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
{
"resourceType" : "ClaimResponse",
"id" : "Claim001",
"meta" : {
"profile" : [
"https://openimis.github.io/openimis_fhir_r4_ig/StructureDefinition/openimis-claim-response"
]
},
"text" : {
"status" : "extensions",
"div" : "<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>"
},
"identifier" : [
{
"type" : {
"coding" : [
{
"system" : "https://openimis.github.io/openimis_fhir_r4_ig/CodeSystem/openimis-identifiers",
"code" : "UUID"
}
]
},
"value" : "D30F70DF-D10B-43D4-BF31-5137C118AD83"
},
{
"type" : {
"coding" : [
{
"system" : "https://openimis.github.io/openimis_fhir_r4_ig/CodeSystem/openimis-identifiers",
"code" : "Code"
}
]
},
"value" : "Code001"
}
],
"status" : "active",
"type" : {
"coding" : [
{
"system" : "https://openimis.github.io/openimis_fhir_r4_ig/CodeSystem/claim-visit-type",
"code" : "O",
"display" : "Other"
}
]
},
"use" : "claim",
"patient" : {
"reference" : "Patient/john-doe"
},
"created" : "2021-09-17",
"insurer" : {
"reference" : "Organization/openIMIS-Implementation"
},
"requestor" : {
"reference" : "Practitioner/Rushila-Dani-CA"
},
"request" : {
"reference" : "Claim/Claim001"
},
"outcome" : "partial",
"item" : [
{
"extension" : [
{
"url" : "https://openimis.github.io/openimis_fhir_r4_ig/StructureDefinition/claim-item-reference",
"valueReference" : {
"reference" : "ActivityDefinition/GeneralConsultationService"
}
}
],
"itemSequence" : 1,
"adjudication" : [
{
"category" : {
"coding" : [
{
"system" : "https://openimis.github.io/openimis_fhir_r4_ig/CodeSystem/claim-status",
"code" : "4",
"display" : "Checked"
}
]
},
"reason" : {
"coding" : [
{
"system" : "https://openimis.github.io/openimis_fhir_r4_ig/CodeSystem/claim-rejection-reasons",
"code" : "0",
"display" : "ACCEPTED"
}
]
},
"amount" : {
"value" : 40
},
"value" : 1
}
]
},
{
"extension" : [
{
"url" : "https://openimis.github.io/openimis_fhir_r4_ig/StructureDefinition/claim-item-reference",
"valueReference" : {
"reference" : "Medication/AspirinMedication"
}
}
],
"itemSequence" : 2,
"adjudication" : [
{
"category" : {
"coding" : [
{
"system" : "https://openimis.github.io/openimis_fhir_r4_ig/CodeSystem/claim-status",
"code" : "4",
"display" : "Checked"
}
]
},
"reason" : {
"coding" : [
{
"system" : "https://openimis.github.io/openimis_fhir_r4_ig/CodeSystem/claim-rejection-reasons",
"code" : "0",
"display" : "ACCEPTED"
}
]
},
"amount" : {
"value" : 10
},
"value" : 2
}
]
}
],
"total" : [
{
"category" : {
"coding" : [
{
"system" : "https://openimis.github.io/openimis_fhir_r4_ig/CodeSystem/claim-status",
"code" : "4",
"display" : "Checked"
}
]
},
"amount" : {
"value" : 60
}
}
]
}