FHIR © HL7.org  |  Server Home  |  Health Intersections FHIR Server v1.9.374  |  FHIR Version 3.0.2  | User: ANONYMOUS (Unknown)  

History Record

XML or JSON representation

Links: First Previous Next Last  (59 found). Search: http://test.fhir.org/r3/Claim/_history?&_prior=2021-06-21T17:10:47.750Z&_format=text/xhtml&history-id=996178bb-90e8-44ce-9d16-d3f88ede3e 

Claim "87d31926-e421-3523-4880-9e6560bec124" Version "1"

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative with Details

id: 87d31926-e421-3523-4880-9e6560bec124

status: active

use: complete

patient: Patient/d84fb5f6-2b51-a331-11a1-ca90d761720e

billablePeriod: 9/2/2012 1:59:12 PM --> 9/2/2012 2:14:12 PM

organization: SAINTS WALK-IN MEDICAL CENTER - URGENT CARE AND OCCUPATIONAL HEALTH

total: 129.16 USD (Details: urn:iso:std:iso:4217 code USD := "USD")


<?xml version="1.0" encoding="UTF-8"?>
<Claim xmlns="http://hl7.org/fhir">
  <id value="87d31926-e421-3523-4880-9e6560bec124"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2021-01-15T16:35:02.797Z"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <p>
        <b>Generated Narrative with Details</b>
      </p>
      <p>
        <b>id</b>: 87d31926-e421-3523-4880-9e6560bec124</p>
      <p>
        <b>status</b>: active</p>
      <p>
        <b>use</b>: complete</p>
      <p>
        <b>patient</b>:
        <a href="Patient/d84fb5f6-2b51-a331-11a1-ca90d761720e">Patient/d84fb5f6-2b51-a331-11a1-ca90d761720e</a>
      </p>
      <p>
        <b>billablePeriod</b>: 9/2/2012 1:59:12 PM --&gt; 9/2/2012 2:14:12 PM</p>
      <p>
        <b>organization</b>:
        <a href="Organization/92819cdc-db9e-387e-8c4f-4b2b4e8b2e4f">SAINTS WALK-IN MEDICAL CENTER - URGENT CARE AND OCCUPATIONAL HEALTH</a>
      </p>
      <p>
        <b>total</b>: 129.16 USD
        <span style="background: LightGoldenRodYellow ">(Details: urn:iso:std:iso:4217 code USD := "USD")</span>
      </p>
    </div>
  </text>
  <status value="active"/>
  <use value="complete"/>
  <patient>
    <reference value="Patient/d84fb5f6-2b51-a331-11a1-ca90d761720e"/>
  </patient>
  <billablePeriod>
    <start value="2012-09-02T13:59:12+02:00"/>
    <end value="2012-09-02T14:14:12+02:00"/>
  </billablePeriod>
  <organization>
    <reference value="Organization/92819cdc-db9e-387e-8c4f-4b2b4e8b2e4f"/>
    <display value="SAINTS WALK-IN MEDICAL CENTER - URGENT CARE AND OCCUPATIONAL HEALTH"/>
  </organization>
  <item>
    <sequence value="1"/>
    <encounter>
      <reference value="Encounter/44c6c9f5-c206-34ae-dedb-11f8aef90819"/>
    </encounter>
  </item>
  <total>
    <value value="129.16"/>
    <system value="urn:iso:std:iso:4217"/>
    <code value="USD"/>
  </total>
</Claim>

Claim "f3292122-7c5f-4fc0-a74a-90104e0dc6db" Version "1"

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative with Details

id: f3292122-7c5f-4fc0-a74a-90104e0dc6db

status: active

use: complete

patient: urn:uuid:2fd1e877-04eb-b820-619f-06f14e918be7

billablePeriod: 9/11/2020 2:08:44 PM --> 9/11/2020 3:08:44 PM

organization: HARRINGTON MEMORIAL HOSPITAL-1

total: 129.16 USD (Details: urn:iso:std:iso:4217 code USD := "USD")


<?xml version="1.0" encoding="UTF-8"?>
<Claim xmlns="http://hl7.org/fhir">
  <id value="f3292122-7c5f-4fc0-a74a-90104e0dc6db"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2021-01-15T16:21:18.657Z"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <p>
        <b>Generated Narrative with Details</b>
      </p>
      <p>
        <b>id</b>: f3292122-7c5f-4fc0-a74a-90104e0dc6db</p>
      <p>
        <b>status</b>: active</p>
      <p>
        <b>use</b>: complete</p>
      <p>
        <b>patient</b>:
        <a href="urn:uuid:2fd1e877-04eb-b820-619f-06f14e918be7">urn:uuid:2fd1e877-04eb-b820-619f-06f14e918be7</a>
      </p>
      <p>
        <b>billablePeriod</b>: 9/11/2020 2:08:44 PM --&gt; 9/11/2020 3:08:44 PM</p>
      <p>
        <b>organization</b>:
        <a href="urn:uuid:4bdaa4c2-c664-3089-aee2-7137abbad27f">HARRINGTON MEMORIAL HOSPITAL-1</a>
      </p>
      <p>
        <b>total</b>: 129.16 USD
        <span style="background: LightGoldenRodYellow ">(Details: urn:iso:std:iso:4217 code USD := "USD")</span>
      </p>
    </div>
  </text>
  <status value="active"/>
  <use value="complete"/>
  <patient>
    <reference value="urn:uuid:2fd1e877-04eb-b820-619f-06f14e918be7"/>
  </patient>
  <billablePeriod>
    <start value="2020-09-11T14:08:44+02:00"/>
    <end value="2020-09-11T15:08:44+02:00"/>
  </billablePeriod>
  <organization>
    <reference value="urn:uuid:4bdaa4c2-c664-3089-aee2-7137abbad27f"/>
    <display value="HARRINGTON MEMORIAL HOSPITAL-1"/>
  </organization>
  <diagnosis>
    <sequence value="1"/>
    <diagnosisReference>
      <reference value="urn:uuid:e19ddaba-793a-fe71-d855-829d33098f02"/>
    </diagnosisReference>
  </diagnosis>
  <item>
    <sequence value="1"/>
    <encounter>
      <reference value="urn:uuid:c64e66e6-7d6a-ce05-3808-b8fed45e66dd"/>
    </encounter>
  </item>
  <item>
    <sequence value="2"/>
    <diagnosisLinkId value="1"/>
  </item>
  <total>
    <value value="129.16"/>
    <system value="urn:iso:std:iso:4217"/>
    <code value="USD"/>
  </total>
</Claim>

Claim "e2a19a92-2ee1-31da-a4c5-b7e20a65f511" Version "1"

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative with Details

id: e2a19a92-2ee1-31da-a4c5-b7e20a65f511

status: active

use: complete

patient: urn:uuid:2fd1e877-04eb-b820-619f-06f14e918be7

billablePeriod: 9/11/2020 2:08:44 PM --> 9/11/2020 3:08:44 PM

organization: HARRINGTON MEMORIAL HOSPITAL-1

prescription: urn:uuid:867de5ca-287a-bbb8-362c-de1ec321e8ed

total: 19.71 USD (Details: urn:iso:std:iso:4217 code USD := "USD")


<?xml version="1.0" encoding="UTF-8"?>
<Claim xmlns="http://hl7.org/fhir">
  <id value="e2a19a92-2ee1-31da-a4c5-b7e20a65f511"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2021-01-15T16:21:18.594Z"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <p>
        <b>Generated Narrative with Details</b>
      </p>
      <p>
        <b>id</b>: e2a19a92-2ee1-31da-a4c5-b7e20a65f511</p>
      <p>
        <b>status</b>: active</p>
      <p>
        <b>use</b>: complete</p>
      <p>
        <b>patient</b>:
        <a href="urn:uuid:2fd1e877-04eb-b820-619f-06f14e918be7">urn:uuid:2fd1e877-04eb-b820-619f-06f14e918be7</a>
      </p>
      <p>
        <b>billablePeriod</b>: 9/11/2020 2:08:44 PM --&gt; 9/11/2020 3:08:44 PM</p>
      <p>
        <b>organization</b>:
        <a href="urn:uuid:4bdaa4c2-c664-3089-aee2-7137abbad27f">HARRINGTON MEMORIAL HOSPITAL-1</a>
      </p>
      <p>
        <b>prescription</b>:
        <a href="urn:uuid:867de5ca-287a-bbb8-362c-de1ec321e8ed">urn:uuid:867de5ca-287a-bbb8-362c-de1ec321e8ed</a>
      </p>
      <p>
        <b>total</b>: 19.71 USD
        <span style="background: LightGoldenRodYellow ">(Details: urn:iso:std:iso:4217 code USD := "USD")</span>
      </p>
    </div>
  </text>
  <status value="active"/>
  <use value="complete"/>
  <patient>
    <reference value="urn:uuid:2fd1e877-04eb-b820-619f-06f14e918be7"/>
  </patient>
  <billablePeriod>
    <start value="2020-09-11T14:08:44+02:00"/>
    <end value="2020-09-11T15:08:44+02:00"/>
  </billablePeriod>
  <organization>
    <reference value="urn:uuid:4bdaa4c2-c664-3089-aee2-7137abbad27f"/>
    <display value="HARRINGTON MEMORIAL HOSPITAL-1"/>
  </organization>
  <prescription>
    <reference value="urn:uuid:867de5ca-287a-bbb8-362c-de1ec321e8ed"/>
  </prescription>
  <item>
    <sequence value="1"/>
    <encounter>
      <reference value="urn:uuid:c64e66e6-7d6a-ce05-3808-b8fed45e66dd"/>
    </encounter>
  </item>
  <total>
    <value value="19.71"/>
    <system value="urn:iso:std:iso:4217"/>
    <code value="USD"/>
  </total>
</Claim>

Claim "e53ebd7f-e6fe-6de0-6e84-f307c888dfc2" Version "1"

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative with Details

id: e53ebd7f-e6fe-6de0-6e84-f307c888dfc2

status: active

use: complete

patient: urn:uuid:2fd1e877-04eb-b820-619f-06f14e918be7

billablePeriod: 8/6/2020 1:56:44 PM --> 8/6/2020 2:11:44 PM

organization: HARRINGTON MEMORIAL HOSPITAL-1

total: 77.49 USD (Details: urn:iso:std:iso:4217 code USD := "USD")


<?xml version="1.0" encoding="UTF-8"?>
<Claim xmlns="http://hl7.org/fhir">
  <id value="e53ebd7f-e6fe-6de0-6e84-f307c888dfc2"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2021-01-15T16:21:18.157Z"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <p>
        <b>Generated Narrative with Details</b>
      </p>
      <p>
        <b>id</b>: e53ebd7f-e6fe-6de0-6e84-f307c888dfc2</p>
      <p>
        <b>status</b>: active</p>
      <p>
        <b>use</b>: complete</p>
      <p>
        <b>patient</b>:
        <a href="urn:uuid:2fd1e877-04eb-b820-619f-06f14e918be7">urn:uuid:2fd1e877-04eb-b820-619f-06f14e918be7</a>
      </p>
      <p>
        <b>billablePeriod</b>: 8/6/2020 1:56:44 PM --&gt; 8/6/2020 2:11:44 PM</p>
      <p>
        <b>organization</b>:
        <a href="urn:uuid:4bdaa4c2-c664-3089-aee2-7137abbad27f">HARRINGTON MEMORIAL HOSPITAL-1</a>
      </p>
      <p>
        <b>total</b>: 77.49 USD
        <span style="background: LightGoldenRodYellow ">(Details: urn:iso:std:iso:4217 code USD := "USD")</span>
      </p>
    </div>
  </text>
  <status value="active"/>
  <use value="complete"/>
  <patient>
    <reference value="urn:uuid:2fd1e877-04eb-b820-619f-06f14e918be7"/>
  </patient>
  <billablePeriod>
    <start value="2020-08-06T13:56:44+02:00"/>
    <end value="2020-08-06T14:11:44+02:00"/>
  </billablePeriod>
  <organization>
    <reference value="urn:uuid:4bdaa4c2-c664-3089-aee2-7137abbad27f"/>
    <display value="HARRINGTON MEMORIAL HOSPITAL-1"/>
  </organization>
  <diagnosis>
    <sequence value="1"/>
    <diagnosisReference>
      <reference value="urn:uuid:50935d4e-1504-3764-e902-1baa3f605c2f"/>
    </diagnosisReference>
  </diagnosis>
  <procedure>
    <sequence value="1"/>
    <procedureReference>
      <reference value="urn:uuid:d1840345-55c5-ce04-68de-6f57510315bc"/>
    </procedureReference>
  </procedure>
  <item>
    <sequence value="1"/>
    <encounter>
      <reference value="urn:uuid:4b04d3a4-8ace-d7e3-3e3e-ceb100b6cd4d"/>
    </encounter>
  </item>
  <item>
    <sequence value="2"/>
    <diagnosisLinkId value="1"/>
  </item>
  <item>
    <sequence value="3"/>
    <procedureLinkId value="1"/>
    <service>
      <extension url="https://bluebutton.cms.gov/assets/ig/StructureDefinition-bluebutton-outpatient-rev-cntr-ide-ndc-upc-num-extension">
        <valueCoding>
          <system value="https://www.accessdata.fda.gov/scripts/cder/ndc"/>
          <code value="0624"/>
          <display value="Dummy"/>
        </valueCoding>
      </extension>
      <coding>
        <system value="http://snomed.info/sct"/>
        <version value="v1"/>
        <code value="117015009"/>
      </coding>
    </service>
    <net>
      <value value="2603.11"/>
      <system value="urn:iso:std:iso:4217"/>
      <code value="USD"/>
    </net>
  </item>
  <total>
    <value value="77.49"/>
    <system value="urn:iso:std:iso:4217"/>
    <code value="USD"/>
  </total>
</Claim>

Claim "bd0607da-b633-2cd8-5361-aa0ff6505647" Version "1"

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative with Details

id: bd0607da-b633-2cd8-5361-aa0ff6505647

status: active

use: complete

patient: urn:uuid:2fd1e877-04eb-b820-619f-06f14e918be7

billablePeriod: 8/6/2020 1:56:44 PM --> 8/6/2020 2:11:44 PM

organization: HARRINGTON MEMORIAL HOSPITAL-1

prescription: urn:uuid:778d5d22-237e-b906-02c6-4d522f7bf13d

total: 15.47 USD (Details: urn:iso:std:iso:4217 code USD := "USD")


