Sha256: d2924a4b8feb82568bc412696a78b9e6517a7f1dc8b13c0d57b621e0de7a7d2a
Contents?: true
Size: 1.78 KB
Versions: 7
Compression:
Stored size: 1.78 KB
Contents
<?xml version="1.0" encoding="UTF-8"?><Claim xmlns="http://hl7.org/fhir"> <id value="100150"/> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml">A human-readable rendering of the Oral Health Claim</div> </text> <identifier> <system value="http://happyvalley.com/claim"/> <value value="12345"/> </identifier> <status value="active"/> <type> <system value="http://hl7.org/fhir/ex-claimtype"/> <code value="oral"/> </type> <created value="2014-08-16"/> <insurerReference> <reference value="Organization/2"/> </insurerReference> <organizationReference> <reference value="Organization/1"/> </organizationReference> <use value="complete"/> <priority> <code value="normal"/> </priority> <payee> <type> <code value="provider"/> </type> </payee> <diagnosis> <sequence value="1"/> <diagnosis> <code value="123456"/> </diagnosis> </diagnosis> <patientReference> <reference value="Patient/1"/> </patientReference> <coverage> <sequence value="1"/> <focal value="true"/> <coverageReference> <reference value="Coverage/9876B1"/> </coverageReference> </coverage> <item> <sequence value="1"/> <!-- type> <code value="service"/> </type --> <careTeam> <providerReference> <reference value="Practitioner/example"/> </providerReference> </careTeam> <service> <code value="1200"/> </service> <servicedDate value="2014-08-16"/> <unitPrice> <value value="135.57"/> <system value="urn:iso:std:iso:4217"/> <code value="USD"/> </unitPrice> <net> <value value="135.57"/> <system value="urn:iso:std:iso:4217"/> <code value="USD"/> </net> </item> </Claim>
Version data entries
7 entries across 7 versions & 1 rubygems