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/CoverageEligibilityResponseBundle-auth-requirements-example-01> a fhir:Bundle ; fhir:nodeRole fhir:treeRoot ; fhir:Resource.id [ fhir:value "CoverageEligibilityResponseBundle-auth-requirements-example-01"] ; fhir:Resource.meta [ fhir:Meta.profile [ fhir:value "https://nrces.in/ndhm/fhir/r4/StructureDefinition/CoverageEligibilityResponseBundle" ; fhir:index 0 ; fhir:link <https://nrces.in/ndhm/fhir/r4/StructureDefinition/CoverageEligibilityResponseBundle> ] ] ; fhir:Bundle.identifier [ fhir:Identifier.system [ fhir:value "http://hip.in" ] ; fhir:Identifier.value [ fhir:value "bc3c6c57-2053-4d0e-ac40-139ccccff645" ] ] ; fhir:Bundle.type [ fhir:value "collection"] ; fhir:Bundle.timestamp [ fhir:value "2025-03-07T15:32:26.605+05:30"^^xsd:dateTime] ; fhir:Bundle.entry [ fhir:index 0 ; fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:fd4fb0db-e2f5-45ca-bd8d-0dea24776e18" ] ; fhir:Bundle.entry.resource <urn:uuid:fd4fb0db-e2f5-45ca-bd8d-0dea24776e18> ], [ fhir:index 1 ; fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:d7ac4f66-455d-4e12-b656-a55b976b352c" ] ; fhir:Bundle.entry.resource <urn:uuid:d7ac4f66-455d-4e12-b656-a55b976b352c> ], [ fhir:index 2 ; fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:9fb2a38c-697c-4a1c-94ea-2ddfe52c9389" ] ; fhir:Bundle.entry.resource <urn:uuid:9fb2a38c-697c-4a1c-94ea-2ddfe52c9389> ], [ fhir:index 3 ; fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:26748d18-9935-4224-bbd0-5c2ae24620b5" ] ; fhir:Bundle.entry.resource <urn:uuid:26748d18-9935-4224-bbd0-5c2ae24620b5> ], [ fhir:index 4 ; fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:3877486b-1fae-4049-a5d0-afa2416da898" ] ; fhir:Bundle.entry.resource <urn:uuid:3877486b-1fae-4049-a5d0-afa2416da898> ], [ fhir:index 5 ; fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:54878741-032f-4c07-b464-f4eaea8b7712" ] ; fhir:Bundle.entry.resource <urn:uuid:54878741-032f-4c07-b464-f4eaea8b7712> ], [ fhir:index 6 ; fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:6f5b74a7-dd29-4c05-87e3-2188096cb0eb" ] ; fhir:Bundle.entry.resource <urn:uuid:6f5b74a7-dd29-4c05-87e3-2188096cb0eb> ], [ fhir:index 7 ; fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:00fb258d-f692-4a62-9eed-db09e2bcbb7a" ] ; fhir:Bundle.entry.resource <urn:uuid:00fb258d-f692-4a62-9eed-db09e2bcbb7a> ] . <urn:uuid:fd4fb0db-e2f5-45ca-bd8d-0dea24776e18> a fhir:CoverageEligibilityResponse ; fhir:Resource.id [ fhir:value "fd4fb0db-e2f5-45ca-bd8d-0dea24776e18"] ; fhir:Resource.meta [ fhir:Meta.profile [ fhir:value "https://nrces.in/ndhm/fhir/r4/StructureDefinition/CoverageEligibilityResponse" ; fhir:index 0 ; fhir:link <https://nrces.in/ndhm/fhir/r4/StructureDefinition/CoverageEligibilityResponse> ] ] ; fhir:Resource.language [ fhir:value "en"] ; fhir:DomainResource.text [ fhir:Narrative.status [ fhir:value "generated" ] ; fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"en\" lang=\"en\"><a name=\"CoverageEligibilityResponse_fd4fb0db-e2f5-45ca-bd8d-0dea24776e18\"> </a><p class=\"res-header-id\"><b>Generated Narrative: CoverageEligibilityResponse fd4fb0db-e2f5-45ca-bd8d-0dea24776e18</b></p><a name=\"fd4fb0db-e2f5-45ca-bd8d-0dea24776e18\"> </a><a name=\"hcfd4fb0db-e2f5-45ca-bd8d-0dea24776e18\"> </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\">Language: en</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-CoverageEligibilityResponse.html\">CoverageEligibilityResponse</a></p></div><p><b>status</b>: Active</p><p><b>purpose</b>: Coverage auth-requirements</p><p><b>patient</b>: <a href=\"Bundle-CoverageEligibilityResponseBundle-auth-requirements-example-01.html#urn-uuid-d7ac4f66-455d-4e12-b656-a55b976b352c\">Patient</a></p><p><b>created</b>: 2025-03-07 15:32:26+0530</p><p><b>requestor</b>: <a href=\"Bundle-CoverageEligibilityResponseBundle-auth-requirements-example-01.html#urn-uuid-3877486b-1fae-4049-a5d0-afa2416da898\">Organization</a></p><p><b>request</b>: <a href=\"Bundle-CoverageEligibilityResponseBundle-auth-requirements-example-01.html#urn-uuid-54878741-032f-4c07-b464-f4eaea8b7712\">CoverageEligibilityRequest-auth-requirements</a></p><p><b>outcome</b>: Processing Complete</p><p><b>disposition</b>: Policy is currently in-force.</p><p><b>insurer</b>: <a href=\"Bundle-CoverageEligibilityResponseBundle-auth-requirements-example-01.html#urn-uuid-26748d18-9935-4224-bbd0-5c2ae24620b5\">Organization</a></p><blockquote><p><b>insurance</b></p><p><b>coverage</b>: <a href=\"Bundle-CoverageEligibilityResponseBundle-auth-requirements-example-01.html#urn-uuid-00fb258d-f692-4a62-9eed-db09e2bcbb7a\">Coverage</a></p><p><b>inforce</b>: true</p><p><b>benefitPeriod</b>: 2023-09-07 --> 2026-08-07</p><blockquote><p><b>item</b></p><p><b>productOrService</b>: <span title=\"Codes:{http://snomed.info/sct 768839008}\">Consultant</span></p></blockquote><blockquote><p><b>item</b></p><p><b>productOrService</b>: <span title=\"Codes:{http://snomed.info/sct 765507008}\">Metformin hydrochloride 500 mg prolonged-release oral tablet</span></p></blockquote></blockquote></div>" ] ; fhir:CoverageEligibilityResponse.status [ fhir:value "active"] ; fhir:CoverageEligibilityResponse.purpose [ fhir:value "auth-requirements" ; fhir:index 0 ] ; fhir:CoverageEligibilityResponse.patient [ fhir:Reference.reference [ fhir:value "urn:uuid:d7ac4f66-455d-4e12-b656-a55b976b352c" ] ; fhir:Reference.display [ fhir:value "Patient" ] ] ; fhir:CoverageEligibilityResponse.created [ fhir:value "2025-03-07T15:32:26.605+05:30"^^xsd:dateTime] ; fhir:CoverageEligibilityResponse.requestor [ fhir:Reference.reference [ fhir:value "urn:uuid:3877486b-1fae-4049-a5d0-afa2416da898" ] ; fhir:Reference.display [ fhir:value "Organization" ] ] ; fhir:CoverageEligibilityResponse.request [ fhir:Reference.reference [ fhir:value "urn:uuid:54878741-032f-4c07-b464-f4eaea8b7712" ] ; fhir:Reference.display [ fhir:value "CoverageEligibilityRequest-auth-requirements" ] ] ; fhir:CoverageEligibilityResponse.outcome [ fhir:value "complete"] ; fhir:CoverageEligibilityResponse.disposition [ fhir:value "Policy is currently in-force."] ; fhir:CoverageEligibilityResponse.insurer [ fhir:Reference.reference [ fhir:value "urn:uuid:26748d18-9935-4224-bbd0-5c2ae24620b5" ] ; fhir:Reference.display [ fhir:value "Organization" ] ] ; fhir:CoverageEligibilityResponse.insurance [ fhir:index 0 ; fhir:CoverageEligibilityResponse.insurance.coverage [ fhir:Reference.reference [ fhir:value "urn:uuid:00fb258d-f692-4a62-9eed-db09e2bcbb7a" ] ; fhir:Reference.display [ fhir:value "Coverage" ] ] ; fhir:CoverageEligibilityResponse.insurance.inforce [ fhir:value "true"^^xsd:boolean ] ; fhir:CoverageEligibilityResponse.insurance.benefitPeriod [ fhir:Period.start [ fhir:value "2023-09-07"^^xsd:date ] ; fhir:Period.end [ fhir:value "2026-08-07"^^xsd:date ] ] ; fhir:CoverageEligibilityResponse.insurance.item [ fhir:index 0 ; fhir:CoverageEligibilityResponse.insurance.item.productOrService [ fhir:CodeableConcept.coding [ fhir:index 0 ; a sct:768839008 ; fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ; fhir:Coding.code [ fhir:value "768839008" ] ; fhir:Coding.display [ fhir:value "Consultant" ] ] ] ], [ fhir:index 1 ; fhir:CoverageEligibilityResponse.insurance.item.productOrService [ fhir:CodeableConcept.coding [ fhir:index 0 ; a sct:765507008 ; fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ; fhir:Coding.code [ fhir:value "765507008" ] ; fhir:Coding.display [ fhir:value "Metformin hydrochloride 500 mg prolonged-release oral tablet" ] ] ] ] ] . <urn:uuid:d7ac4f66-455d-4e12-b656-a55b976b352c> a fhir:Patient ; fhir:Resource.id [ fhir:value "d7ac4f66-455d-4e12-b656-a55b976b352c"] ; 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_d7ac4f66-455d-4e12-b656-a55b976b352c\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient d7ac4f66-455d-4e12-b656-a55b976b352c</b></p><a name=\"d7ac4f66-455d-4e12-b656-a55b976b352c\"> </a><a name=\"hcd7ac4f66-455d-4e12-b656-a55b976b352c\"> </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:9fb2a38c-697c-4a1c-94ea-2ddfe52c9389> a fhir:Practitioner ; fhir:Resource.id [ fhir:value "9fb2a38c-697c-4a1c-94ea-2ddfe52c9389"] ; 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_9fb2a38c-697c-4a1c-94ea-2ddfe52c9389\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Practitioner 9fb2a38c-697c-4a1c-94ea-2ddfe52c9389</b></p><a name=\"9fb2a38c-697c-4a1c-94ea-2ddfe52c9389\"> </a><a name=\"hc9fb2a38c-697c-4a1c-94ea-2ddfe52c9389\"> </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:26748d18-9935-4224-bbd0-5c2ae24620b5> a fhir:Organization ; fhir:Resource.id [ fhir:value "26748d18-9935-4224-bbd0-5c2ae24620b5"] ; 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_26748d18-9935-4224-bbd0-5c2ae24620b5\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Organization 26748d18-9935-4224-bbd0-5c2ae24620b5</b></p><a name=\"26748d18-9935-4224-bbd0-5c2ae24620b5\"> </a><a name=\"hc26748d18-9935-4224-bbd0-5c2ae24620b5\"> </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:3877486b-1fae-4049-a5d0-afa2416da898> a fhir:Organization ; fhir:Resource.id [ fhir:value "3877486b-1fae-4049-a5d0-afa2416da898"] ; 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_3877486b-1fae-4049-a5d0-afa2416da898\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Organization 3877486b-1fae-4049-a5d0-afa2416da898</b></p><a name=\"3877486b-1fae-4049-a5d0-afa2416da898\"> </a><a name=\"hc3877486b-1fae-4049-a5d0-afa2416da898\"> </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/1234567890</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 "1234567890" ] ] ; 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:54878741-032f-4c07-b464-f4eaea8b7712> a fhir:CoverageEligibilityRequest ; fhir:Resource.id [ fhir:value "54878741-032f-4c07-b464-f4eaea8b7712"] ; fhir:Resource.meta [ fhir:Meta.profile [ fhir:value "https://nrces.in/ndhm/fhir/r4/StructureDefinition/CoverageEligibilityRequest" ; fhir:index 0 ; fhir:link <https://nrces.in/ndhm/fhir/r4/StructureDefinition/CoverageEligibilityRequest> ] ] ; fhir:Resource.language [ fhir:value "en"] ; fhir:DomainResource.text [ fhir:Narrative.status [ fhir:value "generated" ] ; fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"en\" lang=\"en\"><a name=\"CoverageEligibilityRequest_54878741-032f-4c07-b464-f4eaea8b7712\"> </a><p class=\"res-header-id\"><b>Generated Narrative: CoverageEligibilityRequest 54878741-032f-4c07-b464-f4eaea8b7712</b></p><a name=\"54878741-032f-4c07-b464-f4eaea8b7712\"> </a><a name=\"hc54878741-032f-4c07-b464-f4eaea8b7712\"> </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\">Language: en</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-CoverageEligibilityRequest.html\">CoverageEligibilityRequest</a></p></div><p><b>identifier</b>: 