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Packageeng.fhir.profile.dev
Resource TypeBundle
IdBundle_AMB_pagamenti_RUDI.json
FHIR VersionR4

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Source1

{
  "resourceType": "Bundle",
  "id": "HC40-AMB.bundle-pagamenti-rudi",
  "meta": {
    "profile": [
      "https://eng.it/fhir/StructureDefinition/Bundle_AMB_pagamenti_RUDI"
    ]
  },
  "type": "message",
  "timestamp": "2021-01-08T13:27:57.887+01:00",
  "entry": [
    {
      "resource": {
        "resourceType": "MessageHeader",
        "id": "HC40-AMB.messageheader-pagamenti-rudi",
        "meta": {
          "profile": [
            "https://eng.it/fhir/StructureDefinition/MessageHeader_AMB_pagamenti_RUDI_Eng"
          ]
        },
        "extension": [
          {
            "url": "http://cct.eng.it/FHIR/schema/messageHeader-operator",
            "extension": [
              {
                "url": "name",
                "valueCode": "nome operatore"
              },
              {
                "url": "surname",
                "valueCode": "cognome operatore"
              },
              {
                "url": "code",
                "valueCode": "nome.cognome"
              }
            ]
          }
        ],
        "eventCoding": {
          "system": "http://ihub.eng.it/fhir/message-events",
          "code": "SQM_DOC_INC",
          "display": "prospetto di pagamento"
        },
        "destination": [
          {
            "name": "IHub-SQM_DOC_INC",
            "endpoint": "http://ihub.eng.it/SQM_DOC_INC"
          }
        ],
        "source": {
          "name": "HC40-AMB",
          "endpoint": "http://HC40-AMB.eng.it"
        }
      }
    },
    {
      "resource": {
        "resourceType": "Encounter",
        "id": "HC40-AMB.encounter-amb",
        "meta": {
          "profile": [
            "https://eng.it/fhir/StructureDefinition/Encounter_AMB_Eng"
          ]
        },
        "extension": [
          {
            "url": "http://cct.eng.it/fhir/encounter-admissionDiag-text",
            "valueString": "nota del quesito diagnostico"
          },
          {
            "url": "http://cct.eng.it/FHIR/schema/encounter-tipoImp",
            "valueCodeableConcept": {
              "coding": [
                {
                  "system": "http://cct.eng.it/FHIR/schema/encounter-tipoImpCode",
                  "code": "1"
                }
              ]
            }
          },
          {
            "url": "http://cct.eng.it/FHIR/schema/encounter-post-pren-AMB",
            "valueString": "AMB-WS"
          }
        ],
        "identifier": [
          {
            "system": "http://cct.eng.it/FHIR/schema/identifier-AMB",
            "value": "960I2020000673"
          },
          {
            "system": "http://hc40-amb.eng.it/identifier-episodio-CUP",
            "value": "960I2020000674"
          },
          {
            "system": "http://hc40-amb.eng.it/identifier",
            "value": "2020000604"
          },
          {
            "system": "http://hc40-amb.eng.it/identifier-imp",
            "value": "080A03000972056"
          }
        ],
        "status": "planned",
        "class": {
          "system": "http://terminology.hl7.org/ValueSet/v3-ActEncounterCode",
          "code": "AMB"
        },
        "priority": {
          "coding": [
            {
              "system": "http://cct.eng.it/FHIR/schema/encounter-priority",
              "code": "B",
              "display": "Urgente differibile entro 10 gg"
            }
          ]
        },
        "subject": {
          "reference": "Patient/HC40-AMB.patient"
        },
        "participant": [
          {
            "type": [
              {
                "coding": [
                  {
                    "system": "http://cct.eng.it/FHIR/schema/part-type",
                    "code": "PRE"
                  }
                ]
              }
            ],
            "individual": {
              "reference": "Practitioner/HC40-AMB.practitioner"
            }
          }
        ],
        "appointment": [
          {
            "reference": "Appointment/HC40-AMB.appointment"
          }
        ],
        "reasonCode": [
          {
            "coding": [
              {
                "system": "http://cct.eng.it/FHIR/schema/encounter-evento-CUP",
                "code": "NA",
                "display": "NUOVO ACCESSO"
              }
            ]
          },
          {
            "coding": [
              {
                "system": "http://cct.eng.it/fhir/CodeSystem/encounter-admission-type",
                "code": "1",
                "display": "Primo accesso"
              }
            ]
          }
        ],
        "hospitalization": {
          "extension": [
            {
              "url": "http://cct.eng.it/FHIR/schema/encounter-regime",
              "valueCodeableConcept": {
                "coding": [
                  {
                    "system": "http://cct.eng.it/FHIR/schema/encounter-regimeCode",
                    "code": "01",
                    "display": "S.S.N."
