FHIR IG analytics| Package | tw.cathay.fhir.iclaim |
| Resource Type | Claim |
| Id | Claim-Claim-C4.json |
| FHIR Version | R4 |
No resources found
No resources found
Note: links and images are rebased to the (stated) source
理賠申請書編號：A0004 (https://www.cgh.org.tw)
理賠申請書狀態: Active (Financial Resource Status Codes#active)
理賠申請書類別: Institutional (Claim Type Codes#institutional)
理賠申請書用途: Claim (Use#claim)
病人： Patient/Patient-C3 "玳健康"
理賠申請書日期: 2023-08-15
醫院： Organization/Organization-min "國泰醫療財團法人國泰綜合醫院"
處理優先順序: Immediate (Process Priority Codes#stat)
診斷證明書：
| 順序 | Diagnosis[x] |
| 1 | Condition/Condition-C4 |
保險：
| 順序 | Focal | Coverage |
| 1 | true | Coverage/Coverage-C3 |
收據：
費用序號: 1
自付金額（base price）/減免（discount）: 自付金額 (InvoicePriceComponentType#base)
費用項目: 掛號費 (費用項目-健保#REGISTRATION)
就醫身分: 自費 (Coverage SelfPay Codes#pay)
收據日期: 2023-08-15
自付金額：150
費用序號: 2
費用項目: 掛號費 (費用項目-健保#REGISTRATION)
就醫身分: 健保 (ActCode#PUBLICPOL)
收據日期: 2023-08-15
健保點數：580
總費用：150
FHIR
FHIRsmith{
"resourceType": "Claim",
"id": "Claim-C4",
"meta": {
"profile": [
"https://claim.cgh.org.tw/iclaim/StructureDefinition/claim-iclaim"
]
},
"text": {
"status": "generated",
"div": "<!-- snip (see above) -->"
},
"identifier": [
{
"system": "https://www.cgh.org.tw",
"value": "A0004"
}
],
"status": "active",
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "institutional"
}
]
},
"use": "claim",
"patient": {
"reference": "Patient/Patient-C3"
},
"created": "2023-08-15",
"provider": {
"reference": "Organization/Organization-min"
},
"priority": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/processpriority",
"code": "stat"
}
]
},
"diagnosis": [
{
"sequence": 1,
"diagnosisReference": {
"reference": "Condition/Condition-C4"
}
}
],
"insurance": [
{
"sequence": 1,
"focal": true,
"coverage": {
"reference": "Coverage/Coverage-C3"
}
}
],
"item": [
{
"sequence": 1,
"category": {
"coding": [
{
"system": "http://hl7.org/fhir/invoice-priceComponentType",
"code": "base"
}
]
},
"productOrService": {
"coding": [
{
"system": "https://claim.cgh.org.tw/iclaim/CodeSystem/cathay-chargeitemcode-values",
"code": "REGISTRATION"
}
]
},
"modifier": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/coverage-selfpay",
"code": "pay"
}
]
}
],
"servicedDate": "2023-08-15",
"net": {
"value": 150
}
},
{
"sequence": 2,
"productOrService": {
"coding": [
{
"system": "https://claim.cgh.org.tw/iclaim/CodeSystem/cathay-chargeitemcode-values",
"code": "REGISTRATION"
}
]
},
"modifier": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "PUBLICPOL"
}
]
}
],
"servicedDate": "2023-08-15",
"net": {
"value": 580
}
}
],
"total": {
"value": 150
}
}