- FhirR4Builder: rewrite buildLabReportBundle() with DiagnosticReportLab profile, structured Observation valueQuantity/valueString, reference ranges, interpretation codes, Binary+DocumentReference for HTML report, Encounter resource, HFR-based bundle identifier system - FhirR4Builder: rewrite buildDischargeSummaryBundle() with optional Practitioner/Organization params, structured ABDM sections (chief complaints 422843007, medical history 1003642006, investigations 721981007, procedures 1003640003, medications 721912009, follow-up 736271009), HFR-based bundle identifier system - AbdmGateway: shareIpdDischargeBundle() now builds a real DischargeSummaryRecord FHIR bundle and posts via pushRecord() (POST /v3/records/push) instead of the stale shareIpdDischargeBundle() - AbdmGateway: shareDiagnosisReportBundle() now builds a real DiagnosticReportRecord FHIR bundle and posts via pushRecord() instead of the stale shareDiagnosisReportBundle() - AbdmGateway: add getHospitalProfileForFhir() and mapLabTypeToTitle() helpers; fix pre-existing undefined \ bug in getActiveConsentRecord() - Add ABDM_FHIR reference package, AbdmBridgeLog controller/view, bridge record migration, debug scripts and misc UI/settings updates
568 lines
30 KiB
JSON
568 lines
30 KiB
JSON
{
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"resourceType" : "Bundle",
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"id" : "ClaimBundle-enhancement-example-01",
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"meta" : {
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"profile" : ["https://nrces.in/ndhm/fhir/r4/StructureDefinition/ClaimBundle"],
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"security" : [{
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"system" : "http://terminology.hl7.org/CodeSystem/v3-Confidentiality",
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"code" : "V",
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"display" : "very restricted"
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}]
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},
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"identifier" : {
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"value" : "bc3c6c57-2053-4d0e-ac40-139ccccff645"
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},
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"type" : "collection",
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"timestamp" : "2025-03-13T15:32:26.605+05:30",
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"entry" : [{
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"fullUrl" : "urn:uuid:b356ed3b-6da5-41fe-93e4-de08d9f4987a",
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"resource" : {
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"resourceType" : "Claim",
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"id" : "b356ed3b-6da5-41fe-93e4-de08d9f4987a",
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"meta" : {
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"profile" : ["https://nrces.in/ndhm/fhir/r4/StructureDefinition/Claim"]
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},
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"text" : {
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"status" : "generated",
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"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Claim_b356ed3b-6da5-41fe-93e4-de08d9f4987a\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Claim b356ed3b-6da5-41fe-93e4-de08d9f4987a</b></p><a name=\"b356ed3b-6da5-41fe-93e4-de08d9f4987a\"> </a><a name=\"hcb356ed3b-6da5-41fe-93e4-de08d9f4987a\"> </a><a name=\"b356ed3b-6da5-41fe-93e4-de08d9f4987a-hi-IN\"> </a><p><b>identifier</b>: 7612345</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-ClaimBundle-enhancement-example-01.html#urn-uuid-7955f675-880f-48c4-94eb-b573ca1d1fc9\">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-ClaimBundle-enhancement-example-01.html#urn-uuid-f42fe22c-ed56-458f-b1db-8800e005fb59\">Organization</a></p><p><b>provider</b>: <a href=\"Bundle-ClaimBundle-enhancement-example-01.html#urn-uuid-0682cb2a-032b-4e08-80b1-80c866ece6cc\">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-ClaimBundle-enhancement-example-01.html#urn-uuid-5790d1d0-7167-4502-a231-15fead40d24a\">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-ClaimBundle-enhancement-example-01.html#urn-uuid-ed3a499d-6de6-416e-884d-87f5c655b781\">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-ClaimBundle-enhancement-example-01.html#urn-uuid-7120c410-1c60-4cfb-87ee-3cab3cbcc84b\">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>"
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},
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"identifier" : [{
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"value" : "7612345"
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}],
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"status" : "active",
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"type" : {
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"coding" : [{
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"system" : "http://snomed.info/sct",
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"code" : "737481003",
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"display" : "Inpatient care management (procedure)"
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}]
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},
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"use" : "preauthorization",
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"patient" : {
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"reference" : "urn:uuid:7955f675-880f-48c4-94eb-b573ca1d1fc9",
