{ "resourceType" : "Bundle", "id" : "TaskBundleForPaymentNoticeRequest-example-01", "meta" : { "profile" : ["https://nrces.in/ndhm/fhir/r4/StructureDefinition/TaskBundle"], "security" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-Confidentiality", "code" : "V", "display" : "very restricted" }] }, "identifier" : { "value" : "bc3c6c57-2053-4d0e-ac40-139ccccff645" }, "type" : "collection", "entry" : [{ "fullUrl" : "urn:uuid:c147ae4a-f6c1-4375-a5bb-cedf69235521", "resource" : { "resourceType" : "Task", "id" : "c147ae4a-f6c1-4375-a5bb-cedf69235521", "meta" : { "profile" : ["https://nrces.in/ndhm/fhir/r4/StructureDefinition/Task"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Task c147ae4a-f6c1-4375-a5bb-cedf69235521

status: Requested

intent: order

code: deliver

description: payment status Check

authoredOn: 2025-03-07

requester: Organization-insurance-company

owner: Organization-hospital

Inputs

-TypeValue[x]
*Status codePaymentNotice
" }, "status" : "requested", "intent" : "order", "code" : { "coding" : [{ "system" : "https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-task-codes", "code" : "deliver" }] }, "description" : "payment status Check", "authoredOn" : "2025-03-07", "requester" : { "reference" : "urn:uuid:a5b973a0-7274-4158-9f47-398be057b8e1", "display" : "Organization-insurance-company" }, "owner" : { "reference" : "urn:uuid:5adfff18-d900-4016-bfa1-987af186bf8f", "display" : "Organization-hospital" }, "input" : [{ "type" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/financialtaskinputtype", "code" : "status" }] }, "valueReference" : { "reference" : "urn:uuid:dd6916d4-485d-45d3-bcc9-f067cab42a70", "display" : "PaymentNotice" } }] } }, { "fullUrl" : "urn:uuid:dd6916d4-485d-45d3-bcc9-f067cab42a70", "resource" : { "resourceType" : "PaymentNotice", "id" : "dd6916d4-485d-45d3-bcc9-f067cab42a70", "meta" : { "profile" : ["https://nrces.in/ndhm/fhir/r4/StructureDefinition/PaymentNotice"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: PaymentNotice dd6916d4-485d-45d3-bcc9-f067cab42a70

identifier: http://benefitsinc.com/paymentnotice/776543

status: Active

created: 2025-03-07 14:58:58+0530

payment: PaymentReconciliation

paymentDate: 2025-03-07

recipient: Organization-hospital

Amounts

-ValueCurrency
*180000Indian rupee

paymentStatus: Paid

" }, "identifier" : [{ "system" : "http://benefitsinc.com/paymentnotice", "value" : "776543" }], "status" : "active", "created" : "2025-03-07T14:58:58.181+05:30", "payment" : { "reference" : "urn:uuid:498c0785-7cb6-4e18-9848-e61f515ca257", "display" : "PaymentReconciliation" }, "paymentDate" : "2025-03-07", "recipient" : { "reference" : "urn:uuid:5adfff18-d900-4016-bfa1-987af186bf8f", "display" : "Organization-hospital" }, "amount" : { "value" : 180000, "currency" : "INR" }, "paymentStatus" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/paymentstatus", "code" : "paid" }] } } }, { "fullUrl" : "urn:uuid:a5b973a0-7274-4158-9f47-398be057b8e1", "resource" : { "resourceType" : "Organization", "id" : "a5b973a0-7274-4158-9f47-398be057b8e1", "meta" : { "profile" : ["https://nrces.in/ndhm/fhir/r4/StructureDefinition/Organization"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Organization a5b973a0-7274-4158-9f47-398be057b8e1

identifier: Registry of Hospitals in Network of Insurance (ROHINI) ID/4567878

type: Insurance Company

name: XYZ Insurance Co. Ltd.

telecom: +91 243 2634 1234, contact@xyz.org

" }, "identifier" : [{ "type" : { "coding" : [{ "system" : "https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-identifier-type-code", "code" : "ROHINI", "display" : "Registry of Hospitals in Network of Insurance (ROHINI) ID" }] }, "system" : "https://rohini.iib.gov.in/", "value" : "4567878" }], "type" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/organization-type", "code" : "ins", "display" : "Insurance Company" }] }], "name" : "XYZ Insurance Co. Ltd.", "telecom" : [{ "system" : "phone", "value" : "+91 243 2634 1234", "use" : "work" }, { "system" : "email", "value" : "contact@xyz.org", "use" : "work" }] } }, { "fullUrl" : "urn:uuid:5adfff18-d900-4016-bfa1-987af186bf8f", "resource" : { "resourceType" : "Organization", "id" : "5adfff18-d900-4016-bfa1-987af186bf8f", "meta" : { "profile" : ["https://nrces.in/ndhm/fhir/r4/StructureDefinition/Organization"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Organization 5adfff18-d900-4016-bfa1-987af186bf8f

identifier: Provider number/45675454

type: Healthcare Provider

name: XYZ Hospital Co. Ltd.

