FHIR IG analytics| Package | uz.dhp.core |
| Resource Type | ClaimResponse |
| Id | ClaimResponse-example-claim-response.json |
| FHIR Version | R5 |
No resources found
No resources found
Note: links and images are rebased to the (stated) source
English
Generated Narrative: ClaimResponse example-claim-response
Profile: UZ Core Claim Response
ClaimResponse Cancellation Reason: Expired
status: Cancelled
type: Institutional
use: Preauthorization
patient: Усманов Салим Салиевич Male, DoB: 1994-01-27 ( National unique individual identifier)
created: 2026-03-10
insurer: Organization Respublika onkologiya markazi
request: Claim: status = active; type = Institutional; use = preauthorization; created = 2026-10-03
outcome: Processing Complete
decision: Approved
preAuthRef: PA-2026-001
preAuthPeriod: 2026-03-11 --> 2026-05-11
total
category: Benefit Amount
Amounts
Value Currency 10000 Uzbekistan som
Russian
Сгенерированный нарратив: ClaimResponse example-claim-response
Профиль: UZ Core Claim Response
ClaimResponse Cancellation Reason: Expired
status: Cancelled
type: Institutional
use: Preauthorization
patient: Усманов Салим Салиевич Male, БД: 1994-01-27 ( National unique individual identifier)
created: 2026-03-10
insurer: Organization Республиканский онкологический центр
request: Claim: status = active; type = Institutional; use = preauthorization; created = 2026-10-03
outcome: Processing Complete
decision: Approved
preAuthRef: PA-2026-001
preAuthPeriod: 2026-03-11 --> 2026-05-11
total
category: Benefit Amount
Amounts
Value Currency 10000 Uzbekistan som
Uzbek
Generated Narrative: ClaimResponse example-claim-response
Profile: UZ Core Claim Response
ClaimResponse Cancellation Reason: Expired
status: Cancelled
type: Institutional
use: Preauthorization
patient: Усманов Салим Салиевич Male, DoB: 1994-01-27 ( National unique individual identifier)
created: 2026-03-10
insurer: Organization Respublika onkologiya markazi
request: Claim: status = active; type = Institutional; use = preauthorization; created = 2026-10-03
outcome: Processing Complete
decision: Approved
preAuthRef: PA-2026-001
preAuthPeriod: 2026-03-11 --> 2026-05-11
total
category: Benefit Amount
Amounts
Value Currency 10000 Uzbekistan som
{
"resourceType": "ClaimResponse",
"id": "example-claim-response",
"meta": {
"profile": [
"https://dhp.uz/fhir/core/StructureDefinition/uz-core-claim-response"
]
},
"text": {
"status": "extensions",
"div": "<!-- snip (see above) -->"
},
"extension": [
{
"url": "https://dhp.uz/fhir/core/StructureDefinition/claim-response-cancellation-reason",
"valueCodeableConcept": {
"coding": [
{
"system": "https://terminology.dhp.uz/fhir/core/CodeSystem/cancellation-reason-cs",
"code": "Reimb0001-00001",
"display": "Expired"
}
]
}
}
],
"status": "cancelled",
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "institutional"
}
]
},
"use": "preauthorization",
"patient": {
"reference": "Patient/example-salim"
},
"created": "2026-03-10",
"insurer": {
"reference": "Organization/example-organization"
},
"request": {
"reference": "Claim/example-claim"
},
"outcome": "complete",
"decision": {
"coding": [
{
"system": "http://hl7.org/fhir/claim-decision",
"code": "approved",
"display": "Approved"
}
]
},
"preAuthRef": "PA-2026-001",
"preAuthPeriod": {
"start": "2026-03-11",
"end": "2026-05-11"
},
"total": [
{
"category": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/adjudication",
"code": "benefit",
"display": "Benefit Amount"
}
]
},
"amount": {
"value": 10000,
"currency": "UZS"
}
}
]
}