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"display" : "Patient"
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},
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"billablePeriod" : {
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"start" : "2025-03-07T11:01:00+05:00",
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"end" : "2025-04-07T11:01:00+05:00"
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},
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"created" : "2025-03-13T11:01:00+05:00",
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"insurer" : {
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"reference" : "urn:uuid:f42fe22c-ed56-458f-b1db-8800e005fb59",
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"display" : "Organization"
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},
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"provider" : {
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"reference" : "urn:uuid:0682cb2a-032b-4e08-80b1-80c866ece6cc",
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"display" : "Organization"
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},
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"priority" : {
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"coding" : [{
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"system" : "http://terminology.hl7.org/CodeSystem/processpriority",
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"code" : "normal"
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}]
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},
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"related" : [{
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"claim" : {
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"reference" : "urn:uuid:5790d1d0-7167-4502-a231-15fead40d24a",
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"display" : "Claim-preauth"
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},
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"relationship" : {
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"coding" : [{
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"system" : "http://terminology.hl7.org/CodeSystem/ex-relatedclaimrelationship",
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"code" : "prior",
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"display" : "Prior Claim"
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}]
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}
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}],
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"careTeam" : [{
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"sequence" : 1,
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"provider" : {
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"reference" : "urn:uuid:ed3a499d-6de6-416e-884d-87f5c655b781",
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"display" : "Practitioner"
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},
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"role" : {
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"coding" : [{
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"system" : "http://snomed.info/sct",
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"code" : "223366009",
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"display" : "Healthcare professional (occupation)"
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}]
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},
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"qualification" : {
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"coding" : [{
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"system" : "http://snomed.info/sct",
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"code" : "394658006",
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"display" : "Clinical specialty (qualifier value)"
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}]
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}
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}],
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"diagnosis" : [{
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"sequence" : 1,
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"diagnosisCodeableConcept" : {
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"coding" : [{
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"system" : "http://hl7.org/fhir/sid/icd-10",
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"code" : "I46.9",
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"display" : "Cardiac arrest, unspecified"
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}]
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},
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"type" : [{
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"coding" : [{
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"system" : "http://snomed.info/sct",
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"code" : "89100005",
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"display" : "Final diagnosis (discharge) (contextual qualifier) (qualifier value)"
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}]
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}]
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}],
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"procedure" : [{
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"sequence" : 1,
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"procedureCodeableConcept" : {
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"coding" : [{
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"system" : "http://snomed.info/sct",