<?xml version="1.0" encoding="UTF-8"?>
<Claim xmlns="http://hl7.org/fhir">
  <id value="bd0607da-b633-2cd8-5361-aa0ff6505647"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2021-01-15T16:21:18.063Z"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <p>
        <b>Generated Narrative with Details</b>
      </p>
      <p>
        <b>id</b>: bd0607da-b633-2cd8-5361-aa0ff6505647</p>
      <p>
        <b>status</b>: active</p>
      <p>
        <b>use</b>: complete</p>
      <p>
        <b>patient</b>:
        <a href="urn:uuid:2fd1e877-04eb-b820-619f-06f14e918be7">urn:uuid:2fd1e877-04eb-b820-619f-06f14e918be7</a>
      </p>
      <p>
        <b>billablePeriod</b>: 8/6/2020 1:56:44 PM --&gt; 8/6/2020 2:11:44 PM</p>
      <p>
        <b>organization</b>:
        <a href="urn:uuid:4bdaa4c2-c664-3089-aee2-7137abbad27f">HARRINGTON MEMORIAL HOSPITAL-1</a>
      </p>
      <p>
        <b>prescription</b>:
        <a href="urn:uuid:778d5d22-237e-b906-02c6-4d522f7bf13d">urn:uuid:778d5d22-237e-b906-02c6-4d522f7bf13d</a>
      </p>
      <p>
        <b>total</b>: 15.47 USD
        <span style="background: LightGoldenRodYellow ">(Details: urn:iso:std:iso:4217 code USD := "USD")</span>
      </p>
    </div>
  </text>
  <status value="active"/>
  <use value="complete"/>
  <patient>
    <reference value="urn:uuid:2fd1e877-04eb-b820-619f-06f14e918be7"/>
  </patient>
  <billablePeriod>
    <start value="2020-08-06T13:56:44+02:00"/>
    <end value="2020-08-06T14:11:44+02:00"/>
  </billablePeriod>
  <organization>
    <reference value="urn:uuid:4bdaa4c2-c664-3089-aee2-7137abbad27f"/>
    <display value="HARRINGTON MEMORIAL HOSPITAL-1"/>
  </organization>
  <prescription>
    <reference value="urn:uuid:778d5d22-237e-b906-02c6-4d522f7bf13d"/>
  </prescription>
  <item>
    <sequence value="1"/>
    <encounter>
      <reference value="urn:uuid:4b04d3a4-8ace-d7e3-3e3e-ceb100b6cd4d"/>
    </encounter>
  </item>
  <total>
    <value value="15.47"/>
    <system value="urn:iso:std:iso:4217"/>
    <code value="USD"/>
  </total>
</Claim>

Claim "7203581e-0d08-0548-9a6a-0c19979d3e78" Version "1"

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative with Details

id: 7203581e-0d08-0548-9a6a-0c19979d3e78

status: active

use: complete

patient: urn:uuid:2fd1e877-04eb-b820-619f-06f14e918be7

billablePeriod: 2/23/2020 12:56:44 PM --> 2/23/2020 2:13:44 PM

organization: HARRINGTON MEMORIAL HOSPITAL-1

total: 77.49 USD (Details: urn:iso:std:iso:4217 code USD := "USD")


<?xml version="1.0" encoding="UTF-8"?>
<Claim xmlns="http://hl7.org/fhir">
  <id value="7203581e-0d08-0548-9a6a-0c19979d3e78"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2021-01-15T16:21:17.688Z"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <p>
        <b>Generated Narrative with Details</b>
      </p>
      <p>
        <b>id</b>: 7203581e-0d08-0548-9a6a-0c19979d3e78</p>
      <p>
        <b>status</b>: active</p>
      <p>
        <b>use</b>: complete</p>
      <p>
        <b>patient</b>:
        <a href="urn:uuid:2fd1e877-04eb-b820-619f-06f14e918be7">urn:uuid:2fd1e877-04eb-b820-619f-06f14e918be7</a>
      </p>
      <p>
        <b>billablePeriod</b>: 2/23/2020 12:56:44 PM --&gt; 2/23/2020 2:13:44 PM</p>
      <p>
        <b>organization</b>:
        <a href="urn:uuid:4bdaa4c2-c664-3089-aee2-7137abbad27f">HARRINGTON MEMORIAL HOSPITAL-1</a>
      </p>
      <p>
        <b>total</b>: 77.49 USD
        <span style="background: LightGoldenRodYellow ">(Details: urn:iso:std:iso:4217 code USD := "USD")</span>
      </p>
    </div>
  </text>
  <status value="active"/>
  <use value="complete"/>
  <patient>
    <reference value="urn:uuid:2fd1e877-04eb-b820-619f-06f14e918be7"/>
  </patient>
  <billablePeriod>
    <start value="2020-02-23T12:56:44+01:00"/>
    <end value="2020-02-23T14:13:44+01:00"/>
  </billablePeriod>
  <organization>
    <reference value="urn:uuid:4bdaa4c2-c664-3089-aee2-7137abbad27f"/>
    <display value="HARRINGTON MEMORIAL HOSPITAL-1"/>
  </organization>
  <diagnosis>
    <sequence value="1"/>
    <diagnosisReference>
      <reference value="urn:uuid:1a540b9f-187a-e014-c624-6ce59f15ecf9"/>
    </diagnosisReference>
  </diagnosis>
  <diagnosis>
    <sequence value="2"/>
    <diagnosisReference>
      <reference value="urn:uuid:e4078478-e957-ba05-66e9-e63b746e18fa"/>
    </diagnosisReference>
  </diagnosis>
  <diagnosis>
    <sequence value="3"/>
    <diagnosisReference>
      <reference value="urn:uuid:88bf61ad-19de-2a34-8e5a-c3cadfdbac3e"/>
    </diagnosisReference>
  </diagnosis>
  <diagnosis>
    <sequence value="4"/>
    <diagnosisReference>
      <reference value="urn:uuid:876b27a2-68b0-ac82-b953-e1269e07b1e8"/>
    </diagnosisReference>
  </diagnosis>
  <diagnosis>
    <sequence value="5"/>
    <diagnosisReference>
      <reference value="urn:uuid:62940d07-963d-a8a3-d36b-019a34cd4e7a"/>
    </diagnosisReference>
  </diagnosis>
  <diagnosis>
    <sequence value="6"/>
    <diagnosisReference>
      <reference value="urn:uuid:661f9009-0e95-b148-7112-0a79f8110d9a"/>
    </diagnosisReference>
  </diagnosis>
  <procedure>
    <sequence value="1"/>
    <procedureReference>
      <reference value="urn:uuid:7748889a-fdbe-11e7-0b70-20a57c2f1347"/>
    </procedureReference>
  </procedure>
  <item>
    <sequence value="1"/>
    <encounter>
      <reference value="urn:uuid:2774bb0a-2550-b774-a8ad-66e229487cf5"/>
    </encounter>
  </item>
  <item>
    <sequence value="2"/>
    <diagnosisLinkId value="1"/>
  </item>
  <item>
    <sequence value="3"/>
    <diagnosisLinkId value="2"/>
  </item>
  <item>
    <sequence value="4"/>
    <diagnosisLinkId value="3"/>
  </item>
  <item>
    <sequence value="5"/>
    <diagnosisLinkId value="4"/>
  </item>
  <item>
    <sequence value="6"/>
    <diagnosisLinkId value="5"/>
  </item>
  <item>
    <sequence value="7"/>
    <procedureLinkId value="1"/>
    <service>
      <extension url="https://bluebutton.cms.gov/assets/ig/StructureDefinition-bluebutton-outpatient-rev-cntr-ide-ndc-upc-num-extension">
        <valueCoding>
          <system value="https://www.accessdata.fda.gov/scripts/cder/ndc"/>
          <code value="0624"/>
          <display value="Dummy"/>
        </valueCoding>
      </extension>
      <coding>
        <system value="http://snomed.info/sct"/>
        <version value="v1"/>
        <code value="261352009"/>
      </coding>
    </service>
    <net>
      <value value="1.25"/>
      <system value="urn:iso:std:iso:4217"/>
      <code value="USD"/>
    </net>
  </item>
  <item>
    <sequence value="8"/>
    <diagnosisLinkId value="6"/>
  </item>
  <total>
    <value value="77.49"/>
    <system value="urn:iso:std:iso:4217"/>
    <code value="USD"/>
  </total>
</Claim>

Claim "1b425f07-c633-6394-e04a-e49de4fbd7c2" Version "1"

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative with Details

id: 1b425f07-c633-6394-e04a-e49de4fbd7c2

status: active

use: complete

patient: urn:uuid:2fd1e877-04eb-b820-619f-06f14e918be7

billablePeriod: 2/3/2020 12:56:44 PM --> 2/3/2020 1:11:44 PM

organization: HARRINGTON PHYSICIAN SERVICES INC

total: 129.16 USD (Details: urn:iso:std:iso:4217 code USD := "USD")


<?xml version="1.0" encoding="UTF-8"?>
<Claim xmlns="http://hl7.org/fhir">
  <id value="1b425f07-c633-6394-e04a-e49de4fbd7c2"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2021-01-15T16:21:15.329Z"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <p>
        <b>Generated Narrative with Details</b>
      </p>
      <p>
        <b>id</b>: 1b425f07-c633-6394-e04a-e49de4fbd7c2</p>
      <p>
        <b>status</b>: active</p>
      <p>
        <b>use</b>: complete</p>
      <p>
        <b>patient</b>:
        <a href="urn:uuid:2fd1e877-04eb-b820-619f-06f14e918be7">urn:uuid:2fd1e877-04eb-b820-619f-06f14e918be7</a>
      </p>
      <p>
        <b>billablePeriod</b>: 2/3/2020 12:56:44 PM --&gt; 2/3/2020 1:11:44 PM</p>
      <p>
        <b>organization</b>:
        <a href="urn:uuid:189f595a-277f-3a7f-93fc-f34a642885fc">HARRINGTON PHYSICIAN SERVICES INC</a>
      </p>
      <p>
        <b>total</b>: 129.16 USD
        <span style="background: LightGoldenRodYellow ">(Details: urn:iso:std:iso:4217 code USD := "USD")</span>
      </p>
    </div>
  </text>
  <status value="active"/>
  <use value="complete"/>
  <patient>
    <reference value="urn:uuid:2fd1e877-04eb-b820-619f-06f14e918be7"/>
  </patient>
  <billablePeriod>
    <start value="2020-02-03T12:56:44+01:00"/>
    <end value="2020-02-03T13:11:44+01:00"/>
  </billablePeriod>
  <organization>
    <reference value="urn:uuid:189f595a-277f-3a7f-93fc-f34a642885fc"/>
    <display value="HARRINGTON PHYSICIAN SERVICES INC"/>
  </organization>
  <information>
    <sequence value="1"/>
    <category>
      <coding>
        <system value="http://hl7.org/fhir/claiminformationcategory"/>
        <code value="info"/>
      </coding>
    </category>
    <valueReference>
      <reference value="urn:uuid:461698fe-7d35-24b1-9151-bf8ca53a3130"/>
    </valueReference>
  </information>
  <procedure>
    <sequence value="1"/>
    <procedureReference>
      <reference value="urn:uuid:389650b1-4253-a705-3456-3b1184ba15b5"/>
    </procedureReference>
  </procedure>
  <item>
    <sequence value="1"/>
    <encounter>
      <reference value="urn:uuid:d14fd2fb-974d-a27f-0971-aabb8aab4aeb"/>
    </encounter>
  </item>
  <item>
    <sequence value="2"/>
    <informationLinkId value="1"/>
    <net>
      <value value="140.52"/>
      <system value="urn:iso:std:iso:4217"/>
      <code value="USD"/>
    </net>
  </item>
  <item>
    <sequence value="3"/>
    <procedureLinkId value="1"/>
    <service>
      <extension url="https://bluebutton.cms.gov/assets/ig/StructureDefinition-bluebutton-outpatient-rev-cntr-ide-ndc-upc-num-extension">
        <valueCoding>
          <system value="https://www.accessdata.fda.gov/scripts/cder/ndc"/>
          <code value="0624"/>
          <display value="Dummy"/>
        </valueCoding>
      </extension>
      <coding>
        <system value="http://snomed.info/sct"/>
        <version value="v1"/>
        <code value="430193006"/>
      </coding>
    </service>
    <net>
      <value value="574.92"/>
      <system value="urn:iso:std:iso:4217"/>
      <code value="USD"/>
    </net>
  </item>
  <total>
    <value value="129.16"/>
    <system value="urn:iso:std:iso:4217"/>
    <code value="USD"/>
  </total>
</Claim>

Claim "e0b420d7-2d01-6dd0-c4ed-aec1bb473e8e" Version "1"

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative with Details

id: e0b420d7-2d01-6dd0-c4ed-aec1bb473e8e

status: active

use: complete

patient: urn:uuid:2fd1e877-04eb-b820-619f-06f14e918be7

billablePeriod: 2/3/2020 12:56:44 PM --> 2/3/2020 1:11:44 PM

organization: HARRINGTON PHYSICIAN SERVICES INC

prescription: urn:uuid:f767cbf7-de0b-4d49-d250-a09504e58223

total: 0.02 USD (Details: urn:iso:std:iso:4217 code USD := "USD")


