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{ "resourceType": "Claim", "id": "claim_uuidclaimUuid", "extension": [ { "url": "http://fhir-es.transcendinsights.com/stu3/StructureDefinition/resource-date-created", "valueDateTime": "20192020-1101-05T1631T10:4304:1149+01:00" }, { "url": "https://purl.org/elab/fhir/StructureDefinition/Creator-crew-version1", "valueString": "admin" } ], "identifier": [ { "use": "usual", "type": { "coding": [ { "system": "https://hl7.org/fhir/valueset-identifier-type.html", "code": "ACSN" } ] }, "value": "claim_uuidclaimExternalId" }, { "use": "usual", "type": { "coding": [ { "system": "https://hl7.org/fhir/valueset-identifier-type.html", "code": "MR" } ] }, "value": "claimCodeclaimUuid" } ], "type": { "text": "Claim Visit_type Type" }, "patient": { "id": "patient_uuidpatientUuid", "reference": "Patient/patient_uuidexternal_id", "identifier": { "id": "patient_uuidpatientUuid" }, "display": "some given name some family name(Identifier:patient_uuidpatientUuid)" }, "billablePeriod": { "start": "20192020-1101-05T1631T10:4304:1149+01:00", "end": "20192020-1101-05T1631T10:4304:1149+01:00" }, "created": "20192020-1101-05T1631T10:4304:1149+01:00", "enterer": { "reference": "Practitioner/provider_uuidexternalId", "display": "null(Identifier:null)" }, "provider": { "reference": "Practitioner/externalId", "display": "Super Usernull(Identifier:Testnull)" }, "facility": { "id": "location_uuidlocationUuid", "reference": "Location/location_uuidlocationExternalId", "display": "location_nameRio Bravo, [location_tag]" }, "information": [ { "category": { "text": "guarantee_id" }, "valueString": "guaranteeID" }, { "category": { "text": "explanation" }, "valueString": "explaination" }, ], "diagnosis": [ { "idsequence": "diagnosis_uuid"3, "diagnosisCodeableConceptcategory": { "codingtext": ["item_explanation" }, { "valueString": "item explanation" } ], "systemdiagnosis": "http://www.pih.org/",[ { "codeid": "pih_codediagnosisUuid", "diagnosisCodeableConcept": { }, "coding": [ { "system": "http://snomedwww.pih.infoorg/snp", "code": "snowmed_code7127" }, }, { "system": "http://snomed.info/snp", "code": "61462000" }, { "system": "http://ciel.org", "code": "160148" }, { "system": "http://hl7.org/fhir/sid/icd-10", "code": "B53.8" }, { "system": "http://snomed.info/snp", "code": "2931005" }, { "system": "https://www.e-imo.com/releases/problem-it", "code": "1527785" }, { "system": "http://openmrs.org", "code": "160148AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA", "display": "Malaria, confirmed" } ], "text": "Malaria, confirmed" }, "type": [ { "text": "http://www.pih.org/" }, { "text": "http://snomed.info/snp" }, { "text": "http://ciel.org" }, { "text": "http://hl7.org/fhir/sid/icd-10" }, { "text": "http://snomed.info/snp" }, { "text": "https://www.e-imo.com/releases/problem-it" }, { "text": "http://openmrs.org" } ] } ], "item": [ { "informationLinkId": [ 3 { ], "systemcategory": "http://ciel.org", { "codetext": "ciel_codeservice" }, }, "service": { { "coding": [ "system": "http://hl7.org/fhir/sid/icd-10", { "code": "icd-19_codeserviceExternalId" }, {], "systemtext": "http://openmrs.org",serviceExternalId" }, "codequantity": "diagnosis_uuid",{ "displayvalue": "Malaria,5 confirmed" }, "unitPrice": { ], "textvalue": "Diagnosis name"21000 } } ], "total": { "value": 1234567890.21105000 } } |
ClaimResponse Resource
OpenMRS field | FHIR field | Note |
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claimCode | claimResponse.identifier | Claim number |
uuid | Unique uuid code | |
adjustment | claimResponse.payment.adjustment | The contents of the adjustment message (getting from response) |
approvedTotal | claimResponse.totalBenefit | Total benefit payable for the Claim |
dateProcessed | claimResponse.created | Date of processing claim |
rejectionReason | claimResponse.error | Optional rejection reason message |
status | claimResponse.processNote | Information about current claim status |
uuid | claimResponse.communicationRequest - Reference(Claim) | Request for additional information |
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