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

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Source1

{
  "resourceType": "ClaimResponse",
  "id": "HC40-BRIDGE.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="
  }
}