<?xml version="1.0" encoding="UTF-8"?>
<Claim xmlns="http://hl7.org/fhir">
  <id value="e0b420d7-2d01-6dd0-c4ed-aec1bb473e8e"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2021-01-15T16:21:15.204Z"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <p>
        <b>Generated Narrative with Details</b>
      </p>
      <p>
        <b>id</b>: e0b420d7-2d01-6dd0-c4ed-aec1bb473e8e</p>
      <p>
        <b>status</b>: active</p>
      <p>
        <b>use</b>: complete</p>
      <p>
        <b>patient</b>:
        <a href="urn:uuid:2fd1e877-04eb-b820-619f-06f14e918be7">urn:uuid:2fd1e877-04eb-b820-619f-06f14e918be7</a>
      </p>
      <p>
        <b>billablePeriod</b>: 2/3/2020 12:56:44 PM --&gt; 2/3/2020 1:11:44 PM</p>
      <p>
        <b>organization</b>:
        <a href="urn:uuid:189f595a-277f-3a7f-93fc-f34a642885fc">HARRINGTON PHYSICIAN SERVICES INC</a>
      </p>
      <p>
        <b>prescription</b>:
        <a href="urn:uuid:f767cbf7-de0b-4d49-d250-a09504e58223">urn:uuid:f767cbf7-de0b-4d49-d250-a09504e58223</a>
      </p>
      <p>
        <b>total</b>: 0.02 USD
        <span style="background: LightGoldenRodYellow ">(Details: urn:iso:std:iso:4217 code USD := "USD")</span>
      </p>
    </div>
  </text>
  <status value="active"/>
  <use value="complete"/>
  <patient>
    <reference value="urn:uuid:2fd1e877-04eb-b820-619f-06f14e918be7"/>
  </patient>
  <billablePeriod>
    <start value="2020-02-03T12:56:44+01:00"/>
    <end value="2020-02-03T13:11:44+01:00"/>
  </billablePeriod>
  <organization>
    <reference value="urn:uuid:189f595a-277f-3a7f-93fc-f34a642885fc"/>
    <display value="HARRINGTON PHYSICIAN SERVICES INC"/>
  </organization>
  <prescription>
    <reference value="urn:uuid:f767cbf7-de0b-4d49-d250-a09504e58223"/>
  </prescription>
  <item>
    <sequence value="1"/>
    <encounter>
      <reference value="urn:uuid:d14fd2fb-974d-a27f-0971-aabb8aab4aeb"/>
    </encounter>
  </item>
  <total>
    <value value="0.02"/>
    <system value="urn:iso:std:iso:4217"/>
    <code value="USD"/>
  </total>
</Claim>

Claim "5de035c5-df6a-8f79-2f15-50f587fb8a59" Version "1"

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative with Details

id: 5de035c5-df6a-8f79-2f15-50f587fb8a59

status: active

use: complete

patient: urn:uuid:2fd1e877-04eb-b820-619f-06f14e918be7

billablePeriod: 1/28/2019 12:56:44 PM --> 1/28/2019 1:11:44 PM

organization: HARRINGTON PHYSICIAN SERVICES INC

total: 129.16 USD (Details: urn:iso:std:iso:4217 code USD := "USD")


<?xml version="1.0" encoding="UTF-8"?>
<Claim xmlns="http://hl7.org/fhir">
  <id value="5de035c5-df6a-8f79-2f15-50f587fb8a59"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2021-01-15T16:21:14.438Z"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <p>
        <b>Generated Narrative with Details</b>
      </p>
      <p>
        <b>id</b>: 5de035c5-df6a-8f79-2f15-50f587fb8a59</p>
      <p>
        <b>status</b>: active</p>
      <p>
        <b>use</b>: complete</p>
      <p>
        <b>patient</b>:
        <a href="urn:uuid:2fd1e877-04eb-b820-619f-06f14e918be7">urn:uuid:2fd1e877-04eb-b820-619f-06f14e918be7</a>
      </p>
      <p>
        <b>billablePeriod</b>: 1/28/2019 12:56:44 PM --&gt; 1/28/2019 1:11:44 PM</p>
      <p>
        <b>organization</b>:
        <a href="urn:uuid:189f595a-277f-3a7f-93fc-f34a642885fc">HARRINGTON PHYSICIAN SERVICES INC</a>
      </p>
      <p>
        <b>total</b>: 129.16 USD
        <span style="background: LightGoldenRodYellow ">(Details: urn:iso:std:iso:4217 code USD := "USD")</span>
      </p>
    </div>
  </text>
  <status value="active"/>
  <use value="complete"/>
  <patient>
    <reference value="urn:uuid:2fd1e877-04eb-b820-619f-06f14e918be7"/>
  </patient>
  <billablePeriod>
    <start value="2019-01-28T12:56:44+01:00"/>
    <end value="2019-01-28T13:11:44+01:00"/>
  </billablePeriod>
  <organization>
    <reference value="urn:uuid:189f595a-277f-3a7f-93fc-f34a642885fc"/>
    <display value="HARRINGTON PHYSICIAN SERVICES INC"/>
  </organization>
  <information>
    <sequence value="1"/>
    <category>
      <coding>
        <system value="http://hl7.org/fhir/claiminformationcategory"/>
        <code value="info"/>
      </coding>
    </category>
    <valueReference>
      <reference value="urn:uuid:85a8656c-310b-8b69-f872-706c065be4d1"/>
    </valueReference>
  </information>
  <item>
    <sequence value="1"/>
    <encounter>
      <reference value="urn:uuid:eb5f6b9d-69f6-0553-eff5-b63d55edde98"/>
    </encounter>
  </item>
  <item>
    <sequence value="2"/>
    <informationLinkId value="1"/>
    <net>
      <value value="140.52"/>
      <system value="urn:iso:std:iso:4217"/>
      <code value="USD"/>
    </net>
  </item>
  <total>
    <value value="129.16"/>
    <system value="urn:iso:std:iso:4217"/>
    <code value="USD"/>
  </total>
</Claim>

Claim "20fa89ef-fe63-9d22-a43b-945f3e6e9c95" Version "1"

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative with Details

id: 20fa89ef-fe63-9d22-a43b-945f3e6e9c95

status: active

use: complete

patient: urn:uuid:2fd1e877-04eb-b820-619f-06f14e918be7

billablePeriod: 1/28/2019 12:56:44 PM --> 1/28/2019 1:11:44 PM

organization: HARRINGTON PHYSICIAN SERVICES INC

prescription: urn:uuid:ffce7935-da4c-0660-9fb5-698d0541f9fd

total: 0.02 USD (Details: urn:iso:std:iso:4217 code USD := "USD")


<?xml version="1.0" encoding="UTF-8"?>
<Claim xmlns="http://hl7.org/fhir">
  <id value="20fa89ef-fe63-9d22-a43b-945f3e6e9c95"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2021-01-15T16:21:14.329Z"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <p>
        <b>Generated Narrative with Details</b>
      </p>
      <p>
        <b>id</b>: 20fa89ef-fe63-9d22-a43b-945f3e6e9c95</p>
      <p>
        <b>status</b>: active</p>
      <p>
        <b>use</b>: complete</p>
      <p>
        <b>patient</b>:
        <a href="urn:uuid:2fd1e877-04eb-b820-619f-06f14e918be7">urn:uuid:2fd1e877-04eb-b820-619f-06f14e918be7</a>
      </p>
      <p>
        <b>billablePeriod</b>: 1/28/2019 12:56:44 PM --&gt; 1/28/2019 1:11:44 PM</p>
      <p>
        <b>organization</b>:
        <a href="urn:uuid:189f595a-277f-3a7f-93fc-f34a642885fc">HARRINGTON PHYSICIAN SERVICES INC</a>
      </p>
      <p>
        <b>prescription</b>:
        <a href="urn:uuid:ffce7935-da4c-0660-9fb5-698d0541f9fd">urn:uuid:ffce7935-da4c-0660-9fb5-698d0541f9fd</a>
      </p>
      <p>
        <b>total</b>: 0.02 USD
        <span style="background: LightGoldenRodYellow ">(Details: urn:iso:std:iso:4217 code USD := "USD")</span>
      </p>
    </div>
  </text>
  <status value="active"/>
  <use value="complete"/>
  <patient>
    <reference value="urn:uuid:2fd1e877-04eb-b820-619f-06f14e918be7"/>
  </patient>
  <billablePeriod>
    <start value="2019-01-28T12:56:44+01:00"/>
    <end value="2019-01-28T13:11:44+01:00"/>
  </billablePeriod>
  <organization>
    <reference value="urn:uuid:189f595a-277f-3a7f-93fc-f34a642885fc"/>
    <display value="HARRINGTON PHYSICIAN SERVICES INC"/>
  </organization>
  <prescription>
    <reference value="urn:uuid:ffce7935-da4c-0660-9fb5-698d0541f9fd"/>
  </prescription>
  <item>
    <sequence value="1"/>
    <encounter>
      <reference value="urn:uuid:eb5f6b9d-69f6-0553-eff5-b63d55edde98"/>
    </encounter>
  </item>
  <total>
    <value value="0.02"/>
    <system value="urn:iso:std:iso:4217"/>
    <code value="USD"/>
  </total>
</Claim>

Claim "dab67af2-dfb2-3863-eca7-ef853afb9312" Version "1"

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative with Details

id: dab67af2-dfb2-3863-eca7-ef853afb9312

status: active

use: complete

patient: urn:uuid:2fd1e877-04eb-b820-619f-06f14e918be7

billablePeriod: 10/22/2018 2:08:44 PM --> 10/22/2018 2:23:44 PM

organization: HARRINGTON MEMORIAL HOSPITAL-1

total: 77.49 USD (Details: urn:iso:std:iso:4217 code USD := "USD")


<?xml version="1.0" encoding="UTF-8"?>
<Claim xmlns="http://hl7.org/fhir">
  <id value="dab67af2-dfb2-3863-eca7-ef853afb9312"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2021-01-15T16:21:12.844Z"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <p>
        <b>Generated Narrative with Details</b>
      </p>
      <p>
        <b>id</b>: dab67af2-dfb2-3863-eca7-ef853afb9312</p>
      <p>
        <b>status</b>: active</p>
      <p>
        <b>use</b>: complete</p>
      <p>
        <b>patient</b>:
        <a href="urn:uuid:2fd1e877-04eb-b820-619f-06f14e918be7">urn:uuid:2fd1e877-04eb-b820-619f-06f14e918be7</a>
      </p>
      <p>
        <b>billablePeriod</b>: 10/22/2018 2:08:44 PM --&gt; 10/22/2018 2:23:44 PM</p>
      <p>
        <b>organization</b>:
        <a href="urn:uuid:4bdaa4c2-c664-3089-aee2-7137abbad27f">HARRINGTON MEMORIAL HOSPITAL-1</a>
      </p>
      <p>
        <b>total</b>: 77.49 USD
        <span style="background: LightGoldenRodYellow ">(Details: urn:iso:std:iso:4217 code USD := "USD")</span>
      </p>
    </div>
  </text>
  <status value="active"/>
  <use value="complete"/>
  <patient>
    <reference value="urn:uuid:2fd1e877-04eb-b820-619f-06f14e918be7"/>
  </patient>
  <billablePeriod>
    <start value="2018-10-22T14:08:44+02:00"/>
    <end value="2018-10-22T14:23:44+02:00"/>
  </billablePeriod>
  <organization>
    <reference value="urn:uuid:4bdaa4c2-c664-3089-aee2-7137abbad27f"/>
    <display value="HARRINGTON MEMORIAL HOSPITAL-1"/>
  </organization>
  <item>
    <sequence value="1"/>
    <encounter>
      <reference value="urn:uuid:78fce9ea-4bbf-1a16-2e2d-5f1c037f9aab"/>
    </encounter>
  </item>
  <total>
    <value value="77.49"/>
    <system value="urn:iso:std:iso:4217"/>
    <code value="USD"/>
  </total>
</Claim>

Claim "922578b9-1f56-1f9e-4efb-ead67fac633d" Version "1"

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative with Details

id: 922578b9-1f56-1f9e-4efb-ead67fac633d

status: active

use: complete

patient: urn:uuid:2fd1e877-04eb-b820-619f-06f14e918be7

billablePeriod: 10/1/2018 2:08:44 PM --> 10/1/2018 3:08:44 PM

organization: HARRINGTON MEMORIAL HOSPITAL-1

total: 129.16 USD (Details: urn:iso:std:iso:4217 code USD := "USD")


<?xml version="1.0" encoding="UTF-8"?>
<Claim xmlns="http://hl7.org/fhir">
  <id value="922578b9-1f56-1f9e-4efb-ead67fac633d"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2021-01-15T16:21:12.641Z"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <p>
        <b>Generated Narrative with Details</b>
      </p>
      <p>
        <b>id</b>: 922578b9-1f56-1f9e-4efb-ead67fac633d</p>
      <p>
        <b>status</b>: active</p>
      <p>
        <b>use</b>: complete</p>
      <p>
        <b>patient</b>:
        <a href="urn:uuid:2fd1e877-04eb-b820-619f-06f14e918be7">urn:uuid:2fd1e877-04eb-b820-619f-06f14e918be7</a>
      </p>
      <p>
        <b>billablePeriod</b>: 10/1/2018 2:08:44 PM --&gt; 10/1/2018 3:08:44 PM</p>
      <p>
        <b>organization</b>:
        <a href="urn:uuid:4bdaa4c2-c664-3089-aee2-7137abbad27f">HARRINGTON MEMORIAL HOSPITAL-1</a>
      </p>
      <p>
        <b>total</b>: 129.16 USD
        <span style="background: LightGoldenRodYellow ">(Details: urn:iso:std:iso:4217 code USD := "USD")</span>
      </p>
    </div>
  </text>
  <status value="active"/>
  <use value="complete"/>
  <patient>
    <reference value="urn:uuid:2fd1e877-04eb-b820-619f-06f14e918be7"/>
  </patient>
  <billablePeriod>
    <start value="2018-10-01T14:08:44+02:00"/>
    <end value="2018-10-01T15:08:44+02:00"/>
  </billablePeriod>
  <organization>
    <reference value="urn:uuid:4bdaa4c2-c664-3089-aee2-7137abbad27f"/>
    <display value="HARRINGTON MEMORIAL HOSPITAL-1"/>
  </organization>
  <diagnosis>
    <sequence value="1"/>
    <diagnosisReference>
      <reference value="urn:uuid:f25665bf-0746-904e-2172-d61dd6350661"/>
    </diagnosisReference>
  </diagnosis>
  <item>
    <sequence value="1"/>
    <encounter>
      <reference value="urn:uuid:1523b52c-4a57-5b81-03d4-32fae9227a3f"/>
    </encounter>
  </item>
  <item>
    <sequence value="2"/>
    <diagnosisLinkId value="1"/>
  </item>
  <total>
    <value value="129.16"/>
    <system value="urn:iso:std:iso:4217"/>
    <code value="USD"/>
  </total>
</Claim>

Claim "cce40ca0-f73c-f287-36b5-76faca3c9b18" Version "1"

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative with Details

id: cce40ca0-f73c-f287-36b5-76faca3c9b18

status: active

use: complete

patient: urn:uuid:2fd1e877-04eb-b820-619f-06f14e918be7

billablePeriod: 10/1/2018 2:08:44 PM --> 10/1/2018 3:08:44 PM

organization: HARRINGTON MEMORIAL HOSPITAL-1

prescription: urn:uuid:7540b43a-ec73-d8a0-7acc-4a80b08d5c48

total: 10.34 USD (Details: urn:iso:std:iso:4217 code USD := "USD")


