https://example.com/fhir/ClaimResponse/a236b53e-0144-41f4-a3d9-99a3fed76c35
type: ClaimResponse
node role: treeRoot
meta:
  version id:
    v: 2
  last updated:
    v: 2025-01-04T11:03:06+03:00
  source:
    v: #e4fd6c167838fdfb
    l: e4fd6c167838fdfb
  profile:
    v: https://example.com/fhir/StructureDefinition/eclaims-claimresponse
    l: eclaims-claimresponse
text:
  status:
    v: extensions
  div:
    v: Generated Narrative: ClaimResponse a236b53e-0144-41f4-a3d9-99a3fed76c35 version: 2; Last updated: 2025-01-04 11:03:06+0300; Information Source: #e4fd6c167838fdfb Profile: ClaimResponse Profile com/fhir/StructureDefinition/claim-state-extension: Approved status: Active type: Professional use: Claim patient: Amy V. Shaw Female, DoB: 1987-02-20 ( Medical Record Number: 1032702 (use: usual, )) created: 2025-01-04 11:00:00+0300 insurer: Organization/insurer-example request: Claim: identifier = https://uat-mis.apeiro-digital.com/fhir/claim#f6dc7f9e-1558-4b92-adbd-447771c7b2f9; status = active; type = Institutional; subType = op; use = preauthorization; billablePeriod = 2025-01-04 --> 2025-01-05; created = 2025-01-03; priority = Normal outcome: Processing Complete item itemSequence: 1 adjudication category: benefit reason: Auto Approved. Amounts - Value Currency * 50 KSH total category: submitted Amounts - Value Currency * 50 KSH
extension:
  url:
    v: https://uat-mis.apeiro-digital.com/fhir/StructureDefinition/claim-state-extension
    l: claim-state-extension
  value: CodeableConcept
    coding:
      system:
        v: https://uat-mis.apeiro-digital.com/fhir/CodeSystem/claim-state
        l: claim-state
      code:
        v: approved
      display:
        v: Approved
status:
  v: active
type:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/claim-type
      l: claim-type
    code:
      v: professional
    display:
      v: Professional
use:
  v: claim
patient:
  l: example
  reference:
    v: Patient/example
created:
  v: 2025-01-04T11:00:00+03:00
insurer:
  l: insurer-example
  reference:
    v: Organization/insurer-example
outcome:
  v: complete
item:
  item sequence:
    v: 1
  adjudication:
    category:
      text:
        v: benefit
    reason:
      text:
        v: Auto Approved.
    amount:
      value:
        v: 50
      currency:
        v: KSH
total:
  category:
    text:
      v: submitted
  amount:
    value:
      v: 50
    currency:
      v: KSH