openIMIS FHIR R4 Implementation Guide
1.0.0 - ci-build
openIMIS FHIR R4 Implementation Guide
1.0.0 - ci-build
openIMIS FHIR R4 Implementation Guide - Local Development build (v1.0.0). See the Directory of published versions
<ClaimResponse xmlns="http://hl7.org/fhir">
<id value="Claim001"/>
<meta>
<profile
value="https://openimis.github.io/openimis_fhir_r4_ig/StructureDefinition/openimis-claim-response"/>
</meta>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></p><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">Resource "Claim001" </p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-openimis-claim-response.html">openIMIS Claim Response</a></p></div><p><b>identifier</b>: UUID unique identifier: D30F70DF-D10B-43D4-BF31-5137C118AD83, Unique code: Code001</p><p><b>status</b>: active</p><p><b>type</b>: Other <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-claim-visit-type.html">Visit Type (Claim)</a>#O)</span></p><p><b>use</b>: claim</p><p><b>patient</b>: <a href="Patient-john-doe.html">Patient/john-doe</a> " DOE"</p><p><b>created</b>: 2021-09-17</p><p><b>insurer</b>: <a href="Organization-openIMIS-Implementation.html">Organization/openIMIS-Implementation</a> "openIMIS Implementation"</p><p><b>requestor</b>: <a href="Practitioner-Rushila-Dani-CA.html">Practitioner/Rushila-Dani-CA</a> " RUSHILA"</p><p><b>request</b>: <a href="Claim-Claim001.html">Claim/Claim001</a></p><p><b>outcome</b>: partial</p><blockquote><p><b>item</b></p><p><b>Item Reference (Claim)</b>: <a href="ActivityDefinition-GeneralConsultationService.html">ActivityDefinition/GeneralConsultationService</a> "A1"</p><p><b>itemSequence</b>: 1</p><blockquote><p><b>adjudication</b></p><p><b>category</b>: Checked <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-claim-status.html">Status of the claim (Claim|ClaimResponse)</a>#4)</span></p><p><b>reason</b>: ACCEPTED <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-claim-rejection-reasons.html">Rejection Reasons (Claim)</a>#0)</span></p><p><b>value</b>: 1</p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>Item Reference (Claim)</b>: <a href="Medication-AspirinMedication.html">Medication/AspirinMedication</a></p><p><b>itemSequence</b>: 2</p><blockquote><p><b>adjudication</b></p><p><b>category</b>: Checked <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-claim-status.html">Status of the claim (Claim|ClaimResponse)</a>#4)</span></p><p><b>reason</b>: ACCEPTED <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-claim-rejection-reasons.html">Rejection Reasons (Claim)</a>#0)</span></p><p><b>value</b>: 2</p></blockquote></blockquote><blockquote><p><b>total</b></p><p><b>category</b>: Checked <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-claim-status.html">Status of the claim (Claim|ClaimResponse)</a>#4)</span></p></blockquote></div>
</text>
<identifier>
<type>
<coding>
<system
value="https://openimis.github.io/openimis_fhir_r4_ig/CodeSystem/openimis-identifiers"/>
<code value="UUID"/>
</coding>
</type>
<value value="D30F70DF-D10B-43D4-BF31-5137C118AD83"/>
</identifier>
<identifier>
<type>
<coding>
<system
value="https://openimis.github.io/openimis_fhir_r4_ig/CodeSystem/openimis-identifiers"/>
<code value="Code"/>
</coding>
</type>
<value value="Code001"/>
</identifier>
<status value="active"/>
<type>
<coding>
<system
value="https://openimis.github.io/openimis_fhir_r4_ig/CodeSystem/claim-visit-type"/>
<code value="O"/>
<display value="Other"/>
</coding>
</type>
<use value="claim"/>
<patient>
<reference value="Patient/john-doe"/>
</patient>
<created value="2021-09-17"/>
<insurer>
<reference value="Organization/openIMIS-Implementation"/>
</insurer>
<requestor>
<reference value="Practitioner/Rushila-Dani-CA"/>
</requestor>
<request>
<reference value="Claim/Claim001"/>
</request>
<outcome value="partial"/>
<item>
<extension
url="https://openimis.github.io/openimis_fhir_r4_ig/StructureDefinition/claim-item-reference">
<valueReference>
<reference value="ActivityDefinition/GeneralConsultationService"/>
</valueReference>
</extension>
<itemSequence value="1"/>
<adjudication>
<category>
<coding>
<system
value="https://openimis.github.io/openimis_fhir_r4_ig/CodeSystem/claim-status"/>
<code value="4"/>
<display value="Checked"/>
</coding>
</category>
<reason>
<coding>
<system
value="https://openimis.github.io/openimis_fhir_r4_ig/CodeSystem/claim-rejection-reasons"/>
<code value="0"/>
<display value="ACCEPTED"/>
</coding>
</reason>
<amount>
<value value="40"/>
</amount>
<value value="1"/>
</adjudication>
</item>
<item>
<extension
url="https://openimis.github.io/openimis_fhir_r4_ig/StructureDefinition/claim-item-reference">
<valueReference>
<reference value="Medication/AspirinMedication"/>
</valueReference>
</extension>
<itemSequence value="2"/>
<adjudication>
<category>
<coding>
<system
value="https://openimis.github.io/openimis_fhir_r4_ig/CodeSystem/claim-status"/>
<code value="4"/>
<display value="Checked"/>
</coding>
</category>
<reason>
<coding>
<system
value="https://openimis.github.io/openimis_fhir_r4_ig/CodeSystem/claim-rejection-reasons"/>
<code value="0"/>
<display value="ACCEPTED"/>
</coding>
</reason>
<amount>
<value value="10"/>
</amount>
<value value="2"/>
</adjudication>
</item>
<total>
<category>
<coding>
<system
value="https://openimis.github.io/openimis_fhir_r4_ig/CodeSystem/claim-status"/>
<code value="4"/>
<display value="Checked"/>
</coding>
</category>
<amount>
<value value="60"/>
</amount>
</total>
</ClaimResponse>