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Packageexample.fhir.ph.roadsafety
Resource TypeClaim
IdClaim-rs-example-claim.json
FHIR VersionR4

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Narrative

Note: links and images are rebased to the (stated) source

Example RS Claim for patient rs-example-patient. Total: PHP 1500.00

Source1

{
  "resourceType": "Claim",
  "id": "rs-example-claim",
  "meta": {
    "profile": [
      "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-claim"
    ]
  },
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "status": "active",
  "type": {
    "coding": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/claim-type",
        "code": "professional"
      }
    ]
  },
  "use": "claim",
  "patient": {
    "reference": "Patient/rs-example-patient"
  },
  "created": "2025-10-31",
  "provider": {
    "reference": "Organization/rs-organization-single-ex"
  },
  "priority": {
    "coding": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/processpriority",
        "code": "normal"
      }
    ]
  },
  "insurance": [
    {
      "sequence": 1,
      "focal": true,
      "coverage": {
        "reference": "Coverage/rs-example-coverage"
      }
    }
  ],
  "total": {
    "value": 1500,
    "currency": "PHP"
  }
}