fhir-react
Version:
React component library for displaying FHIR Resources
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JSON
{
"resourceType": "ClaimResponse",
"id": "R3500",
"text": {
"status": "generated",
"div": "<div>A human-readable rendering of the ClaimResponse</div>"
},
"identifier": [
{
"system": "http://www.BenefitsInc.com/fhir/remittance",
"value": "R3500"
}
],
"request": {
"reference": "http://www.BenefitsInc.com/fhir/oralhealthclaim/15476332402"
},
"created": "2014-08-16",
"organization": {
"reference": "Organization/2"
},
"requestOrganization": {
"reference": "Organization/1"
},
"outcome": "complete",
"disposition": "Claim settled as per contract.",
"payeeType": {
"system": "http://hl7.org/fhir/payeetype",
"code": "provider"
},
"item": [
{
"fhir_comments": [
" Adjudication details "
],
"sequenceLinkId": 1,
"adjudication": [
{
"code": {
"code": "eligible"
},
"amount": {
"value": 135.57,
"system": "urn:iso:std:iso:4217",
"code": "USD"
}
},
{
"code": {
"code": "copay"
},
"amount": {
"value": 10.00,
"system": "urn:iso:std:iso:4217",
"code": "USD"
}
},
{
"code": {
"code": "eligpercent"
},
"value": 80.00
},
{
"code": {
"code": "benefit"
},
"amount": {
"value": 100.47,
"system": "urn:iso:std:iso:4217",
"code": "USD"
}
}
]
}
],
"totalCost": {
"value": 135.57,
"system": "urn:iso:std:iso:4217",
"code": "USD"
},
"totalBenefit": {
"value": 100.47,
"system": "urn:iso:std:iso:4217",
"code": "USD"
},
"paymentDate": "2014-08-31",
"_paymentDate": {
"fhir_comments": [
" Payment details "
]
},
"paymentAmount": {
"value": 100.47,
"system": "urn:iso:std:iso:4217",
"code": "USD"
},
"paymentRef": {
"system": "http://www.BenefitsInc.com/fhir/paymentRef",
"value": "201408-2-1569478"
}
}