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
Generated Narrative: Claim Claim-predetermination-example-01
identifier: 7612345
status: Active
type: Inpatient care management (procedure)
subType: Emergency Claim
use: Predetermination
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: 2025-03-07 11:01:00+0500
insurer: Organization XYZ Insurance Co. Ltd.
provider: Organization XYZ Hospital Co. Ltd.
priority: Normal
| Sequence | Provider | Role | Qualification |
| 1 | Practitioner Dr. DEF | Healthcare professional (occupation) | Clinical specialty (qualifier value) |
| Sequence | Diagnosis[x] | Type |
| 1 | Cardiac arrest, unspecified | Final diagnosis (discharge) (contextual qualifier) (qualifier value) |
procedure
sequence: 1
procedure: Angiography
procedure
sequence: 2
procedure: Angioplasty of blood vessel
item
sequence: 1
careTeamSequence: 1
productOrService: Angiography
UnitPrices
Value Currency 10000 Indian rupee Nets
Value Currency 10000 Indian rupee
item
sequence: 2
careTeamSequence: 1
productOrService: Angioplasty of blood vessel
UnitPrices
Value Currency 40000 Indian rupee Nets
Value Currency 40000 Indian rupee
item
sequence: 3
careTeamSequence: 1
productOrService: Intensive care unit
UnitPrices
Value Currency 2000 Indian rupee Nets
Value Currency 20000 Indian rupee
| Value | Currency |
| 70000 | Indian rupee |