Sha256: c14cf0576db2c01c3c20a710ee0cb658284526030ca43a0af80186749ba31762
Contents?: true
Size: 1.87 KB
Versions: 7
Compression:
Stored size: 1.87 KB
Contents
{
"resourceType": "Claim",
"id": "960150",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">A human-readable rendering of the Claim</div>"
},
"identifier": [
{
"system": "http://happyhospital.com/claim",
"value": "9612345"
}
],
"status": "active",
"type": {
"system": "http://hl7.org/fhir/ex-claimtype",
"code": "institutional"
},
"created": "2014-08-16",
"insurerReference": {
"reference": "Organization/2"
},
"organizationReference": {
"reference": "Organization/1"
},
"use": "complete",
"priority": {
"code": "normal"
},
"entererIdentifier": {
"system": "http://jurisdiction.org/facilities/HOSP1234/users",
"value": "UC1234"
},
"facilityIdentifier": {
"system": "http://jurisdiction.org/facilities",
"value": "HOSP1234"
},
"payee": {
"type": {
"code": "provider"
}
},
"diagnosis": [
{
"sequence": 1,
"diagnosis": {
"code": "654456"
}
}
],
"patientReference": {
"reference": "Patient/1"
},
"coverage": [
{
"sequence": 1,
"focal": true,
"coverageReference": {
"reference": "Coverage/9876B1"
}
}
],
"item": [
{
"sequence": 1,
"careTeam": [
{
"providerReference": {
"reference": "Practitioner/example"
}
}
],
"service": {
"system": "http://hl7.org/fhir/ex-serviceproduct",
"code": "exam"
},
"servicedDate": "2014-08-16",
"unitPrice": {
"value": 125.00,
"system": "urn:iso:std:iso:4217",
"code": "USD"
},
"net": {
"value": 125.00,
"system": "urn:iso:std:iso:4217",
"code": "USD"
}
}
],
"total": {
"value": 125.00,
"system": "urn:iso:std:iso:4217",
"code": "USD"
}
}
Version data entries
7 entries across 7 versions & 1 rubygems