7612345</p><p><b>status</b>: Active</p><p><b>priority</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/processpriority normal}\">Normal</span></p><p><b>purpose</b>: Coverage auth-requirements</p><p><b>patient</b>: <a href=\"Bundle-CoverageEligibilityResponseBundle-auth-requirements-example-01.html#urn-uuid-d7ac4f66-455d-4e12-b656-a55b976b352c\">Patient</a></p><p><b>created</b>: 2025-03-07 11:01:00+0500</p><p><b>enterer</b>: <a href=\"Bundle-CoverageEligibilityResponseBundle-auth-requirements-example-01.html#urn-uuid-9fb2a38c-697c-4a1c-94ea-2ddfe52c9389\">Practitioner</a></p><p><b>provider</b>: <a href=\"Bundle-CoverageEligibilityResponseBundle-auth-requirements-example-01.html#urn-uuid-3877486b-1fae-4049-a5d0-afa2416da898\">Organization</a></p><p><b>insurer</b>: <a href=\"Bundle-CoverageEligibilityResponseBundle-auth-requirements-example-01.html#urn-uuid-26748d18-9935-4224-bbd0-5c2ae24620b5\">Organization</a></p><p><b>facility</b>: <a href=\"Bundle-CoverageEligibilityResponseBundle-auth-requirements-example-01.html#urn-uuid-6f5b74a7-dd29-4c05-87e3-2188096cb0eb\">Location</a></p><h3>Insurances</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Focal</b></td><td><b>Coverage</b></td></tr><tr><td style=\"display: none\">*</td><td>true</td><td><a href=\"Bundle-CoverageEligibilityResponseBundle-auth-requirements-example-01.html#urn-uuid-00fb258d-f692-4a62-9eed-db09e2bcbb7a\">Coverage</a></td></tr></table><blockquote><p><b>item</b></p><p><b>productOrService</b>: <span title=\"Codes:{http://snomed.info/sct 768839008}\">Consultant</span></p><h3>Diagnoses</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Diagnosis[x]</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://hl7.org/fhir/sid/icd-10 E11.9}\">Type 2 diabetes mellitus : Without complications</span></td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>productOrService</b>: <span title=\"Codes:{http://snomed.info/sct 765507008}\">Metformin hydrochloride 500 mg prolonged-release oral tablet</span></p><h3>Diagnoses</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Diagnosis[x]</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://hl7.org/fhir/sid/icd-10 E11.9}\">Type 2 diabetes mellitus : Without complications</span></td></tr></table></blockquote></div>" ] ; fhir:CoverageEligibilityRequest.identifier [ fhir:index 0 ; fhir:Identifier.value [ fhir:value "7612345" ] ] ; fhir:CoverageEligibilityRequest.status [ fhir:value "active"] ; fhir:CoverageEligibilityRequest.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:Coding.display [ fhir:value "Normal" ] ] ] ; fhir:CoverageEligibilityRequest.purpose [ fhir:value "auth-requirements" ; fhir:index 0 ] ; fhir:CoverageEligibilityRequest.patient [ fhir:Reference.reference [ fhir:value "urn:uuid:d7ac4f66-455d-4e12-b656-a55b976b352c" ] ; fhir:Reference.display [ fhir:value "Patient" ] ] ; fhir:CoverageEligibilityRequest.created [ fhir:value "2025-03-07T11:01:00+05:00"^^xsd:dateTime] ; fhir:CoverageEligibilityRequest.enterer [ fhir:Reference.reference [ fhir:value "urn:uuid:9fb2a38c-697c-4a1c-94ea-2ddfe52c9389" ] ; fhir:Reference.display [ fhir:value "Practitioner" ] ] ; fhir:CoverageEligibilityRequest.provider [ fhir:Reference.reference [ fhir:value "urn:uuid:3877486b-1fae-4049-a5d0-afa2416da898" ] ; fhir:Reference.display [ fhir:value "Organization" ] ] ; fhir:CoverageEligibilityRequest.insurer [ fhir:Reference.reference [ fhir:value "urn:uuid:26748d18-9935-4224-bbd0-5c2ae24620b5" ] ; fhir:Reference.display [ fhir:value "Organization" ] ] ; fhir:CoverageEligibilityRequest.facility [ fhir:Reference.reference [ fhir:value "urn:uuid:6f5b74a7-dd29-4c05-87e3-2188096cb0eb" ] ; fhir:Reference.display [ fhir:value "Location" ] ] ; fhir:CoverageEligibilityRequest.insurance [ fhir:index 0 ; fhir:CoverageEligibilityRequest.insurance.focal [ fhir:value "true"^^xsd:boolean ] ; fhir:CoverageEligibilityRequest.insurance.coverage [ fhir:Reference.reference [ fhir:value "urn:uuid:00fb258d-f692-4a62-9eed-db09e2bcbb7a" ] ; fhir:Reference.display [ fhir:value "Coverage" ] ] ] ; fhir:CoverageEligibilityRequest.item [ fhir:index 0 ; fhir:CoverageEligibilityRequest.item.productOrService [ fhir:CodeableConcept.coding [ fhir:index 0 ; a sct:768839008 ; fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ; fhir:Coding.code [ fhir:value "768839008" ] ; fhir:Coding.display [ fhir:value "Consultant" ] ] ] ; fhir:CoverageEligibilityRequest.item.diagnosis [ fhir:index 0 ; fhir:CoverageEligibilityRequest.item.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 "E11.9" ] ; fhir:Coding.display [ fhir:value "Type 2 diabetes mellitus : Without complications" ] ] ] ] ], [ fhir:index 1 ; fhir:CoverageEligibilityRequest.item.productOrService [ fhir:CodeableConcept.coding [ fhir:index 0 ; a sct:765507008 ; fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ; fhir:Coding.code [ fhir:value "765507008" ] ; fhir:Coding.display [ fhir:value "Metformin hydrochloride 500 mg prolonged-release oral tablet" ] ] ] ; fhir:CoverageEligibilityRequest.item.diagnosis [ fhir:index 0 ; fhir:CoverageEligibilityRequest.item.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 "E11.9" ] ; fhir:Coding.display [ fhir:value "Type 2 diabetes mellitus : Without complications" ] ] ] ] ] . <urn:uuid:6f5b74a7-dd29-4c05-87e3-2188096cb0eb> a fhir:Location ; fhir:Resource.id [ fhir:value "6f5b74a7-dd29-4c05-87e3-2188096cb0eb"] ; fhir:DomainResource.text [ fhir:Narrative.status [ fhir:value "generated" ] ; fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Location_6f5b74a7-dd29-4c05-87e3-2188096cb0eb\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Location 6f5b74a7-dd29-4c05-87e3-2188096cb0eb</b></p><a name=\"6f5b74a7-dd29-4c05-87e3-2188096cb0eb\"> </a><a name=\"hc6f5b74a7-dd29-4c05-87e3-2188096cb0eb\"> </a><p><b>identifier</b>: B1-S.F2</p><p><b>status</b>: Active</p><p><b>name</b>: South Wing, second floor</p><p><b>alias</b>: XYZ Life Hospital Co. Ltd., South Wing, second floor</p><p><b>description</b>: Second floor of the Old South Wing, formerly in use by Psychiatry</p><p><b>mode</b>: Instance</p><p><b>telecom</b>: ph: 2328(Work), fax: 2329(Work), <a href=\"http://sampleorg.com/southwing\">http://sampleorg.com/southwing</a></p><p><b>address</b>: 91, Building A Pune 451855 IND (work)</p><p><b>physicalType</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/location-physical-type wi}\">Wing</span></p><h3>Positions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Longitude</b></td><td><b>Latitude</b></td><td><b>Altitude</b></td></tr><tr><td style=\"display: none\">*</td><td>-83.6945691</td><td>42.25475478</td><td>0</td></tr></table><p><b>managingOrganization</b>: <a href=\"Bundle-CoverageEligibilityResponseBundle-auth-requirements-example-01.html#urn-uuid-3877486b-1fae-4049-a5d0-afa2416da898\">Organization</a></p></div>" ] ; fhir:Location.identifier [ fhir:index 0 ; fhir:Identifier.value [ fhir:value "B1-S.F2" ] ] ; fhir:Location.status [ fhir:value "active"] ; fhir:Location.name [ fhir:value "South Wing, second floor"] ; fhir:Location.alias [ fhir:value "XYZ Life Hospital Co. Ltd., South