FHIR Implementation Guide for ABDM
7.0.0 - active
FHIR Implementation Guide for ABDM
7.0.0 - active
FHIR Implementation Guide for ABDM - Local Development build (v7.0.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
@prefix fhir: <http://hl7.org/fhir/> . @prefix owl: <http://www.w3.org/2002/07/owl#> . @prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> . @prefix sct: <http://snomed.info/id/> . @prefix xsd: <http://www.w3.org/2001/XMLSchema#> . # - resource ------------------------------------------------------------------- <http://hl7.org/fhir/Bundle/ClaimResponseBundle-enhancement-example-01> a fhir:Bundle ; fhir:nodeRole fhir:treeRoot ; fhir:Resource.id [ fhir:value "ClaimResponseBundle-enhancement-example-01"] ; fhir:Resource.meta [ fhir:Meta.profile [ fhir:value "https://nrces.in/ndhm/fhir/r4/StructureDefinition/ClaimResponseBundle" ; fhir:index 0 ; fhir:link <https://nrces.in/ndhm/fhir/r4/StructureDefinition/ClaimResponseBundle> ] ; fhir:Meta.security [ fhir:index 0 ; fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-Confidentiality" ] ; fhir:Coding.code [ fhir:value "V" ] ; fhir:Coding.display [ fhir:value "very restricted" ] ] ] ; fhir:Bundle.identifier [ fhir:Identifier.value [ fhir:value "bc3c6c57-2053-4d0e-ac40-139ccccff645" ] ] ; fhir:Bundle.type [ fhir:value "collection"] ; fhir:Bundle.timestamp [ fhir:value "2025-03-13T15:32:26.605+05:30"^^xsd:dateTime] ; fhir:Bundle.entry [ fhir:index 0 ; fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:b56a1f6e-c46e-4d06-95e4-aeaf9ecf5562" ] ; fhir:Bundle.entry.resource <urn:uuid:b56a1f6e-c46e-4d06-95e4-aeaf9ecf5562> ], [ fhir:index 1 ; fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:cd1e58c5-08fa-4cac-8a46-c12d26d57f21" ] ; fhir:Bundle.entry.resource <urn:uuid:cd1e58c5-08fa-4cac-8a46-c12d26d57f21> ], [ fhir:index 2 ; fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:d16be93a-0881-422f-a9f1-b49808449395" ] ; fhir:Bundle.entry.resource <urn:uuid:d16be93a-0881-422f-a9f1-b49808449395> ], [ fhir:index 3 ; fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:344de91a-0662-43a5-b88e-c2cd00887244" ] ; fhir:Bundle.entry.resource <urn:uuid:344de91a-0662-43a5-b88e-c2cd00887244> ], [ fhir:index 4 ; fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:de3a873e-3d69-44de-bf2b-4cb18384b07d" ] ; fhir:Bundle.entry.resource <urn:uuid:de3a873e-3d69-44de-bf2b-4cb18384b07d> ], [ fhir:index 5 ; fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:04c47993-b2bc-4912-849b-65ee63883f2e" ] ; fhir:Bundle.entry.resource <urn:uuid:04c47993-b2bc-4912-849b-65ee63883f2e> ], [ fhir:index 6 ; fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:02461bcb-aeaa-45ad-b24c-66b94272103c" ] ; fhir:Bundle.entry.resource <urn:uuid:02461bcb-aeaa-45ad-b24c-66b94272103c> ], [ fhir:index 7 ; fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:66748b1f-0dac-47da-9ded-d8908ef42338" ] ; fhir:Bundle.entry.resource <urn:uuid:66748b1f-0dac-47da-9ded-d8908ef42338> ] . <urn:uuid:b56a1f6e-c46e-4d06-95e4-aeaf9ecf5562> a fhir:ClaimResponse ; fhir:Resource.id [ fhir:value "b56a1f6e-c46e-4d06-95e4-aeaf9ecf5562"] ; fhir:Resource.meta [ fhir:Meta.profile [ fhir:value "https://nrces.in/ndhm/fhir/r4/StructureDefinition/ClaimResponse" ; fhir:index 0 ; fhir:link <https://nrces.in/ndhm/fhir/r4/StructureDefinition/ClaimResponse> ] ] ; fhir:DomainResource.text [ fhir:Narrative.status [ fhir:value "generated" ] ; fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"ClaimResponse_b56a1f6e-c46e-4d06-95e4-aeaf9ecf5562\"> </a><p class=\"res-header-id\"><b>Generated Narrative: ClaimResponse b56a1f6e-c46e-4d06-95e4-aeaf9ecf5562</b></p><a name=\"b56a1f6e-c46e-4d06-95e4-aeaf9ecf5562\"> </a><a name=\"hcb56a1f6e-c46e-4d06-95e4-aeaf9ecf5562\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ClaimResponse.html\">ClaimResponse</a></p></div><p><b>status</b>: Active</p><p><b>type</b>: <span title=\"Codes:{http://snomed.info/sct 737481003}\">Inpatient care management (procedure)</span></p><p><b>use</b>: Preauthorization</p><p><b>patient</b>: <a href=\"Bundle-ClaimResponseBundle-enhancement-example-01.html#urn-uuid-d16be93a-0881-422f-a9f1-b49808449395\">Patient</a></p><p><b>created</b>: 2025-03-07 15:32:26+0530</p><p><b>insurer</b>: <a href=\"Bundle-ClaimResponseBundle-enhancement-example-01.html#urn-uuid-344de91a-0662-43a5-b88e-c2cd00887244\">Organization</a></p><p><b>requestor</b>: <a href=\"Bundle-ClaimResponseBundle-enhancement-example-01.html#urn-uuid-de3a873e-3d69-44de-bf2b-4cb18384b07d\">Organization</a></p><p><b>request</b>: <a href=\"Bundle-ClaimResponseBundle-enhancement-example-01.html#urn-uuid-cd1e58c5-08fa-4cac-8a46-c12d26d57f21\">Claim-enhancement</a></p><p><b>outcome</b>: Processing Complete</p><p><b>disposition</b>: The enclosed services are authorized for your provision within 30 days of this notice.</p><p><b>preAuthRef</b>: 98765432</p><p><b>preAuthPeriod</b>: 2025-03-12 15:32:26+0530 --> 2025-04-12 15:32:26+0530</p><blockquote><p><b>item</b></p><p><b>itemSequence</b>: 1</p><blockquote><p><b>adjudication</b></p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/adjudication submitted}\">Submitted Amount</span></p><h3>Amounts</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style=\"display: none\">*</td><td>10000</td><td>Indian rupee</td></tr></table></blockquote><blockquote><p><b>adjudication</b></p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/adjudication eligpercent}\">Eligible %</span></p><p><b>reason</b>: <span title=\"Codes:{https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-adjudication-reason covered}\">Product or Service requested is covered by the policy.