FHIR IG analytics| Package | ihe.iti.fais |
| Resource Type | Claim |
| Id | Claim-ex-predetermination-4.json |
| FHIR Version | R4 |
No resources found
No resources found
Note: links and images are rebased to the (stated) source
Generated Narrative: Claim ex-predetermination-4
status: Active
type: Institutional
use: Predetermination
patient: Purity Atieno Female, DoB: 2000-05-04
created: 2024-07-15 03:00:00+0000
enterer: Practitioner Kalu Kalu
insurer: Organization National Health Insurance Scheme
provider: Practitioner Kalu Kalu
priority: Normal
| Type | Party |
| Provider | Organization National Health Hospital System |
facility: Location Local Hospital
| Sequence | Diagnosis[x] |
| 1 | Hybrid oncocytic chromophobe tumour |
| Sequence | Procedure[x] |
| 1 | Chemotherapy treatment Cancer |
| Sequence | Focal | Coverage |
| 1 | true | Coverage: status = active; type = public healthcare; subscriberId = 05710b56-4448-11ef-b676-774a043da147; relationship = Self; period = 2024-01-01 --> 2024-12-31 |
{
"resourceType": "Claim",
"id": "ex-predetermination-4",
"meta": {
"profile": [
"https://profiles.ihe.net/ITI/FAIS/StructureDefinition/IHE.FAIS.Claim"
]
},
"text": {
"status": "generated",
"div": "<!-- snip (see above) -->"
},
"status": "active",
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "institutional"
}
]
},
"use": "predetermination",
"patient": {
"reference": "Patient/ex-beneficiary-1"
},
"created": "2024-07-15T03:00:00Z",
"enterer": {
"reference": "Practitioner/ex-doctor-2"
},
"insurer": {
"reference": "Organization/ex-insurer-1"
},
"provider": {
"reference": "Practitioner/ex-doctor-2"
},
"priority": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/processpriority",
"code": "normal"
}
]
},
"payee": {
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/payeetype",
"code": "provider"
}
]
},
"party": {
"reference": "Organization/ex-network-1"
}
},
"facility": {
"reference": "Location/ex-hospital-2"
},
"diagnosis": [
{
"sequence": 1,
"diagnosisCodeableConcept": {
"coding": [
{
"system": "http://id.who.int/icd/release/11/mms",
"code": "XH1VB1",
"display": "Hybrid oncocytic chromophobe tumour"
}
]
}
}
],
"procedure": [
{
"sequence": 1,
"procedureCodeableConcept": {
"coding": [
{
"system": "http://loinc.org",
"code": "21946-9",
"display": "Chemotherapy treatment Cancer"
}
]
}
}
],
"insurance": [
{
"sequence": 1,
"focal": true,
"coverage": {
"reference": "Coverage/ex-coverage-1"
}
}
]
}