Operation | updateCreate Claim |
Method | PUT |
Path | https://blaze.life.uni-leipzig.de/fhir/Claim/10ea541436034dc186c9cb5551c0bf04 |
Resource | Claim | Id | 10ea541436034dc186c9cb5551c0bf04 | | |
{
"resourceType" : "Claim",
"id" : "10ea541436034dc186c9cb5551c0bf04",
"meta" : {
"security" : [ {
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
"code" : "HTEST",
"display" : "test health data"
} ]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Touchstone Test Data - Claim: Pre-Authorization Vision Claim</p></div>"
},
"identifier" : [ {
"system" : "http://happysight.com/claim",
"value" : "131188874-310"
} ],
"status" : "draft",
"type" : {
"coding" : [ {
"system" : "http://terminology.hl7.org/CodeSystem/claim-type",
"code" : "vision"
} ]
},
"use" : "preauthorization",
"patient" : {
"reference" : "Patient/f6c41457a3bc4d889f37eff73244d636"
},
"created" : "2018-12-10",
"insurer" : {
"identifier" : {
"system" : "http://benefitsinc.com/insurer",
"value" : "k5IT2FU-c6yk00gOlZL"
},
"display" : "k5IT2FU-c6yk00gOlZL"
},
"provider" : {
"identifier" : {
"system" : "http://benefitsinc.com/responsible",
"value" : "k5IT2FU-N1I2kTTcyJCL"
},
"display" : "k5IT2FU-N1I2kTTcyJCL"
},
"priority" : {
"coding" : [ {
"system" : "http://terminology.hl7.org/CodeSystem/processpriority",
"code" : "normal"
} ]
},
"payee" : {
"type" : {
"coding" : [ {
"system" : "http://terminology.hl7.org/CodeSystem/payeetype",
"code" : "subscriber"
} ]
}
},
"careTeam" : [ {
"sequence" : 1,
"provider" : {
"identifier" : {
"system" : "http://benefitsinc.com/responsible",
"value" : "k5IT2FU-N1I2kTTcyJCL"
},
"display" : "k5IT2FU-N1I2kTTcyJCL"
}
} ],
"diagnosis" : [ {
"sequence" : 1,
"diagnosisCodeableConcept" : {
"coding" : [ {
"system" : "http://terminology.hl7.org/CodeSystem/ex-diagnosistype",
"code" : "admitting"
} ]
}
} ],
"insurance" : [ {
"sequence" : 1,
"focal" : true,
"coverage" : {
"reference" : "Coverage/f4885788b5944ebbaf4cda59c95f7639"
}
} ],
"item" : [ {
"sequence" : 1,
"productOrService" : {
"coding" : [ {
"system" : "http://terminology.hl7.org/CodeSystem/ex-USCLS",
"code" : "1101",
"display" : "Exam, comp, primary"
} ]
},
"servicedDate" : "2018-12-10",
"unitPrice" : {
"value" : 80.0,
"currency" : "USD"
},
"net" : {
"value" : 80.0,
"currency" : "USD"
}
} ]
}