</span></p><h3>Amounts</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style=\"display: none\">*</td><td>10000</td><td>Indian rupee</td></tr></table></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>itemSequence</b>: 2</p><blockquote><p><b>adjudication</b></p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/adjudication submitted}\">Submitted Amount</span></p><h3>Amounts</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style=\"display: none\">*</td><td>10000</td><td>Indian rupee</td></tr></table></blockquote><blockquote><p><b>adjudication</b></p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/adjudication eligpercent}\">Eligible %</span></p><p><b>reason</b>: <span title=\"Codes:{https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-adjudication-reason covered}\">Product or Service requested is covered by the policy.</span></p><h3>Amounts</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style=\"display: none\">*</td><td>10000</td><td>Indian rupee</td></tr></table></blockquote></blockquote><blockquote><p><b>total</b></p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/adjudication submitted}\">Submitted Amount</span></p><h3>Amounts</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style=\"display: none\">*</td><td>20000</td><td>Indian rupee</td></tr></table></blockquote><blockquote><p><b>total</b></p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/adjudication eligpercent}\">Eligible %</span></p><h3>Amounts</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style=\"display: none\">*</td><td>20000</td><td>Indian rupee</td></tr></table></blockquote><h3>Insurances</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Sequence</b></td><td><b>Focal</b></td><td><b>Coverage</b></td></tr><tr><td style=\"display: none\">*</td><td>1</td><td>true</td><td><a href=\"Bundle-ClaimResponseBundle-enhancement-example-01.html#urn-uuid-02461bcb-aeaa-45ad-b24c-66b94272103c\">Coverage</a></td></tr></table></div>" ] ; fhir:ClaimResponse.status [ fhir:value "active"] ; fhir:ClaimResponse.type [ fhir:CodeableConcept.coding [ fhir:index 0 ; a sct:737481003 ; fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ; fhir:Coding.code [ fhir:value "737481003" ] ; fhir:Coding.display [ fhir:value "Inpatient care management (procedure)" ] ] ] ; fhir:ClaimResponse.use [ fhir:value "preauthorization"] ; fhir:ClaimResponse.patient [ fhir:Reference.reference [ fhir:value "urn:uuid:d16be93a-0881-422f-a9f1-b49808449395" ] ; fhir:Reference.display [ fhir:value "Patient" ] ] ; fhir:ClaimResponse.created [ fhir:value "2025-03-07T15:32:26.605+05:30"^^xsd:dateTime] ; fhir:ClaimResponse.insurer [ fhir:Reference.reference [ fhir:value "urn:uuid:344de91a-0662-43a5-b88e-c2cd00887244" ] ; fhir:Reference.display [ fhir:value "Organization" ] ] ; fhir:ClaimResponse.requestor [ fhir:Reference.reference [ fhir:value "urn:uuid:de3a873e-3d69-44de-bf2b-4cb18384b07d" ] ; fhir:Reference.display [ fhir:value "Organization" ] ] ; fhir:ClaimResponse.request [ fhir:Reference.reference [ fhir:value "urn:uuid:cd1e58c5-08fa-4cac-8a46-c12d26d57f21" ] ; fhir:Reference.display [ fhir:value "Claim-enhancement" ] ] ; fhir:ClaimResponse.outcome [ fhir:value "complete"] ; fhir:ClaimResponse.disposition [ fhir:value "The enclosed services are authorized for your provision within 30 days of this notice."] ; fhir:ClaimResponse.preAuthRef [ fhir:value "98765432"] ; fhir:ClaimResponse.preAuthPeriod [ fhir:Period.start [ fhir:value "2025-03-12T15:32:26.605+05:30"^^xsd:dateTime ] ; fhir:Period.end [ fhir:value "2025-04-12T15:32:26.605+05:30"^^xsd:dateTime ] ] ; fhir:ClaimResponse.item [ fhir:index 0 ; fhir:ClaimResponse.item.itemSequence [ fhir:value "1"^^xsd:positiveInteger ] ; fhir:ClaimResponse.item.adjudication [ fhir:index 0 ; fhir:ClaimResponse.item.adjudication.category [ fhir:CodeableConcept.coding [ fhir:index 0 ; fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/adjudication" ] ; fhir:Coding.code [ fhir:value "submitted" ] ; fhir:Coding.display [ fhir:value "Submitted Amount" ] ] ] ; fhir:ClaimResponse.item.adjudication.amount [ fhir:Money.value [ fhir:value "10000"^^xsd:decimal ] ; fhir:Money.currency [ fhir:value "INR" ] ] ], [ fhir:index 1 ; fhir:ClaimResponse.item.adjudication.category [ fhir:CodeableConcept.coding [ fhir:index 0 ; fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/adjudication" ] ; fhir:Coding.code [ fhir:value "eligpercent" ] ; fhir:Coding.display [ fhir:value "Eligible %" ] ] ] ; fhir:ClaimResponse.item.adjudication.reason [ fhir:CodeableConcept.coding [ fhir:index 0 ; fhir:Coding.system [ fhir:value "https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-adjudication-reason" ] ; fhir:Coding.code [ fhir:value "covered" ] ; fhir:Coding.display [ fhir:value "Product or Service requested is covered by the policy." ] ] ] ; fhir:ClaimResponse.item.adjudication.amount [ fhir:Money.value [ fhir:value "10000"^^xsd:decimal ] ; fhir:Money.currency [ fhir:value "INR" ] ] ] ], [ fhir:index 1 ; fhir:ClaimResponse.item.itemSequence [ fhir:value "2"^^xsd:positiveInteger ] ; fhir:ClaimResponse.item.adjudication [ fhir:index 0 ; fhir:ClaimResponse.item.adjudication.category [ fhir:CodeableConcept.coding [ fhir:index 0 ; fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/adjudication" ] ; fhir:Coding.code [ fhir:value "submitted" ] ; fhir:Coding.display [ fhir:value "Submitted Amount" ] ] ] ; fhir:ClaimResponse.item.adjudication.amount [ fhir:Money.value [ fhir:value "10000"^^xsd:decimal ] ; fhir:Money.currency [ fhir:value "INR" ] ] ], [ fhir:index 1 ; fhir:ClaimResponse.item.adjudication.category [ fhir:CodeableConcept.coding [ fhir:index 0 ; fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/adjudication" ] ; fhir:Coding.code [ fhir:value "eligpercent" ] ; fhir:Coding.display [ fhir:value "Eligible %" ] ] ] ; fhir:ClaimResponse.item.adjudication.reason [ fhir:CodeableConcept.coding [ fhir:index 0 ; fhir:Coding.system [ fhir:value "https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-adjudication-reason" ] ; fhir:Coding.code [ fhir:value "covered" ] ; fhir:Coding.display [ fhir:value "Product or Service requested is covered by the policy." ] ] ] ; fhir:ClaimResponse.item.adjudication.amount [ fhir:Money.value [ fhir:value "10000"^^xsd:decimal ] ; fhir:Money.currency [ fhir:value "INR" ] ] ] ] ; fhir:ClaimResponse.total [ fhir:index 0 ; fhir:ClaimResponse.total.category [ fhir:CodeableConcept.coding [ fhir:index 0 ; fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/adjudication" ] ; fhir:Coding.code [ fhir:value "submitted" ] ; fhir:Coding.display [ fhir:value "Submitted Amount" ] ] ] ; fhir:ClaimResponse.total.amount [ fhir:Money.value [ fhir:value "20000"^^xsd:decimal ] ; fhir:Money.currency [ fhir:value "INR" ] ] ], [ fhir:index 1 ; fhir:ClaimResponse.total.category [ fhir:CodeableConcept.coding [ fhir:index 0 ; fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/adjudication" ] ; fhir:Coding.code [ fhir:value "eligpercent" ] ; fhir:Coding.display [ fhir:value "Eligible %" ] ] ] ; fhir:ClaimResponse.total.amount [ fhir:Money.value [ fhir:value "20000"^^xsd:decimal ] ; fhir:Money.currency [ fhir:value "INR" ] ] ] ; fhir:ClaimResponse.insurance [ fhir:index 0 ; fhir:ClaimResponse.insurance.sequence [ fhir:value "1"^^xsd:positiveInteger ] ; fhir:ClaimResponse.insurance.focal [ fhir:value "true"^^xsd:boolean ] ; fhir:ClaimResponse.insurance.coverage [ fhir:Reference.reference [ fhir:value "urn:uuid:02461bcb-aeaa-45ad-b24c-66b94272103c" ] ; fhir:Reference.display [ fhir:value "Coverage" ] ] ] . <urn:uuid:cd1e58c5-08fa-4cac-8a46-c12d26d57f21> a fhir:Claim ; fhir:Resource.id [ fhir:value "cd1e58c5-08fa-4cac-8a46-c12d26d57f21"] ; fhir:Resource.meta [ fhir:Meta.profile [ fhir:value "https://nrces.in/ndhm/fhir/r4/StructureDefinition/Claim" ; fhir:index 0 ; fhir:link <https://nrces.in/ndhm/fhir/r4/StructureDefinition/Claim> ] ] ; fhir:DomainResource.text [ fhir:Narrative.status [ fhir:value "generated" ] ; fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Claim_cd1e58c5-08fa-4cac-8a46-c12d26d57f21\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Claim cd1e58c5-08fa-4cac-8a46-c12d26d57f21</b></p><a name=\"cd1e58c5-08fa-4cac-8a46-c12d26d57f21\"> </a><a name=\"hccd1e58c5-08fa-4cac-8a46-c12d26d57f21\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-Claim.html\">Claim</a></p></div><p><b>identifier</b>: 7612345, 96785763</p><p><b>status</b>: Active</p><p><b>type</b>: <span title=\"Codes:{http://snomed.info/sct 737481003}\">Inpatient care management (procedure)</span></p><p><b>use</b>: Preauthorization</p><p><b>patient</b>: <a href=\"Bundle-ClaimResponseBundle-enhancement-example-01.html#urn-uuid-d16be93a-0881-422f-a9f1-b49808449395\">Patient</a></p><p><b>billablePeriod</b>: 2025-03-07 11:01:00+0500 --> 2025-04-07 11:01:00+0500</p><p><b>created</b>: 2025-03-13 11:01:00+0500</p><p><b>insurer</b>: <a href=\"Bundle-ClaimResponseBundle-enhancement-example-01.html#urn-uuid-344de91a-0662-43a5-b88e-c2cd00887244\">Organization</a></p><p><b>provider</b>: <a href=\"Bundle-ClaimResponseBundle-enhancement-example-01.html#urn-uuid-de3a873e-3d69-44de-bf2b-4cb18384b07d\">Organization</a></p><p><b>priority</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/processpriority normal}\">Normal</span></p><h3>Relateds</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Claim</b></td><td><b>Relationship</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"Bundle-ClaimResponseBundle-enhancement-example-01.html#urn-uuid-66748b1f-0dac-47da-9ded-d8908ef42338\">Claim-preauth</a></td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/ex-relatedclaimrelationship prior}\">Prior Claim</span></td></tr></table><h3>CareTeams</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Sequence</b></td><td><b>Provider</b></td><td><b>Role</b></td><td><b>Qualification</b></td></tr><tr><td style=\"display: none\">*</td><td>1</td><td><a href=\"Bundle-ClaimResponseBundle-enhancement-example-01.html#urn-uuid-04c47993-b2bc-4912-849b-65ee63883f2e\">Practitioner</a></td><td><span title=\"Codes:{http://snomed.info/sct 223366009}\">Healthcare professional (occupation)</span></td><td><span title=\"Codes:{http://snomed.info/sct 394658006}\">Clinical specialty (qualifier value)</span></td></tr></table><h3>Diagnoses</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Sequence</b></td><td><b>Diagnosis[x]</b></td><td><b>Type</b></td></tr><tr><td style=\"display: none\">*</td><td>1</td><td><span title=\"Codes:{http://hl7.org/fhir/sid/icd-10 I46.9}\">Cardiac arrest, unspecified</span></td><td><span title=\"Codes:{http://snomed.info/sct 89100005}\">Final diagnosis (discharge) (contextual qualifier) (qualifier value)</span></td></tr></table><blockquote><p><b>procedure</b></p><p><b>sequence</b>: 1</p><p><b>procedure</b>: <span title=\"Codes:{http://snomed.info/sct 77343006}\">Angiography</span></p></blockquote><blockquote><p><b>procedure</b></p><p><b>sequence</b>: 2</p><p><b>procedure</b>: <span title=\"Codes:{http://snomed.info/sct 418285008}\">Angioplasty of blood vessel</span></p></blockquote><h3>Insurances</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Sequence</b></td><td><b>Focal</b></td><td><b>Coverage</b></td><td><b>PreAuthRef</b></td></tr><tr><td style=\"display: none\">*</td><td>1</td><td>true</td><td><a href=\"Bundle-ClaimResponseBundle-enhancement-example-01.html#urn-uuid-02461bcb-aeaa-45ad-b24c-66b94272103c\">Coverage</a></td><td>123456</td></tr></table><blockquote><p><b>item</b></p><p><b>sequence</b>: 1</p><p><b>careTeamSequence</b>: 1</p><p><b>productOrService</b>: <span title=\"Codes:{http://snomed.info/sct 77343006}\">Angiography</span></p><p><b>serviced</b>: 2023-12-09</p><h3>UnitPrices</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style=\"display: none\">*</td><td>10000</td><td>Indian rupee</td></tr></table><h3>Nets</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style=\"display: none\">*</td><td>10000</td><td>Indian rupee</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>sequence</b>: 2</p><p><b>careTeamSequence</b>: 1</p><p><b>productOrService</b>: <span title=\"Codes:{http://snomed.info/sct 418285008}\">Angioplasty