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"code" : "77343006",
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"display" : "Angiography"
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}]
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}
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},
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{
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"sequence" : 2,
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"procedureCodeableConcept" : {
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"coding" : [{
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"system" : "http://snomed.info/sct",
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"code" : "418285008",
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"display" : "Angioplasty of blood vessel"
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}]
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}
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}],
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"insurance" : [{
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"sequence" : 1,
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"focal" : true,
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"coverage" : {
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"reference" : "urn:uuid:7120c410-1c60-4cfb-87ee-3cab3cbcc84b",
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"display" : "Coverage"
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},
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"preAuthRef" : ["123456"]
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}],
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"item" : [{
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"sequence" : 1,
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"careTeamSequence" : [1],
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"productOrService" : {
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"coding" : [{
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"system" : "http://snomed.info/sct",
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"code" : "77343006",
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"display" : "Angiography"
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}]
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},
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"servicedDate" : "2023-12-09",
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"unitPrice" : {
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"value" : 10000,
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"currency" : "INR"
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},
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"net" : {
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"value" : 10000,
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"currency" : "INR"
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}
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},
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{
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"sequence" : 2,
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"careTeamSequence" : [1],
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"productOrService" : {
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"coding" : [{
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"system" : "http://snomed.info/sct",
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"code" : "418285008",
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"display" : "Angioplasty of blood vessel"
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}]
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},
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"unitPrice" : {
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"value" : 10000,
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"currency" : "INR"
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},
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"net" : {
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"value" : 10000,
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"currency" : "INR"
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}
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}],
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"total" : {
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"value" : 20000,
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"currency" : "INR"
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}
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}
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},
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{
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"fullUrl" : "urn:uuid:7955f675-880f-48c4-94eb-b573ca1d1fc9",
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"resource" : {
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"resourceType" : "Patient",
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"id" : "7955f675-880f-48c4-94eb-b573ca1d1fc9",
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"meta" : {
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"profile" : ["https://nrces.in/ndhm/fhir/r4/StructureDefinition/Patient"]
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},
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"text" : {
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"status" : "generated",
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"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_7955f675-880f-48c4-94eb-b573ca1d1fc9\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient 7955f675-880f-48c4-94eb-b573ca1d1fc9</b></p><a name=\"7955f675-880f-48c4-94eb-b573ca1d1fc9\"> </a><a name=\"hc7955f675-880f-48c4-94eb-b573ca1d1fc9\"> </a><a name=\"7955f675-880f-48c4-94eb-b573ca1d1fc9-hi-IN\"> </a><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>"