<?xml version="1.0" encoding="UTF-8"?>
<Claim xmlns="http://hl7.org/fhir">
  <id value="cce40ca0-f73c-f287-36b5-76faca3c9b18"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2021-01-15T16:21:12.579Z"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <p>
        <b>Generated Narrative with Details</b>
      </p>
      <p>
        <b>id</b>: cce40ca0-f73c-f287-36b5-76faca3c9b18</p>
      <p>
        <b>status</b>: active</p>
      <p>
        <b>use</b>: complete</p>
      <p>
        <b>patient</b>:
        <a href="urn:uuid:2fd1e877-04eb-b820-619f-06f14e918be7">urn:uuid:2fd1e877-04eb-b820-619f-06f14e918be7</a>
      </p>
      <p>
        <b>billablePeriod</b>: 10/1/2018 2:08:44 PM --&gt; 10/1/2018 3:08:44 PM</p>
      <p>
        <b>organization</b>:
        <a href="urn:uuid:4bdaa4c2-c664-3089-aee2-7137abbad27f">HARRINGTON MEMORIAL HOSPITAL-1</a>
      </p>
      <p>
        <b>prescription</b>:
        <a href="urn:uuid:7540b43a-ec73-d8a0-7acc-4a80b08d5c48">urn:uuid:7540b43a-ec73-d8a0-7acc-4a80b08d5c48</a>
      </p>
      <p>
        <b>total</b>: 10.34 USD
        <span style="background: LightGoldenRodYellow ">(Details: urn:iso:std:iso:4217 code USD := "USD")</span>
      </p>
    </div>
  </text>
  <status value="active"/>
  <use value="complete"/>
  <patient>
    <reference value="urn:uuid:2fd1e877-04eb-b820-619f-06f14e918be7"/>
  </patient>
  <billablePeriod>
    <start value="2018-10-01T14:08:44+02:00"/>
    <end value="2018-10-01T15:08:44+02:00"/>
  </billablePeriod>
  <organization>
    <reference value="urn:uuid:4bdaa4c2-c664-3089-aee2-7137abbad27f"/>
    <display value="HARRINGTON MEMORIAL HOSPITAL-1"/>
  </organization>
  <prescription>
    <reference value="urn:uuid:7540b43a-ec73-d8a0-7acc-4a80b08d5c48"/>
  </prescription>
  <item>
    <sequence value="1"/>
    <encounter>
      <reference value="urn:uuid:1523b52c-4a57-5b81-03d4-32fae9227a3f"/>
    </encounter>
  </item>
  <total>
    <value value="10.34"/>
    <system value="urn:iso:std:iso:4217"/>
    <code value="USD"/>
  </total>
</Claim>

Claim "4fed5b66-c2a4-be96-a8a4-a9b5384afac9" Version "1"

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative with Details

id: 4fed5b66-c2a4-be96-a8a4-a9b5384afac9

status: active

use: complete

patient: urn:uuid:2fd1e877-04eb-b820-619f-06f14e918be7

billablePeriod: 1/22/2018 12:56:44 PM --> 1/22/2018 1:11:44 PM

organization: HARRINGTON PHYSICIAN SERVICES INC

total: 129.16 USD (Details: urn:iso:std:iso:4217 code USD := "USD")


<?xml version="1.0" encoding="UTF-8"?>
<Claim xmlns="http://hl7.org/fhir">
  <id value="4fed5b66-c2a4-be96-a8a4-a9b5384afac9"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2021-01-15T16:21:12.204Z"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <p>
        <b>Generated Narrative with Details</b>
      </p>
      <p>
        <b>id</b>: 4fed5b66-c2a4-be96-a8a4-a9b5384afac9</p>
      <p>
        <b>status</b>: active</p>
      <p>
        <b>use</b>: complete</p>
      <p>
        <b>patient</b>:
        <a href="urn:uuid:2fd1e877-04eb-b820-619f-06f14e918be7">urn:uuid:2fd1e877-04eb-b820-619f-06f14e918be7</a>
      </p>
      <p>
        <b>billablePeriod</b>: 1/22/2018 12:56:44 PM --&gt; 1/22/2018 1:11:44 PM</p>
      <p>
        <b>organization</b>:
        <a href="urn:uuid:189f595a-277f-3a7f-93fc-f34a642885fc">HARRINGTON PHYSICIAN SERVICES INC</a>
      </p>
      <p>
        <b>total</b>: 129.16 USD
        <span style="background: LightGoldenRodYellow ">(Details: urn:iso:std:iso:4217 code USD := "USD")</span>
      </p>
    </div>
  </text>
  <status value="active"/>
  <use value="complete"/>
  <patient>
    <reference value="urn:uuid:2fd1e877-04eb-b820-619f-06f14e918be7"/>
  </patient>
  <billablePeriod>
    <start value="2018-01-22T12:56:44+01:00"/>
    <end value="2018-01-22T13:11:44+01:00"/>
  </billablePeriod>
  <organization>
    <reference value="urn:uuid:189f595a-277f-3a7f-93fc-f34a642885fc"/>
    <display value="HARRINGTON PHYSICIAN SERVICES INC"/>
  </organization>
  <information>
    <sequence value="1"/>
    <category>
      <coding>
        <system value="http://hl7.org/fhir/claiminformationcategory"/>
        <code value="info"/>
      </coding>
    </category>
    <valueReference>
      <reference value="urn:uuid:0f166867-51ad-24f0-92d1-68a67f435e8b"/>
    </valueReference>
  </information>
  <procedure>
    <sequence value="1"/>
    <procedureReference>
      <reference value="urn:uuid:2ff86b81-6a33-c176-4546-d4edd525143a"/>
    </procedureReference>
  </procedure>
  <item>
    <sequence value="1"/>
    <encounter>
      <reference value="urn:uuid:17bf823f-b5fc-0b4b-7a35-5403945f8262"/>
    </encounter>
  </item>
  <item>
    <sequence value="2"/>
    <informationLinkId value="1"/>
    <net>
      <value value="140.52"/>
      <system value="urn:iso:std:iso:4217"/>
      <code value="USD"/>
    </net>
  </item>
  <item>
    <sequence value="3"/>
    <procedureLinkId value="1"/>
    <service>
      <extension url="https://bluebutton.cms.gov/assets/ig/StructureDefinition-bluebutton-outpatient-rev-cntr-ide-ndc-upc-num-extension">
        <valueCoding>
          <system value="https://www.accessdata.fda.gov/scripts/cder/ndc"/>
          <code value="0624"/>
          <display value="Dummy"/>
        </valueCoding>
      </extension>
      <coding>
        <system value="http://snomed.info/sct"/>
        <version value="v1"/>
        <code value="430193006"/>
      </coding>
    </service>
    <net>
      <value value="668.67"/>
      <system value="urn:iso:std:iso:4217"/>
      <code value="USD"/>
    </net>
  </item>
  <total>
    <value value="129.16"/>
    <system value="urn:iso:std:iso:4217"/>
    <code value="USD"/>
  </total>
</Claim>

Claim "49a31449-5855-1075-5be1-2553b613a9b6" Version "1"

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative with Details

id: 49a31449-5855-1075-5be1-2553b613a9b6

status: active

use: complete

patient: urn:uuid:2fd1e877-04eb-b820-619f-06f14e918be7

billablePeriod: 1/22/2018 12:56:44 PM --> 1/22/2018 1:11:44 PM

organization: HARRINGTON PHYSICIAN SERVICES INC

prescription: urn:uuid:13895708-8a4d-c3d6-42b6-eab0e95198eb

total: 0.02 USD (Details: urn:iso:std:iso:4217 code USD := "USD")


<?xml version="1.0" encoding="UTF-8"?>
<Claim xmlns="http://hl7.org/fhir">
  <id value="49a31449-5855-1075-5be1-2553b613a9b6"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2021-01-15T16:21:12.141Z"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <p>
        <b>Generated Narrative with Details</b>
      </p>
      <p>
        <b>id</b>: 49a31449-5855-1075-5be1-2553b613a9b6</p>
      <p>
        <b>status</b>: active</p>
      <p>
        <b>use</b>: complete</p>
      <p>
        <b>patient</b>:
        <a href="urn:uuid:2fd1e877-04eb-b820-619f-06f14e918be7">urn:uuid:2fd1e877-04eb-b820-619f-06f14e918be7</a>
      </p>
      <p>
        <b>billablePeriod</b>: 1/22/2018 12:56:44 PM --&gt; 1/22/2018 1:11:44 PM</p>
      <p>
        <b>organization</b>:
        <a href="urn:uuid:189f595a-277f-3a7f-93fc-f34a642885fc">HARRINGTON PHYSICIAN SERVICES INC</a>
      </p>
      <p>
        <b>prescription</b>:
        <a href="urn:uuid:13895708-8a4d-c3d6-42b6-eab0e95198eb">urn:uuid:13895708-8a4d-c3d6-42b6-eab0e95198eb</a>
      </p>
      <p>
        <b>total</b>: 0.02 USD
        <span style="background: LightGoldenRodYellow ">(Details: urn:iso:std:iso:4217 code USD := "USD")</span>
      </p>
    </div>
  </text>
  <status value="active"/>
  <use value="complete"/>
  <patient>
    <reference value="urn:uuid:2fd1e877-04eb-b820-619f-06f14e918be7"/>
  </patient>
  <billablePeriod>
    <start value="2018-01-22T12:56:44+01:00"/>
    <end value="2018-01-22T13:11:44+01:00"/>
  </billablePeriod>
  <organization>
    <reference value="urn:uuid:189f595a-277f-3a7f-93fc-f34a642885fc"/>
    <display value="HARRINGTON PHYSICIAN SERVICES INC"/>
  </organization>
  <prescription>
    <reference value="urn:uuid:13895708-8a4d-c3d6-42b6-eab0e95198eb"/>
  </prescription>
  <item>
    <sequence value="1"/>
    <encounter>
      <reference value="urn:uuid:17bf823f-b5fc-0b4b-7a35-5403945f8262"/>
    </encounter>
  </item>
  <total>
    <value value="0.02"/>
    <system value="urn:iso:std:iso:4217"/>
    <code value="USD"/>
  </total>
</Claim>

Claim "a0480940-4e04-4e01-e51d-3ca0cba84feb" Version "1"

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative with Details

id: a0480940-4e04-4e01-e51d-3ca0cba84feb

status: active

use: complete

patient: urn:uuid:2fd1e877-04eb-b820-619f-06f14e918be7

billablePeriod: 1/16/2017 12:56:44 PM --> 1/16/2017 1:11:44 PM

organization: HARRINGTON PHYSICIAN SERVICES INC

total: 129.16 USD (Details: urn:iso:std:iso:4217 code USD := "USD")


<?xml version="1.0" encoding="UTF-8"?>
<Claim xmlns="http://hl7.org/fhir">
  <id value="a0480940-4e04-4e01-e51d-3ca0cba84feb"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2021-01-15T16:21:11.172Z"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <p>
        <b>Generated Narrative with Details</b>
      </p>
      <p>
        <b>id</b>: a0480940-4e04-4e01-e51d-3ca0cba84feb</p>
      <p>
        <b>status</b>: active</p>
      <p>
        <b>use</b>: complete</p>
      <p>
        <b>patient</b>:
        <a href="urn:uuid:2fd1e877-04eb-b820-619f-06f14e918be7">urn:uuid:2fd1e877-04eb-b820-619f-06f14e918be7</a>
      </p>
      <p>
        <b>billablePeriod</b>: 1/16/2017 12:56:44 PM --&gt; 1/16/2017 1:11:44 PM</p>
      <p>
        <b>organization</b>:
        <a href="urn:uuid:189f595a-277f-3a7f-93fc-f34a642885fc">HARRINGTON PHYSICIAN SERVICES INC</a>
      </p>
      <p>
        <b>total</b>: 129.16 USD
        <span style="background: LightGoldenRodYellow ">(Details: urn:iso:std:iso:4217 code USD := "USD")</span>
      </p>
    </div>
  </text>
  <status value="active"/>
  <use value="complete"/>
  <patient>
    <reference value="urn:uuid:2fd1e877-04eb-b820-619f-06f14e918be7"/>
  </patient>
  <billablePeriod>
    <start value="2017-01-16T12:56:44+01:00"/>
    <end value="2017-01-16T13:11:44+01:00"/>
  </billablePeriod>
  <organization>
    <reference value="urn:uuid:189f595a-277f-3a7f-93fc-f34a642885fc"/>
    <display value="HARRINGTON PHYSICIAN SERVICES INC"/>
  </organization>
  <information>
    <sequence value="1"/>
    <category>
      <coding>
        <system value="http://hl7.org/fhir/claiminformationcategory"/>
        <code value="info"/>
      </coding>
    </category>
    <valueReference>
      <reference value="urn:uuid:bbbba9da-690e-9936-1e3e-9666591d8b3b"/>
    </valueReference>
  </information>
  <procedure>
    <sequence value="1"/>
    <procedureReference>
      <reference value="urn:uuid:370458d0-4ba5-cda4-0a92-332e3905d39f"/>
    </procedureReference>
  </procedure>
  <item>
    <sequence value="1"/>
    <encounter>
      <reference value="urn:uuid:94caad33-ffd5-ca67-342f-b6995a72a240"/>
    </encounter>
  </item>
  <item>
    <sequence value="2"/>
    <informationLinkId value="1"/>
    <net>
      <value value="140.52"/>
      <system value="urn:iso:std:iso:4217"/>
      <code value="USD"/>
    </net>
  </item>
  <item>
    <sequence value="3"/>
    <procedureLinkId value="1"/>
    <service>
      <extension url="https://bluebutton.cms.gov/assets/ig/StructureDefinition-bluebutton-outpatient-rev-cntr-ide-ndc-upc-num-extension">
        <valueCoding>
          <system value="https://www.accessdata.fda.gov/scripts/cder/ndc"/>
          <code value="0624"/>
          <display value="Dummy"/>
        </valueCoding>
      </extension>
      <coding>
        <system value="http://snomed.info/sct"/>
        <version value="v1"/>
        <code value="430193006"/>
      </coding>
    </service>
    <net>
      <value value="351.75"/>
      <system value="urn:iso:std:iso:4217"/>
      <code value="USD"/>
    </net>
  </item>
  <total>
    <value value="129.16"/>
    <system value="urn:iso:std:iso:4217"/>
    <code value="USD"/>
  </total>
</Claim>

Claim "b6ca01c8-7961-f9bc-85bf-ec161c91c719" Version "1"

