FHIR IG analytics| Package | ndhm.in |
| Resource Type | Bundle |
| Id | Bundle-TaskBundleForPaymentNoticeRequest-example-01.json |
| FHIR Version | R4 |
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No resources found
No narrative content found in resource
FHIR
FHIRsmith{
"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": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Task_c147ae4a-f6c1-4375-a5bb-cedf69235521\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Task c147ae4a-f6c1-4375-a5bb-cedf69235521</b></p><a name=\"c147ae4a-f6c1-4375-a5bb-cedf69235521\"> </a><a name=\"hcc147ae4a-f6c1-4375-a5bb-cedf69235521\"> </a><a name=\"c147ae4a-f6c1-4375-a5bb-cedf69235521-hi-IN\"> </a><p><b>status</b>: Requested</p><p><b>intent</b>: order</p><p><b>code</b>: <span title=\"Codes:{https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-task-codes deliver}\">deliver</span></p><p><b>description</b>: payment status Check</p><p><b>authoredOn</b>: 2025-03-07</p><p><b>requester</b>: <a href=\"Bundle-TaskBundleForPaymentNoticeRequest-example-01.html#urn-uuid-a5b973a0-7274-4158-9f47-398be057b8e1\">Organization-insurance-company</a></p><p><b>owner</b>: <a href=\"Bundle-TaskBundleForPaymentNoticeRequest-example-01.html#urn-uuid-5adfff18-d900-4016-bfa1-987af186bf8f\">Organization-hospital</a></p><h3>Inputs</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Type</b></td><td><b>Value[x]</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/financialtaskinputtype status}\">Status code</span></td><td><a href=\"Bundle-TaskBundleForPaymentNoticeRequest-example-01.html#urn-uuid-dd6916d4-485d-45d3-bcc9-f067cab42a70\">PaymentNotice</a></td></tr></table></div>"
},
"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": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"PaymentNotice_dd6916d4-485d-45d3-bcc9-f067cab42a70\"> </a><p class=\"res-header-id\"><b>Generated Narrative: PaymentNotice dd6916d4-485d-45d3-bcc9-f067cab42a70</b></p><a name=\"dd6916d4-485d-45d3-bcc9-f067cab42a70\"> </a><a name=\"hcdd6916d4-485d-45d3-bcc9-f067cab42a70\"> </a><a name=\"dd6916d4-485d-45d3-bcc9-f067cab42a70-hi-IN\"> </a><p><b>identifier</b>: <code>http://benefitsinc.com/paymentnotice</code>/776543</p><p><b>status</b>: Active</p><p><b>created</b>: 2025-03-07 14:58:58+0530</p><p><b>payment</b>: <a href=\"Bundle-TaskBundleForPaymentNoticeRequest-example-01.html#urn-uuid-498c0785-7cb6-4e18-9848-e61f515ca257\">PaymentReconciliation</a></p><p><b>paymentDate</b>: 2025-03-07</p><p><b>recipient</b>: <a href=\"Bundle-TaskBundleForPaymentNoticeRequest-example-01.html#urn-uuid-5adfff18-d900-4016-bfa1-987af186bf8f\">Organization-hospital</a></p><h3>Amounts</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style=\"display: none\">*</td><td>180000</td><td>Indian rupee</td></tr></table><p><b>paymentStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/paymentstatus paid}\">Paid</span></p></div>"
},
"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": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Organization_a5b973a0-7274-4158-9f47-398be057b8e1\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Organization a5b973a0-7274-4158-9f47-398be057b8e1</b></p><a name=\"a5b973a0-7274-4158-9f47-398be057b8e1\"> </a><a name=\"hca5b973a0-7274-4158-9f47-398be057b8e1\"> </a><a name=\"a5b973a0-7274-4158-9f47-398be057b8e1-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>"
},
"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": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Organization_5adfff18-d900-4016-bfa1-987af186bf8f\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Organization 5adfff18-d900-4016-bfa1-987af186bf8f</b></p><a name=\"5adfff18-d900-4016-bfa1-987af186bf8f\"> </a><a name=\"hc5adfff18-d900-4016-bfa1-987af186bf8f\"> </a><a name=\"5adfff18-d900-4016-bfa1-987af186bf8f-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>"
},
"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": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"PaymentReconciliation_498c0785-7cb6-4e18-9848-e61f515ca257\"> </a><p class=\"res-header-id\"><b>Generated Narrative: PaymentReconciliation 498c0785-7cb6-4e18-9848-e61f515ca257</b></p><a name=\"498c0785-7cb6-4e18-9848-e61f515ca257\"> </a><a name=\"hc498c0785-7cb6-4e18-9848-e61f515ca257\"> </a><a name=\"498c0785-7cb6-4e18-9848-e61f515ca257-hi-IN\"> </a><p><b>identifier</b>: <code>http://www.BenefitsInc.com/fhir/enrollmentresponse</code>/781234</p><p><b>status</b>: Active</p><p><b>period</b>: 2025-03-01 11:01:00+0500 --> 2025-03-07 11:01:00+0500</p><p><b>created</b>: 2025-03-07</p><p><b>paymentIssuer</b>: <a href=\"Bundle-TaskBundleForPaymentNoticeRequest-example-01.html#urn-uuid-a5b973a0-7274-4158-9f47-398be057b8e1\">Organization-Insurance-Company</a></p><p><b>requestor</b>: <a href=\"Bundle-TaskBundleForPaymentNoticeRequest-example-01.html#urn-uuid-5adfff18-d900-4016-bfa1-987af186bf8f\">Organization-hospital</a></p><p><b>outcome</b>: Processing Complete</p><p><b>disposition</b>: 2025 march month settlement.</p><p><b>paymentDate</b>: 2025-03-07</p><h3>PaymentAmounts</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>180000</td><td>Indian rupee</td></tr></table><p><b>paymentIdentifier</b>: UTRNUMBER2920287229</p><blockquote><p><b>detail</b></p><p><b>identifier</b>: CLAIMREFNUM7612345</p><p><b>type</b>: <span title=\"Codes:{https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-payment-type approvedAmount}\">Approved Amount</span></p><p><b>date</b>: 2024-03-31</p><h3>Amounts</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style=\"display: none\">*</td><td>90000</td><td>Indian rupee</td></tr></table></blockquote><blockquote><p><b>detail</b></p><p><b>identifier</b>: CLAIMREFNUM7612345</p><p><b>type</b>: <span title=\"Codes:{https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-payment-type tds}\">TDS Deduction</span></p><p><b>date</b>: 2024-03-31</p><h3>Amounts</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style=\"display: none\">*</td><td>9000</td><td>Indian rupee</td></tr></table></blockquote><blockquote><p><b>detail</b></p><p><b>identifier</b>: CLAIMREFNUM6789054</p><p><b>type</b>: <span title=\"Codes:{https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-payment-type approvedAmount}\">Approved Amount</span></p><p><b>date</b>: 2024-03-31</p><h3>Amounts</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style=\"display: none\">*</td><td>110000</td><td>Indian rupee</td></tr></table></blockquote><blockquote><p><b>detail</b></p><p><b>identifier</b>: CLAIMREFNUM6789054</p><p><b>type</b>: <span title=\"Codes:{https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-payment-type tds}\">TDS Deduction</span></p><p><b>date</b>: 2024-03-31</p><h3>Amounts</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style=\"display: none\">*</td><td>11000</td><td>Indian rupee</td></tr></table></blockquote></div>"
},
"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"
}
}
]
}
}
]
}