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 - XML Representation

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<Claim xmlns="http://hl7.org/fhir">
  <id value="SampleClaim"/>
  <meta>
    <profile
             value="https://fhir.collabree.com/fhir/StructureDefinition/collabree-claim"/>
  </meta>
  <text>
    <status value="generated"/>
    <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>
  </text>
  <status value="active"/>
  <type>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/claim-type"/>
      <code value="institutional"/>
      <display value="Institutional"/>
    </coding>
  </type>
  <use value="claim"/>
  <patient>🔗 
    <reference value="Patient/SamplePatient"/>
  </patient>
  <billablePeriod>
    <start value="2025-01-01T00:00:00+00:00"/>
    <end value="2025-04-01T00:00:00+00:00"/>
  </billablePeriod>
  <created value="2025-01-01T00:00:00+00:00"/>
  <provider>🔗 
    <reference value="Organization/SampleOrganization"/>
  </provider>
  <priority>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/processpriority"/>
      <code value="normal"/>
      <display value="Normal"/>
    </coding>
  </priority>
  <payee>
    <type>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/payeetype"/>
        <code value="subscriber"/>
        <display value="Subscriber"/>
      </coding>
    </type>
  </payee>
  <supportingInfo>
    <sequence value="1"/>
    <category>
      <coding>
        <system
                value="http://terminology.hl7.org/CodeSystem/claiminformationcategory"/>
        <code value="info"/>
        <display value="Information"/>
      </coding>
    </category>
    <valueReference>
      <reference value="Observation/123"/>
    </valueReference>
  </supportingInfo>
  <insurance>
    <sequence value="1"/>
    <focal value="true"/>
    <coverage>🔗 
      <reference value="Coverage/SampleCoverage"/>
    </coverage>
  </insurance>
  <total>
    <value value="1"/>
    <currency value="CHF"/>
  </total>
</Claim>