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

: TaskBundleForReprocessRequest-example-01 - JSON Representation

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{
  "resourceType" : "Bundle",
  "id" : "TaskBundleForReprocessRequest-example-01",
  "meta" : {
    "profile" : [
      🔗 "https://nrces.in/ndhm/fhir/r4/StructureDefinition/TaskBundle"
    ],
    "security" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/v3-Confidentiality",
        "code" : "V",
        "display" : "very restricted"
      }
    ]
  },
  "identifier" : {
    "value" : "bc3c6c57-2053-4d0e-ac40-139ccccff645"
  },
  "type" : "collection",
  "timestamp" : "2025-03-07T15:32:26.605+05:30",
  "entry" : [
    {
      "fullUrl" : "urn:uuid:a9f8295b-a0cf-410d-9ed5-1370523e57bd",
      "resource" : {
        "resourceType" : "Task",
        "id" : "a9f8295b-a0cf-410d-9ed5-1370523e57bd",
        "meta" : {
          "profile" : [
            🔗 "https://nrces.in/ndhm/fhir/r4/StructureDefinition/Task"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Task_a9f8295b-a0cf-410d-9ed5-1370523e57bd\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Task a9f8295b-a0cf-410d-9ed5-1370523e57bd</b></p><a name=\"a9f8295b-a0cf-410d-9ed5-1370523e57bd\"> </a><a name=\"hca9f8295b-a0cf-410d-9ed5-1370523e57bd\"> </a><a name=\"a9f8295b-a0cf-410d-9ed5-1370523e57bd-hi-IN\"> </a><p><b>status</b>: Requested</p><p><b>intent</b>: order</p><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/financialtaskcode reprocess}\">Reprocess</span></p><p><b>description</b>: Request for reprocesing the claim with number - 761234674365</p><p><b>authoredOn</b>: 2025-03-07 15:32:26+0530</p><p><b>requester</b>: <a href=\"Bundle-TaskBundleForReprocessRequest-example-01.html#urn-uuid-e5625392-6cc3-4410-b30e-1cf960a31303\">Organization</a></p><p><b>owner</b>: <a href=\"Bundle-TaskBundleForReprocessRequest-example-01.html#urn-uuid-9c17b15c-b9da-44db-9932-97c9c14cd432\">Organization</a></p><p><b>reasonCode</b>: <span title=\"Codes:{https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-reason-code claimrejected}\">Reprocess request due to claim rejected by payer</span></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:{https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-task-input-type-code claimNumber}\">ClaimNumber</span></td><td>761234674365</td></tr></table></div>"
        },
        "status" : "requested",
        "intent" : "order",
        "code" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/financialtaskcode",
              "code" : "reprocess"
            }
          ]
        },
        "description" : "Request for reprocesing the claim with number - 761234674365",
        "authoredOn" : "2025-03-07T15:32:26.605+05:30",
        "requester" : {
          "reference" : "urn:uuid:e5625392-6cc3-4410-b30e-1cf960a31303",
          "display" : "Organization"
        },
        "owner" : {
          "reference" : "urn:uuid:9c17b15c-b9da-44db-9932-97c9c14cd432",
          "display" : "Organization"
        },
        "reasonCode" : {
          "coding" : [
            {
              "system" : "https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-reason-code",
              "code" : "claimrejected",
              "display" : "Reprocess request due to claim rejected by payer"
            }
          ]
        },
        "input" : [
          {
            "type" : {
              "coding" : [
                {
                  "system" : "https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-task-input-type-code",
                  "code" : "claimNumber"
                }
              ]
            },
            "valueString" : "761234674365"
          }
        ]
      }
    },
    {
      "fullUrl" : "urn:uuid:9c17b15c-b9da-44db-9932-97c9c14cd432",
      "resource" : {
        "resourceType" : "Organization",
        "id" : "9c17b15c-b9da-44db-9932-97c9c14cd432",
        "meta" : {
          "profile" : [
            🔗 "https://nrces.in/ndhm/fhir/r4/StructureDefinition/Organization"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Organization_9c17b15c-b9da-44db-9932-97c9c14cd432\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Organization 9c17b15c-b9da-44db-9932-97c9c14cd432</b></p><a name=\"9c17b15c-b9da-44db-9932-97c9c14cd432\"> </a><a name=\"hc9c17b15c-b9da-44db-9932-97c9c14cd432\"> </a><a name=\"9c17b15c-b9da-44db-9932-97c9c14cd432-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>"
        },
        "identifier" : [
          {
            "type" : {
              "coding" : [
                {
                  "system" : "https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-identifier-type-code",
                  "code" : "ROHINI",
                  "display" : "Registry of Hospitals in Network of Insurance (ROHINI) ID"
                }
              ]
            },
            "system" : "https://rohini.iib.gov.in/",
            "value" : "4567878"
          }
        ],
        "type" : [
          {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/organization-type",
                "code" : "ins",
                "display" : "Insurance Company"
              }
            ]
          }
        ],
        "name" : "XYZ Insurance Co. Ltd.",
        "telecom" : [
          {
            "system" : "phone",
            "value" : "+91 243 2634 1234",
            "use" : "work"
          },
          {
            "system" : "email",
            "value" : "contact@xyz.org",
            "use" : "work"
          }
        ]
      }
    },
    {
      "fullUrl" : "urn:uuid:e5625392-6cc3-4410-b30e-1cf960a31303",
      "resource" : {
        "resourceType" : "Organization",
        "id" : "e5625392-6cc3-4410-b30e-1cf960a31303",
        "meta" : {
          "profile" : [
            🔗 "https://nrces.in/ndhm/fhir/r4/StructureDefinition/Organization"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Organization_e5625392-6cc3-4410-b30e-1cf960a31303\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Organization e5625392-6cc3-4410-b30e-1cf960a31303</b></p><a name=\"e5625392-6cc3-4410-b30e-1cf960a31303\"> </a><a name=\"hce5625392-6cc3-4410-b30e-1cf960a31303\"> </a><a name=\"e5625392-6cc3-4410-b30e-1cf960a31303-hi-IN\"> </a><p><b>identifier</b>: Provider number/456787448</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:+9124326347856\">+91 243 2634 7856</a>, <a href=\"mailto:contact@xyz.org\">contact@xyz.org</a></p></div>"
        },
        "identifier" : [
          {
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "PRN",
                  "display" : "Provider number"
                }
              ]
            },
            "system" : "https://facility.ndhm.gov.in",
            "value" : "456787448"
          }
        ],
        "type" : [
          {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/organization-type",
                "code" : "prov",
                "display" : "Healthcare Provider"
              }
            ]
          }
        ],
        "name" : "XYZ Hospital Co. Ltd.",
        "telecom" : [
          {
            "system" : "phone",
            "value" : "+91 243 2634 7856",
            "use" : "work"
          },
          {
            "system" : "email",
            "value" : "contact@xyz.org",
            "use" : "work"
          }
        ]
      }
    }
  ]
}