                  }
                ]
              }
            },
            {
              "url": "http://cct.eng.it/FHIR/schema/encounter-modAcc",
              "valueCodeableConcept": {
                "coding": [
                  {
                    "system": "http://cct.eng.it/FHIR/schema/encounter-modAccCode",
                    "code": "04",
                    "display": "Urgente differibile entro 10 gg"
                  }
                ]
              }
            }
          ]
        },
        "location": [
          {
            "location": {
              "reference": "Location/HC40-AMB.location"
            },
            "physicalType": {
              "coding": [
                {
                  "system": "http://cct.eng.it/FHIR/schema/location-type",
                  "code": "ro",
                  "display": "ROOM"
                }
              ]
            }
          }
        ],
        "serviceProvider": {
          "reference": "Organization/HC40-AMB.organization"
        }
      }
    },
    {
      "fullUrl": "Appointment/HC40-AMB.appointment",
      "resource": {
        "resourceType": "Appointment",
        "id": "HC40-AMB.appointment",
        "meta": {
          "profile": [
            "https://eng.it/fhir/StructureDefinition/Appointment_Eng"
          ]
        },
        "extension": [
          {
            "url": "http://cct.eng.it/FHIR/schema/appointment-statusPrest",
            "valueCodeableConcept": {
              "coding": [
                {
                  "system": "http://cct.eng.it/FHIR/schema/appointment-statusPrestCode",
                  "code": "INPROGRESS"
                }
              ]
            }
          },
          {
            "url": "http://cct.eng.it/FHIR/schema/appointment-fasciaCont",
            "valueCodeableConcept": {
              "coding": [
                {
                  "system": "http://cct.eng.it/FHIR/schema/appointment-fasciaContCode",
                  "code": "10010"
                }
              ]
            }
          },
          {
            "url": "http://cct.eng.it/FHIR/schema/appointment-moltep",
            "valueString": "1"
          },
          {
            "url": "http://cct.eng.it/FHIR/schema/appointment-dataImp",
            "valueDate": "2020-09-10"
          }
        ],
        "status": "booked",
        "reasonCode": [
          {
            "coding": [
              {
                "system": "http://cct.eng.it/FHIR/schema/app-reasonCodeISES",
                "code": "5078",
                "display": "FASCIATURA SEMPLICE"
              }
            ]
          },
          {
            "coding": [
              {
                "system": "http://cct.eng.it/FHIR/schema/app-reasonCodeDM",
                "code": "93.56.1",
                "display": "FASCIATURA SEMPLICE"
              }
            ]
          },
          {
            "coding": [
              {
                "system": "http://cct.eng.it/FHIR/schema/app-reasonCodeSOLE",
                "code": "1873.001",
                "display": "FASCIATURA SEMPLICE"
              }
            ]
          }
        ],
        "start": "2020-09-10T15:57:38.658+02:00",
        "end": "2020-09-10T15:57:38.658+02:00",
        "created": "2020-09-10T14:56:07+02:00",
        "participant": [
          {
            "actor": {
              "reference": "Patient/HC40-AMB.patient"
            },
            "status": "accepted"
          }
        ]
      }
    },
    {
      "resource": {
        "resourceType": "Claim",
        "id": "HC40-AMB.claim-rudi",
        "meta": {
          "profile": [
            "https://eng.it/fhir/StructureDefinition/Claim_RUDI_Eng"
          ]
        },
        "extension": [
          {
            "url": "http://cct.eng.it/FHIR/schema/claim-operation-type",
            "valueCodeableConcept": {
              "coding": [
                {
                  "system": "http://cct.eng.it/FHIR/schema/claim-operation-typeCode",
                  "code": "INS",
                  "display": "Insert"
                }
              ]
            }
          },
          {
            "url": "http://cct.eng.it/FHIR/schema/claim-description",
            "valueString": "Erogazione di prestazioni ..."
