changes.mady.by.user Faris Ahmetasevic
Saved on Jun 29, 2020
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As in the other resources there is an error and therefore this file is shown.
{ "resourceType": "ClaimResponse", "addItem": [ { "itemSequence": [ 1 ], "productOrService": { "coding": [ { "code": "0182" } ] } }, { "itemSequence": [ 2 ], "productOrService": { "coding": [ { "code": "A1" } ] } } ], "created": "2020-06-29", "id": "576D56EF-12D2-4BA8-9640-2A37C41A2052", "identifier": [ { "type": { "coding": [ { "code": "ACSN", "system": "https://hl7.org/fhir/valueset-identifier-type.html" } ] }, "use": "usual", "value": "576D56EF-12D2-4BA8-9640-2A37C41A2052" }, { "type": { "coding": [ { "code": "MR", "system": "https://hl7.org/fhir/valueset-identifier-type.html" } ] }, "use": "usual", "value": "JADH0001" } ], "item": [ { "adjudication": [ { "amount": { "value": 10.0 }, "category": { "text": "general" }, "reason": { "coding": [ { "code": "1" } ], "text": "passed" } } ], "itemSequence": 1 }, { "adjudication": [ { "amount": { "value": 400.0 }, "category": { "text": "general" }, "reason": { "coding": [ { "code": "1" } ], "text": "passed" } } ], "itemSequence": 2 } ], "outcome": { "coding": [ { "code": "16" } ], "text": "valuated" }, "patient": { "reference": "Claim/8C90949B-D1E5-47C8-A2D7-D5ECD073F1EE" }, "request": { "reference": "Claim/576D56EF-12D2-4BA8-9640-2A37C41A2052" }, "total": [ { "amount": { "currency": "$" }, "category": { "coding": [ { "code": "benefit" } ] } } ] }