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},
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"identifier" : [{
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"type" : {
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"coding" : [{
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"system" : "https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-identifier-type-code",
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"code" : "ADN",
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"display" : "Adhaar number"
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}]
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},
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"system" : "https://uidai.gov.in/",
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"value" : "7225-4829-5255"
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}],
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"name" : [{
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"text" : "Adarsh Agrawal"
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}],
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"telecom" : [{
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"system" : "phone",
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"value" : "+919818512600",
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"use" : "home"
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}],
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"gender" : "male",
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"birthDate" : "1981-01-12"
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}
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},
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{
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"fullUrl" : "urn:uuid:f42fe22c-ed56-458f-b1db-8800e005fb59",
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"resource" : {
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"resourceType" : "Organization",
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"id" : "f42fe22c-ed56-458f-b1db-8800e005fb59",
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"meta" : {
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"profile" : ["https://nrces.in/ndhm/fhir/r4/StructureDefinition/Organization"]
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},
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"text" : {
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"status" : "generated",
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"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Organization_f42fe22c-ed56-458f-b1db-8800e005fb59\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Organization f42fe22c-ed56-458f-b1db-8800e005fb59</b></p><a name=\"f42fe22c-ed56-458f-b1db-8800e005fb59\"> </a><a name=\"hcf42fe22c-ed56-458f-b1db-8800e005fb59\"> </a><a name=\"f42fe22c-ed56-458f-b1db-8800e005fb59-hi-IN\"> </a><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>"
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},
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"identifier" : [{
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"type" : {
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"coding" : [{
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"system" : "https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-identifier-type-code",
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"code" : "ROHINI",
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"display" : "Registry of Hospitals in Network of Insurance (ROHINI) ID"
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}]
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},
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"system" : "https://rohini.iib.gov.in/",
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"value" : "4567878"
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}],
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"type" : [{
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"coding" : [{
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"system" : "http://terminology.hl7.org/CodeSystem/organization-type",
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"code" : "ins",
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"display" : "Insurance Company"
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}]
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}],
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"name" : "XYZ Insurance Co. Ltd.",
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"telecom" : [{
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"system" : "phone",
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"value" : "+91 243 2634 1234",
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"use" : "work"
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},
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{
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"system" : "email",
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"value" : "contact@xyz.org",
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"use" : "work"
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}]
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}
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},
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{
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"fullUrl" : "urn:uuid:0682cb2a-032b-4e08-80b1-80c866ece6cc",
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"resource" : {