          },
          {
            "url": "http://cct.eng.it/FHIR/schema/claim-docAttach",
            "valueCode": "RIC"
          }
        ],
        "identifier": [
          {
            "system": "http://hc40-er.eng.it/identifier",
            "value": "3220020200003369"
          }
        ],
        "status": "active",
        "type": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/claim-type",
              "code": "institutional",
              "display": "institutional"
            }
          ]
        },
        "use": "claim",
        "patient": {
          "reference": "Patient/1"
        },
        "created": "2020-02-10",
        "provider": {
          "reference": "Organization/1"
        },
        "priority": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/processpriority",
              "code": "routine",
              "display": "routine"
            }
          ]
        },
        "insurance": [
          {
            "sequence": 1,
            "focal": true,
            "coverage": {
              "identifier": {
                "system": "http://hc40-er.eng.it/coverage-identifier",
                "value": "id_fittizio"
              }
            }
          }
        ],
        "item": [
          {
            "extension": [
              {
                "url": "http://cct.eng.it/FHIR/schema/claim-contract",
                "extension": [
                  {
                    "url": "code",
                    "valueString": "06"
                  },
                  {
                    "url": "fascia",
                    "valueString": "04"
                  }
                ]
              },
              {
                "url": "http://cct.eng.it/FHIR/schema/claim-prest-provider",
                "valueCodeableConcept": {
                  "coding": [
                    {
                      "system": "http://cct.eng.it/FHIR/schema/claim-prest-providerCode",
                      "code": "080960",
                      "display": "provider che eroga"
                    }
                  ]
                }
              },
              {
                "url": "http://cct.eng.it/FHIR/schema/claim-prest-provider-loc",
                "valueReference": {
                  "reference": "Location/1"
                }
              },
              {
                "url": "http://cct.eng.it/FHIR/schema/claim-aliquota",
                "valueCodeableConcept": {
                  "coding": [
                    {
                      "system": "http://cct.eng.it/FHIR/schema/claim-aliquotaCode",
                      "code": "ES10",
                      "display": "codice aliquota"
                    }
                  ]
                }
              }
            ],
            "sequence": 1,
            "category": {
              "coding": [
                {
                  "system": "http://cct.eng.it/FHIR/schema/claim-category",
                  "code": "52015",
                  "display": "RX SPALLA"
                }
              ],
              "text": "RX SPALLA"
            },
            "productOrService": {
              "coding": [
                {
                  "system": "http://cct.eng.it/FHIR/schema/claim-typology",
                  "code": "PST",
                  "display": "Prestazione"
                }
              ]
            },
            "servicedDate": "2020-02-10",
            "quantity": {
              "value": 1
            },
            "net": {
              "value": 21.35,
              "currency": "EUR"
            }
          },
          {
            "extension": [
              {
                "url": "http://cct.eng.it/FHIR/schema/claim-contract",
                "extension": [
                  {
                    "url": "code",
                    "valueString": "06"
                  },
                  {
                    "url": "fascia",
                    "valueString": "04"
                  }
                ]
              },
              {
                "url": "http://cct.eng.it/FHIR/schema/claim-prest-provider",
                "valueCodeableConcept": {
                  "coding": [
                    {
                      "system": "http://cct.eng.it/FHIR/schema/claim-prest-providerCode",
                      "code": "080960",
                      "display": "provider che eroga"
                    }
                  ]
                }
              },
              {
                "url": "http://cct.eng.it/FHIR/schema/claim-prest-provider-loc",
                "valueReference": {
                  "reference": "Location/1"
                }
              },
              {
                "url": "http://cct.eng.it/FHIR/schema/claim-aliquota",
                "valueCodeableConcept": {
                  "coding": [
