Atrius India Core FHIR Implementation Guide
0.1.0 - ci-build

Atrius India Core FHIR Implementation Guide - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

: Example AtriusIn InsurancePlan Bundle

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@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 xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

<http://hl7.org/fhir/Bundle/atrius-in-insuranceplan-bundle-example> a fhir:Bundle ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:Resource.id [ fhir:value "atrius-in-insuranceplan-bundle-example"] ;
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "https://atrius.in/fhir/r4/atrius-in/StructureDefinition/atrius-in-insuranceplan-bundle" ;
       fhir:index -1 ;
       fhir:link <https://atrius.in/fhir/r4/atrius-in/StructureDefinition/atrius-in-insuranceplan-bundle>
     ]
  ] ;
  fhir:Resource.language [ fhir:value "en"] ;
  fhir:Bundle.type [ fhir:value "collection"] ;
  fhir:Bundle.timestamp [ fhir:value "2026-04-01T00:00:00+05:30"^^xsd:dateTime] ;
  fhir:Bundle.entry [
     fhir:index -1 ;
     fhir:Bundle.entry.fullUrl [ fhir:value "https://atrius.in/fhir/r4/atrius-in/InsurancePlan/atrius-in-insuranceplan-example" ] ;
     fhir:Bundle.entry.resource <https://atrius.in/fhir/r4/atrius-in/InsurancePlan/atrius-in-insuranceplan-example>
  ] .

