Guide d'implémentation du GT Standards et Interopérabilité pour les EDS
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Guide d'implémentation du GT Standards et Interopérabilité pour les EDS - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

: claim-example-1 - JSON Representation

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{
  "resourceType" : "Claim",
  "id" : "claim-example-1",
  "meta" : {
    "profile" : [
      🔗 "https://interop.esante.gouv.fr/ig/fhir/eds/StructureDefinition/EDSClaimRSS"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Claim claim-example-1</b></p><a name=\"claim-example-1\"> </a><a name=\"hcclaim-example-1\"> </a><a name=\"claim-example-1-fr-FR\"> </a><p><b>status</b>: Active</p><p><b>type</b>: <span title=\"Codes:{https://interop.esante.gouv.fr/ig/fhir/eds/CodeSystem/FrClaimType PMSIMCO}\">PMSI - MCO</span></p><p><b>use</b>: Claim</p><p><b>patient</b>: <a href=\"Patient-patient-example-1.html\">Anonymous Patient Female, DoB: 1948-07-12</a></p><p><b>created</b>: 2024-10-10</p><p><b>provider</b>: <a href=\"Organization-organization-psl.html\">Organization Pitié Salpetrière</a></p><p><b>priority</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/processpriority normal}\">Normal</span></p><blockquote><p><b>supportingInfo</b></p><p><b>sequence</b>: 1</p><p><b>category</b>: <span title=\"Codes:{https://interop.esante.gouv.fr/ig/fhir/eds/CodeSystem/FrClaimSupInfoCategoryPMSIMCO RUM}\">Information contextualisant un Claim de sous type RUM</span></p><p><b>code</b>: <span title=\"Codes:{https://interop.esante.gouv.fr/ig/fhir/eds/CodeSystem/FrClaimMode 0}\">Mode d'entrée</span></p><p><b>value</b>: 8 Domicile</p></blockquote><blockquote><p><b>supportingInfo</b></p><p><b>sequence</b>: 2</p><p><b>category</b>: <span title=\"Codes:{https://interop.esante.gouv.fr/ig/fhir/eds/CodeSystem/FrClaimSupInfoCategoryPMSIMCO RUM}\">Information contextualisant un Claim de sous type RUM</span></p><p><b>code</b>: <span title=\"Codes:{https://interop.esante.gouv.fr/ig/fhir/eds/CodeSystem/FrClaimMode 1}\">Mode de sortie</span></p><p><b>value</b>: 6 Mutation</p></blockquote><blockquote><p><b>diagnosis</b></p><p><b>sequence</b>: 1</p><p><b>diagnosis</b>: <span title=\"Codes:{https://interop.esante.gouv.fr/ig/fhir/eds/CodeSystem/CIM10 S09}\">S09</span></p><p><b>type</b>: <span title=\"Codes:{https://interop.esante.gouv.fr/ig/fhir/eds/CodeSystem/PMSIMCODiagType DP}\">Diagnostic Principal</span></p></blockquote><blockquote><p><b>diagnosis</b></p><p><b>sequence</b>: 2</p><p><b>diagnosis</b>: <span title=\"Codes:{https://interop.esante.gouv.fr/ig/fhir/eds/CodeSystem/CIM10 I10}\">I10</span></p><p><b>type</b>: <span title=\"Codes:{https://interop.esante.gouv.fr/ig/fhir/eds/CodeSystem/PMSIMCODiagType DA}\">Diagnostic Associé Significatif</span></p></blockquote><blockquote><p><b>diagnosis</b></p><p><b>sequence</b>: 3</p><p><b>diagnosis</b>: <span title=\"Codes:{https://interop.esante.gouv.fr/ig/fhir/eds/CodeSystem/CIM10 I44}\">I44</span></p><p><b>type</b>: <span title=\"Codes:{https://interop.esante.gouv.fr/ig/fhir/eds/CodeSystem/PMSIMCODiagType DA}\">Diagnostic Associé Significatif</span></p></blockquote><blockquote><p><b>procedure</b></p><p><b>sequence</b>: 1</p><p><b>date</b>: 2023-11-15</p><p><b>procedure</b>: <span title=\"Codes:{https://interop.esante.gouv.fr/ig/fhir/eds/CodeSystem/CCAM NZFA010···01·}\">NZFA010···01·</span></p></blockquote><blockquote><p><b>procedure</b></p><p><b>sequence</b>: 2</p><p><b>date</b>: 2023-11-15</p><p><b>procedure</b>: <span title=\"Codes:{https://interop.esante.gouv.fr/ig/fhir/eds/CodeSystem/CCAM NZFA010···04·}\">NZFA010···04·</span></p></blockquote><h3>Insurances</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Sequence</b></td><td><b>Focal</b></td><td><b>Coverage</b></td></tr><tr><td style=\"display: none\">*</td><td>1</td><td>true</td><td><a href=\"Coverage-coverage-example-1.html\">Coverage: status = active</a></td></tr></table></div>"
