Sha256: 0ad170144fb8a7034381041ef090ed6c561819ceb1315640c863f641eec67a50
Contents?: true
Size: 1.37 KB
Versions: 4
Compression:
Stored size: 1.37 KB
Contents
{
"resourceType": "Claim",
"id": "100150",
"text": {
"status": "generated",
"div": "<div>A human-readable rendering of the Oral Health Claim</div>"
},
"type": "oral",
"identifier": [
{
"system": "http://happyvalley.com/claim",
"value": "12345"
}
],
"created": "2014-08-16",
"target": {
"reference": "Organization/2"
},
"organization": {
"reference": "Organization/1"
},
"use": "complete",
"priority": {
"code": "normal"
},
"payee": {
"type": {
"code": "provider"
}
},
"diagnosis": [
{
"sequence": 1,
"diagnosis": {
"code": "123456"
}
}
],
"patient": {
"reference": "Patient/1"
},
"coverage": [
{
"sequence": 1,
"focal": true,
"coverage": {
"reference": "Coverage/9876B1"
},
"relationship": {
"code": "self"
}
}
],
"item": [
{
"sequence": 1,
"type": {
"code": "service"
},
"provider": {
"reference": "Practitioner/example"
},
"service": {
"code": "1200"
},
"serviceDate": "2014-08-16",
"unitPrice": {
"value": 135.57,
"system": "urn:iso:std:iso:4217",
"code": "USD"
},
"net": {
"value": 135.57,
"system": "urn:iso:std:iso:4217",
"code": "USD"
}
}
]
}
Version data entries
4 entries across 4 versions & 1 rubygems