0.1.0 - ci-build

collabreefhirdocumentation - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

: SampleClaim - JSON Representation

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{
  "resourceType" : "Claim",
  "id" : "SampleClaim",
  "meta" : {
    "profile" : [
      🔗 "https://fhir.collabree.com/fhir/StructureDefinition/collabree-claim"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Claim SampleClaim</b></p><a name=\"SampleClaim\"> </a><a name=\"hcSampleClaim\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-collabree-claim.html\">Collabree Claim Profile</a></p></div><p><b>status</b>: Active</p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/claim-type institutional}\">Institutional</span></p><p><b>use</b>: Claim</p><p><b>patient</b>: <a href=\"Patient-SamplePatient.html\">Anonymous Patient (no stated gender), DoB Unknown</a></p><p><b>billablePeriod</b>: 2025-01-01 00:00:00+0000 --&gt; 2025-04-01 00:00:00+0000</p><p><b>created</b>: 2025-01-01 00:00:00+0000</p><p><b>provider</b>: <a href=\"Organization-SampleOrganization.html\">Organization Healthy Health Insurance Inc.</a></p><p><b>priority</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/processpriority normal}\">Normal</span></p><h3>Payees</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Type</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/payeetype subscriber}\">Subscriber</span></td></tr></table><h3>SupportingInfos</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Sequence</b></td><td><b>Category</b></td><td><b>Value[x]</b></td></tr><tr><td style=\"display: none\">*</td><td>1</td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/claiminformationcategory info}\">Information</span></td><td><a href=\"Observation/123\">Observation/123</a></td></tr></table><h3>Insurances</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Sequence</b></td><td><b>Focal</b></td><td><b>Coverage</b></td></tr><tr><td style=\"display: none\">*</td><td>1</td><td>true</td><td><a href=\"Coverage-SampleCoverage.html\">Coverage: status = active</a></td></tr></table><h3>Totals</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style=\"display: none\">*</td><td>1</td><td>Swiss franc</td></tr></table></div>"
  },
  "status" : "active",
  "type" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/claim-type",
        "code" : "institutional",
        "display" : "Institutional"
      }
    ]
  },
  "use" : "claim",
  "patient" : {
    🔗 "reference" : "Patient/SamplePatient"
  },
  "billablePeriod" : {
    "start" : "2025-01-01T00:00:00+00:00",
    "end" : "2025-04-01T00:00:00+00:00"
  },
  "created" : "2025-01-01T00:00:00+00:00",
  "provider" : {
    🔗 "reference" : "Organization/SampleOrganization"
  },
  "priority" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/processpriority",
        "code" : "normal",
        "display" : "Normal"
      }
    ]
  },
  "payee" : {
    "type" : {
      "coding" : [
        {
          "system" : "http://terminology.hl7.org/CodeSystem/payeetype",
          "code" : "subscriber",
          "display" : "Subscriber"
        }
      ]
    }
  },
  "supportingInfo" : [
    {
      "sequence" : 1,
      "category" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/claiminformationcategory",
            "code" : "info",
            "display" : "Information"
          }
        ]
      },
      "valueReference" : {
        "reference" : "Observation/123"
      }
    }
  ],
  "insurance" : [
    {
      "sequence" : 1,
      "focal" : true,
      "coverage" : {
        🔗 "reference" : "Coverage/SampleCoverage"
      }
    }
  ],
  "total" : {
    "value" : 1,
    "currency" : "CHF"
  }
}