{ "resourceType" : "Claim", "id" : "ClaimInpatientTreatmentPsychiatry", "meta" : { "profile" : ["http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-claim"] }, "text" : { "status" : "extensions", "div" : "

Generated Narrative: Claim ClaimInpatientTreatmentPsychiatry

Profile: CH Core Claim

Biller: Organization Biller AG

identifier: http://example.com/claim-identifier/1511421400

status: Active

type: stationär

use: Claim

patient: Peter Muster Male, DoB: 1964-05-14 ( urn:oid:2.16.756.5.32#AHVN13#7562295883070)

created: 2017-11-24

provider: Organization Klinik für Psychiatrie

priority: Normal

supportingInfo

sequence: 1

category: Patient Reason for Visit

code: Disease

supportingInfo

sequence: 1

category: Information

value: Lorem ipsum per nostra mi fune torectum mikonstra.diloru si limus mer fin per od per nostra mi fune torectum mi konstradiloru si limus mer fin itorectum mi konstradiloruko.

Diagnoses

-SequenceDiagnosis[x]
*1Sonstige Schizophrenie

Insurances

-SequenceFocalCoverage
*1trueCoverage: status = active

Items

-ExtensionSequenceCategoryProductOrServiceServiced[x]Quantity
*1TARPSYSchizophrene oder akut psychotische Störungen, Alter > 17 Jahre mit komplizierender somatischer Nebendiagnose2017-10-27 --> 2017-11-231
" }, "extension" : [{ "url" : "http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-biller", "valueReference" : { "reference" : "Organization/ClaimBiller" } }], "identifier" : [{ "system" : "http://example.com/claim-identifier", "value" : "1511421400" }], "status" : "active", "type" : { "coding" : [{ "system" : "http://fhir.ch/ig/ch-core/CodeSystem/bfs-medstats-20-encounterclass", "code" : "3", "display" : "stationär" }] }, "use" : "claim", "patient" : { "reference" : "Patient/ClaimPatient" }, "created" : "2017-11-24", "provider" : { "reference" : "Organization/ClaimProvider" }, "priority" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/processpriority", "code" : "normal", "display" : "Normal" }] }, "supportingInfo" : [{ "sequence" : 1, "category" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/claiminformationcategory", "code" : "patientreasonforvisit", "display" : "Patient Reason for Visit" }] }, "code" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "64572001", "display" : "Disease" }] } }, { "sequence" : 1, "category" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/claiminformationcategory", "code" : "info", "display" : "Information" }] }, "valueString" : "Lorem ipsum per nostra mi fune torectum mikonstra.diloru si limus mer fin per od per nostra mi fune torectum mi konstradiloru si limus mer fin itorectum mi konstradiloruko." }], "diagnosis" : [{ "sequence" : 1, "diagnosisCodeableConcept" : { "coding" : [{ "system" : "http://fhir.de/CodeSystem/bfarm/icd-10-gm", "code" : "J18.9" }], "text" : "Sonstige Schizophrenie" } }], "insurance" : [{ "sequence" : 1, "focal" : true, "coverage" : { "reference" : "Coverage/ClaimCoverage" } }], "item" : [{ "extension" : [{ "url" : "http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-responsible", "valueReference" : { "identifier" : { "system" : "urn:oid:2.51.1.3", "value" : "7634567890333" } } }], "sequence" : 1, "category" : { "coding" : [{ "system" : "http://forum-datenaustausch.ch/tariff", "code" : "030", "display" : "TARPSY" }] }, "productOrService" : { "coding" : [{ "system" : "http://forum-datenaustausch.ch/tariff/030", "code" : "TP25B", "display" : "Schizophrene oder akut psychotische Störungen, Alter > 17 Jahre mit komplizierender somatischer Nebendiagnose" }] }, "servicedPeriod" : { "start" : "2017-10-27", "end" : "2017-11-23" }, "quantity" : { "value" : 1 } }] }