FHIR IG analytics| Package | eng.fhir.profile.dev |
| Resource Type | Claim |
| Id | Claim_RUDI.json |
| FHIR Version | R4 |
No resources found
No resources found
No narrative content found in resource
FHIR
FHIRsmith{
"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-amb.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"
}
}