FHIR IG analytics| Package | ig.fhir-il-community.org.t17 |
| Resource Type | Bundle |
| Id | Bundle-cancellation-request-multiple-codes.json |
| FHIR Version | R4 |
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No resources found
No narrative content found in resource
{
"resourceType": "Bundle",
"id": "cancellation-request-multiple-codes",
"meta": {
"versionId": "1",
"lastUpdated": "2023-07-20T12:21:34.190+00:00",
"source": "#XilFlMo7DOtpxLzY"
},
"entry": [
{
"fullUrl": "urn:uuid:3f003001-01cb-4f76-ada7-6d0bc6d04f62",
"resource": {
"resourceType": "CoverageEligibilityRequest",
"id": "Inline-Instance-for-3822-1",
"identifier": [
{
"system": "http://fhir.tlvmc.gov.il/identifier/preauth-req-no",
"value": "3773"
}
],
"purpose": [
"validation"
],
"patient": {
"identifier": {
"system": "http://fhir.leumit.co.il/identifier/magnetic-card",
"value": "1-123456-123456-789"
}
},
"provider": {
"identifier": {
"system": "http://fhir.health.gov.il/identifier/legal-entity",
"value": "500106919"
},
"type": "Organization",
"display": "בי\"ח איכילוב"
},
"insurer": {
"identifier": {
"system": "http://fhir.health.gov.il/identifier/legal-entity",
"value": "5899584495"
},
"display": "מאוחדת"
},
"supportingInfo": [
{
"information": {
"identifier": {
"system": "http://fhir.tlvmc.gov.il/identifier/preauth-req-no",
"value": "3772"
},
"type": "CoverageEligibilityRequest",
"display": "בקשת ההתחייבות המבוטלת"
},
"sequence": 1
}
],
"item": [
{
"quantity": {
"value": 2
},
"unitPrice": {
"value": 210,
"currency": "ILS"
},
"productOrService": {
"coding": [
{
"code": "L9258",
"system": "http://fhir.health.gov.il/cs/medical-service-moh",
"display": "בדיקת רופא ילדים במרפאה"
}
]
}
},
{
"quantity": {
"value": 1
},
"unitPrice": {
"value": 242,
"currency": "ILS"
},
"productOrService": {
"coding": [
{
"code": "L9261",
"system": "http://fhir.health.gov.il/cs/medical-service-moh",
"display": "בדיקת רופא כירורג בית החזה במרפאה"
}
]
}
},
{
"quantity": {
"value": 2
},
"unitPrice": {
"value": 136,
"currency": "ILS"
},
"productOrService": {
"coding": [
{
"code": "L9266",
"system": "http://fhir.health.gov.il/cs/medical-service-moh",
"display": "בדיקת רופא כירורג שד במרפאה"
}
]
}
},
{
"quantity": {
"value": 2
},
"unitPrice": {
"value": 80,
"currency": "ILS"
},
"productOrService": {
"coding": [
{
"code": "99242",
"system": "http://fhir.health.gov.il/cs/medical-service-moh",
"display": "בדיקת רופא מומחה במרפאה, למעט בדיקות להן קוד מיוחד"
}
]
}
}
],
"status": "cancelled",
"servicedDate": "2023-07-02",
"created": "2023-07-18T07:51:20.001Z"
}
}
],
"type": "collection"
}