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Narrative

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Source1

{
  "resourceType": "Claim",
  "id": "Claim-preauthorization-example-01",
  "meta": {
    "profile": [
      "https://nrces.in/ndhm/fhir/r4/StructureDefinition/Claim"
    ]
  },
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "identifier": [
    {
      "value": "7612345"
    }
  ],
  "status": "active",
  "type": {
    "coding": [
      {
        "system": "http://snomed.info/sct",
        "code": "737481003",
        "display": "Inpatient care management (procedure)"
      }
    ]
  },
  "subType": {
    "coding": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/ex-claimsubtype",
        "code": "emergency"
      }
    ]
  },
  "use": "preauthorization",
  "patient": {
    "reference": "Patient/example-01"
  },
  "billablePeriod": {
    "start": "2025-03-07T11:01:00+05:00",
    "end": "2025-04-07T11:01:00+05:00"
  },
  "created": "2025-03-08T11:01:00+05:00",
  "insurer": {
    "reference": "Organization/example-02"
  },
  "provider": {
    "reference": "Organization/example-03"
  },
  "priority": {
    "coding": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/processpriority",
        "code": "normal"
      }
    ]
  },
  "careTeam": [
    {
      "sequence": 1,
      "provider": {
        "reference": "Practitioner/example-01"
      },
      "role": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "223366009",
            "display": "Healthcare professional (occupation)"
          }
        ]
      },
      "qualification": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "394658006",
            "display": "Clinical specialty (qualifier value)"
          }
        ]
      }
    }
  ],
  "diagnosis": [
    {
      "sequence": 1,
      "diagnosisCodeableConcept": {
        "coding": [
          {
            "system": "http://hl7.org/fhir/sid/icd-10",
            "code": "I46.9",
            "display": "Cardiac arrest, unspecified"
          }
        ]
      },
      "type": [
        {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "89100005",
              "display": "Final diagnosis (discharge) (contextual qualifier) (qualifier value)"
            }
          ]
        }
      ]
    }
  ],
  "procedure": [
    {
      "sequence": 1,
      "procedureCodeableConcept": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "77343006",
            "display": "Angiography"
          }
        ]
      }
    },
    {
      "sequence": 2,
      "procedureCodeableConcept": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "418285008",
            "display": "Angioplasty of blood vessel"
          }
        ]
      }
    }
  ],
  "insurance": [
    {
      "sequence": 1,
      "focal": true,
      "coverage": {
        "reference": "Coverage/example-01"
      }
    }
  ],
  "item": [
    {
      "sequence": 1,
      "careTeamSequence": [
        1
      ],
      "productOrService": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "77343006",
            "display": "Angiography"
          }
        ]
      },
      "unitPrice": {
        "value": 10000,
        "currency": "INR"
      },
      "net": {
        "value": 10000,
        "currency": "INR"
      }
    },
    {
      "sequence": 2,
      "careTeamSequence": [
        1
      ],
      "productOrService": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "418285008",
            "display": "Angioplasty of blood vessel"
          }
        ]
      },
      "unitPrice": {
        "value": 40000,
        "currency": "INR"
      },
      "net": {
        "value": 40000,
        "currency": "INR"
      }
    },
    {
      "sequence": 3,
      "careTeamSequence": [
        1
      ],
      "productOrService": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "309904001",
            "display": "Intensive care unit"
          }
        ]
      },
      "unitPrice": {
        "value": 2000,
        "currency": "INR"
      },
      "net": {
        "value": 20000,
        "currency": "INR"
      }
    }
  ],
  "total": {
    "value": 70000,
    "currency": "INR"
  }
}