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

: Coverage/example-01 - XML Representation

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<Coverage xmlns="http://hl7.org/fhir">
  <id value="example-01"/>
  <meta>
    <profile
             value="https://nrces.in/ndhm/fhir/r4/StructureDefinition/Coverage"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: Coverage example-01</b></p><a name="example-01"> </a><a name="hcexample-01"> </a><a name="example-01-hi-IN"> </a><p><b>identifier</b>: <code>https://xyzinsurance.in/policynumber/</code>/235037120</p><p><b>status</b>: Active</p><p><b>type</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/coverage-selfpay pay}">PAY</span></p><p><b>subscriber</b>: <a href="Patient-example-01.html">ABC Male, DoB: 1981-01-12 ( Medical record number: 22-7225-4829-5255)</a></p><p><b>subscriberId</b>: ABC123456BI007</p><p><b>beneficiary</b>: <a href="Patient-example-01.html">ABC Male, DoB: 1981-01-12 ( Medical record number: 22-7225-4829-5255)</a></p><p><b>relationship</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/subscriber-relationship self}">Self</span></p><p><b>period</b>: ?? --&gt; 2026-03-17</p><p><b>payor</b>: <a href="Organization-example-02.html">Organization XYZ Insurance Co. Ltd.</a></p></div>
  </text>
  <identifier>
    <system value="https://xyzinsurance.in/policynumber/"/>
    <value value="235037120"/>
  </identifier>
  <status value="active"/>
  <type>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/coverage-selfpay"/>
      <code value="pay"/>
      <display value="PAY"/>
    </coding>
  </type>
  <subscriber>🔗 
    <reference value="Patient/example-01"/>
  </subscriber>
  <subscriberId value="ABC123456BI007"/>
  <beneficiary>🔗 
    <reference value="Patient/example-01"/>
  </beneficiary>
  <relationship>
    <coding>
      <system
              value="http://terminology.hl7.org/CodeSystem/subscriber-relationship"/>
      <code value="self"/>
    </coding>
  </relationship>
  <period>
    <end value="2026-03-17"/>
  </period>
  <payor>🔗 
    <reference value="Organization/example-02"/>
  </payor>
</Coverage>