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 CoverageEligibilityRequest: CoverageEligibilityRequest/benefits-example-01

Generated Narrative: CoverageEligibilityRequest benefits-example-01

Language: en

Profile: CoverageEligibilityRequest

identifier: 7612345

status: Active

priority: Normal

purpose: Coverage benefits

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

created: 2023-09-07 11:01:00+0500

enterer: Practitioner Dr. DEF

provider: Practitioner Dr. DEF

insurer: Organization XYZ Insurance Co. Ltd.

facility: Location South Wing, second floor

Insurances

-FocalCoverage
*trueCoverage: identifier = https://xyzinsurance.in/policynumber/#235037120; status = active; type = PAY; subscriberId = ABC123456BI007; relationship = Self; period = (?) --> 2026-03-17

item

productOrService: Consultant

Diagnoses

-Diagnosis[x]
*Type 2 diabetes mellitus : Without complications

item

productOrService: Metformin hydrochloride 500 mg prolonged-release oral tablet

Diagnoses

-Diagnosis[x]
*Type 2 diabetes mellitus : Without complications