FHIR IG analytics

Resources that use this resource

No resources found

Resources that this resource uses

No resources found

Narrative

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

Source1

{
  "resourceType": "Claim",
  "id": "example",
  "meta": {
    "profile": [
      "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-claim"
    ]
  },
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "identifier": [
    {
      "system": "http://example.org/claim",
      "value": "6612346"
    }
  ],
  "status": "active",
  "type": {
    "coding": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/claim-type",
        "code": "vision"
      }
    ]
  },
  "use": "claim",
  "patient": {
    "reference": "Patient/example"
  },
  "created": "2014-08-16",
  "insurer": {
    "reference": "Organization/example"
  },
  "provider": {
    "reference": "Practitioner/example"
  },
  "priority": {
    "coding": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/processpriority",
        "code": "normal"
      }
    ]
  },
  "prescription": {
    "reference": "MedicationRequest/example"
  },
  "payee": {
    "type": {
      "coding": [
        {
          "system": "http://terminology.hl7.org/CodeSystem/payeetype",
          "code": "provider"
        }
      ]
    },
    "party": {
      "reference": "Practitioner/example"
    }
  },
  "careTeam": [
    {
      "sequence": 1,
      "provider": {
        "reference": "Practitioner/example"
      }
    }
  ],
  "diagnosis": [
    {
      "sequence": 1,
      "diagnosisCodeableConcept": {
        "coding": [
          {
            "system": "http://hl7.org/fhir/sid/icd-10-cm",
            "code": "H44.23"
          }
        ]
      }
    }
  ],
  "insurance": [
    {
      "sequence": 1,
      "focal": true,
      "coverage": {
        "reference": "Coverage/example"
      }
    }
  ],
  "item": [
    {
      "sequence": 1,
      "careTeamSequence": [
        1
      ],
      "productOrService": {
        "coding": [
          {
            "system": "http://example.org/fhir/CodeSystem/ex-visionservice",
            "code": "glasses"
          }
        ]
      },
      "servicedDate": "2014-08-16",
      "unitPrice": {
        "value": 214,
        "currency": "USD"
      },
      "detail": [
        {
          "sequence": 1,
          "productOrService": {
            "coding": [
              {
                "system": "http://example.org/fhir/CodeSystem/ex-visionservice",
                "code": "frame"
              }
            ]
          },
          "unitPrice": {
            "value": 100,
            "currency": "USD"
          },
          "net": {
            "value": 100,
            "currency": "USD"
          }
        },
        {
          "sequence": 2,
          "productOrService": {
            "coding": [
              {
                "system": "http://example.org/fhir/CodeSystem/ex-visionservice",
                "code": "lens"
              }
            ]
          },
          "quantity": {
            "value": 2
          },
          "unitPrice": {
            "value": 50,
            "currency": "USD"
          },
          "net": {
            "value": 100,
            "currency": "USD"
          }
        },
        {
          "sequence": 3,
          "productOrService": {
            "coding": [
              {
                "system": "http://example.org/fhir/CodeSystem/ex-visionservice",
                "code": "fst"
              }
            ]
          },
          "unitPrice": {
            "value": 200,
            "currency": "USD"
          },
          "factor": 0.07,
          "net": {
            "value": 14,
            "currency": "USD"
          }
        }
      ]
    }
  ]
}