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"resourceType" : "Organization",
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"id" : "0682cb2a-032b-4e08-80b1-80c866ece6cc",
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"meta" : {
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"profile" : ["https://nrces.in/ndhm/fhir/r4/StructureDefinition/Organization"]
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},
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"text" : {
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"status" : "generated",
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"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Organization_0682cb2a-032b-4e08-80b1-80c866ece6cc\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Organization 0682cb2a-032b-4e08-80b1-80c866ece6cc</b></p><a name=\"0682cb2a-032b-4e08-80b1-80c866ece6cc\"> </a><a name=\"hc0682cb2a-032b-4e08-80b1-80c866ece6cc\"> </a><a name=\"0682cb2a-032b-4e08-80b1-80c866ece6cc-hi-IN\"> </a><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>"
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},
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"identifier" : [{
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"type" : {
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"coding" : [{
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"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
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"code" : "PRN",
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"display" : "Provider number"
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}]
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},
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"system" : "https://facility.ndhm.gov.in",
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"value" : "45675454"
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}],
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"type" : [{
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"coding" : [{
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"system" : "http://terminology.hl7.org/CodeSystem/organization-type",
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"code" : "prov",
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"display" : "Healthcare Provider"
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}]
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}],
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"name" : "XYZ Hospital Co. Ltd.",
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"telecom" : [{
|
|
"system" : "phone",
|
|
"value" : "+91 243 2634 1278",
|
|
"use" : "work"
|
|
},
|
|
{
|
|
"system" : "email",
|
|
"value" : "contact@xyz.org",
|
|
"use" : "work"
|
|
}]
|
|
}
|
|
},
|
|
{
|
|
"fullUrl" : "urn:uuid:ed3a499d-6de6-416e-884d-87f5c655b781",
|
|
"resource" : {
|
|
"resourceType" : "Practitioner",
|
|
"id" : "ed3a499d-6de6-416e-884d-87f5c655b781",
|
|
"meta" : {
|
|
"profile" : ["https://nrces.in/ndhm/fhir/r4/StructureDefinition/Practitioner"]
|
|
},
|
|
"text" : {
|
|
"status" : "generated",
|
|
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Practitioner_ed3a499d-6de6-416e-884d-87f5c655b781\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Practitioner ed3a499d-6de6-416e-884d-87f5c655b781</b></p><a name=\"ed3a499d-6de6-416e-884d-87f5c655b781\"> </a><a name=\"hced3a499d-6de6-416e-884d-87f5c655b781\"> </a><a name=\"ed3a499d-6de6-416e-884d-87f5c655b781-hi-IN\"> </a><p><b>identifier</b>: Medical License number/21-1521-3828-3227</p><p><b>name</b>: Dr. Aayush Agrawal</p></div>"
|
|
},
|
|
"identifier" : [{
|
|
"type" : {
|
|
"coding" : [{
|
|
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
|
|
"code" : "MD",
|
|
"display" : "Medical License number"
|
|
}]
|
|
},
|
|
"system" : "https://doctor.ndhm.gov.in",
|
|
"value" : "21-1521-3828-3227"
|
|
}],
|
|
"name" : [{
|
|
"text" : "Dr. Aayush Agrawal"
|
|
}]
|
|
}
|
|
},
|
|
{
|
|
"fullUrl" : "urn:uuid:7120c410-1c60-4cfb-87ee-3cab3cbcc84b",
|
|
"resource" : {
|
|
"resourceType" : "Coverage",
|
|
"id" : "7120c410-1c60-4cfb-87ee-3cab3cbcc84b",
|
|
"meta" : {
|
|
"profile" : ["https://nrces.in/ndhm/fhir/r4/StructureDefinition/Coverage"]
|
|
},
|
|
"text" : {
|
|
"status" : "generated",
|
|
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Coverage_7120c410-1c60-4cfb-87ee-3cab3cbcc84b\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Coverage 7120c410-1c60-4cfb-87ee-3cab3cbcc84b</b></p><a name=\"7120c410-1c60-4cfb-87ee-3cab3cbcc84b\"> </a><a name=\"hc7120c410-1c60-4cfb-87ee-3cab3cbcc84b\"> </a><a name=\"7120c410-1c60-4cfb-87ee-3cab3cbcc84b-hi-IN\"> </a><p><b>identifier</b>: <code>https://xyzinsurance.in/policynumber/</code>/235037120</p><p><b>status</b>: Active</p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ActCode HIP}\">health insurance plan policy</span></p><p><b>subscriber</b>: <a href=\"Bundle-ClaimBundle-enhancement-example-01.html#urn-uuid-7955f675-880f-48c4-94eb-b573ca1d1fc9\">Patient</a></p><p><b>subscriberId</b>: ABC123456BI007</p><p><b>beneficiary</b>: <a href=\"Bundle-ClaimBundle-enhancement-example-01.html#urn-uuid-7955f675-880f-48c4-94eb-b573ca1d1fc9\">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-ClaimBundle-enhancement-example-01.html#urn-uuid-f42fe22c-ed56-458f-b1db-8800e005fb59\">Organization</a></p></div>"
|
|
},
|
|
"identifier" : [{
|
|
"system" : "https://xyzinsurance.in/policynumber/",
|
|
"value" : "235037120"
|
|
}],
|
|
"status" : "active",
|
|
"type" : {
|
|
"coding" : [{
|
|
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
|
|
"code" : "HIP",
|
|
"display" : "health insurance plan policy"
|
|
}]
|
|
},
|
|
"subscriber" : {
|
|
"reference" : "urn:uuid:7955f675-880f-48c4-94eb-b573ca1d1fc9",
|
|
"display" : "Patient"
|
|
},
|
|
