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Source1

{
  "resourceType": "ClaimResponse",
  "id": "HC40-AMB.claimresponse-wbs",
  "meta": {
    "profile": [
      "https://eng.it/fhir/StructureDefinition/ClaimResponse_WBS_Eng"
    ]
  },
  "contained": [
    {
      "resourceType": "Appointment",
      "meta": {
        "profile": [
          "https://eng.it/fhir/StructureDefinition/Appointment_Eng"
        ]
      },
      "id": "1",
      "extension": [
        {
          "url": "http://cct.eng.it/FHIR/schema/appointment-statusPrest",
          "valueCodeableConcept": {
            "coding": [
              {
                "system": "http://cct.eng.it/FHIR/schema/appointment-statusPrestCode",
                "code": "EROGATO"
              }
            ]
          }
        }
      ],
      "status": "proposed",
      "participant": [
        {
          "actor": {
            "reference": "Patient/id"
          },
          "status": "accepted"
        }
      ],
      "reasonCode": [
        {
          "coding": [
            {
              "system": "http://cct.eng.it/FHIR/schema/app-reasonCodeAziendale",
              "code": "codicePrestazione",
              "display": "descrizione"
            }
          ]
        }
      ]
    }
  ],
  "status": "active",
  "type": {
    "coding": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/claim-type",
        "code": "institutional"
      }
    ]
  },
  "use": "claim",
  "patient": {
    "reference": "Patient/1"
  },
  "created": "2022-09-12T14:21:18+01:00",
  "insurer": {
    "reference": "Organization/1"
  },
  "outcome": "complete",
  "total": [
    {
      "extension": [
        {
          "url": "http://cct.eng.it/FHIR/schema/claimResponse-encounter",
          "valueReference": {
            "reference": "Encounter/HC40-AMB.id"
          }
        }
      ],
      "category": {
        "coding": [
          {
            "system": "http://cct.eng.it/FHIR/schema/claimResponse-importo",
            "code": "LORDO"
          }
        ]
      },
      "amount": {
        "value": 200,
        "currency": "EUR"
      }
    },
    {
      "extension": [
        {
          "url": "http://cct.eng.it/FHIR/schema/claimResponse-encounter",
          "valueReference": {
            "reference": "Encounter/HC40-AMB.id"
          }
        }
      ],
      "category": {
        "coding": [
          {
            "system": "http://cct.eng.it/FHIR/schema/claimResponse-importo",
            "code": "QUOTAFISSA"
          }
        ]
      },
      "amount": {
        "value": 0,
        "currency": "EUR"
      }
    },
    {
      "extension": [
        {
          "url": "http://cct.eng.it/FHIR/schema/claimResponse-encounter",
          "valueReference": {
            "reference": "Encounter/HC40-AMB.id"
          }
        }
      ],
      "category": {
        "coding": [
          {
            "system": "http://cct.eng.it/FHIR/schema/claimResponse-importo",
            "code": "BOLLO"
          }
        ]
      },
      "amount": {
        "value": 0,
        "currency": "EUR"
      }
    },
    {
      "extension": [
        {
          "url": "http://cct.eng.it/FHIR/schema/claimResponse-appointment",
          "valueReference": {
            "reference": "#1"
          }
        }
      ],
      "category": {
        "coding": [
          {
            "system": "http://cct.eng.it/FHIR/schema/claimResponse-importo",
            "code": "ALI-IVA"
          }
        ]
      },
      "amount": {
        "value": 0,
        "currency": "EUR"
      }
    },
    {
      "extension": [
        {
          "url": "http://cct.eng.it/FHIR/schema/claimResponse-appointment",
          "valueReference": {
            "reference": "#1"
          }
        }
      ],
      "category": {
        "coding": [
          {
            "system": "http://cct.eng.it/FHIR/schema/claimResponse-importo",
            "code": "NETTO"
          }
        ]
      },
      "amount": {
        "value": 0,
        "currency": "EUR"
      }
    },
    {
      "extension": [
        {
          "url": "http://cct.eng.it/FHIR/schema/claimResponse-appointment",
          "valueReference": {
            "reference": "#1"
          }
        }
      ],
      "category": {
        "coding": [
          {
            "system": "http://cct.eng.it/FHIR/schema/claimResponse-importo",
            "code": "IVA"
          }
        ]
      },
      "amount": {
        "value": 0,
        "currency": "EUR"
      }
    },
    {
      "extension": [
        {
          "url": "http://cct.eng.it/FHIR/schema/claimResponse-appointment",
          "valueReference": {
            "reference": "#1"
          }
        }
      ],
      "category": {
        "coding": [
          {
            "system": "http://cct.eng.it/FHIR/schema/claimResponse-importo",
            "code": "LORDO"
          }
        ]
      },
      "amount": {
        "value": 0,
        "currency": "EUR"
      }
    }
  ]
}