  },
  "status" : "active",
  "type" : {
    "coding" : [
      {
        "system" : "https://interop.esante.gouv.fr/ig/fhir/eds/CodeSystem/FrClaimType",
        "code" : "PMSIMCO"
      }
    ]
  },
  "use" : "claim",
  "patient" : {
    🔗 "reference" : "Patient/patient-example-1"
  },
  "created" : "2024-10-10",
  "provider" : {
    🔗 "reference" : "Organization/organization-psl"
  },
  "priority" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/processpriority",
        "code" : "normal"
      }
    ]
  },
  "supportingInfo" : [
    {
      "sequence" : 1,
      "category" : {
        "coding" : [
          {
            "system" : "https://interop.esante.gouv.fr/ig/fhir/eds/CodeSystem/FrClaimSupInfoCategoryPMSIMCO",
            "code" : "RUM"
          }
        ]
      },
      "code" : {
        "coding" : [
          {
            "system" : "https://interop.esante.gouv.fr/ig/fhir/eds/CodeSystem/FrClaimMode",
            "code" : "0"
          }
        ]
      },
      "valueString" : "8 Domicile"
    },
    {
      "sequence" : 2,
      "category" : {
        "coding" : [
          {
            "system" : "https://interop.esante.gouv.fr/ig/fhir/eds/CodeSystem/FrClaimSupInfoCategoryPMSIMCO",
            "code" : "RUM"
          }
        ]
      },
      "code" : {
        "coding" : [
          {
            "system" : "https://interop.esante.gouv.fr/ig/fhir/eds/CodeSystem/FrClaimMode",
            "code" : "1"
          }
        ]
      },
      "valueString" : "6 Mutation"
    }
  ],
  "diagnosis" : [
    {
      "sequence" : 1,
      "diagnosisCodeableConcept" : {
        "coding" : [
          {
            "system" : "https://interop.esante.gouv.fr/ig/fhir/eds/CodeSystem/CIM10",
            "code" : "S09"
          }
        ]
      },
      "type" : [
        {
          "coding" : [
            {
              "system" : "https://interop.esante.gouv.fr/ig/fhir/eds/CodeSystem/PMSIMCODiagType",
              "code" : "DP"
            }
          ]
        }
      ]
    },
    {
      "sequence" : 2,
      "diagnosisCodeableConcept" : {
        "coding" : [
          {
            "system" : "https://interop.esante.gouv.fr/ig/fhir/eds/CodeSystem/CIM10",
            "code" : "I10"
          }
        ]
      },
      "type" : [
        {
          "coding" : [
            {
              "system" : "https://interop.esante.gouv.fr/ig/fhir/eds/CodeSystem/PMSIMCODiagType",
              "code" : "DA"
            }
          ]
        }
      ]
    },
    {
      "sequence" : 3,
      "diagnosisCodeableConcept" : {
        "coding" : [
          {
            "system" : "https://interop.esante.gouv.fr/ig/fhir/eds/CodeSystem/CIM10",
            "code" : "I44"
          }
        ]
      },
      "type" : [
        {
          "coding" : [
            {
              "system" : "https://interop.esante.gouv.fr/ig/fhir/eds/CodeSystem/PMSIMCODiagType",
              "code" : "DA"
            }
          ]
        }
      ]
    }
  ],
  "procedure" : [
    {
      "sequence" : 1,
      "date" : "2023-11-15",
      "procedureCodeableConcept" : {
        "coding" : [
          {
            "system" : "https://interop.esante.gouv.fr/ig/fhir/eds/CodeSystem/CCAM",
            "code" : "NZFA010···01·"
          }
        ]
      }
    },
    {
      "sequence" : 2,
      "date" : "2023-11-15",
      "procedureCodeableConcept" : {
        "coding" : [
          {
            "system" : "https://interop.esante.gouv.fr/ig/fhir/eds/CodeSystem/CCAM",
            "code" : "NZFA010···04·"
          }
        ]
      }
    }
  ],
  "insurance" : [
    {
      "sequence" : 1,
      "focal" : true,
      "coverage" : {
        🔗 "reference" : "Coverage/coverage-example-1"
      }
    }
  ]
}