Sha256: 51753461263876ce35022071f7722f8fc787f6963fe9608dc54639bc5435a03c

Contents?: true

Size: 1.8 KB

Versions: 10

Compression:

Stored size: 1.8 KB

Contents

{
  "resourceType": "Claim",
  "id": "660150",
  "identifier": [
    {
      "system": "http://happysight.com/claim",
      "value": "6612345"
    }
  ],
  "status": "active",
  "type": {
    "coding": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/claim-type",
        "code": "vision"
      }
    ]
  },
  "use": "claim",
  "patient": {
    "reference": "Patient/1"
  },
  "created": "2014-08-16",
  "insurer": {
    "reference": "Organization/2"
  },
  "provider": {
    "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,
      "careTeamSequence": [
        1
      ],
      "productOrService": {
        "coding": [
          {
            "system": "http://example.org/fhir/CodeSystem/ex-visionservice",
            "code": "exam"
          }
        ]
      },
      "servicedDate": "2014-08-16",
      "unitPrice": {
        "value": 80.0,
        "currency": "USD"
      },
      "net": {
        "value": 80.0,
        "currency": "USD"
      }
    }
  ],
  "meta": {
    "tag": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
        "code": "HTEST",
        "display": "test health data"
      }
    ]
  }
}

Version data entries

10 entries across 10 versions & 1 rubygems

Version Path
fhir_models-4.3.0 lib/fhir_models/examples/json/claim-example-vision.json
fhir_models-4.2.2 lib/fhir_models/examples/json/claim-example-vision.json
fhir_models-4.2.1 lib/fhir_models/examples/json/claim-example-vision.json
fhir_models-4.2.0 lib/fhir_models/examples/json/claim-example-vision.json
fhir_models-4.1.2 lib/fhir_models/examples/json/claim-example-vision.json
fhir_models-4.1.1 lib/fhir_models/examples/json/claim-example-vision.json
fhir_models-4.1.0 lib/fhir_models/examples/json/claim-example-vision.json
fhir_models-4.0.2 lib/fhir_models/examples/json/claim-example-vision.json
fhir_models-4.0.1 lib/fhir_models/examples/json/claim-example-vision.json
fhir_models-4.0.0 lib/fhir_models/examples/json/claim-example-vision.json