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative with Details

id: b6ca01c8-7961-f9bc-85bf-ec161c91c719

status: active

use: complete

patient: urn:uuid:2fd1e877-04eb-b820-619f-06f14e918be7

billablePeriod: 1/16/2017 12:56:44 PM --> 1/16/2017 1:11:44 PM

organization: HARRINGTON PHYSICIAN SERVICES INC

prescription: urn:uuid:9c67bb4b-2952-912f-63fa-018103856459

total: 0.02 USD (Details: urn:iso:std:iso:4217 code USD := "USD")


<?xml version="1.0" encoding="UTF-8"?>
<Claim xmlns="http://hl7.org/fhir">
  <id value="b6ca01c8-7961-f9bc-85bf-ec161c91c719"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2021-01-15T16:21:11.125Z"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <p>
        <b>Generated Narrative with Details</b>
      </p>
      <p>
        <b>id</b>: b6ca01c8-7961-f9bc-85bf-ec161c91c719</p>
      <p>
        <b>status</b>: active</p>
      <p>
        <b>use</b>: complete</p>
      <p>
        <b>patient</b>:
        <a href="urn:uuid:2fd1e877-04eb-b820-619f-06f14e918be7">urn:uuid:2fd1e877-04eb-b820-619f-06f14e918be7</a>
      </p>
      <p>
        <b>billablePeriod</b>: 1/16/2017 12:56:44 PM --&gt; 1/16/2017 1:11:44 PM</p>
      <p>
        <b>organization</b>:
        <a href="urn:uuid:189f595a-277f-3a7f-93fc-f34a642885fc">HARRINGTON PHYSICIAN SERVICES INC</a>
      </p>
      <p>
        <b>prescription</b>:
        <a href="urn:uuid:9c67bb4b-2952-912f-63fa-018103856459">urn:uuid:9c67bb4b-2952-912f-63fa-018103856459</a>
      </p>
      <p>
        <b>total</b>: 0.02 USD
        <span style="background: LightGoldenRodYellow ">(Details: urn:iso:std:iso:4217 code USD := "USD")</span>
      </p>
    </div>
  </text>
  <status value="active"/>
  <use value="complete"/>
  <patient>
    <reference value="urn:uuid:2fd1e877-04eb-b820-619f-06f14e918be7"/>
  </patient>
  <billablePeriod>
    <start value="2017-01-16T12:56:44+01:00"/>
    <end value="2017-01-16T13:11:44+01:00"/>
  </billablePeriod>
  <organization>
    <reference value="urn:uuid:189f595a-277f-3a7f-93fc-f34a642885fc"/>
    <display value="HARRINGTON PHYSICIAN SERVICES INC"/>
  </organization>
  <prescription>
    <reference value="urn:uuid:9c67bb4b-2952-912f-63fa-018103856459"/>
  </prescription>
  <item>
    <sequence value="1"/>
    <encounter>
      <reference value="urn:uuid:94caad33-ffd5-ca67-342f-b6995a72a240"/>
    </encounter>
  </item>
  <total>
    <value value="0.02"/>
    <system value="urn:iso:std:iso:4217"/>
    <code value="USD"/>
  </total>
</Claim>

Claim "fbc6e7d1-1694-8519-774e-f776e2c5cf97" Version "1"

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative with Details

id: fbc6e7d1-1694-8519-774e-f776e2c5cf97

status: active

use: complete

patient: urn:uuid:2fd1e877-04eb-b820-619f-06f14e918be7

billablePeriod: 10/27/2016 1:56:44 PM --> 10/27/2016 2:56:44 PM

organization: HARRINGTON MEMORIAL HOSPITAL-1

total: 129.16 USD (Details: urn:iso:std:iso:4217 code USD := "USD")


<?xml version="1.0" encoding="UTF-8"?>
<Claim xmlns="http://hl7.org/fhir">
  <id value="fbc6e7d1-1694-8519-774e-f776e2c5cf97"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2021-01-15T16:21:10.204Z"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <p>
        <b>Generated Narrative with Details</b>
      </p>
      <p>
        <b>id</b>: fbc6e7d1-1694-8519-774e-f776e2c5cf97</p>
      <p>
        <b>status</b>: active</p>
      <p>
        <b>use</b>: complete</p>
      <p>
        <b>patient</b>:
        <a href="urn:uuid:2fd1e877-04eb-b820-619f-06f14e918be7">urn:uuid:2fd1e877-04eb-b820-619f-06f14e918be7</a>
      </p>
      <p>
        <b>billablePeriod</b>: 10/27/2016 1:56:44 PM --&gt; 10/27/2016 2:56:44 PM</p>
      <p>
        <b>organization</b>:
        <a href="urn:uuid:4bdaa4c2-c664-3089-aee2-7137abbad27f">HARRINGTON MEMORIAL HOSPITAL-1</a>
      </p>
      <p>
        <b>total</b>: 129.16 USD
        <span style="background: LightGoldenRodYellow ">(Details: urn:iso:std:iso:4217 code USD := "USD")</span>
      </p>
    </div>
  </text>
  <status value="active"/>
  <use value="complete"/>
  <patient>
    <reference value="urn:uuid:2fd1e877-04eb-b820-619f-06f14e918be7"/>
  </patient>
  <billablePeriod>
    <start value="2016-10-27T13:56:44+02:00"/>
    <end value="2016-10-27T14:56:44+02:00"/>
  </billablePeriod>
  <organization>
    <reference value="urn:uuid:4bdaa4c2-c664-3089-aee2-7137abbad27f"/>
    <display value="HARRINGTON MEMORIAL HOSPITAL-1"/>
  </organization>
  <diagnosis>
    <sequence value="1"/>
    <diagnosisReference>
      <reference value="urn:uuid:6a849f2b-81f1-227e-423c-7162c30a50d9"/>
    </diagnosisReference>
  </diagnosis>
  <procedure>
    <sequence value="1"/>
    <procedureReference>
      <reference value="urn:uuid:de6052f6-5f2c-997a-d03f-2f988fce5ba7"/>
    </procedureReference>
  </procedure>
  <item>
    <sequence value="1"/>
    <encounter>
      <reference value="urn:uuid:8327470a-b1bf-aa96-b59c-db1956023fe4"/>
    </encounter>
  </item>
  <item>
    <sequence value="2"/>
    <diagnosisLinkId value="1"/>
  </item>
  <item>
    <sequence value="3"/>
    <procedureLinkId value="1"/>
    <service>
      <coding>
        <system value="http://snomed.info/sct"/>
        <version value="v1"/>
        <code value="288086009"/>
      </coding>
    </service>
    <net>
      <value value="10683.10"/>
      <system value="urn:iso:std:iso:4217"/>
      <code value="USD"/>
    </net>
  </item>
  <total>
    <value value="129.16"/>
    <system value="urn:iso:std:iso:4217"/>
    <code value="USD"/>
  </total>
</Claim>

Claim "26eb5cdd-37b1-c52e-f830-6f2ac4b7eb5e" Version "1"

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative with Details

id: 26eb5cdd-37b1-c52e-f830-6f2ac4b7eb5e

status: active

use: complete

patient: urn:uuid:2fd1e877-04eb-b820-619f-06f14e918be7

billablePeriod: 10/27/2016 1:56:44 PM --> 10/27/2016 2:56:44 PM

organization: HARRINGTON MEMORIAL HOSPITAL-1

prescription: urn:uuid:51166527-4495-56dc-c135-2ce516b164b6

total: 23.94 USD (Details: urn:iso:std:iso:4217 code USD := "USD")


<?xml version="1.0" encoding="UTF-8"?>
<Claim xmlns="http://hl7.org/fhir">
  <id value="26eb5cdd-37b1-c52e-f830-6f2ac4b7eb5e"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2021-01-15T16:21:10.141Z"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <p>
        <b>Generated Narrative with Details</b>
      </p>
      <p>
        <b>id</b>: 26eb5cdd-37b1-c52e-f830-6f2ac4b7eb5e</p>
      <p>
        <b>status</b>: active</p>
      <p>
        <b>use</b>: complete</p>
      <p>
        <b>patient</b>:
        <a href="urn:uuid:2fd1e877-04eb-b820-619f-06f14e918be7">urn:uuid:2fd1e877-04eb-b820-619f-06f14e918be7</a>
      </p>
      <p>
        <b>billablePeriod</b>: 10/27/2016 1:56:44 PM --&gt; 10/27/2016 2:56:44 PM</p>
      <p>
        <b>organization</b>:
        <a href="urn:uuid:4bdaa4c2-c664-3089-aee2-7137abbad27f">HARRINGTON MEMORIAL HOSPITAL-1</a>
      </p>
      <p>
        <b>prescription</b>:
        <a href="urn:uuid:51166527-4495-56dc-c135-2ce516b164b6">urn:uuid:51166527-4495-56dc-c135-2ce516b164b6</a>
      </p>
      <p>
        <b>total</b>: 23.94 USD
        <span style="background: LightGoldenRodYellow ">(Details: urn:iso:std:iso:4217 code USD := "USD")</span>
      </p>
    </div>
  </text>
  <status value="active"/>
  <use value="complete"/>
  <patient>
    <reference value="urn:uuid:2fd1e877-04eb-b820-619f-06f14e918be7"/>
  </patient>
  <billablePeriod>
    <start value="2016-10-27T13:56:44+02:00"/>
    <end value="2016-10-27T14:56:44+02:00"/>
  </billablePeriod>
  <organization>
    <reference value="urn:uuid:4bdaa4c2-c664-3089-aee2-7137abbad27f"/>
    <display value="HARRINGTON MEMORIAL HOSPITAL-1"/>
  </organization>
  <prescription>
    <reference value="urn:uuid:51166527-4495-56dc-c135-2ce516b164b6"/>
  </prescription>
  <item>
    <sequence value="1"/>
    <encounter>
      <reference value="urn:uuid:8327470a-b1bf-aa96-b59c-db1956023fe4"/>
    </encounter>
  </item>
  <total>
    <value value="23.94"/>
    <system value="urn:iso:std:iso:4217"/>
    <code value="USD"/>
  </total>
</Claim>

Claim "cc5045e2-7d01-565f-3b82-59f749feb86d" Version "1"

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative with Details

id: cc5045e2-7d01-565f-3b82-59f749feb86d

status: active

use: complete

patient: urn:uuid:2fd1e877-04eb-b820-619f-06f14e918be7

billablePeriod: 1/11/2016 12:56:44 PM --> 1/11/2016 1:11:44 PM

organization: HARRINGTON PHYSICIAN SERVICES INC

total: 129.16 USD (Details: urn:iso:std:iso:4217 code USD := "USD")


<?xml version="1.0" encoding="UTF-8"?>
<Claim xmlns="http://hl7.org/fhir">
  <id value="cc5045e2-7d01-565f-3b82-59f749feb86d"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2021-01-15T16:21:09.797Z"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <p>
        <b>Generated Narrative with Details</b>
      </p>
      <p>
        <b>id</b>: cc5045e2-7d01-565f-3b82-59f749feb86d</p>
      <p>
        <b>status</b>: active</p>
      <p>
        <b>use</b>: complete</p>
      <p>
        <b>patient</b>:
        <a href="urn:uuid:2fd1e877-04eb-b820-619f-06f14e918be7">urn:uuid:2fd1e877-04eb-b820-619f-06f14e918be7</a>
      </p>
      <p>
        <b>billablePeriod</b>: 1/11/2016 12:56:44 PM --&gt; 1/11/2016 1:11:44 PM</p>
      <p>
        <b>organization</b>:
        <a href="urn:uuid:189f595a-277f-3a7f-93fc-f34a642885fc">HARRINGTON PHYSICIAN SERVICES INC</a>
      </p>
      <p>
        <b>total</b>: 129.16 USD
        <span style="background: LightGoldenRodYellow ">(Details: urn:iso:std:iso:4217 code USD := "USD")</span>
      </p>
    </div>
  </text>
  <status value="active"/>
  <use value="complete"/>
  <patient>
    <reference value="urn:uuid:2fd1e877-04eb-b820-619f-06f14e918be7"/>
  </patient>
  <billablePeriod>
    <start value="2016-01-11T12:56:44+01:00"/>
    <end value="2016-01-11T13:11:44+01:00"/>
  </billablePeriod>
  <organization>
    <reference value="urn:uuid:189f595a-277f-3a7f-93fc-f34a642885fc"/>
    <display value="HARRINGTON PHYSICIAN SERVICES INC"/>
  </organization>
  <information>
    <sequence value="1"/>
    <category>
      <coding>
        <system value="http://hl7.org/fhir/claiminformationcategory"/>
        <code value="info"/>
      </coding>
    </category>
    <valueReference>
      <reference value="urn:uuid:ab11e179-17be-a7cb-61ed-d5b75b6e497d"/>
    </valueReference>
  </information>
  <item>
    <sequence value="1"/>
    <encounter>
      <reference value="urn:uuid:1c47300a-6e5d-bf15-e86c-f25d130f7b5e"/>
    </encounter>
  </item>
  <item>
    <sequence value="2"/>
    <informationLinkId value="1"/>
    <net>
      <value value="140.52"/>
      <system value="urn:iso:std:iso:4217"/>
      <code value="USD"/>
    </net>
  </item>
  <total>
    <value value="129.16"/>
    <system value="urn:iso:std:iso:4217"/>
    <code value="USD"/>
  </total>
</Claim>

Claim "ed339590-8e39-db77-5085-5ff00aabbdff" Version "1"

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative with Details

id: ed339590-8e39-db77-5085-5ff00aabbdff

status: active

use: complete

patient: urn:uuid:2fd1e877-04eb-b820-619f-06f14e918be7

billablePeriod: 1/11/2016 12:56:44 PM --> 1/11/2016 1:11:44 PM

organization: HARRINGTON PHYSICIAN SERVICES INC

prescription: urn:uuid:b42d5c52-5b8c-3598-4ae4-9a6bae14a956

total: 0.02 USD (Details: urn:iso:std:iso:4217 code USD := "USD")