of blood vessel</span></p><h3>UnitPrices</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style=\"display: none\">*</td><td>10000</td><td>Indian rupee</td></tr></table><h3>Nets</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style=\"display: none\">*</td><td>10000</td><td>Indian rupee</td></tr></table></blockquote><h3>Totals</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style=\"display: none\">*</td><td>20000</td><td>Indian rupee</td></tr></table></div>" ] ; fhir:Claim.identifier [ fhir:index 0 ; fhir:Identifier.value [ fhir:value "7612345" ] ], [ fhir:index 1 ; fhir:Identifier.value [ fhir:value "96785763" ] ] ; fhir:Claim.status [ fhir:value "active"] ; fhir:Claim.type [ fhir:CodeableConcept.coding [ fhir:index 0 ; a sct:737481003 ; fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ; fhir:Coding.code [ fhir:value "737481003" ] ; fhir:Coding.display [ fhir:value "Inpatient care management (procedure)" ] ] ] ; fhir:Claim.use [ fhir:value "preauthorization"] ; fhir:Claim.patient [ fhir:Reference.reference [ fhir:value "urn:uuid:d16be93a-0881-422f-a9f1-b49808449395" ] ; fhir:Reference.display [ fhir:value "Patient" ] ] ; fhir:Claim.billablePeriod [ fhir:Period.start [ fhir:value "2025-03-07T11:01:00+05:00"^^xsd:dateTime ] ; fhir:Period.end [ fhir:value "2025-04-07T11:01:00+05:00"^^xsd:dateTime ] ] ; fhir:Claim.created [ fhir:value "2025-03-13T11:01:00+05:00"^^xsd:dateTime] ; fhir:Claim.insurer [ fhir:Reference.reference [ fhir:value "urn:uuid:344de91a-0662-43a5-b88e-c2cd00887244" ] ; fhir:Reference.display [ fhir:value "Organization" ] ] ; fhir:Claim.provider [ fhir:Reference.reference [ fhir:value "urn:uuid:de3a873e-3d69-44de-bf2b-4cb18384b07d" ] ; fhir:Reference.display [ fhir:value "Organization" ] ] ; fhir:Claim.priority [ fhir:CodeableConcept.coding [ fhir:index 0 ; fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/processpriority" ] ; fhir:Coding.code [ fhir:value "normal" ] ] ] ; fhir:Claim.related [ fhir:index 0 ; fhir:Claim.related.claim [ fhir:Reference.reference [ fhir:value "urn:uuid:66748b1f-0dac-47da-9ded-d8908ef42338" ] ; fhir:Reference.display [ fhir:value "Claim-preauth" ] ] ; fhir:Claim.related.relationship [ fhir:CodeableConcept.coding [ fhir:index 0 ; fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/ex-relatedclaimrelationship" ] ; fhir:Coding.code [ fhir:value "prior" ] ; fhir:Coding.display [ fhir:value "Prior Claim" ] ] ] ] ; fhir:Claim.careTeam [ fhir:index 0 ; fhir:Claim.careTeam.sequence [ fhir:value "1"^^xsd:positiveInteger ] ; fhir:Claim.careTeam.provider [ fhir:Reference.reference [ fhir:value "urn:uuid:04c47993-b2bc-4912-849b-65ee63883f2e" ] ; fhir:Reference.display [ fhir:value "Practitioner" ] ] ; fhir:Claim.careTeam.role [ fhir:CodeableConcept.coding [ fhir:index 0 ; a sct:223366009 ; fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ; fhir:Coding.code [ fhir:value "223366009" ] ; fhir:Coding.display [ fhir:value "Healthcare professional (occupation)" ] ] ] ; fhir:Claim.careTeam.qualification [ fhir:CodeableConcept.coding [ fhir:index 0 ; a sct:394658006 ; fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ; fhir:Coding.code [ fhir:value "394658006" ] ; fhir:Coding.display [ fhir:value "Clinical specialty (qualifier value)" ] ] ] ] ; fhir:Claim.diagnosis [ fhir:index 0 ; fhir:Claim.diagnosis.sequence [ fhir:value "1"^^xsd:positiveInteger ] ; fhir:Claim.diagnosis.diagnosisCodeableConcept [ fhir:CodeableConcept.coding [ fhir:index 0 ; fhir:Coding.system [ fhir:value "http://hl7.org/fhir/sid/icd-10" ] ; fhir:Coding.code [ fhir:value "I46.9" ] ; fhir:Coding.display [ fhir:value "Cardiac arrest, unspecified" ] ] ] ; fhir:Claim.diagnosis.type [ fhir:index 0 ; fhir:CodeableConcept.coding [ fhir:index 0 ; a sct:89100005 ; fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ; fhir:Coding.code [ fhir:value "89100005" ] ; fhir:Coding.display [ fhir:value "Final diagnosis (discharge) (contextual qualifier) (qualifier value)" ] ] ] ] ; fhir:Claim.procedure [ fhir:index 0 ; fhir:Claim.procedure.sequence [ fhir:value "1"^^xsd:positiveInteger ] ; fhir:Claim.procedure.procedureCodeableConcept [ fhir:CodeableConcept.coding [ fhir:index 0 ; a sct:77343006 ; fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ; fhir:Coding.code [ fhir:value "77343006" ] ; fhir:Coding.display [ fhir:value "Angiography" ] ] ] ], [ fhir:index 1 ; fhir:Claim.procedure.sequence [ fhir:value "2"^^xsd:positiveInteger ] ; fhir:Claim.procedure.procedureCodeableConcept [ fhir:CodeableConcept.coding [ fhir:index 0 ; a sct:418285008 ; fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ; fhir:Coding.code [ fhir:value "418285008" ] ; fhir:Coding.display [ fhir:value "Angioplasty of blood vessel" ] ] ] ] ; fhir:Claim.insurance [ fhir:index 0 ; fhir:Claim.insurance.sequence [ fhir:value "1"^^xsd:positiveInteger ] ; fhir:Claim.insurance.focal [ fhir:value "true"^^xsd:boolean ] ; fhir:Claim.insurance.coverage [ fhir:Reference.reference [ fhir:value "urn:uuid:02461bcb-aeaa-45ad-b24c-66b94272103c" ] ; fhir:Reference.display [ fhir:value "Coverage" ] ] ; fhir:Claim.insurance.preAuthRef [ fhir:value "123456" ; fhir:index 0 ] ] ; fhir:Claim.item [ fhir:index 0 ; fhir:Claim.item.sequence [ fhir:value "1"^^xsd:positiveInteger ] ; fhir:Claim.item.careTeamSequence [ fhir:value "1"^^xsd:positiveInteger ; fhir:index 0 ] ; fhir:Claim.item.productOrService [ fhir:CodeableConcept.coding [ fhir:index 0 ; a sct:77343006 ; fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ; fhir:Coding.code [ fhir:value "77343006" ] ; fhir:Coding.display [ fhir:value "Angiography" ] ] ] ; fhir:Claim.item.servicedDate [ fhir:value "2023-12-09"^^xsd:date ] ; fhir:Claim.item.unitPrice [ fhir:Money.value [ fhir:value "10000"^^xsd:decimal ] ; fhir:Money.currency [ fhir:value "INR" ] ] ; fhir:Claim.item.net [ fhir:Money.value [ fhir:value "10000"^^xsd:decimal ] ; fhir:Money.currency [ fhir:value "INR" ] ] ], [ fhir:index 