"/>
<amount>
<value value="90000"/>
<currency value="INR"/>
</amount>
</detail>
<detail>
<identifier>
<value value="CLAIMREFNUM7612345"/>
</identifier>
<type>
<coding>
<system
value="https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-payment-type"/>
<code value="tds"/>
<display value="TDS Deduction"/>
</coding>
</type>
<date value="2024-03-31"/>
<amount>
<value value="9000"/>
<currency value="INR"/>
</amount>
</detail>
<detail>
<identifier>
<value value="CLAIMREFNUM6789054"/>
</identifier>
<type>
<coding>
<system
value="https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-payment-type"/>
<code value="approvedAmount"/>
<display value="Approved Amount"/>
</coding>
</type>
<date value="2024-03-31"/>
<amount>
<value value="110000"/>
<currency value="INR"/>
</amount>
</detail>
<detail>
<identifier>
<value value="CLAIMREFNUM6789054"/>
</identifier>
<type>
<coding>
<system
value="https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-payment-type"/>
<code value="tds"/>
<display value="TDS Deduction"/>
</coding>
</type>
<date value="2024-03-31"/>
<amount>
<value value="11000"/>
<currency value="INR"/>
</amount>
</detail>
</PaymentReconciliation>
</resource>
</entry>
</Bundle>