<?xml version="1.0" encoding="UTF-8"?>
<Claim xmlns="http://hl7.org/fhir">
  <id value="ed339590-8e39-db77-5085-5ff00aabbdff"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2021-01-15T16:21:09.672Z"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <p>
        <b>Generated Narrative with Details</b>
      </p>
      <p>
        <b>id</b>: ed339590-8e39-db77-5085-5ff00aabbdff</p>
      <p>
        <b>status</b>: active</p>
      <p>
        <b>use</b>: complete</p>
      <p>
        <b>patient</b>:
        <a href="urn:uuid:2fd1e877-04eb-b820-619f-06f14e918be7">urn:uuid:2fd1e877-04eb-b820-619f-06f14e918be7</a>
      </p>
      <p>
        <b>billablePeriod</b>: 1/11/2016 12:56:44 PM --&gt; 1/11/2016 1:11:44 PM</p>
      <p>
        <b>organization</b>:
        <a href="urn:uuid:189f595a-277f-3a7f-93fc-f34a642885fc">HARRINGTON PHYSICIAN SERVICES INC</a>
      </p>
      <p>
        <b>prescription</b>:
        <a href="urn:uuid:b42d5c52-5b8c-3598-4ae4-9a6bae14a956">urn:uuid:b42d5c52-5b8c-3598-4ae4-9a6bae14a956</a>
      </p>
      <p>
        <b>total</b>: 0.02 USD
        <span style="background: LightGoldenRodYellow ">(Details: urn:iso:std:iso:4217 code USD := "USD")</span>
      </p>
    </div>
  </text>
  <status value="active"/>
  <use value="complete"/>
  <patient>
    <reference value="urn:uuid:2fd1e877-04eb-b820-619f-06f14e918be7"/>
  </patient>
  <billablePeriod>
    <start value="2016-01-11T12:56:44+01:00"/>
    <end value="2016-01-11T13:11:44+01:00"/>
  </billablePeriod>
  <organization>
    <reference value="urn:uuid:189f595a-277f-3a7f-93fc-f34a642885fc"/>
    <display value="HARRINGTON PHYSICIAN SERVICES INC"/>
  </organization>
  <prescription>
    <reference value="urn:uuid:b42d5c52-5b8c-3598-4ae4-9a6bae14a956"/>
  </prescription>
  <item>
    <sequence value="1"/>
    <encounter>
      <reference value="urn:uuid:1c47300a-6e5d-bf15-e86c-f25d130f7b5e"/>
    </encounter>
  </item>
  <total>
    <value value="0.02"/>
    <system value="urn:iso:std:iso:4217"/>
    <code value="USD"/>
  </total>
</Claim>

Claim "fb86dc32-429a-d312-a59d-d814544e5d6c" Version "1"

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative with Details

id: fb86dc32-429a-d312-a59d-d814544e5d6c

status: active

use: complete

patient: urn:uuid:2fd1e877-04eb-b820-619f-06f14e918be7

billablePeriod: 1/5/2015 12:56:44 PM --> 1/5/2015 1:11:44 PM

organization: HARRINGTON PHYSICIAN SERVICES INC

total: 129.16 USD (Details: urn:iso:std:iso:4217 code USD := "USD")


<?xml version="1.0" encoding="UTF-8"?>
<Claim xmlns="http://hl7.org/fhir">
  <id value="fb86dc32-429a-d312-a59d-d814544e5d6c"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2021-01-15T16:21:08.610Z"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <p>
        <b>Generated Narrative with Details</b>
      </p>
      <p>
        <b>id</b>: fb86dc32-429a-d312-a59d-d814544e5d6c</p>
      <p>
        <b>status</b>: active</p>
      <p>
        <b>use</b>: complete</p>
      <p>
        <b>patient</b>:
        <a href="urn:uuid:2fd1e877-04eb-b820-619f-06f14e918be7">urn:uuid:2fd1e877-04eb-b820-619f-06f14e918be7</a>
      </p>
      <p>
        <b>billablePeriod</b>: 1/5/2015 12:56:44 PM --&gt; 1/5/2015 1:11:44 PM</p>
      <p>
        <b>organization</b>:
        <a href="urn:uuid:189f595a-277f-3a7f-93fc-f34a642885fc">HARRINGTON PHYSICIAN SERVICES INC</a>
      </p>
      <p>
        <b>total</b>: 129.16 USD
        <span style="background: LightGoldenRodYellow ">(Details: urn:iso:std:iso:4217 code USD := "USD")</span>
      </p>
    </div>
  </text>
  <status value="active"/>
  <use value="complete"/>
  <patient>
    <reference value="urn:uuid:2fd1e877-04eb-b820-619f-06f14e918be7"/>
  </patient>
  <billablePeriod>
    <start value="2015-01-05T12:56:44+01:00"/>
    <end value="2015-01-05T13:11:44+01:00"/>
  </billablePeriod>
  <organization>
    <reference value="urn:uuid:189f595a-277f-3a7f-93fc-f34a642885fc"/>
    <display value="HARRINGTON PHYSICIAN SERVICES INC"/>
  </organization>
  <information>
    <sequence value="1"/>
    <category>
      <coding>
        <system value="http://hl7.org/fhir/claiminformationcategory"/>
        <code value="info"/>
      </coding>
    </category>
    <valueReference>
      <reference value="urn:uuid:089a470e-daa0-7234-2b20-ddd36cfe1a95"/>
    </valueReference>
  </information>
  <information>
    <sequence value="2"/>
    <category>
      <coding>
        <system value="http://hl7.org/fhir/claiminformationcategory"/>
        <code value="info"/>
      </coding>
    </category>
    <valueReference>
      <reference value="urn:uuid:f6034646-91e3-dbde-041b-f7a66ec3b23c"/>
    </valueReference>
  </information>
  <item>
    <sequence value="1"/>
    <encounter>
      <reference value="urn:uuid:e8d64cdd-3728-b11a-fa5d-e1a04d461e1a"/>
    </encounter>
  </item>
  <item>
    <sequence value="2"/>
    <informationLinkId value="1"/>
    <net>
      <value value="140.52"/>
      <system value="urn:iso:std:iso:4217"/>
      <code value="USD"/>
    </net>
  </item>
  <item>
    <sequence value="3"/>
    <informationLinkId value="2"/>
    <net>
      <value value="140.52"/>
      <system value="urn:iso:std:iso:4217"/>
      <code value="USD"/>
    </net>
  </item>
  <total>
    <value value="129.16"/>
    <system value="urn:iso:std:iso:4217"/>
    <code value="USD"/>
  </total>
</Claim>

Claim "6d1eeb5d-f66a-af2b-e96d-9c8e6a533485" Version "1"

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative with Details

id: 6d1eeb5d-f66a-af2b-e96d-9c8e6a533485

status: active

use: complete

patient: urn:uuid:2fd1e877-04eb-b820-619f-06f14e918be7

billablePeriod: 1/5/2015 12:56:44 PM --> 1/5/2015 1:11:44 PM

organization: HARRINGTON PHYSICIAN SERVICES INC

prescription: urn:uuid:5a78d756-b947-7f3b-b716-58fa26c33cb6

total: 0.02 USD (Details: urn:iso:std:iso:4217 code USD := "USD")


<?xml version="1.0" encoding="UTF-8"?>
<Claim xmlns="http://hl7.org/fhir">
  <id value="6d1eeb5d-f66a-af2b-e96d-9c8e6a533485"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2021-01-15T16:21:08.329Z"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <p>
        <b>Generated Narrative with Details</b>
      </p>
      <p>
        <b>id</b>: 6d1eeb5d-f66a-af2b-e96d-9c8e6a533485</p>
      <p>
        <b>status</b>: active</p>
      <p>
        <b>use</b>: complete</p>
      <p>
        <b>patient</b>:
        <a href="urn:uuid:2fd1e877-04eb-b820-619f-06f14e918be7">urn:uuid:2fd1e877-04eb-b820-619f-06f14e918be7</a>
      </p>
      <p>
        <b>billablePeriod</b>: 1/5/2015 12:56:44 PM --&gt; 1/5/2015 1:11:44 PM</p>
      <p>
        <b>organization</b>:
        <a href="urn:uuid:189f595a-277f-3a7f-93fc-f34a642885fc">HARRINGTON PHYSICIAN SERVICES INC</a>
      </p>
      <p>
        <b>prescription</b>:
        <a href="urn:uuid:5a78d756-b947-7f3b-b716-58fa26c33cb6">urn:uuid:5a78d756-b947-7f3b-b716-58fa26c33cb6</a>
      </p>
      <p>
        <b>total</b>: 0.02 USD
        <span style="background: LightGoldenRodYellow ">(Details: urn:iso:std:iso:4217 code USD := "USD")</span>
      </p>
    </div>
  </text>
  <status value="active"/>
  <use value="complete"/>
  <patient>
    <reference value="urn:uuid:2fd1e877-04eb-b820-619f-06f14e918be7"/>
  </patient>
  <billablePeriod>
    <start value="2015-01-05T12:56:44+01:00"/>
    <end value="2015-01-05T13:11:44+01:00"/>
  </billablePeriod>
  <organization>
    <reference value="urn:uuid:189f595a-277f-3a7f-93fc-f34a642885fc"/>
    <display value="HARRINGTON PHYSICIAN SERVICES INC"/>
  </organization>
  <prescription>
    <reference value="urn:uuid:5a78d756-b947-7f3b-b716-58fa26c33cb6"/>
  </prescription>
  <item>
    <sequence value="1"/>
    <encounter>
      <reference value="urn:uuid:e8d64cdd-3728-b11a-fa5d-e1a04d461e1a"/>
    </encounter>
  </item>
  <total>
    <value value="0.02"/>
    <system value="urn:iso:std:iso:4217"/>
    <code value="USD"/>
  </total>
</Claim>

Claim "25085ca4-5474-d458-2d2f-69f0cc6511e0" Version "1"

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative with Details

id: 25085ca4-5474-d458-2d2f-69f0cc6511e0

status: active

use: complete

patient: urn:uuid:2fd1e877-04eb-b820-619f-06f14e918be7

billablePeriod: 1/11/2014 12:56:44 PM --> 1/11/2014 1:11:44 PM

organization: HARRINGTON MEMORIAL HOSPITAL-1

total: 77.49 USD (Details: urn:iso:std:iso:4217 code USD := "USD")


<?xml version="1.0" encoding="UTF-8"?>
<Claim xmlns="http://hl7.org/fhir">
  <id value="25085ca4-5474-d458-2d2f-69f0cc6511e0"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2021-01-15T16:21:07.454Z"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <p>
        <b>Generated Narrative with Details</b>
      </p>
      <p>
        <b>id</b>: 25085ca4-5474-d458-2d2f-69f0cc6511e0</p>
      <p>
        <b>status</b>: active</p>
      <p>
        <b>use</b>: complete</p>
      <p>
        <b>patient</b>:
        <a href="urn:uuid:2fd1e877-04eb-b820-619f-06f14e918be7">urn:uuid:2fd1e877-04eb-b820-619f-06f14e918be7</a>
      </p>
      <p>
        <b>billablePeriod</b>: 1/11/2014 12:56:44 PM --&gt; 1/11/2014 1:11:44 PM</p>
      <p>
        <b>organization</b>:
        <a href="urn:uuid:4bdaa4c2-c664-3089-aee2-7137abbad27f">HARRINGTON MEMORIAL HOSPITAL-1</a>
      </p>
      <p>
        <b>total</b>: 77.49 USD
        <span style="background: LightGoldenRodYellow ">(Details: urn:iso:std:iso:4217 code USD := "USD")</span>
      </p>
    </div>
  </text>
  <status value="active"/>
  <use value="complete"/>
  <patient>
    <reference value="urn:uuid:2fd1e877-04eb-b820-619f-06f14e918be7"/>
  </patient>
  <billablePeriod>
    <start value="2014-01-11T12:56:44+01:00"/>
    <end value="2014-01-11T13:11:44+01:00"/>
  </billablePeriod>
  <organization>
    <reference value="urn:uuid:4bdaa4c2-c664-3089-aee2-7137abbad27f"/>
    <display value="HARRINGTON MEMORIAL HOSPITAL-1"/>
  </organization>
  <item>
    <sequence value="1"/>
    <encounter>
      <reference value="urn:uuid:4beb1c9a-b4f6-85d7-77b1-9f527dd20517"/>
    </encounter>
  </item>
  <total>
    <value value="77.49"/>
    <system value="urn:iso:std:iso:4217"/>
    <code value="USD"/>
  </total>
</Claim>

Claim "93821995-1f4e-e089-c61f-bbcb0b9755d8" Version "1"

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative with Details

id: 93821995-1f4e-e089-c61f-bbcb0b9755d8

status: active

use: complete

patient: urn:uuid:2fd1e877-04eb-b820-619f-06f14e918be7

billablePeriod: 12/30/2013 12:56:44 PM --> 12/30/2013 1:11:44 PM

organization: HARRINGTON PHYSICIAN SERVICES INC

total: 129.16 USD (Details: urn:iso:std:iso:4217 code USD := "USD")