                    {
                      "system": "http://cct.eng.it/FHIR/schema/claim-aliquotaCode",
                      "code": "ES10",
                      "display": "codice aliquota"
                    }
                  ]
                }
              }
            ],
            "sequence": 2,
            "category": {
              "coding": [
                {
                  "system": "http://cct.eng.it/FHIR/schema/claim-category",
                  "code": "VISPS",
                  "display": "VISITA DI PRONTO SOCCORSO"
                }
              ],
              "text": "VISITA DI PRONTO SOCCORSO"
            },
            "productOrService": {
              "coding": [
                {
                  "system": "http://cct.eng.it/FHIR/schema/claim-typology",
                  "code": "PST",
                  "display": "Prestazione"
                }
              ]
            },
            "servicedDate": "2020-02-10",
            "quantity": {
              "value": 1
            },
            "net": {
              "value": 25,
              "currency": "EUR"
            }
          },
          {
            "extension": [
              {
                "url": "http://cct.eng.it/FHIR/schema/claim-contract",
                "extension": [
                  {
                    "url": "code",
                    "valueString": "06"
                  },
                  {
                    "url": "fascia",
                    "valueString": "04"
                  }
                ]
              },
              {
                "url": "http://cct.eng.it/FHIR/schema/claim-prest-provider",
                "valueCodeableConcept": {
                  "coding": [
                    {
                      "system": "http://cct.eng.it/FHIR/schema/claim-prest-providerCode",
                      "code": "080960",
                      "display": "provider che eroga"
                    }
                  ]
                }
              },
              {
                "url": "http://cct.eng.it/FHIR/schema/claim-prest-provider-loc",
                "valueReference": {
                  "reference": "Location/1"
                }
              },
              {
                "url": "http://cct.eng.it/FHIR/schema/claim-aliquota",
                "valueCodeableConcept": {
                  "coding": [
                    {
                      "system": "http://cct.eng.it/FHIR/schema/claim-aliquotaCode",
                      "code": "ES10",
                      "display": "codice aliquota"
                    }
                  ]
                }
              }
            ],
            "sequence": 3,
            "category": {
              "coding": [
                {
                  "system": "http://cct.eng.it/FHIR/schema/claim-category",
                  "code": "56016",
                  "display": "MEDICAZIONE"
                }
              ],
              "text": "MEDICAZIONE"
            },
            "productOrService": {
              "coding": [
                {
                  "system": "http://cct.eng.it/FHIR/schema/claim-typology",
                  "code": "PST",
                  "display": "Prestazione"
                }
              ]
            },
            "servicedDate": "2020-02-10",
            "quantity": {
              "value": 1
            },
            "net": {
              "value": 4.6,
              "currency": "EUR"
            }
          },
          {
            "extension": [
              {
                "url": "http://cct.eng.it/FHIR/schema/claim-docType",
                "valueCode": "R"
              },
              {
                "url": "http://cct.eng.it/FHIR/schema/claim-creditType",
                "valueString": "3"
              }
            ],
            "sequence": 4,
            "productOrService": {
              "coding": [
                {
                  "system": "http://cct.eng.it/FHIR/schema/claim-typology",
                  "code": "DCF",
                  "display": "Documento fiscale"
                }
              ]
            },
            "net": {
              "value": 50.95,
              "currency": "EUR"
            },
            "detail": [
              {
                "sequence": 1,
                "productOrService": {
                  "coding": [
                    {
                      "system": "http://cct.eng.it/FHIR/schema/claim-typology",
                      "code": "IMP",
                      "display": "Imponibile"
                    }
                  ]
                },
                "net": {
                  "value": 50.95,
                  "currency": "EUR"
                }
              },
              {
                "sequence": 2,
                "productOrService": {
