Request

OperationupdateCreate Claim
MethodPUT
Pathhttps://blaze.life.uni-leipzig.de/fhir/Claim/10ea541436034dc186c9cb5551c0bf04
ResourceClaimId10ea541436034dc186c9cb5551c0bf04
Headers
Accept
application/fhir+json;charset=UTF-8
Content-Type
application/fhir+json;charset=UTF-8
Content
{
  "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"
    }
  } ]
}