<?xml version="1.0" encoding="UTF-8"?>
<Claim xmlns="http://hl7.org/fhir">
  <id value="93821995-1f4e-e089-c61f-bbcb0b9755d8"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2021-01-15T16:21:07.204Z"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <p>
        <b>Generated Narrative with Details</b>
      </p>
      <p>
        <b>id</b>: 93821995-1f4e-e089-c61f-bbcb0b9755d8</p>
      <p>
        <b>status</b>: active</p>
      <p>
        <b>use</b>: complete</p>
      <p>
        <b>patient</b>:
        <a href="urn:uuid:2fd1e877-04eb-b820-619f-06f14e918be7">urn:uuid:2fd1e877-04eb-b820-619f-06f14e918be7</a>
      </p>
      <p>
        <b>billablePeriod</b>: 12/30/2013 12:56:44 PM --&gt; 12/30/2013 1:11:44 PM</p>
      <p>
        <b>organization</b>:
        <a href="urn:uuid:189f595a-277f-3a7f-93fc-f34a642885fc">HARRINGTON PHYSICIAN SERVICES INC</a>
      </p>
      <p>
        <b>total</b>: 129.16 USD
        <span style="background: LightGoldenRodYellow ">(Details: urn:iso:std:iso:4217 code USD := "USD")</span>
      </p>
    </div>
  </text>
  <status value="active"/>
  <use value="complete"/>
  <patient>
    <reference value="urn:uuid:2fd1e877-04eb-b820-619f-06f14e918be7"/>
  </patient>
  <billablePeriod>
    <start value="2013-12-30T12:56:44+01:00"/>
    <end value="2013-12-30T13:11:44+01:00"/>
  </billablePeriod>
  <organization>
    <reference value="urn:uuid:189f595a-277f-3a7f-93fc-f34a642885fc"/>
    <display value="HARRINGTON PHYSICIAN SERVICES INC"/>
  </organization>
  <information>
    <sequence value="1"/>
    <category>
      <coding>
        <system value="http://hl7.org/fhir/claiminformationcategory"/>
        <code value="info"/>
      </coding>
    </category>
    <valueReference>
      <reference value="urn:uuid:240ac00b-fdd2-df72-b888-1cb2e2feb7d1"/>
    </valueReference>
  </information>
  <information>
    <sequence value="2"/>
    <category>
      <coding>
        <system value="http://hl7.org/fhir/claiminformationcategory"/>
        <code value="info"/>
      </coding>
    </category>
    <valueReference>
      <reference value="urn:uuid:5b6952b3-77dd-8b87-5ff0-26c6e1b4cbed"/>
    </valueReference>
  </information>
  <information>
    <sequence value="3"/>
    <category>
      <coding>
        <system value="http://hl7.org/fhir/claiminformationcategory"/>
        <code value="info"/>
      </coding>
    </category>
    <valueReference>
      <reference value="urn:uuid:fb7767b4-8935-681a-1b12-b5b711a9c138"/>
    </valueReference>
  </information>
  <information>
    <sequence value="4"/>
    <category>
      <coding>
        <system value="http://hl7.org/fhir/claiminformationcategory"/>
        <code value="info"/>
      </coding>
    </category>
    <valueReference>
      <reference value="urn:uuid:492dc58d-c3b6-4eb8-dca9-78f59f82dc7f"/>
    </valueReference>
  </information>
  <item>
    <sequence value="1"/>
    <encounter>
      <reference value="urn:uuid:5a3c2587-83bb-c1a8-93df-fcd8bd3bc8b7"/>
    </encounter>
  </item>
  <item>
    <sequence value="2"/>
    <informationLinkId value="1"/>
    <net>
      <value value="140.52"/>
      <system value="urn:iso:std:iso:4217"/>
      <code value="USD"/>
    </net>
  </item>
  <item>
    <sequence value="3"/>
    <informationLinkId value="2"/>
    <net>
      <value value="140.52"/>
      <system value="urn:iso:std:iso:4217"/>
      <code value="USD"/>
    </net>
  </item>
  <item>
    <sequence value="4"/>
    <informationLinkId value="3"/>
    <net>
      <value value="140.52"/>
      <system value="urn:iso:std:iso:4217"/>
      <code value="USD"/>
    </net>
  </item>
  <item>
    <sequence value="5"/>
    <informationLinkId value="4"/>
    <net>
      <value value="140.52"/>
      <system value="urn:iso:std:iso:4217"/>
      <code value="USD"/>
    </net>
  </item>
  <total>
    <value value="129.16"/>
    <system value="urn:iso:std:iso:4217"/>
    <code value="USD"/>
  </total>
</Claim>

Claim "c5df8784-036a-f1e0-e864-33a609c98665" Version "1"

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative with Details

id: c5df8784-036a-f1e0-e864-33a609c98665

status: active

use: complete

patient: urn:uuid:2fd1e877-04eb-b820-619f-06f14e918be7

billablePeriod: 12/30/2013 12:56:44 PM --> 12/30/2013 1:11:44 PM

organization: HARRINGTON PHYSICIAN SERVICES INC

prescription: urn:uuid:3aca81c5-a5c7-43a9-1986-83f46491f314

total: 0.02 USD (Details: urn:iso:std:iso:4217 code USD := "USD")


<?xml version="1.0" encoding="UTF-8"?>
<Claim xmlns="http://hl7.org/fhir">
  <id value="c5df8784-036a-f1e0-e864-33a609c98665"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2021-01-15T16:21:06.954Z"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <p>
        <b>Generated Narrative with Details</b>
      </p>
      <p>
        <b>id</b>: c5df8784-036a-f1e0-e864-33a609c98665</p>
      <p>
        <b>status</b>: active</p>
      <p>
        <b>use</b>: complete</p>
      <p>
        <b>patient</b>:
        <a href="urn:uuid:2fd1e877-04eb-b820-619f-06f14e918be7">urn:uuid:2fd1e877-04eb-b820-619f-06f14e918be7</a>
      </p>
      <p>
        <b>billablePeriod</b>: 12/30/2013 12:56:44 PM --&gt; 12/30/2013 1:11:44 PM</p>
      <p>
        <b>organization</b>:
        <a href="urn:uuid:189f595a-277f-3a7f-93fc-f34a642885fc">HARRINGTON PHYSICIAN SERVICES INC</a>
      </p>
      <p>
        <b>prescription</b>:
        <a href="urn:uuid:3aca81c5-a5c7-43a9-1986-83f46491f314">urn:uuid:3aca81c5-a5c7-43a9-1986-83f46491f314</a>
      </p>
      <p>
        <b>total</b>: 0.02 USD
        <span style="background: LightGoldenRodYellow ">(Details: urn:iso:std:iso:4217 code USD := "USD")</span>
      </p>
    </div>
  </text>
  <status value="active"/>
  <use value="complete"/>
  <patient>
    <reference value="urn:uuid:2fd1e877-04eb-b820-619f-06f14e918be7"/>
  </patient>
  <billablePeriod>
    <start value="2013-12-30T12:56:44+01:00"/>
    <end value="2013-12-30T13:11:44+01:00"/>
  </billablePeriod>
  <organization>
    <reference value="urn:uuid:189f595a-277f-3a7f-93fc-f34a642885fc"/>
    <display value="HARRINGTON PHYSICIAN SERVICES INC"/>
  </organization>
  <prescription>
    <reference value="urn:uuid:3aca81c5-a5c7-43a9-1986-83f46491f314"/>
  </prescription>
  <item>
    <sequence value="1"/>
    <encounter>
      <reference value="urn:uuid:5a3c2587-83bb-c1a8-93df-fcd8bd3bc8b7"/>
    </encounter>
  </item>
  <total>
    <value value="0.02"/>
    <system value="urn:iso:std:iso:4217"/>
    <code value="USD"/>
  </total>
</Claim>

Claim "0017d571-f521-a762-eaa3-8a5ce64a59ff" Version "1"

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative with Details

id: 0017d571-f521-a762-eaa3-8a5ce64a59ff

status: active

use: complete

patient: urn:uuid:2fd1e877-04eb-b820-619f-06f14e918be7

billablePeriod: 12/12/2013 12:56:44 PM --> 12/12/2013 1:11:44 PM

organization: HARRINGTON MEMORIAL HOSPITAL-1

total: 77.49 USD (Details: urn:iso:std:iso:4217 code USD := "USD")


<?xml version="1.0" encoding="UTF-8"?>
<Claim xmlns="http://hl7.org/fhir">
  <id value="0017d571-f521-a762-eaa3-8a5ce64a59ff"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2021-01-15T16:21:05.485Z"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <p>
        <b>Generated Narrative with Details</b>
      </p>
      <p>
        <b>id</b>: 0017d571-f521-a762-eaa3-8a5ce64a59ff</p>
      <p>
        <b>status</b>: active</p>
      <p>
        <b>use</b>: complete</p>
      <p>
        <b>patient</b>:
        <a href="urn:uuid:2fd1e877-04eb-b820-619f-06f14e918be7">urn:uuid:2fd1e877-04eb-b820-619f-06f14e918be7</a>
      </p>
      <p>
        <b>billablePeriod</b>: 12/12/2013 12:56:44 PM --&gt; 12/12/2013 1:11:44 PM</p>
      <p>
        <b>organization</b>:
        <a href="urn:uuid:4bdaa4c2-c664-3089-aee2-7137abbad27f">HARRINGTON MEMORIAL HOSPITAL-1</a>
      </p>
      <p>
        <b>total</b>: 77.49 USD
        <span style="background: LightGoldenRodYellow ">(Details: urn:iso:std:iso:4217 code USD := "USD")</span>
      </p>
    </div>
  </text>
  <status value="active"/>
  <use value="complete"/>
  <patient>
    <reference value="urn:uuid:2fd1e877-04eb-b820-619f-06f14e918be7"/>
  </patient>
  <billablePeriod>
    <start value="2013-12-12T12:56:44+01:00"/>
    <end value="2013-12-12T13:11:44+01:00"/>
  </billablePeriod>
  <organization>
    <reference value="urn:uuid:4bdaa4c2-c664-3089-aee2-7137abbad27f"/>
    <display value="HARRINGTON MEMORIAL HOSPITAL-1"/>
  </organization>
  <diagnosis>
    <sequence value="1"/>
    <diagnosisReference>
      <reference value="urn:uuid:16201792-8384-c776-1249-244d43c3c02f"/>
    </diagnosisReference>
  </diagnosis>
  <item>
    <sequence value="1"/>
    <encounter>
      <reference value="urn:uuid:40e105ad-59d6-8bb4-a610-110b96b186ac"/>
    </encounter>
  </item>
  <item>
    <sequence value="2"/>
    <diagnosisLinkId value="1"/>
  </item>
  <total>
    <value value="77.49"/>
    <system value="urn:iso:std:iso:4217"/>
    <code value="USD"/>
  </total>
</Claim>

Claim "2ae11a4e-fbac-67da-cb0d-58c96119ce49" Version "1"

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative with Details

id: 2ae11a4e-fbac-67da-cb0d-58c96119ce49

status: active

use: complete

patient: urn:uuid:2fd1e877-04eb-b820-619f-06f14e918be7

billablePeriod: 7/24/2013 1:56:44 PM --> 7/24/2013 2:11:44 PM

organization: HARRINGTON MEMORIAL HOSPITAL-1

total: 77.49 USD (Details: urn:iso:std:iso:4217 code USD := "USD")


<?xml version="1.0" encoding="UTF-8"?>
<Claim xmlns="http://hl7.org/fhir">
  <id value="2ae11a4e-fbac-67da-cb0d-58c96119ce49"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2021-01-15T16:21:05.047Z"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <p>
        <b>Generated Narrative with Details</b>
      </p>
      <p>
        <b>id</b>: 2ae11a4e-fbac-67da-cb0d-58c96119ce49</p>
      <p>
        <b>status</b>: active</p>
      <p>
        <b>use</b>: complete</p>
      <p>
        <b>patient</b>:
        <a href="urn:uuid:2fd1e877-04eb-b820-619f-06f14e918be7">urn:uuid:2fd1e877-04eb-b820-619f-06f14e918be7</a>
      </p>
      <p>
        <b>billablePeriod</b>: 7/24/2013 1:56:44 PM --&gt; 7/24/2013 2:11:44 PM</p>
      <p>
        <b>organization</b>:
        <a href="urn:uuid:4bdaa4c2-c664-3089-aee2-7137abbad27f">HARRINGTON MEMORIAL HOSPITAL-1</a>
      </p>
      <p>
        <b>total</b>: 77.49 USD
        <span style="background: LightGoldenRodYellow ">(Details: urn:iso:std:iso:4217 code USD := "USD")</span>
      </p>
    </div>
  </text>
  <status value="active"/>
  <use value="complete"/>
  <patient>
    <reference value="urn:uuid:2fd1e877-04eb-b820-619f-06f14e918be7"/>
  </patient>
  <billablePeriod>
    <start value="2013-07-24T13:56:44+02:00"/>
    <end value="2013-07-24T14:11:44+02:00"/>
  </billablePeriod>
  <organization>
    <reference value="urn:uuid:4bdaa4c2-c664-3089-aee2-7137abbad27f"/>
    <display value="HARRINGTON MEMORIAL HOSPITAL-1"/>
  </organization>
  <diagnosis>
    <sequence value="1"/>
    <diagnosisReference>
      <reference value="urn:uuid:d35c058c-a220-146d-743f-74ff243bf9d3"/>
    </diagnosisReference>
  </diagnosis>
  <item>
    <sequence value="1"/>
    <encounter>
      <reference value="urn:uuid:821a7b83-71ea-710e-ceb6-9a01d7c785ca"/>
    </encounter>
  </item>
  <item>
    <sequence value="2"/>
    <diagnosisLinkId value="1"/>
  </item>
  <total>
    <value value="77.49"/>
    <system value="urn:iso:std:iso:4217"/>
    <code value="USD"/>
  </total>
</Claim>

Claim "c9f74108-9aac-1a7a-e821-165e135081b4" Version "1"

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative with Details

id: c9f74108-9aac-1a7a-e821-165e135081b4

status: active

use: complete

patient: urn:uuid:2fd1e877-04eb-b820-619f-06f14e918be7

billablePeriod: 12/24/2012 12:56:44 PM --> 12/24/2012 1:11:44 PM

organization: HARRINGTON PHYSICIAN SERVICES INC

total: 129.16 USD (Details: urn:iso:std:iso:4217 code USD := "USD")


<?xml version="1.0" encoding="UTF-8"?>
<Claim xmlns="http://hl7.org/fhir">
  <id value="c9f74108-9aac-1a7a-e821-165e135081b4"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2021-01-15T16:21:04.610Z"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <p>
        <b>Generated Narrative with Details</b>
      </p>
      <p>
        <b>id</b>: c9f74108-9aac-1a7a-e821-165e135081b4</p>
      <p>
        <b>status</b>: active</p>
      <p>
        <b>use</b>: complete</p>
      <p>
        <b>patient</b>:
        <a href="urn:uuid:2fd1e877-04eb-b820-619f-06f14e918be7">urn:uuid:2fd1e877-04eb-b820-619f-06f14e918be7</a>
      </p>
      <p>
        <b>billablePeriod</b>: 12/24/2012 12:56:44 PM --&gt; 12/24/2012 1:11:44 PM</p>
      <p>
        <b>organization</b>:
        <a href="urn:uuid:189f595a-277f-3a7f-93fc-f34a642885fc">HARRINGTON PHYSICIAN SERVICES INC</a>
      </p>
      <p>
        <b>total</b>: 129.16 USD
        <span style="background: LightGoldenRodYellow ">(Details: urn:iso:std:iso:4217 code USD := "USD")</span>
      </p>
    </div>
  </text>
  <status value="active"/>
  <use value="complete"/>
  <patient>
    <reference value="urn:uuid:2fd1e877-04eb-b820-619f-06f14e918be7"/>
  </patient>
  <billablePeriod>
    <start value="2012-12-24T12:56:44+01:00"/>
    <end value="2012-12-24T13:11:44+01:00"/>
  </billablePeriod>
  <organization>
    <reference value="urn:uuid:189f595a-277f-3a7f-93fc-f34a642885fc"/>
    <display value="HARRINGTON PHYSICIAN SERVICES INC"/>
  </organization>
  <information>
    <sequence value="1"/>
    <category>
      <coding>
        <system value="http://hl7.org/fhir/claiminformationcategory"/>
        <code value="info"/>
      </coding>
    </category>
    <valueReference>
      <reference value="urn:uuid:3904c875-823e-0a8b-6813-fb7913f9456d"/>
    </valueReference>
  </information>
  <information>
    <sequence value="2"/>
    <category>
      <coding>
        <system value="http://hl7.org/fhir/claiminformationcategory"/>
        <code value="info"/>
      </coding>
    </category>
    <valueReference>
      <reference value="urn:uuid:1edf4758-c9b0-0632-727c-d90849056522"/>
    </valueReference>
  </information>
  <item>
    <sequence value="1"/>
    <encounter>
      <reference value="urn:uuid:c2593545-2860-cca4-7307-ff01f4a8ddc6"/>
    </encounter>
  </item>
  <item>
    <sequence value="2"/>
    <informationLinkId value="1"/>
    <net>
      <value value="140.52"/>
      <system value="urn:iso:std:iso:4217"/>
      <code value="USD"/>
    </net>
  </item>
  <item>
    <sequence value="3"/>
    <informationLinkId value="2"/>
    <net>
      <value value="140.52"/>
      <system value="urn:iso:std:iso:4217"/>
      <code value="USD"/>
    </net>
  </item>
  <total>
    <value value="129.16"/>
    <system value="urn:iso:std:iso:4217"/>
    <code value="USD"/>
  </total>
</Claim>