Wing, second floor" ; fhir:index 0 ] ; fhir:Location.description [ fhir:value "Second floor of the Old South Wing, formerly in use by Psychiatry"] ; fhir:Location.mode [ fhir:value "instance"] ; fhir:Location.telecom [ fhir:index 0 ; fhir:ContactPoint.system [ fhir:value "phone" ] ; fhir:ContactPoint.value [ fhir:value "2328" ] ; fhir:ContactPoint.use [ fhir:value "work" ] ], [ fhir:index 1 ; fhir:ContactPoint.system [ fhir:value "fax" ] ; fhir:ContactPoint.value [ fhir:value "2329" ] ; fhir:ContactPoint.use [ fhir:value "work" ] ], [ fhir:index 2 ; fhir:ContactPoint.system [ fhir:value "url" ] ; fhir:ContactPoint.value [ fhir:value "http://sampleorg.com/southwing" ] ; fhir:ContactPoint.use [ fhir:value "work" ] ] ; fhir:Location.address [ fhir:Address.use [ fhir:value "work" ] ; fhir:Address.line [ fhir:value "91, Building A" ; fhir:index 0 ] ; fhir:Address.city [ fhir:value "Pune" ] ; fhir:Address.postalCode [ fhir:value "451855" ] ; fhir:Address.country [ fhir:value "IND" ] ] ; fhir:Location.physicalType [ fhir:CodeableConcept.coding [ fhir:index 0 ; fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/location-physical-type" ] ; fhir:Coding.code [ fhir:value "wi" ] ; fhir:Coding.display [ fhir:value "Wing" ] ] ] ; fhir:Location.position [ fhir:Location.position.longitude [ fhir:value "-83.6945691"^^xsd:decimal ] ; fhir:Location.position.latitude [ fhir:value "42.25475478"^^xsd:decimal ] ; fhir:Location.position.altitude [ fhir:value "0"^^xsd:decimal ] ] ; fhir:Location.managingOrganization [ fhir:Reference.reference [ fhir:value "urn:uuid:3877486b-1fae-4049-a5d0-afa2416da898" ] ; fhir:Reference.display [ fhir:value "Organization" ] ] . <urn:uuid:00fb258d-f692-4a62-9eed-db09e2bcbb7a> a fhir:Coverage ; fhir:Resource.id [ fhir:value "00fb258d-f692-4a62-9eed-db09e2bcbb7a"] ; 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_00fb258d-f692-4a62-9eed-db09e2bcbb7a\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Coverage 00fb258d-f692-4a62-9eed-db09e2bcbb7a</b></p><a name=\"00fb258d-f692-4a62-9eed-db09e2bcbb7a\"> </a><a name=\"hc00fb258d-f692-4a62-9eed-db09e2bcbb7a\"> </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-CoverageEligibilityResponseBundle-auth-requirements-example-01.html#urn-uuid-d7ac4f66-455d-4e12-b656-a55b976b352c\">Patient</a></p><p><b>subscriberId</b>: ABC123456BI007</p><p><b>beneficiary</b>: <a href=\"Bundle-CoverageEligibilityResponseBundle-auth-requirements-example-01.html#urn-uuid-d7ac4f66-455d-4e12-b656-a55b976b352c\">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-CoverageEligibilityResponseBundle-auth-requirements-example-01.html#urn-uuid-26748d18-9935-4224-bbd0-5c2ae24620b5\">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:d7ac4f66-455d-4e12-b656-a55b976b352c" ] ; fhir:Reference.display [ fhir:value "Patient" ] ] ; fhir:Coverage.subscriberId [ fhir:value "ABC123456BI007"] ; fhir:Coverage.beneficiary [ fhir:Reference.reference [ fhir:value "urn:uuid:d7ac4f66-455d-4e12-b656-a55b976b352c" ] ; 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:26748d18-9935-4224-bbd0-5c2ae24620b5" ] ; fhir:Reference.display [ fhir:value "Organization" ] ] . # - ontology header ------------------------------------------------------------ <http://hl7.org/fhir/Bundle/CoverageEligibilityResponseBundle-auth-requirements-example-01.ttl> a owl:Ontology ; owl:imports fhir:fhir.ttl ; owl:versionIRI <http://build.fhir.org/Bundle/CoverageEligibilityResponseBundle-auth-requirements-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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