1 ; fhir:Claim.item.sequence [ fhir:value "2"^^xsd:positiveInteger ] ; fhir:Claim.item.careTeamSequence [ fhir:value "1"^^xsd:positiveInteger ; fhir:index 0 ] ; fhir:Claim.item.productOrService [ fhir:CodeableConcept.coding [ fhir:index 0 ; a sct:418285008 ; fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ; fhir:Coding.code [ fhir:value "418285008" ] ; fhir:Coding.display [ fhir:value "Angioplasty of blood vessel" ] ] ] ; fhir:Claim.item.unitPrice [ fhir:Money.value [ fhir:value "10000"^^xsd:decimal ] ; fhir:Money.currency [ fhir:value "INR" ] ] ; fhir:Claim.item.net [ fhir:Money.value [ fhir:value "10000"^^xsd:decimal ] ; fhir:Money.currency [ fhir:value "INR" ] ] ] ; fhir:Claim.total [ fhir:Money.value [ fhir:value "20000"^^xsd:decimal ] ; fhir:Money.currency [ fhir:value "INR" ] ] . <urn:uuid:d16be93a-0881-422f-a9f1-b49808449395> a fhir:Patient ; fhir:Resource.id [ fhir:value "d16be93a-0881-422f-a9f1-b49808449395"] ; fhir:Resource.meta [ fhir:Meta.profile [ fhir:value "https://nrces.in/ndhm/fhir/r4/StructureDefinition/Patient" ; fhir:index 0 ; fhir:link <https://nrces.in/ndhm/fhir/r4/StructureDefinition/Patient> ] ] ; fhir:DomainResource.text [ fhir:Narrative.status [ fhir:value "generated" ] ; fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_d16be93a-0881-422f-a9f1-b49808449395\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient d16be93a-0881-422f-a9f1-b49808449395</b></p><a name=\"d16be93a-0881-422f-a9f1-b49808449395\"> </a><a name=\"hcd16be93a-0881-422f-a9f1-b49808449395\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-Patient.html\">Patient</a></p></div><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Adarsh Agrawal Male, DoB: 1981-01-12 ( Adhaar number: 7225-4829-5255)</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"Ways to contact the Patient\">Contact Detail</td><td colspan=\"3\"><a href=\"tel:+919818512600\">+919818512600</a></td></tr></table></div>" ] ; fhir:Patient.identifier [ fhir:index 0 ; fhir:Identifier.type [ fhir:CodeableConcept.coding [ fhir:index 0 ; fhir:Coding.system [ fhir:value "https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-identifier-type-code" ] ; fhir:Coding.code [ fhir:value "ADN" ] ; fhir:Coding.display [ fhir:value "Adhaar number" ] ] ] ; fhir:Identifier.system [ fhir:value "https://uidai.gov.in/" ] ; fhir:Identifier.value [ fhir:value "7225-4829-5255" ] ] ; fhir:Patient.name [ fhir:index 0 ; fhir:HumanName.text [ fhir:value "Adarsh Agrawal" ] ] ; fhir:Patient.telecom [ fhir:index 0 ; fhir:ContactPoint.system [ fhir:value "phone" ] ; fhir:ContactPoint.value [ fhir:value "+919818512600" ] ; fhir:ContactPoint.use [ fhir:value "home" ] ] ; fhir:Patient.gender [ fhir:value "male"] ; fhir:Patient.birthDate [ fhir:value "1981-01-12"^^xsd:date] . <urn:uuid:344de91a-0662-43a5-b88e-c2cd00887244> a fhir:Organization ; fhir:Resource.id [ fhir:value "344de91a-0662-43a5-b88e-c2cd00887244"] ; fhir:Resource.meta [ fhir:Meta.profile [ fhir:value "https://nrces.in/ndhm/fhir/r4/StructureDefinition/Organization" ; fhir:index 0 ; fhir:link <https://nrces.in/ndhm/fhir/r4/StructureDefinition/Organization> ] ] ; fhir:DomainResource.text [ fhir:Narrative.status [ fhir:value "generated" ] ; fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Organization_344de91a-0662-43a5-b88e-c2cd00887244\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Organization 344de91a-0662-43a5-b88e-c2cd00887244</b></p><a name=\"344de91a-0662-43a5-b88e-c2cd00887244\"> </a><a name=\"hc344de91a-0662-43a5-b88e-c2cd00887244\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-Organization.html\">Organization</a></p></div><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>" ] ; fhir:Organization.identifier [ fhir:index 0 ; fhir:Identifier.type [ fhir:CodeableConcept.coding [ fhir:index 0 ; fhir:Coding.system [ fhir:value "https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-identifier-type-code" ] ; fhir:Coding.code [ fhir:value "ROHINI" ] ; fhir:Coding.display [ fhir:value "Registry of Hospitals in Network of Insurance (ROHINI) ID" ] ] ] ; fhir:Identifier.system [ fhir:value "https://rohini.iib.gov.in/" ] ; fhir:Identifier.value [ fhir:value "4567878" ] ] ; fhir:Organization.type [ fhir:index 0 ; fhir:CodeableConcept.coding [ fhir:index 0 ; fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/organization-type" ] ; fhir:Coding.code [ fhir:value "ins" ] ; fhir:Coding.display [ fhir:value "Insurance Company" ] ] ] ; fhir:Organization.name [ fhir:value "XYZ Insurance Co. Ltd."] ; fhir:Organization.telecom [ fhir:index 0 ; fhir:ContactPoint.system [ fhir:value "phone" ] ; fhir:ContactPoint.value [ fhir:value "+91 243 2634 1234" ] ; fhir:ContactPoint.use [ fhir:value "work" ] ], [ fhir:index 1 ; fhir:ContactPoint.system [ fhir:value "email" ] ; fhir:ContactPoint.value [ fhir:value "contact@xyz.org" ] ; fhir:ContactPoint.use [ fhir:value "work" ] ] . <urn:uuid:de3a873e-3d69-44de-bf2b-4cb18384b07d> a fhir:Organization ; fhir:Resource.id [ fhir:value "de3a873e-3d69-44de-bf2b-4cb18384b07d"] ; fhir:Resource.meta [ fhir:Meta.profile [ fhir:value "https://nrces.in/ndhm/fhir/r4/StructureDefinition/Organization" ; fhir:index 0 ; fhir:link <https://nrces.in/ndhm/fhir/r4/StructureDefinition/Organization> ] ] ; fhir:DomainResource.text [ fhir:Narrative.status [ fhir:value "generated" ] ; fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Organization_de3a873e-3d69-44de-bf2b-4cb18384b07d\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Organization de3a873e-3d69-44de-bf2b-4cb18384b07d</b></p><a name=\"de3a873e-3d69-44de-bf2b-4cb18384b07d\"> </a><a name=\"hcde3a873e-3d69-44de-bf2b-4cb18384b07d\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-Organization.html\">Organization</a></p></div><p><b>identifier</b>: Provider number/45675454</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:+9124326341278\">+91 243 2634 1278</a>, <a