<https://atrius.in/fhir/r4/atrius-in/InsurancePlan/atrius-in-insuranceplan-example> a fhir:InsurancePlan ;
  fhir:Resource.id [ fhir:value "atrius-in-insuranceplan-example"] ;
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "https://atrius.in/fhir/r4/atrius-in/StructureDefinition/atrius-in-insuranceplan" ;
       fhir:index -1 ;
       fhir:link <https://atrius.in/fhir/r4/atrius-in/StructureDefinition/atrius-in-insuranceplan>
     ]
  ] ;
  fhir:Resource.language [ fhir:value "en"] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "extensions" ] ;
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"InsurancePlan_atrius-in-insuranceplan-example\"> </a><p class=\"res-header-id\"><b>Generated Narrative: InsurancePlan atrius-in-insuranceplan-example</b></p><a name=\"atrius-in-insuranceplan-example\"> </a><a name=\"hcatrius-in-insuranceplan-example\"> </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-atrius-in-insuranceplan.html\">Atrius India Core InsurancePlan</a></p></div><blockquote><p><b>ClaimExclusion</b></p><ul><li>category: <span title=\"Codes:\">Cosmetic procedures</span></li><li>statement: Cosmetic and aesthetic procedures are excluded unless reconstructive after trauma.</li><li>item: <span title=\"Codes:\">Rhinoplasty (aesthetic)</span></li></ul></blockquote><blockquote><p><b>ClaimSupportingInfoRequirement</b></p><ul><li>category: <span title=\"Codes:{https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-supportinginfo-category FCF}\">Filled claim form</span></li><li>code: <span title=\"Codes:\">Discharge summary</span></li></ul></blockquote><p><b>identifier</b>: <a href=\"NamingSystem-atrius-in-irdai-product-uin-ns.html\" title=\"IRDAI Unique Identification Number (UIN) for a regulated insurance product. Used as InsurancePlan.identifier.system: the payer-issued product id that covers the combinations offered under that plan (NDHM InsurancePlan.identifier). Value is the UIN string (e.g. IRDAI product UIN or a PM-JAY product code in the same namespace). Do not use the bare website https://irdai.gov.in — that is not an identifier namespace.\">IRDAIProductUin</a>/PMJAY-HOSP-2026</p><p><b>status</b>: Active</p><p><b>type</b>: <span title=\"Codes:{https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-insuranceplan-type 01}\">Hospitalization</span></p><p><b>name</b>: PM-JAY Hospitalization Cover</p><p><b>period</b>: 2026-04-01 --&gt; 2027-03-31</p><p><b>ownedBy</b>: <a href=\"Organization-atrius-in-organization-example.html\">Organization AtriusIn General Hospital</a></p><p><b>administeredBy</b>: <a href=\"Organization-atrius-in-organization-example.html\">Organization AtriusIn General Hospital</a></p><blockquote><p><b>coverage</b></p><blockquote><p><b>ClaimCondition</b></p><ul><li>claim-condition: Covered: dengue, malaria, and enteric fever requiring admission.</li></ul></blockquote><blockquote><p><b>ClaimSupportingInfoRequirement</b></p><ul><li>category: <span title=\"Codes:{https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-supportinginfo-category CER}\">Medical Certficate</span></li><li>code: <span title=\"Codes:\">Discharge summary</span></li></ul></blockquote><p><b>type</b>: <span title=\"Codes:{https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-coverage-type 00}\">Medical</span></p><h3>Benefits</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Type</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-benefit-type 00}\">Inpatient hospitalization</span></td></tr></table></blockquote><h3>Plans</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Extension</b></td><td><b>Type</b></td></tr><tr><td style=\"display: none\">*</td><td/><td><span title=\"Codes:{https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-plan-type 03}\">Standard</span></td></tr></table></div>"
  ] ;
  fhir:DomainResource.extension [
     fhir:index -1 ;
     fhir:Element.extension [
       fhir:index -1 ;
       fhir:Extension.url [ fhir:value "category" ] ;
       fhir:Extension.valueCodeableConcept [
         fhir:CodeableConcept.text [ fhir:value "Cosmetic procedures" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Extension.url [ fhir:value "statement" ] ;
       fhir:Extension.valueString [ fhir:value "Cosmetic and aesthetic procedures are excluded unless reconstructive after trauma." ]
     ], [
       fhir:index -1 ;
       fhir:Extension.url [ fhir:value "item" ] ;
       fhir:Extension.valueCodeableConcept [
         fhir:CodeableConcept.text [ fhir:value "Rhinoplasty (aesthetic)" ]
       ]
     ] ;
     fhir:Extension.url [ fhir:value "https://nrces.in/ndhm/fhir/r4/StructureDefinition/Claim-Exclusion" ]
  ], [
     fhir:index -1 ;
     fhir:Element.extension [
       fhir:index -1 ;
       fhir:Extension.url [ fhir:value "category" ] ;
       fhir:Extension.valueCodeableConcept [
         fhir:CodeableConcept.coding [
           fhir:index -1 ;
           fhir:Coding.system [ fhir:value "https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-supportinginfo-category" ] ;
           fhir:Coding.code [ fhir:value "FCF" ] ;
           fhir:Coding.display [ fhir:value "Filled claim form" ]
         ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Extension.url [ fhir:value "code" ] ;
