Example in Da Vinci PCT2.0.1
Claim

PCT-GFE-Professional-MRI

active
Claim-PCT-GFE-Professional-MRI.json

Resource Details

Resource Type
Claim
Resource ID
PCT-GFE-Professional-MRI
Identifier
http://terminology.hl7.org/CodeSystem/v2-0203|GFEProviderAssignedID0002
Conforms To
http://hl7.org/fhir/us/davinci-pct/StructureDefinition/davinci-pct-gfe-professional

Example Metadata

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

{
  "resourceType": "Claim",
  "id": "PCT-GFE-Professional-MRI",
  "filename": "Claim-PCT-GFE-Professional-MRI.json",
  "profile": [
    "http://hl7.org/fhir/us/davinci-pct/StructureDefinition/davinci-pct-gfe-professional"
  ],
  "identifier": {
    "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
    "value": "GFEProviderAssignedID0002"
  },
  "status": "active"
}