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Narrative

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

Source1

{
  "resourceType": "Claim",
  "id": "chr-on-west-Claim-20001",
  "meta": {
    "lastUpdated": "2024-12-10T16:45:00Z",
    "source": "urn:telus:emr:chr:on-west:123",
    "profile": [
      "https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwClaim"
    ]
  },
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "identifier": [
    {
      "system": "urn:telus:emr:chr:on-west:123:Claim",
      "value": "PMT-98765"
    }
  ],
  "status": "active",
  "type": {
    "coding": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/claim-type",
        "code": "professional",
        "display": "Professional"
      }
    ]
  },
  "use": "claim",
  "patient": {
    "reference": "Patient/chr-on-west-Patient-12345",
    "display": "Sarah Marie Johnson"
  },
  "created": "2024-12-10T16:45:00Z",
  "provider": {
    "reference": "Practitioner/chr-on-west-Practitioner-501",
    "display": "Dr. Emily Thompson"
  },
  "priority": {
    "coding": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/processpriority",
        "code": "normal",
        "display": "Normal"
      }
    ],
    "text": "Normal"
  },
  "diagnosis": [
    {
      "sequence": 1,
      "diagnosisCodeableConcept": {
        "coding": [
          {
            "system": "http://hl7.org/fhir/sid/icd-10",
            "code": "Z00.0",
            "display": "Encounter for general adult medical examination"
          }
        ]
      }
    }
  ],
  "insurance": [
    {
      "sequence": 1,
      "focal": true,
      "coverage": {
        "display": "Ontario Health Insurance Plan"
      }
    }
  ],
  "item": [
    {
      "sequence": 1,
      "diagnosisSequence": [
        1
      ],
      "productOrService": {
        "text": "General Office Visit"
      },
      "modifier": [
        {
          "text": "ON"
        }
      ],
      "servicedDate": "2024-12-10",
      "quantity": {
        "value": 1,
        "unit": "visit"
      },
      "net": {
        "value": 36.85,
        "currency": "CAD"
      },
      "encounter": [
        {
          "reference": "Encounter/chr-on-west-Encounter-2001"
        }
      ]
    }
  ],
  "total": {
    "value": 36.85,
    "currency": "CAD"
  }
}