{
"resourceType": "OperationOutcome",Claim",
"billablePeriod": {
"end": "2018-10-03",
"start": "2018-10-03"
},
"created": "2018-10-03",
"diagnosis": [
{
"diagnosisReference": {
"reference": "Condition/A02"
},
"sequence": 1,
"type": [
{
"coding": [
{
"code": "icd_0"
}
]
}
]
}
],
"enterer": {
"reference": "Practitioner/6F480233-5A7B-4034-8107-17B419E32498"
},
"facility": {
"reference": "Location/D61C869B-F184-4CAE-B61B-0AD52DDE2354"
},
"id": "858A706A-A6BF-48DC-998D-30EFDAF8EDD2",
"identifier": [
{
"type": {
"coding": [
{
"code": "ACSN",
"system": "https://hl7.org/fhir/valueset-identifier-type.html"
}
]
},
"use": "usual",
"value": "858A706A-A6BF-48DC-998D-30EFDAF8EDD2"
},
{
"issue "type": {
"coding": [
{
"code": "MR",
"system": "https://hl7.org/fhir/valueset-identifier-type.html"
}
]
},
"use": "usual",
"value": "CID00001"
}
],
"item": [
{
"category": {
"text": "item"
},
"extension": [
{
"url": "Medication",
"valueReference": {
"reference": "Medication/3f8571ea-7a8a-468e-b903-54a116814cb9"
}
}
],
"productOrService": {
"text": "0182"
},
"quantity": {
"value": 2.0
},
"sequence": 1,
"unitPrice": {
"value": 10.0
}
},
{
"category": {
"text": "service"
},
"extension": [
{
"url": "ActivityDefinition",
"valueReference": {
"exception" "reference": "ActivityDefinition/a7d0b4a8-6fb4-4b4e-ad71-6d03bb331b3d"
}
}
],
"productOrService": {
"text": "A1"
},
"quantity": {
"value": 1.0
},
"sequence": 2,
"unitPrice": {
"value": 400.0
}
},
{
"category": {
"text": "service"
},
"extension": [
{
"url": "ActivityDefinition",
"valueReference": {
"reference": "ActivityDefinition/e36e6dc8-106e-4155-ba3a-cd8123520f43"
}
}
],
"detailsproductOrService": {
"text": "Missing `resourceType` attribute"
I113"
},
"quantity": {
"value": 1.0
},
"sequence": 3,
"severityunitPrice": {
"fatal"value": 1250.0
}
}
],
"patient": {
"reference": "Patient/1D464C09-5334-407F-9882-14C097B89BBD"
},
"total": {
"value": 1670.0
},
"type": {
"text": "O"
}
} |