"subscriberId" : "ABC123456BI007",
|
|
"beneficiary" : {
|
|
"reference" : "urn:uuid:7955f675-880f-48c4-94eb-b573ca1d1fc9",
|
|
"display" : "Patient"
|
|
},
|
|
"relationship" : {
|
|
"coding" : [{
|
|
"system" : "http://terminology.hl7.org/CodeSystem/subscriber-relationship",
|
|
"code" : "self"
|
|
}]
|
|
},
|
|
"period" : {
|
|
"end" : "2026-03-17"
|
|
},
|
|
"payor" : [{
|
|
"reference" : "urn:uuid:f42fe22c-ed56-458f-b1db-8800e005fb59",
|
|
"display" : "Organization"
|
|
}]
|
|
}
|
|
},
|
|
{
|
|
"fullUrl" : "urn:uuid:5790d1d0-7167-4502-a231-15fead40d24a",
|
|
"resource" : {
|
|
"resourceType" : "Claim",
|
|
"id" : "5790d1d0-7167-4502-a231-15fead40d24a",
|
|
"meta" : {
|
|
"profile" : ["https://nrces.in/ndhm/fhir/r4/StructureDefinition/Claim"]
|
|
},
|
|
"text" : {
|
|
"status" : "generated",
|
|
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Claim_5790d1d0-7167-4502-a231-15fead40d24a\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Claim 5790d1d0-7167-4502-a231-15fead40d24a</b></p><a name=\"5790d1d0-7167-4502-a231-15fead40d24a\"> </a><a name=\"hc5790d1d0-7167-4502-a231-15fead40d24a\"> </a><a name=\"5790d1d0-7167-4502-a231-15fead40d24a-hi-IN\"> </a><p><b>identifier</b>: 7612345</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-ClaimBundle-enhancement-example-01.html#urn-uuid-7955f675-880f-48c4-94eb-b573ca1d1fc9\">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-ClaimBundle-enhancement-example-01.html#urn-uuid-f42fe22c-ed56-458f-b1db-8800e005fb59\">Organization</a></p><p><b>provider</b>: <a href=\"Bundle-ClaimBundle-enhancement-example-01.html#urn-uuid-0682cb2a-032b-4e08-80b1-80c866ece6cc\">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-ClaimBundle-enhancement-example-01.html#urn-uuid-ed3a499d-6de6-416e-884d-87f5c655b781\">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-ClaimBundle-enhancement-example-01.html#urn-uuid-7120c410-1c60-4cfb-87ee-3cab3cbcc84b\">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>"
|
|
},
|
|
"identifier" : [{
|
|
"value" : "7612345"
|
|
}],
|
|
"status" : "active",
|
|
"type" : {
|
|
"coding" : [{
|
|
"system" : "http://snomed.info/sct",
|
|
"code" : "737481003",
|
|
"display" : "Inpatient care management (procedure)"
|
|
}]
|
|
},
|
|
"use" : "preauthorization",
|
|
"patient" : {
|
|
"reference" : "urn:uuid:7955f675-880f-48c4-94eb-b573ca1d1fc9",
|
|
"display" : "Patient"
|
|
},
|
|
"billablePeriod" : {
|
|
"start" : "2025-03-07T11:01:00+05:00",
|
|
"end" : "2025-04-07T11:01:00+05:00"
|
|
},
|
|
"created" : "2023-12-11T11:01:00+05:00",
|
|
"insurer" : {
|
|
"reference" : "urn:uuid:f42fe22c-ed56-458f-b1db-8800e005fb59",
|
|
"display" : "Organization"
|
|
},
|
|
"provider" : {
|
|
"reference" : "urn:uuid:0682cb2a-032b-4e08-80b1-80c866ece6cc",
|
|
"display" : "Organization"
|
|
},
|
|
"priority" : {
|
|
"coding" : [{
|
|
"system" : "http://terminology.hl7.org/CodeSystem/processpriority",
|
|
"code" : "normal"
|
|
}]
|
|
},
|
|
"careTeam" : [{
|
|
"sequence" : 1,
|
|
"provider" : {
|
|
"reference" : "urn:uuid:ed3a499d-6de6-416e-884d-87f5c655b781",
|
|
"display" : "Practitioner"
|
|
},
|
|
"role" : {
|
|
"coding" : [{
|
|
"system" : "http://snomed.info/sct",
|
|
"code" : "223366009",
|
|
"display" : "Healthcare professional (occupation)"
|
|
}]
|
|
},
|
|
"qualification" : {
|
|
"coding" : [{
|
|
"system" : "http://snomed.info/sct",
|
|
"code" : "394658006",
|
|
"display" : "Clinical specialty (qualifier value)"
|
|
}]
|
|
}
|
|
}],
|
|
"diagnosis" : [{
|
|
"sequence" : 1,
|
|
"diagnosisCodeableConcept" : {
|
|
"coding" : [{
|
|
"system" : "http://hl7.org/fhir/sid/icd-10",
|
|
"code" : "I46.9",
|
|
"display" : "Cardiac arrest, unspecified"
|
|
}]
|
|
},
|
|
"type" : [{
|
|
"coding" : [{
|
|
"system" : "http://snomed.info/sct",
|
|
"code" : "89100005",
|
|
"display" : "Final diagnosis (discharge) (contextual qualifier) (qualifier value)"
|
|
}]
|
|
}]
|
|
}],
|
|
"procedure" : [{
|
|
"sequence" : 1,
|
|
"procedureCodeableConcept" : {
|
|
"coding" : [{
|
|
"system" : "http://snomed.info/sct",
|
|
"code" : "77343006",
|
|
"display" : "Angiography"
|
|
}]
|
|
}
|
|
},
|
|
{
|
|
"sequence" : 2,
|
|
"procedureCodeableConcept" : {
|
|
"coding" : [{
|
|
"system" : "http://snomed.info/sct",
|
|
"code" : "418285008",
|
|
"display" : "Angioplasty of blood vessel"
|
|
}]
|
|
}
|
|
}],
|
|
"insurance" : [{
|
|
"sequence" : 1,
|
|
"focal" : true,
|
|
"coverage" : {
|
|
"reference" : "urn:uuid:7120c410-1c60-4cfb-87ee-3cab3cbcc84b",
|
|
"display" : "Coverage"
|
|
}
|
|
}],
|
|
"item" : [{
|
|
"sequence" : 1,
|
|
"careTeamSequence" : [1],
|
|
"productOrService" : {
|
|
"coding" : [{
|
|
"system" : "http://snomed.info/sct",
|
|
"code" : "77343006",
|
|
"display" : "Angiography"
|
|
}]
|
|
},
|
|
"servicedDate" : "2023-12-09",
|
|
"unitPrice" : {
|
|
"value" : 10000,
|
|
"currency" : "INR"
|
|
},
|
|
"net" : {
|
|
"value" : 10000,
|
|
"currency" : "INR"
|
|
}
|
|
},
|
|
{
|
|
"sequence" : 2,
|
|
"careTeamSequence" : [1],
|
|
"productOrService" : {
|
|
"coding" : [{
|
|
"system" : "http://snomed.info/sct",
|
|
"code" : "418285008",
|
|
"display" : "Angioplasty of blood vessel"
|
|
}]
|
|
},
|
|
"unitPrice" : {
|
|
"value" : 40000,
|
|
"currency" : "INR"
|
|
},
|
|
"net" : {
|
|
"value" : 40000,
|
|
"currency" : "INR"
|
|
}
|
|
},
|
|
{
|
|
"sequence" : 3,
|
|
"careTeamSequence" : [1],
|
|
"productOrService" : {
|
|
"coding" : [{
|
|
"system" : "http://snomed.info/sct",
|
|
"code" : "309904001",
|
|
"display" : "Intensive care unit"
|
|
}]
|
|
},
|
|
"servicedDate" : "2023-12-11",
|
|
"quantity" : {
|
|
"value" : 10,
|
|
"unit" : "day"
|
|
},
|
|
"unitPrice" : {
|
|
"value" : 2000,
|
|
"currency" : "INR"
|
|
},
|
|
"net" : {
|
|
"value" : 20000,
|
|
"currency" : "INR"
|
|
}
|
|
}],
|
|
"total" : {
|
|
"value" : 70000,
|
|
"currency" : "INR"
|
|
}
|
|
}
|
|
}]
|
|
} |