Sha256: 72127163704ff64c8a95b0c6cbb062c6780cff2ccf239dedf927d1ec41f90298
Contents?: true
Size: 1.5 KB
Versions: 7
Compression:
Stored size: 1.5 KB
Contents
{
"resourceType": "Claim",
"id": "100150",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">A human-readable rendering of the Oral Health Claim</div>"
},
"identifier": [
{
"system": "http://happyvalley.com/claim",
"value": "12345"
}
],
"status": "active",
"type": {
"system": "http://hl7.org/fhir/ex-claimtype",
"code": "oral"
},
"created": "2014-08-16",
"insurerReference": {
"reference": "Organization/2"
},
"organizationReference": {
"reference": "Organization/1"
},
"use": "complete",
"priority": {
"code": "normal"
},
"payee": {
"type": {
"code": "provider"
}
},
"diagnosis": [
{
"sequence": 1,
"diagnosis": {
"code": "123456"
}
}
],
"patientReference": {
"reference": "Patient/1"
},
"coverage": [
{
"sequence": 1,
"focal": true,
"coverageReference": {
"reference": "Coverage/9876B1"
}
}
],
"item": [
{
"sequence": 1,
"careTeam": [
{
"providerReference": {
"reference": "Practitioner/example"
}
}
],
"service": {
"code": "1200"
},
"servicedDate": "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
7 entries across 7 versions & 1 rubygems