FHIR Implementation Guide for ABDM
6.5.0 - active India flag

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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 Claim: Claim/Claim-enhancement-example-01

Generated Narrative: Claim Claim-enhancement-example-01

identifier: 7612345

status: Active

type: Inpatient care management (procedure)

subType: Emergency Claim

use: Preauthorization

patient: ABC Male, DoB: 1981-01-12 ( Medical record number: 22-7225-4829-5255)

billablePeriod: 2025-03-07 11:01:00+0500 --> 2025-04-07 11:01:00+0500

created: 2025-03-13 11:01:00+0500

insurer: Organization XYZ Insurance Co. Ltd.

provider: Organization XYZ Hospital Co. Ltd.

priority: Normal

Relateds

-ClaimRelationship
*Claim: identifier = 7612345; status = active; type = Inpatient care management (procedure); subType = Emergency Claim; use = preauthorization; billablePeriod = 2025-03-07 11:01:00+0500 --> 2025-04-07 11:01:00+0500; created = 2025-03-08 11:01:00+0500; priority = NormalPrior Claim

CareTeams

-SequenceProviderRoleQualification
*1Practitioner Dr. DEFHealthcare professional (occupation)Clinical specialty (qualifier value)

Diagnoses

-SequenceDiagnosis[x]Type
*1Cardiac arrest, unspecifiedFinal diagnosis (discharge) (contextual qualifier) (qualifier value)

procedure

sequence: 1

procedure: Angiography

procedure

sequence: 2

procedure: Angioplasty of blood vessel

Insurances

-SequenceFocalCoveragePreAuthRef
*1trueCoverage: identifier = https://xyzinsurance.in/policynumber/#235037120; status = active; type = PAY; subscriberId = ABC123456BI007; relationship = Self; period = (?) --> 2026-03-17123456

item

sequence: 1

careTeamSequence: 1

productOrService: Angiography

UnitPrices

-ValueCurrency
*10000Indian rupee

Nets

-ValueCurrency
*10000Indian rupee

item

sequence: 2

careTeamSequence: 1

productOrService: Angioplasty of blood vessel

UnitPrices

-ValueCurrency
*10000Indian rupee

Nets

-ValueCurrency
*10000Indian rupee

Totals

-ValueCurrency
*20000Indian rupee