FHIR © HL7.org  |  FHIRsmith 4.0.1  |  Server Home  |  XIG Home  |  XIG Stats  | 

FHIR IG analytics

Packageeng.fhir.profile.dev
Resource TypeClaimResponse
IdClaimResponse_RUDI.json
FHIR VersionR4

Resources that use this resource

No resources found


Resources that this resource uses

No resources found


Narrative

No narrative content found in resource


Source1

{
  "resourceType": "ClaimResponse",
  "id": "HC40-AMB.claimresponse-rudi",
  "meta": {
    "profile": [
      "https://eng.it/fhir/StructureDefinition/ClaimResponse_RUDI_Eng"
    ]
  },
  "extension": [
    {
      "url": "http://cct.eng.it/FHIR/schema/claimResponse-coding-pag",
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "http://cct.eng.it/FHIR/schema/claimResponse-coding-pagCode",
            "code": "9703220000114800",
            "display": "Codice Pagamento"
          }
        ]
      }
    }
  ],
  "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",
  "form": {
    "contentType": "application/pdf",
    "data": "PD94bWwgdmVyc2lvbj0iMS4wIiBlbmNvZGluZz0iVVRGLTgiPz4NCjxub3RlPg0KICA8dG8+VG92ZTwvdG8+DQogIDxmcm9tPkphbmk8L2Zyb20+DQogIDxoZWFkaW5nPlJlbWluZGVyPC9oZWFkaW5nPg0KICA8Ym9keT5Eb24ndCBmb3JnZXQgbWUgdGhpcyB3ZWVrZW5kITwvYm9keT4NCjwvbm90ZT4="
  },
  "total": [
    {
      "category": {
        "coding": [
          {
            "system": "http://cct.eng.it/FHIR/schema/claimResponse-importo",
            "code": "TARTOT"
          }
        ]
      },
      "amount": {
        "value": 198,
        "currency": "EUR"
      }
    },
    {
      "category": {
        "coding": [
          {
            "system": "http://cct.eng.it/FHIR/schema/claimResponse-importo",
            "code": "IMPTOT"
          }
        ]
      },
      "amount": {
        "value": 200,
        "currency": "EUR"
      }
    },
    {
      "category": {
        "coding": [
          {
            "system": "http://cct.eng.it/FHIR/schema/claimResponse-importo",
            "code": "IMPRES"
          }
        ]
      },
      "amount": {
        "value": 0,
        "currency": "EUR"
      }
    },
    {
      "category": {
        "coding": [
          {
            "system": "http://cct.eng.it/FHIR/schema/claimResponse-importo",
            "code": "QUOTAFISSA"
          }
        ]
      },
      "amount": {
        "value": 0,
        "currency": "EUR"
      }
    }
  ]
}