                  "coding": [
                    {
                      "system": "http://cct.eng.it/FHIR/schema/claim-typology",
                      "code": "ALI-IVA",
                      "display": "aliquota iva"
                    }
                  ]
                }
              },
              {
                "sequence": 3,
                "productOrService": {
                  "coding": [
                    {
                      "system": "http://cct.eng.it/FHIR/schema/claim-typology",
                      "code": "IVA",
                      "display": "Iva"
                    }
                  ]
                },
                "net": {
                  "value": 0,
                  "currency": "EUR"
                }
              },
              {
                "sequence": 4,
                "productOrService": {
                  "coding": [
                    {
                      "system": "http://cct.eng.it/FHIR/schema/claim-typology",
                      "code": "DOC",
                      "display": "importo documento"
                    }
                  ]
                },
                "net": {
                  "value": 50.95,
                  "currency": "EUR"
                }
              },
              {
                "sequence": 5,
                "productOrService": {
                  "coding": [
                    {
                      "system": "http://cct.eng.it/FHIR/schema/claim-typology",
                      "code": "BLL",
                      "display": "importo bollo"
                    }
                  ]
                },
                "net": {
                  "value": 0,
                  "currency": "EUR"
                }
              },
              {
                "sequence": 6,
                "productOrService": {
                  "coding": [
                    {
                      "system": "http://cct.eng.it/FHIR/schema/claim-typology",
                      "code": "ARR",
                      "display": "arrotondamento"
                    }
                  ]
                },
                "net": {
                  "value": 0,
                  "currency": "EUR"
                }
              }
            ]
          },
          {
            "extension": [
              {
                "url": "http://cct.eng.it/FHIR/schema/claim-idRisc",
                "valueString": "962202000033690000509512"
              }
            ],
            "sequence": 5,
            "productOrService": {
              "coding": [
                {
                  "system": "http://cct.eng.it/FHIR/schema/claim-typology",
                  "code": "RATA",
                  "display": "rata di pagamento"
                }
              ]
            }
          },
          {
            "extension": [
              {
                "url": "http://cct.eng.it/FHIR/schema/claim-codApp",
                "valueString": "32"
              },
              {
                "url": "http://cct.eng.it/FHIR/schema/claim-typeAll",
                "valueString": "RIS"
              }
            ],
            "sequence": 6,
            "productOrService": {
              "coding": [
                {
                  "system": "http://cct.eng.it/FHIR/schema/claim-typology",
                  "code": "ALL",
                  "display": "allegati"
                }
              ]
            }
          },
          {
            "extension": [
              {
                "url": "http://cct.eng.it/FHIR/schema/claim-codApp",
                "valueString": "32"
              },
              {
                "url": "http://cct.eng.it/FHIR/schema/claim-typeAll",
                "valueString": "POL"
              }
            ],
            "sequence": 7,
            "productOrService": {
              "coding": [
                {
                  "system": "http://cct.eng.it/FHIR/schema/claim-typology",
                  "code": "ALL",
                  "display": "allegati"
                }
              ]
            }
          },
          {
            "extension": [
              {
                "url": "http://cct.eng.it/FHIR/schema/claim-codApp",
                "valueString": "32"
              },
              {
                "url": "http://cct.eng.it/FHIR/schema/claim-typeAll",
                "valueString": "PAF"
              }
            ],
            "sequence": 8,
            "productOrService": {
              "coding": [
                {
                  "system": "http://cct.eng.it/FHIR/schema/claim-typology",
                  "code": "ALL",
                  "display": "allegati"
                }
              ]
            }
          }
        ],
        "total": {
          "value": 50.95,
          "currency": "EUR"
        }
      }
    }
  ]
}