       fhir:Extension.valueCodeableConcept [
         fhir:CodeableConcept.text [ fhir:value "Discharge summary" ]
       ]
     ] ;
     fhir:Extension.url [ fhir:value "https://nrces.in/ndhm/fhir/r4/StructureDefinition/Claim-SupportingInfoRequirement" ]
  ] ;
  fhir:InsurancePlan.identifier [
     fhir:index -1 ;
     fhir:Identifier.system [ fhir:value "https://irdai.gov.in/product-uin" ] ;
     fhir:Identifier.value [ fhir:value "PMJAY-HOSP-2026" ]
  ] ;
  fhir:InsurancePlan.status [ fhir:value "active"] ;
  fhir:InsurancePlan.type [
     fhir:index -1 ;
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       fhir:Coding.system [ fhir:value "https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-insuranceplan-type" ] ;
       fhir:Coding.code [ fhir:value "01" ] ;
       fhir:Coding.display [ fhir:value "Hospitalisation Indemnity Policy" ]
     ] ;
     fhir:CodeableConcept.text [ fhir:value "Hospitalization" ]
  ] ;
  fhir:InsurancePlan.name [ fhir:value "PM-JAY Hospitalization Cover"] ;
  fhir:InsurancePlan.period [
     fhir:Period.start [ fhir:value "2026-04-01"^^xsd:date ] ;
     fhir:Period.end [ fhir:value "2027-03-31"^^xsd:date ]
  ] ;
  fhir:InsurancePlan.ownedBy [
     fhir:link <http://hl7.org/fhir/Organization/atrius-in-organization-example> ;
     fhir:Reference.reference [ fhir:value "Organization/atrius-in-organization-example" ]
  ] ;
  fhir:InsurancePlan.administeredBy [
     fhir:link <http://hl7.org/fhir/Organization/atrius-in-organization-example> ;
     fhir:Reference.reference [ fhir:value "Organization/atrius-in-organization-example" ]
  ] ;
  fhir:InsurancePlan.coverage [
     fhir:index -1 ;
     fhir:Element.extension [
       fhir:index -1 ;
       fhir:Element.extension [
         fhir:index -1 ;
         fhir:Extension.url [ fhir:value "claim-condition" ] ;
         fhir:Extension.valueString [ fhir:value "Covered: dengue, malaria, and enteric fever requiring admission." ]
       ] ;
       fhir:Extension.url [ fhir:value "https://nrces.in/ndhm/fhir/r4/StructureDefinition/Claim-Condition" ]
     ], [
       fhir:index -1 ;
       fhir:Element.extension [
         fhir:index -1 ;
         fhir:Extension.url [ fhir:value "category" ] ;
         fhir:Extension.valueCodeableConcept [
           fhir:CodeableConcept.coding [
             fhir:index -1 ;
             fhir:Coding.system [ fhir:value "https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-supportinginfo-category" ] ;
             fhir:Coding.code [ fhir:value "CER" ] ;
             fhir:Coding.display [ fhir:value "Medical Certficate" ]
           ]
         ]
       ], [
         fhir:index -1 ;
         fhir:Extension.url [ fhir:value "code" ] ;
         fhir:Extension.valueCodeableConcept [
           fhir:CodeableConcept.text [ fhir:value "Discharge summary" ]
         ]
       ] ;
       fhir:Extension.url [ fhir:value "https://nrces.in/ndhm/fhir/r4/StructureDefinition/Claim-SupportingInfoRequirement" ]
     ] ;
     fhir:InsurancePlan.coverage.type [
       fhir:CodeableConcept.coding [
         fhir:index -1 ;
         fhir:Coding.system [ fhir:value "https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-coverage-type" ] ;
         fhir:Coding.code [ fhir:value "00" ] ;
         fhir:Coding.display [ fhir:value "In Patient Hospitalization" ]
       ] ;
       fhir:CodeableConcept.text [ fhir:value "Medical" ]
     ] ;
     fhir:InsurancePlan.coverage.benefit [
       fhir:index -1 ;
       fhir:InsurancePlan.coverage.benefit.type [
         fhir:CodeableConcept.coding [
           fhir:index -1 ;
           fhir:Coding.system [ fhir:value "https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-benefit-type" ] ;
           fhir:Coding.code [ fhir:value "00" ] ;
           fhir:Coding.display [ fhir:value "ICU" ]
         ] ;
         fhir:CodeableConcept.text [ fhir:value "Inpatient hospitalization" ]
       ]
     ]
  ] ;
  fhir:InsurancePlan.plan [
     fhir:index -1 ;
     fhir:Element.extension [
       fhir:index -1 ;
       fhir:Element.extension [
         fhir:index -1 ;
         fhir:Extension.url [ fhir:value "claim-condition" ] ;
         fhir:Extension.valueString [ fhir:value "Pre-existing diabetes covered after 24 months." ]
       ] ;
       fhir:Extension.url [ fhir:value "https://nrces.in/ndhm/fhir/r4/StructureDefinition/Claim-Condition" ]
     ] ;
     fhir:InsurancePlan.plan.type [
       fhir:CodeableConcept.coding [
         fhir:index -1 ;
         fhir:Coding.system [ fhir:value "https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-plan-type" ] ;
         fhir:Coding.code [ fhir:value "03" ] ;
         fhir:Coding.display [ fhir:value "Group" ]
       ] ;
       fhir:CodeableConcept.text [ fhir:value "Standard" ]
     ]
  ] .

<http://hl7.org/fhir/Organization/atrius-in-organization-example> a fhir:Organization .

# - ontology header ------------------------------------------------------------

<http://hl7.org/fhir/Bundle/atrius-in-insuranceplan-bundle-example.ttl> a owl:Ontology ;
  owl:imports fhir:fhir.ttl ;
  owl:versionIRI <http://build.fhir.org/Bundle/atrius-in-insuranceplan-bundle-example.ttl> .