Sha256: 15cc80e499c3fe86c85fd2ed49e4b4c432209203a0fd22b1987dec8fff872fc6
Contents?: true
Size: 1.81 KB
Versions: 14
Compression:
Stored size: 1.81 KB
Contents
{
"resourceType": "Claim",
"id": "660150",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">A human-readable rendering of the Vision Claim</div>"
},
"identifier": [
{
"system": "http://happysight.com/claim",
"value": "6612345"
}
],
"status": "active",
"type": {
"coding": [
{
"system": "http://hl7.org/fhir/ex-claimtype",
"code": "vision"
}
]
},
"use": "complete",
"patient": {
"reference": "Patient/1"
},
"created": "2014-08-16",
"insurer": {
"reference": "Organization/2"
},
"organization": {
"reference": "Organization/1"
},
"priority": {
"coding": [
{
"code": "normal"
}
]
},
"payee": {
"type": {
"coding": [
{
"code": "provider"
}
]
}
},
"careTeam": [
{
"sequence": 1,
"provider": {
"reference": "Practitioner/example"
}
}
],
"diagnosis": [
{
"sequence": 1,
"diagnosisCodeableConcept": {
"coding": [
{
"code": "654321"
}
]
}
}
],
"insurance": [
{
"sequence": 1,
"focal": true,
"coverage": {
"reference": "Coverage/9876B1"
}
}
],
"item": [
{
"sequence": 1,
"careTeamLinkId": [
1
],
"service": {
"coding": [
{
"system": "http://hl7.org/fhir/ex-visionservice",
"code": "exam"
}
]
},
"servicedDate": "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
14 entries across 14 versions & 2 rubygems