FHIR IG analytics| Package | hl7.fhir.us.qicore |
| Resource Type | ClaimResponse |
| Id | ClaimResponse-example.json |
| FHIR Version | R4 |
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Note: links and images are rebased to the (stated) source
Generated Narrative: ClaimResponse example
Language: en
Profile: QICore ClaimResponse
status: Active
type: Vision
use: Preauthorization
created: 2018-02-24
insurer: Organization Health Level Seven International
requestor: Practitioner Adam Careful
outcome: Queued
item
itemSequence: 1
adjudication
category: Submitted Amount
Amounts
Value Currency 235.40 United States dollar
{
"resourceType": "ClaimResponse",
"id": "example",
"meta": {
"profile": [
"http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-claimresponse"
]
},
"language": "en",
"text": {
"status": "generated",
"div": "<!-- snip (see above) -->"
},
"status": "active",
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "vision"
}
]
},
"use": "preauthorization",
"patient": {
"reference": "Patient/example"
},
"created": "2018-02-24",
"insurer": {
"reference": "Organization/example"
},
"requestor": {
"reference": "Practitioner/example"
},
"request": {
"reference": "Claim/example"
},
"outcome": "queued",
"item": [
{
"itemSequence": 1,
"adjudication": [
{
"category": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/adjudication",
"code": "submitted"
}
]
},
"amount": {
"value": 235.4,
"currency": "USD"
}
}
]
}
]
}