href=\"mailto:contact@xyz.org\">contact@xyz.org</a></p></div>" ] ; fhir:Organization.identifier [ fhir:index 0 ; fhir:Identifier.type [ fhir:CodeableConcept.coding [ fhir:index 0 ; fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0203" ] ; fhir:Coding.code [ fhir:value "PRN" ] ; fhir:Coding.display [ fhir:value "Provider number" ] ] ] ; fhir:Identifier.system [ fhir:value "https://facility.ndhm.gov.in" ] ; fhir:Identifier.value [ fhir:value "45675454" ] ] ; fhir:Organization.type [ fhir:index 0 ; fhir:CodeableConcept.coding [ fhir:index 0 ; fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/organization-type" ] ; fhir:Coding.code [ fhir:value "prov" ] ; fhir:Coding.display [ fhir:value "Healthcare Provider" ] ] ] ; fhir:Organization.name [ fhir:value "XYZ Hospital Co. Ltd."] ; fhir:Organization.telecom [ fhir:index 0 ; fhir:ContactPoint.system [ fhir:value "phone" ] ; fhir:ContactPoint.value [ fhir:value "+91 243 2634 1278" ] ; fhir:ContactPoint.use [ fhir:value "work" ] ], [ fhir:index 1 ; fhir:ContactPoint.system [ fhir:value "email" ] ; fhir:ContactPoint.value [ fhir:value "contact@xyz.org" ] ; fhir:ContactPoint.use [ fhir:value "work" ] ] . <urn:uuid:04c47993-b2bc-4912-849b-65ee63883f2e> a fhir:Practitioner ; fhir:Resource.id [ fhir:value "04c47993-b2bc-4912-849b-65ee63883f2e"] ; fhir:Resource.meta [ fhir:Meta.profile [ fhir:value "https://nrces.in/ndhm/fhir/r4/StructureDefinition/Practitioner" ; fhir:index 0 ; fhir:link <https://nrces.in/ndhm/fhir/r4/StructureDefinition/Practitioner> ] ] ; fhir:DomainResource.text [ fhir:Narrative.status [ fhir:value "generated" ] ; fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Practitioner_04c47993-b2bc-4912-849b-65ee63883f2e\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Practitioner 04c47993-b2bc-4912-849b-65ee63883f2e</b></p><a name=\"04c47993-b2bc-4912-849b-65ee63883f2e\"> </a><a name=\"hc04c47993-b2bc-4912-849b-65ee63883f2e\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-Practitioner.html\">Practitioner</a></p></div><p><b>identifier</b>: Medical License number/21-1521-3828-3227</p><p><b>name</b>: Dr. Aayush Agrawal</p></div>" ] ; fhir:Practitioner.identifier [ fhir:index 0 ; fhir:Identifier.type [ fhir:CodeableConcept.coding [ fhir:index 0 ; fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0203" ] ; fhir:Coding.code [ fhir:value "MD" ] ; fhir:Coding.display [ fhir:value "Medical License number" ] ] ] ; fhir:Identifier.system [ fhir:value "https://doctor.ndhm.gov.in" ] ; fhir:Identifier.value [ fhir:value "21-1521-3828-3227" ] ] ; fhir:Practitioner.name [ fhir:index 0 ; fhir:HumanName.text [ fhir:value "Dr. Aayush Agrawal" ] ] . <urn:uuid:02461bcb-aeaa-45ad-b24c-66b94272103c> a fhir:Coverage ; fhir:Resource.id [ fhir:value "02461bcb-aeaa-45ad-b24c-66b94272103c"] ; fhir:Resource.meta [ fhir:Meta.profile [ fhir:value "https://nrces.in/ndhm/fhir/r4/StructureDefinition/Coverage" ; fhir:index 0 ; fhir:link <https://nrces.in/ndhm/fhir/r4/StructureDefinition/Coverage> ] ] ; fhir:DomainResource.text [ fhir:Narrative.status [ fhir:value "generated" ] ; fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Coverage_02461bcb-aeaa-45ad-b24c-66b94272103c\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Coverage 02461bcb-aeaa-45ad-b24c-66b94272103c</b></p><a name=\"02461bcb-aeaa-45ad-b24c-66b94272103c\"> </a><a name=\"hc02461bcb-aeaa-45ad-b24c-66b94272103c\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-Coverage.html\">Coverage</a></p></div><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/v3-ActCode HIP}\">health insurance plan policy</span></p><p><b>subscriber</b>: <a href=\"Bundle-ClaimResponseBundle-enhancement-example-01.html#urn-uuid-d16be93a-0881-422f-a9f1-b49808449395\">Patient</a></p><p><b>subscriberId</b>: ABC123456BI007</p><p><b>beneficiary</b>: <a href=\"Bundle-ClaimResponseBundle-enhancement-example-01.html#urn-uuid-d16be93a-0881-422f-a9f1-b49808449395\">Patient</a></p><p><b>relationship</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/subscriber-relationship self}\">Self</span></p><p><b>period</b>: ?? --> 2026-03-17</p><p><b>payor</b>: <a href=\"Bundle-ClaimResponseBundle-enhancement-example-01.html#urn-uuid-344de91a-0662-43a5-b88e-c2cd00887244\">Organization</a></p></div>" ] ; fhir:Coverage.identifier [ fhir:index 0 ; fhir:Identifier.system [ fhir:value "https://xyzinsurance.in/policynumber/" ] ; fhir:Identifier.value [ fhir:value "235037120" ] ] ; fhir:Coverage.status [ fhir:value "active"] ; fhir:Coverage.type [ fhir:CodeableConcept.coding [ fhir:index 0 ; fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ActCode" ] ; fhir:Coding.code [ fhir:value "HIP" ] ; fhir:Coding.display [ fhir:value "health insurance plan policy" ] ] ] ; fhir:Coverage.subscriber [ fhir:Reference.reference [ fhir:value "urn:uuid:d16be93a-0881-422f-a9f1-b49808449395" ] ; fhir:Reference.display [ fhir:value "Patient" ] ] ; fhir:Coverage.subscriberId [ fhir:value "ABC123456BI007"] ; fhir:Coverage.beneficiary [ fhir:Reference.reference [ fhir:value "urn:uuid:d16be93a-0881-422f-a9f1-b49808449395" ] ; fhir:Reference.display [ fhir:value "Patient" ] ] ; fhir:Coverage.relationship [ fhir:CodeableConcept.coding [ fhir:index 0 ; fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/subscriber-relationship" ] ; fhir:Coding.code [ fhir:value "self" ] ] ] ; fhir:Coverage.period [ fhir:Period.end [ fhir:value "2026-03-17"^^xsd:date ] ] ; fhir:Coverage.payor [ fhir:index 0 ; fhir:Reference.reference [ fhir:value "urn:uuid:344de91a-0662-43a5-b88e-c2cd00887244" ] ; fhir:Reference.display [ fhir:value "Organization" ] ] . <urn:uuid:66748b1f-0dac-47da-9ded-d8908ef42338> a fhir:Claim ; fhir:Resource.id [ fhir:value "66748b1f-0dac-47da-9ded-d8908ef42338"] ; fhir:Resource.meta [ fhir:Meta.profile [ fhir:value "https://nrces.in/ndhm/fhir/r4/StructureDefinition/Claim" ; fhir:index 0 ; fhir:link <https://nrces.in/ndhm/fhir/r4/StructureDefinition/Claim> ] ] ; fhir:DomainResource.text [ fhir:Narrative.status [ fhir:value "generated" ] ; fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Claim_66748b1f-0dac-47da-9ded-d8908ef42338\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Claim 66748b1f-0dac-47da-9ded-d8908ef42338</b></p><a name=\"66748b1f-0dac-47da-9ded-d8908ef42338\"> </a><a name=\"hc66748b1f-0dac-47da-9ded-d8908ef42338\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-Claim.html\">Claim</a></p></div><p><b>identifier</b>: 7612345, 96785763</p><p><b>status</b>: Active</p><p><b>type</b>: <span title=\"Codes:{http://snomed.info/sct 737481003}\">Inpatient care management (procedure)</span></p><p><b>use</b>: Preauthorization</p><p><b>patient</b>: <a href=\"Bundle-ClaimResponseBundle-enhancement-example-01.html#urn-uuid-d16be93a-0881-422f-a9f1-b49808449395\">Patient</a></p><p><b>billablePeriod</b>: 2025-03-07 11:01:00+0500 --> 2025-04-07 11:01:00+0500</p><p><b>created</b>: 2023-12-11 11:01:00+0500</p><p><b>insurer</b>: <a href=\"Bundle-ClaimResponseBundle-enhancement-example-01.html#urn-uuid-344de91a-0662-43a5-b88e-c2cd00887244\">Organization</a></p><p><b>provider</b>: <a href=\"Bundle-ClaimResponseBundle-enhancement-example-01.html#urn-uuid-de3a873e-3d69-44de-bf2b-4cb18384b07d\">Organization</a></p><p><b>priority</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/processpriority normal}\">Normal</span></p><h3>CareTeams</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Sequence</b></td><td><b>Provider</b></td><td><b>Role</b></td><td><b>Qualification</b></td></tr><tr><td style=\"display: none\">*</td><td>1</td><td><a href=\"Bundle-ClaimResponseBundle-enhancement-example-01.html#urn-uuid-04c47993-b2bc-4912-849b-65ee63883f2e\">Practitioner</a></td><td><span title=\"Codes:{http://snomed.info/sct 223366009}\">Healthcare professional (occupation)</span></td><td><span title=\"Codes:{http://snomed.info/sct 394658006}\">Clinical specialty (qualifier value)</span></td></tr></table><h3>Diagnoses</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Sequence</b></td><td><b>Diagnosis[x]</b></td><td><b>Type</b></td></tr><tr><td style=\"display: none\">*</td><td>1</td><td><span title=\"Codes:{http://hl7.org/fhir/sid/icd-10 I46.9}\">Cardiac arrest, unspecified</span></td><td><span title=\"Codes:{http://snomed.info/sct 89100005}\">Final diagnosis (discharge) (contextual qualifier) (qualifier value)</span></td></tr></table><blockquote><p><b>procedure</b></p><p><b>sequence</b>: 1</p><p><b>procedure</b>: <span title=\"Codes:{http://snomed.info/sct 77343006}\">Angiography</span></p></blockquote><blockquote><p><b>procedure</b></p><p><b>sequence</b>: 2</p><p><b>procedure</b>: <span title=\"Codes:{http://snomed.info/sct 418285008}\">Angioplasty of blood vessel</span></p></blockquote><h3>Insurances</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Sequence</b></td><td><b>Focal</b></td><td><b>Coverage</b></td></tr><tr><td style=\"display: none\">*</td><td>1</td><td>true</td><td><a href=\"Bundle-ClaimResponseBundle-enhancement-example-01.html#urn-uuid-02461bcb-aeaa-45ad-b24c-66b94272103c\">Coverage</a></td></tr></table><blockquote><p><b>item</b></p><p><b>sequence</b>: 1</p><p><b>careTeamSequence</b>: 1</p><p><b>productOrService</b>: <span title=\"Codes:{http://snomed.info/sct 77343006}\">Angiography</span></p><p><b>serviced</b>: 2023-12-09</p><h3>UnitPrices</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style=\"display: none\">*</td><td>10000</td><td>Indian rupee</td></tr></table><h3>Nets</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style=\"display: none\">*</td><td>10000</td><td>Indian rupee</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>sequence</b>: 2</p><p><b>careTeamSequence</b>: 1</p><p><b>productOrService</b>: <span title=\"Codes:{http://snomed.info/sct 418285008}\">Angioplasty of blood vessel</span></p><h3>UnitPrices</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style=\"display: none\">*</td><td>40000</td><td>Indian rupee</td></tr></table><h3>Nets</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style=\"display: none\">*</td><td>40000</td><td>Indian rupee</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>sequence</b>: 3</p><p><b>careTeamSequence</b>: 1</p><p><b>productOrService</b>: <span title=\"Codes:{http://snomed.info/sct 309904001}\">Intensive care unit</span></p><p><b>serviced</b>: 2023-12-11</p><p><b>quantity</b>: 10 day</p><h3>UnitPrices</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style=\"display: none\">*</td><td>2000</td><td>Indian rupee</td></tr></table><h3>Nets</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style=\"display: none\">*</td><td>20000</td><td>Indian rupee</td></tr></table></blockquote><h3>Totals</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style=\"display: none\">*</td><td>70000</td><td>Indian rupee</td></tr></table></div>" ] ; fhir:Claim.identifier [ fhir:index 0 ; fhir:Identifier.value [ fhir:value "7612345" ] ], [ fhir:index 1 ; fhir:Identifier.value [ fhir:value "96785763" ] ] ; fhir:Claim.status [ fhir:value "active"] ; fhir:Claim.type [ fhir:CodeableConcept.coding [ fhir:index 0 ; a sct:737481003 ; fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ; fhir:Coding.code [ fhir:value "737481003" ] ; fhir:Coding.display [ fhir:value "Inpatient care management (procedure)" ] ] ] ; fhir:Claim.use [ fhir:value "preauthorization"] ; fhir:Claim.patient [ fhir:Reference.reference [ fhir:value "urn:uuid:d16be93a-0881-422f-a9f1-b49808449395" ] ; fhir:Reference.display [ fhir:value "Patient" ] ] ; fhir:Claim.billablePeriod [ fhir:Period.start [ fhir:value "2025-03-07T11:01:00+05:00"^^xsd:dateTime ] ; fhir:Period.end [ fhir:value "2025-04-07T11:01:00+05:00"^^xsd:dateTime ] ] ; fhir:Claim.created [ fhir:value "2023-12-11T11:01:00+05:00"^^xsd:dateTime] ; fhir:Claim.insurer [ fhir:Reference.reference [ fhir:value "urn:uuid:344de91a-0662-43a5-b88e-c2cd00887244" ] ; fhir:Reference.display [ fhir:value "Organization" ] ] ; fhir:Claim.provider [ fhir:Reference.reference [ fhir:value "urn:uuid:de3a873e-3d69-44de-bf2b-4cb18384b07d" ] ; fhir:Reference.display [ fhir:value "Organization" ] ] ; fhir:Claim.priority [ fhir:CodeableConcept.coding [ fhir:index 0 ; fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/processpriority" ] ; fhir:Coding.code [ fhir:value "normal" ] ] ] ; fhir:Claim.careTeam [ fhir:index 0 ; fhir:Claim.careTeam.sequence [ fhir:value "1"^^xsd:positiveInteger ] ; fhir:Claim.careTeam.provider [ fhir:Reference.reference [ fhir:value "urn:uuid:04c47993-b2bc-4912-849b-65ee63883f2e" ] ; fhir:Reference.display [ fhir:value "Practitioner" ] ] ; fhir:Claim.careTeam.role [ fhir:CodeableConcept.coding [ fhir:index 0 ; a sct:223366009 ; fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ; fhir:Coding.code [ fhir:value "223366009" ] ; fhir:Coding.display [ fhir:value "Healthcare professional (occupation)" ] ] ] ; fhir:Claim.careTeam.qualification [ fhir:CodeableConcept.coding [ fhir:index 0 ; a sct:394658006 ; fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ; fhir:Coding.code [ fhir:value "394658006" ] ; fhir:Coding.display [ fhir:value "Clinical specialty (qualifier value)" ] ] ] ] ; fhir:Claim.diagnosis [ fhir:index 0 ; fhir:Claim.diagnosis.sequence [ fhir:value "1"^^xsd:positiveInteger ] ; fhir:Claim.diagnosis.diagnosisCodeableConcept [ fhir:CodeableConcept.coding [ fhir:index 0 ; fhir:Coding.system [ fhir:value "http://hl7.org/fhir/sid/icd-10" ] ; fhir:Coding.code [ fhir:value "I46.9" ] ; fhir:Coding.display [ fhir:value "Cardiac arrest, unspecified" ] ] ] ; fhir:Claim.diagnosis.type [ fhir:index 0 ; fhir:CodeableConcept.coding [ fhir:index 0 ; a sct:89100005 ; fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ; fhir:Coding.code [ fhir:value "89100005" ] ; fhir:Coding.display [ fhir:value "Final diagnosis (discharge) (contextual qualifier) (qualifier value)" ] ] ] ] ; fhir:Claim.procedure [ fhir:index 0 ; fhir:Claim.procedure.sequence [ fhir:value "1"^^xsd:positiveInteger ] ; fhir:Claim.procedure.procedureCodeableConcept [ fhir:CodeableConcept.coding [ fhir:index 0 ; a sct:77343006 ; fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ; fhir:Coding.code [ fhir:value "77343006" ] ; fhir:Coding.display [ fhir:value "Angiography" ] ] ] ], [ fhir:index 1 ; fhir:Claim.procedure.sequence [ fhir:value "2"^^xsd:positiveInteger ] ; fhir:Claim.procedure.procedureCodeableConcept [ fhir:CodeableConcept.coding [ fhir:index 0 ; a sct:418285008 ; fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ; fhir:Coding.code [ fhir:value "418285008" ] ; fhir:Coding.display [ fhir:value "Angioplasty of blood vessel" ] ] ] ] ; fhir:Claim.insurance [ fhir:index 0 ; fhir:Claim.insurance.sequence [ fhir:value "1"^^xsd:positiveInteger ] ; fhir:Claim.insurance.focal [ fhir:value "true"^^xsd:boolean ] ; fhir:Claim.insurance.coverage [ fhir:Reference.reference [ fhir:value "urn:uuid:02461bcb-aeaa-45ad-b24c-66b94272103c" ] ; fhir:Reference.display [ fhir:value "Coverage" ] ] ] ; fhir:Claim.item [ fhir:index 0 ; fhir:Claim.item.sequence [ fhir:value "1"^^xsd:positiveInteger ] ; fhir:Claim.item.careTeamSequence [ fhir:value "1"^^xsd:positiveInteger ; fhir:index 0 ] ; fhir:Claim.item.productOrService [ fhir:CodeableConcept.coding [ fhir:index 0 ; a sct:77343006 ; fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ; fhir:Coding.code [ fhir:value "77343006" ] ; fhir:Coding.display [ fhir:value "Angiography" ] ] ] ; fhir:Claim.item.servicedDate [ fhir:value "2023-12-09"^^xsd:date ] ; fhir:Claim.item.unitPrice [ fhir:Money.value [ fhir:value "10000"^^xsd:decimal ] ; fhir:Money.currency [ fhir:value "INR" ] ] ; fhir:Claim.item.net [ fhir:Money.value [ fhir:value "10000"^^xsd:decimal ] ; fhir:Money.currency [ fhir:value "INR" ] ] ], [ fhir:index 1 ; fhir:Claim.item.sequence [ fhir:value "2"^^xsd:positiveInteger ] ; fhir:Claim.item.careTeamSequence [ fhir:value "1"^^xsd:positiveInteger ; fhir:index 0 ] ; fhir:Claim.item.productOrService [ fhir:CodeableConcept.coding [ fhir:index 0 ; a sct:418285008 ; fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ; fhir:Coding.code [ fhir:value "418285008" ] ; fhir:Coding.display [ fhir:value "Angioplasty of blood vessel" ] ] ] ; fhir:Claim.item.unitPrice [ fhir:Money.value [ fhir:value "40000"^^xsd:decimal ] ; fhir:Money.currency [ fhir:value "INR" ] ] ; fhir:Claim.item.net [ fhir:Money.value [ fhir:value "40000"^^xsd:decimal ] ; fhir:Money.currency [ fhir:value "INR" ] ] ], [ fhir:index 2 ; fhir:Claim.item.sequence [ fhir:value "3"^^xsd:positiveInteger ] ; fhir:Claim.item.careTeamSequence [ fhir:value "1"^^xsd:positiveInteger ; fhir:index 0 ] ; fhir:Claim.item.productOrService [ fhir:CodeableConcept.coding [ fhir:index 0 ; a sct:309904001 ; fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ; fhir:Coding.code [ fhir:value "309904001" ] ; fhir:Coding.display [ fhir:value "Intensive care unit" ] ] ] ; fhir:Claim.item.servicedDate [ fhir:value "2023-12-11"^^xsd:date ] ; fhir:Claim.item.quantity [ fhir:Quantity.value [ fhir:value "10"^^xsd:decimal ] ; fhir:Quantity.unit [ fhir:value "day" ] ] ; fhir:Claim.item.unitPrice [ fhir:Money.value [ fhir:value "2000"^^xsd:decimal ] ; fhir:Money.currency [ fhir:value "INR" ] ] ; fhir:Claim.item.net [ fhir:Money.value [ fhir:value "20000"^^xsd:decimal ] ; fhir:Money.currency [ fhir:value "INR" ] ] ] ; fhir:Claim.total [ fhir:Money.value [ fhir:value "70000"^^xsd:decimal ] ; fhir:Money.currency [ fhir:value "INR" ] ] . # - ontology header ------------------------------------------------------------ <http://hl7.org/fhir/Bundle/ClaimResponseBundle-enhancement-example-01.ttl> a owl:Ontology ; owl:imports fhir:fhir.ttl ; owl:versionIRI <http://build.fhir.org/Bundle/ClaimResponseBundle-enhancement-example-01.ttl> .
IG © 2024+ National Resource Center for EHR Standards. Package ndhm.in#7.0.0 based on FHIR 4.0.1. Generated 2026-07-15
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