telecom: +91 243 2634 1278, contact@xyz.org

" }, "identifier" : [{ "type" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v2-0203", "code" : "PRN", "display" : "Provider number" }] }, "system" : "https://facility.ndhm.gov.in", "value" : "45675454" }], "type" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/organization-type", "code" : "prov", "display" : "Healthcare Provider" }] }], "name" : "XYZ Hospital Co. Ltd.", "telecom" : [{ "system" : "phone", "value" : "+91 243 2634 1278", "use" : "work" }, { "system" : "email", "value" : "contact@xyz.org", "use" : "work" }] } }, { "fullUrl" : "urn:uuid:498c0785-7cb6-4e18-9848-e61f515ca257", "resource" : { "resourceType" : "PaymentReconciliation", "id" : "498c0785-7cb6-4e18-9848-e61f515ca257", "meta" : { "profile" : ["https://nrces.in/ndhm/fhir/r4/StructureDefinition/PaymentReconciliation"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: PaymentReconciliation 498c0785-7cb6-4e18-9848-e61f515ca257

identifier: http://www.BenefitsInc.com/fhir/enrollmentresponse/781234

status: Active

period: 2025-03-01 11:01:00+0500 --> 2025-03-07 11:01:00+0500

created: 2025-03-07

paymentIssuer: Organization-Insurance-Company

requestor: Organization-hospital

outcome: Processing Complete

disposition: 2025 march month settlement.

paymentDate: 2025-03-07

PaymentAmounts

-ValueCurrency
*180000Indian rupee

paymentIdentifier: UTRNUMBER2920287229

detail

identifier: CLAIMREFNUM7612345

type: Approved Amount

date: 2024-03-31

Amounts

-ValueCurrency
*90000Indian rupee

detail

identifier: CLAIMREFNUM7612345

type: TDS Deduction

date: 2024-03-31

Amounts

-ValueCurrency
*9000Indian rupee

detail

identifier: CLAIMREFNUM6789054

type: Approved Amount

date: 2024-03-31

Amounts

-ValueCurrency
*110000Indian rupee

detail

identifier: CLAIMREFNUM6789054

type: TDS Deduction

date: 2024-03-31

Amounts

-ValueCurrency
*11000Indian rupee
" }, "identifier" : [{ "system" : "http://www.BenefitsInc.com/fhir/enrollmentresponse", "value" : "781234" }], "status" : "active", "period" : { "start" : "2025-03-01T11:01:00+05:00", "end" : "2025-03-07T11:01:00+05:00" }, "created" : "2025-03-07", "paymentIssuer" : { "reference" : "urn:uuid:a5b973a0-7274-4158-9f47-398be057b8e1", "display" : "Organization-Insurance-Company" }, "requestor" : { "reference" : "urn:uuid:5adfff18-d900-4016-bfa1-987af186bf8f", "display" : "Organization-hospital" }, "outcome" : "complete", "disposition" : "2025 march month settlement.", "paymentDate" : "2025-03-07", "paymentAmount" : { "value" : 180000, "currency" : "INR" }, "paymentIdentifier" : { "value" : "UTRNUMBER2920287229" }, "detail" : [{ "identifier" : { "value" : "CLAIMREFNUM7612345" }, "type" : { "coding" : [{ "system" : "https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-payment-type", "code" : "approvedAmount", "display" : "Approved Amount" }] }, "date" : "2024-03-31", "amount" : { "value" : 90000, "currency" : "INR" } }, { "identifier" : { "value" : "CLAIMREFNUM7612345" }, "type" : { "coding" : [{ "system" : "https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-payment-type", "code" : "tds", "display" : "TDS Deduction" }] }, "date" : "2024-03-31", "amount" : { "value" : 9000, "currency" : "INR" } }, { "identifier" : { "value" : "CLAIMREFNUM6789054" }, "type" : { "coding" : [{ "system" : "https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-payment-type", "code" : "approvedAmount", "display" : "Approved Amount" }] }, "date" : "2024-03-31", "amount" : { "value" : 110000, "currency" : "INR" } }, { "identifier" : { "value" : "CLAIMREFNUM6789054" }, "type" : { "coding" : [{ "system" : "https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-payment-type", "code" : "tds", "display" : "TDS Deduction" }] }, "date" : "2024-03-31", "amount" : { "value" : 11000, "currency" : "INR" } }] } }] }