FHIR Implementation Guide for HCX
0.9.0 - CI Build
FHIR Implementation Guide for HCX
0.9.0 - CI Build
FHIR Implementation Guide for HCX - Local Development build (v0.9.0). See the Directory of published versions
Generated Narrative: Composition
Resource Composition "42ff4a07-3e36-402f-a99e-29f16c0c9eee"
| - | Div |
| * | <div/> |
identifier: id: 42ff4a07-3e36-402f-a99e-29f16c0c9eee
status: FINAL
type: Claim Request Doc (document-type#HcxClaimRequest)
date: 2022-02-08 21:49:55+0530
author: See above (Organization/Tmh01)
title: Claim Request
2. Organization/Tmh01 (Organization/Tmh01)
Generated Narrative: Organization
Resource Organization "Tmh01"
Texts
- Div * <div/> identifier: id: HFR-ID-FOR-TMH, id: IRDA-ID-FOR-TMH
name: Tata Memorial Hospital
alias: TMH, TMC
Contacts
- Telecom Address * ph: (+91) 022-2417-7000 Dr Ernest Borges Rd, Parel East, Parel, Mumbai, Maharashtra 400012 Mumbai Maharashtra 400012 INDIA endpoint: https://www.tmc.gov.in/: Website
3. Patient/RVH1003 (Patient/RVH1003)
Hina Patel Female, DoB: ( Subscriber Number: BEN-101)
4. ClaimRequest/dc82673b-8c71-48c2-8a17-16dcb3b035f6 (Claim/1532676)
Resource Claim "1532676" Version "1" Updated "2020-10-07 03:26:09+0000"
Information Source: #BHZcRrcF4oS0JQ42!
Texts
- Div * <div/> status: ACTIVE
type: Institutional (Claim Type Codes#institutional)
use: CLAIM
patient: Patient/1531634: Hina Patel
billablePeriod: 1979-02-27 16:01:08-0500 --> 1979-02-28 16:01:08-0500
created: 1979-02-28 16:01:08-0500
provider: Organization/2: PMJAY, MoHFW, Govt Of India
priority: Normal (Process Priority Codes#normal)
procedure
sequence: 1
procedure: Procedure/1532663
procedure
sequence: 2
procedure: Procedure/1532664
procedure
sequence: 3
procedure: Procedure/1532665
Insurances
- Sequence Focal Coverage * 1 true : Cigna Health item
sequence: 1
productOrService: Encounter for problem (SNOMED CT#185347001)
encounter: Encounter/1532617
item
sequence: 2
procedureSequence: 1
productOrService: Hearing examination (procedure) (SNOMED CT#398171003)
Nets
- Value Currency * 516.65 USD item
sequence: 3
procedureSequence: 2
productOrService: Combined chemotherapy and radiation therapy (procedure) (SNOMED CT#703423002)
Nets
- Value Currency * 16924.49 USD item
sequence: 4
procedureSequence: 3
productOrService: High resolution computed tomography of chest without contrast (procedure) (SNOMED CT#16335031000119103)
Nets
- Value Currency * 516.65 USD Totals
- Value Currency * 129.16 USD
5. Organization/GICOFINDIA (Organization/GICOFINDIA)
Generated Narrative: Organization
Resource Organization "GICOFINDIA"
Texts
- Div * <div/> identifier: id: 112
name: General Insurance Corporation of India
6. Coverage/dadde132-ad64-4d18-8c18-1d52d7e86abc (Coverage/dadde132-ad64-4d18-8c18-1d52d7e86abc)
Resource Coverage "dadde132-ad64-4d18-8c18-1d52d7e86abc"
Texts
- Div * <div/> identifier: id: policy-RVH1003
status: ACTIVE
subscriber: See above (Patient/RVH1003)
subscriberId: id: SN-RVH1003
beneficiary: See above (Patient/RVH1003)
relationship: self (subscriber-relationship#self)