Response

Operation Claim
StatusHTTP/1.1 200 OK
ResourceBundleIdC6AMWEYJNY6PL7CF
Headers
access-control-allow-origin 
*
content-length 
5552
content-type 
application/fhir+xml;charset=utf-8
date 
Sun, 07 Mar 2021 12:37:21 GMT
server 
nginx
strict-transport-security 
max-age=15768000
Content
<?xml version="1.0" encoding="UTF-8"?><Bundle xmlns="http://hl7.org/fhir"><id value="C6AMWEYJNY6PL7CF"/><type value="history"/><total value="2"/><link><relation value="self"/><url value="https://blaze.life.uni-leipzig.de/fhir/Claim/a1b120ad9b204491babf09f5d93e1bae/_history?__t=187&amp;__page-t=187"/></link><entry><fullUrl value="https://blaze.life.uni-leipzig.de/fhir/Claim/a1b120ad9b204491babf09f5d93e1bae"/><resource><Claim><id value="a1b120ad9b204491babf09f5d93e1bae"/><meta><versionId value="187"/><lastUpdated value="2021-03-07T12:37:20.672Z"/><security><system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/><code value="HTEST"/><display value="test health data"/></security></meta><text><status value="generated"/><n:div xmlns:n="http://www.w3.org/1999/xhtml">  
            <n:p>Touchstone Test Data - Touchstone Test Data - Claim: Pre-Authorization Vision Claim</n:p> 
        </n:div></text><identifier><system value="http://happysight.com/claim"/><value value="131188874-6986"/></identifier><status value="draft"/><type><coding><system value="http://terminology.hl7.org/CodeSystem/claim-type"/><code value="vision"/></coding></type><use value="preauthorization"/><patient><reference value="Patient/9db1e06e6bb24af0990266b91a590b56"/></patient><created value="2018-12-11"/><insurer><identifier><system value="http://benefitsinc.com/insurer"/><value value="Pm1Yvlg7-N1I2kTTcyJCL"/></identifier><display value="Pm1Yvlg7-N1I2kTTcyJCL"/></insurer><provider><identifier><system value="http://benefitsinc.com/responsible"/><value value="Pm1Yvlg7-c6yk00gOlZL"/></identifier><display value="Pm1Yvlg7-c6yk00gOlZL"/></provider><priority><coding><code value="deferred"/></coding></priority><payee><type><coding><code value="Subscriber"/></coding></type></payee><careTeam><sequence value="1"/><provider><identifier><system value="http://benefitsinc.com/responsible"/><value value="Pm1Yvlg7-c6yk00gOlZL"/></identifier><display value="Pm1Yvlg7-c6yk00gOlZL"/></provider></careTeam><diagnosis><sequence value="1"/><diagnosisCodeableConcept><coding><code value="65692"/></coding></diagnosisCodeableConcept></diagnosis><insurance><sequence value="1"/><focal value="true"/><coverage><reference value="Coverage/f81007013b6a409ebcbd670312601e16"/></coverage></insurance><item><sequence value="1"/><productOrService><coding><system value="http://terminology.hl7.org/CodeSystem/ex-USCLS"/><code value="1101"/><display value="Exam, comp, primary"/></coding></productOrService><servicedDate value="2018-12-11"/><unitPrice><value value="80.00"/><currency value="USD"/></unitPrice><net><value value="80.00"/><currency value="USD"/></net></item></Claim></resource><request><method value="PUT"/><url value="https://blaze.life.uni-leipzig.de/fhir/Claim/a1b120ad9b204491babf09f5d93e1bae"/></request><response><status value="200"/><etag value="W/&quot;187&quot;"/><lastModified value="2021-03-07T12:37:20.672Z"/></response></entry><entry><fullUrl value="https://blaze.life.uni-leipzig.de/fhir/Claim/a1b120ad9b204491babf09f5d93e1bae"/><resource><Claim><id value="a1b120ad9b204491babf09f5d93e1bae"/><meta><versionId value="186"/><lastUpdated value="2021-03-07T12:37:18.987Z"/><security><system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/><code value="HTEST"/><display value="test health data"/></security></meta><text><status value="generated"/><jc:div xmlns:jc="http://www.w3.org/1999/xhtml">  
            <jc:p>Touchstone Test Data - Touchstone Test Data - Claim: Pre-Authorization Vision Claim</jc:p> 
        </jc:div></text><identifier><system value="http://happysight.com/claim"/><value value="131188874-6986"/></identifier><status value="draft"/><type><coding><system value="http://terminology.hl7.org/CodeSystem/claim-type"/><code value="vision"/></coding></type><use value="preauthorization"/><patient><reference value="Patient/9db1e06e6bb24af0990266b91a590b56"/></patient><created value="2018-12-11"/><insurer><identifier><system value="http://benefitsinc.com/insurer"/><value value="Pm1Yvlg7-N1I2kTTcyJCL"/></identifier><display value="Pm1Yvlg7-N1I2kTTcyJCL"/></insurer><provider><identifier><system value="http://benefitsinc.com/responsible"/><value value="Pm1Yvlg7-c6yk00gOlZL"/></identifier><display value="Pm1Yvlg7-c6yk00gOlZL"/></provider><priority><coding><code value="normal"/></coding></priority><payee><type><coding><code value="Subscriber"/></coding></type></payee><careTeam><sequence value="1"/><provider><identifier><system value="http://benefitsinc.com/responsible"/><value value="Pm1Yvlg7-c6yk00gOlZL"/></identifier><display value="Pm1Yvlg7-c6yk00gOlZL"/></provider></careTeam><diagnosis><sequence value="1"/><diagnosisCodeableConcept><coding><code value="65692"/></coding></diagnosisCodeableConcept></diagnosis><insurance><sequence value="1"/><focal value="true"/><coverage><reference value="Coverage/f81007013b6a409ebcbd670312601e16"/></coverage></insurance><item><sequence value="1"/><productOrService><coding><system value="http://terminology.hl7.org/CodeSystem/ex-USCLS"/><code value="1101"/><display value="Exam, comp, primary"/></coding></productOrService><servicedDate value="2018-12-11"/><unitPrice><value value="80.00"/><currency value="USD"/></unitPrice><net><value value="80.00"/><currency value="USD"/></net></item></Claim></resource><request><method value="PUT"/><url value="https://blaze.life.uni-leipzig.de/fhir/Claim/a1b120ad9b204491babf09f5d93e1bae"/></request><response><status value="201"/><etag value="W/&quot;186&quot;"/><lastModified value="2021-03-07T12:37:18.987Z"/></response></entry></Bundle>