Contents

{
  "resourceType": "Claim",
  "id": "660150",
  "text": {
    "status": "generated",
    "div": "<div>A human-readable rendering of the Vision Claim</div>"
  },
  "type": "vision",
  "identifier": [
    {
      "system": "http://happysight.com/claim",
      "value": "6612345"
    }
  ],
  "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": "654321"
      }
    }
  ],
  "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": {
        "system": "http://hl7.org/fhir/ex-visionservice",
        "code": "exam"
      },
      "serviceDate": "2014-08-16",
      "unitPrice": {
        "value": 80.00,
        "system": "urn:iso:std:iso:4217",
        "code": "USD"
      },
      "net": {
        "value": 80.00,
        "system": "urn:iso:std:iso:4217",
        "code": "USD"
      }
    }
  ]
}

Version data entries

4 entries across 4 versions & 1 rubygems

Version	Path
fhir_dstu2_models-1.0.5	lib/fhir_dstu2_models/examples/json/claim-example-vision.json
fhir_dstu2_models-1.0.4	lib/fhir_dstu2_models/examples/json/claim-example-vision.json
fhir_dstu2_models-1.0.3	lib/fhir_dstu2_models/examples/json/claim-example-vision.json
fhir_dstu2_models-1.0.2	lib/fhir_dstu2_models/examples/json/claim-example-vision.json