EOBPharmacy1

active

ExplanationOfBenefit-EOBPharmacy1.json

Resource Details

Resource Type: ExplanationOfBenefit
Resource ID: EOBPharmacy1
Identifier: https://www.example.com/fhir/EOBIdentifier|AW123412341234123412341234123412
Conforms To: http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-ExplanationOfBenefit-Pharmacy|2.2.0

Example Metadata

Index metadata for this example. The full FHIR resource body is not loaded in the workbench.

{
  "resourceType": "ExplanationOfBenefit",
  "id": "EOBPharmacy1",
  "filename": "ExplanationOfBenefit-EOBPharmacy1.json",
  "profile": [
    "http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-ExplanationOfBenefit-Pharmacy|2.2.0"
  ],
  "lastUpdated": "2019-12-12T09:14:11+00:00",
  "identifier": {
    "system": "https://www.example.com/fhir/EOBIdentifier",
    "value": "AW123412341234123412341234123412"
  },
  "status": "active"
}