Claim "002aeacc-0e6f-e978-6061-ea2a1bb6afaf" Version "1"

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative with Details

id: 002aeacc-0e6f-e978-6061-ea2a1bb6afaf

status: active

use: complete

patient: urn:uuid:2fd1e877-04eb-b820-619f-06f14e918be7

billablePeriod: 12/24/2012 12:56:44 PM --> 12/24/2012 1:11:44 PM

organization: HARRINGTON PHYSICIAN SERVICES INC

prescription: urn:uuid:a9e49eb1-ad7a-8671-84f7-28622dd01ac2

total: 0.02 USD (Details: urn:iso:std:iso:4217 code USD := "USD")


<?xml version="1.0" encoding="UTF-8"?>
<Claim xmlns="http://hl7.org/fhir">
  <id value="002aeacc-0e6f-e978-6061-ea2a1bb6afaf"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2021-01-15T16:21:04.469Z"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <p>
        <b>Generated Narrative with Details</b>
      </p>
      <p>
        <b>id</b>: 002aeacc-0e6f-e978-6061-ea2a1bb6afaf</p>
      <p>
        <b>status</b>: active</p>
      <p>
        <b>use</b>: complete</p>
      <p>
        <b>patient</b>:
        <a href="urn:uuid:2fd1e877-04eb-b820-619f-06f14e918be7">urn:uuid:2fd1e877-04eb-b820-619f-06f14e918be7</a>
      </p>
      <p>
        <b>billablePeriod</b>: 12/24/2012 12:56:44 PM --&gt; 12/24/2012 1:11:44 PM</p>
      <p>
        <b>organization</b>:
        <a href="urn:uuid:189f595a-277f-3a7f-93fc-f34a642885fc">HARRINGTON PHYSICIAN SERVICES INC</a>
      </p>
      <p>
        <b>prescription</b>:
        <a href="urn:uuid:a9e49eb1-ad7a-8671-84f7-28622dd01ac2">urn:uuid:a9e49eb1-ad7a-8671-84f7-28622dd01ac2</a>
      </p>
      <p>
        <b>total</b>: 0.02 USD
        <span style="background: LightGoldenRodYellow ">(Details: urn:iso:std:iso:4217 code USD := "USD")</span>
      </p>
    </div>
  </text>
  <status value="active"/>
  <use value="complete"/>
  <patient>
    <reference value="urn:uuid:2fd1e877-04eb-b820-619f-06f14e918be7"/>
  </patient>
  <billablePeriod>
    <start value="2012-12-24T12:56:44+01:00"/>
    <end value="2012-12-24T13:11:44+01:00"/>
  </billablePeriod>
  <organization>
    <reference value="urn:uuid:189f595a-277f-3a7f-93fc-f34a642885fc"/>
    <display value="HARRINGTON PHYSICIAN SERVICES INC"/>
  </organization>
  <prescription>
    <reference value="urn:uuid:a9e49eb1-ad7a-8671-84f7-28622dd01ac2"/>
  </prescription>
  <item>
    <sequence value="1"/>
    <encounter>
      <reference value="urn:uuid:c2593545-2860-cca4-7307-ff01f4a8ddc6"/>
    </encounter>
  </item>
  <total>
    <value value="0.02"/>
    <system value="urn:iso:std:iso:4217"/>
    <code value="USD"/>
  </total>
</Claim>

Claim "569f1296-dd5d-70de-e494-c3d2b271120b" Version "1"

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative with Details

id: 569f1296-dd5d-70de-e494-c3d2b271120b

status: active

use: complete

patient: urn:uuid:2fd1e877-04eb-b820-619f-06f14e918be7

billablePeriod: 9/12/2012 1:56:44 PM --> 9/12/2012 2:11:44 PM

organization: HARRINGTON MEMORIAL HOSPITAL-1

total: 77.49 USD (Details: urn:iso:std:iso:4217 code USD := "USD")


<?xml version="1.0" encoding="UTF-8"?>
<Claim xmlns="http://hl7.org/fhir">
  <id value="569f1296-dd5d-70de-e494-c3d2b271120b"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2021-01-15T16:21:03.485Z"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <p>
        <b>Generated Narrative with Details</b>
      </p>
      <p>
        <b>id</b>: 569f1296-dd5d-70de-e494-c3d2b271120b</p>
      <p>
        <b>status</b>: active</p>
      <p>
        <b>use</b>: complete</p>
      <p>
        <b>patient</b>:
        <a href="urn:uuid:2fd1e877-04eb-b820-619f-06f14e918be7">urn:uuid:2fd1e877-04eb-b820-619f-06f14e918be7</a>
      </p>
      <p>
        <b>billablePeriod</b>: 9/12/2012 1:56:44 PM --&gt; 9/12/2012 2:11:44 PM</p>
      <p>
        <b>organization</b>:
        <a href="urn:uuid:4bdaa4c2-c664-3089-aee2-7137abbad27f">HARRINGTON MEMORIAL HOSPITAL-1</a>
      </p>
      <p>
        <b>total</b>: 77.49 USD
        <span style="background: LightGoldenRodYellow ">(Details: urn:iso:std:iso:4217 code USD := "USD")</span>
      </p>
    </div>
  </text>
  <status value="active"/>
  <use value="complete"/>
  <patient>
    <reference value="urn:uuid:2fd1e877-04eb-b820-619f-06f14e918be7"/>
  </patient>
  <billablePeriod>
    <start value="2012-09-12T13:56:44+02:00"/>
    <end value="2012-09-12T14:11:44+02:00"/>
  </billablePeriod>
  <organization>
    <reference value="urn:uuid:4bdaa4c2-c664-3089-aee2-7137abbad27f"/>
    <display value="HARRINGTON MEMORIAL HOSPITAL-1"/>
  </organization>
  <diagnosis>
    <sequence value="1"/>
    <diagnosisReference>
      <reference value="urn:uuid:8db8733d-b080-df84-0cea-062f4b87585e"/>
    </diagnosisReference>
  </diagnosis>
  <item>
    <sequence value="1"/>
    <encounter>
      <reference value="urn:uuid:f97dde35-a81a-ef2d-4ebe-2679590de7b7"/>
    </encounter>
  </item>
  <item>
    <sequence value="2"/>
    <diagnosisLinkId value="1"/>
  </item>
  <total>
    <value value="77.49"/>
    <system value="urn:iso:std:iso:4217"/>
    <code value="USD"/>
  </total>
</Claim>

Claim "64b6e9cf-b34c-390f-abe3-773a2e676093" Version "1"

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative with Details

id: 64b6e9cf-b34c-390f-abe3-773a2e676093

status: active

use: complete

patient: urn:uuid:2fd1e877-04eb-b820-619f-06f14e918be7

billablePeriod: 12/19/2011 12:56:44 PM --> 12/19/2011 1:11:44 PM

organization: HARRINGTON PHYSICIAN SERVICES INC

total: 129.16 USD (Details: urn:iso:std:iso:4217 code USD := "USD")


<?xml version="1.0" encoding="UTF-8"?>
<Claim xmlns="http://hl7.org/fhir">
  <id value="64b6e9cf-b34c-390f-abe3-773a2e676093"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2021-01-15T16:21:02.954Z"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <p>
        <b>Generated Narrative with Details</b>
      </p>
      <p>
        <b>id</b>: 64b6e9cf-b34c-390f-abe3-773a2e676093</p>
      <p>
        <b>status</b>: active</p>
      <p>
        <b>use</b>: complete</p>
      <p>
        <b>patient</b>:
        <a href="urn:uuid:2fd1e877-04eb-b820-619f-06f14e918be7">urn:uuid:2fd1e877-04eb-b820-619f-06f14e918be7</a>
      </p>
      <p>
        <b>billablePeriod</b>: 12/19/2011 12:56:44 PM --&gt; 12/19/2011 1:11:44 PM</p>
      <p>
        <b>organization</b>:
        <a href="urn:uuid:189f595a-277f-3a7f-93fc-f34a642885fc">HARRINGTON PHYSICIAN SERVICES INC</a>
      </p>
      <p>
        <b>total</b>: 129.16 USD
        <span style="background: LightGoldenRodYellow ">(Details: urn:iso:std:iso:4217 code USD := "USD")</span>
      </p>
    </div>
  </text>
  <status value="active"/>
  <use value="complete"/>
  <patient>
    <reference value="urn:uuid:2fd1e877-04eb-b820-619f-06f14e918be7"/>
  </patient>
  <billablePeriod>
    <start value="2011-12-19T12:56:44+01:00"/>
    <end value="2011-12-19T13:11:44+01:00"/>
  </billablePeriod>
  <organization>
    <reference value="urn:uuid:189f595a-277f-3a7f-93fc-f34a642885fc"/>
    <display value="HARRINGTON PHYSICIAN SERVICES INC"/>
  </organization>
  <information>
    <sequence value="1"/>
    <category>
      <coding>
        <system value="http://hl7.org/fhir/claiminformationcategory"/>
        <code value="info"/>
      </coding>
    </category>
    <valueReference>
      <reference value="urn:uuid:f68018dc-a558-fb3b-7eb5-3b5a702387d4"/>
    </valueReference>
  </information>
  <item>
    <sequence value="1"/>
    <encounter>
      <reference value="urn:uuid:9c869a13-f8c9-acb5-9909-98a419bf1a0b"/>
    </encounter>
  </item>
  <item>
    <sequence value="2"/>
    <informationLinkId value="1"/>
    <net>
      <value value="140.52"/>
      <system value="urn:iso:std:iso:4217"/>
      <code value="USD"/>
    </net>
  </item>
  <total>
    <value value="129.16"/>
    <system value="urn:iso:std:iso:4217"/>
    <code value="USD"/>
  </total>
</Claim>

Claim "c241f527-aa27-1688-7483-f48e8bf0a28d" Version "1"

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative with Details

id: c241f527-aa27-1688-7483-f48e8bf0a28d

status: active

use: complete

patient: urn:uuid:2fd1e877-04eb-b820-619f-06f14e918be7

billablePeriod: 12/19/2011 12:56:44 PM --> 12/19/2011 1:11:44 PM

organization: HARRINGTON PHYSICIAN SERVICES INC

prescription: urn:uuid:4c78a8dc-7d3a-2c0e-e1bb-16785545336f

total: 0.02 USD (Details: urn:iso:std:iso:4217 code USD := "USD")


<?xml version="1.0" encoding="UTF-8"?>
<Claim xmlns="http://hl7.org/fhir">
  <id value="c241f527-aa27-1688-7483-f48e8bf0a28d"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2021-01-15T16:21:02.782Z"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <p>
        <b>Generated Narrative with Details</b>
      </p>
      <p>
        <b>id</b>: c241f527-aa27-1688-7483-f48e8bf0a28d</p>
      <p>
        <b>status</b>: active</p>
      <p>
        <b>use</b>: complete</p>
      <p>
        <b>patient</b>:
        <a href="urn:uuid:2fd1e877-04eb-b820-619f-06f14e918be7">urn:uuid:2fd1e877-04eb-b820-619f-06f14e918be7</a>
      </p>
      <p>
        <b>billablePeriod</b>: 12/19/2011 12:56:44 PM --&gt; 12/19/2011 1:11:44 PM</p>
      <p>
        <b>organization</b>:
        <a href="urn:uuid:189f595a-277f-3a7f-93fc-f34a642885fc">HARRINGTON PHYSICIAN SERVICES INC</a>
      </p>
      <p>
        <b>prescription</b>:
        <a href="urn:uuid:4c78a8dc-7d3a-2c0e-e1bb-16785545336f">urn:uuid:4c78a8dc-7d3a-2c0e-e1bb-16785545336f</a>
      </p>
      <p>
        <b>total</b>: 0.02 USD
        <span style="background: LightGoldenRodYellow ">(Details: urn:iso:std:iso:4217 code USD := "USD")</span>
      </p>
    </div>
  </text>
  <status value="active"/>
  <use value="complete"/>
  <patient>
    <reference value="urn:uuid:2fd1e877-04eb-b820-619f-06f14e918be7"/>
  </patient>
  <billablePeriod>
    <start value="2011-12-19T12:56:44+01:00"/>
    <end value="2011-12-19T13:11:44+01:00"/>
  </billablePeriod>
  <organization>
    <reference value="urn:uuid:189f595a-277f-3a7f-93fc-f34a642885fc"/>
    <display value="HARRINGTON PHYSICIAN SERVICES INC"/>
  </organization>
  <prescription>
    <reference value="urn:uuid:4c78a8dc-7d3a-2c0e-e1bb-16785545336f"/>
  </prescription>
  <item>
    <sequence value="1"/>
    <encounter>
      <reference value="urn:uuid:9c869a13-f8c9-acb5-9909-98a419bf1a0b"/>
    </encounter>
  </item>
  <total>
    <value value="0.02"/>
    <system value="urn:iso:std:iso:4217"/>
    <code value="USD"/>
  </total>
</Claim>

Claim "e729a07d-3e26-37a7-52c1-63f1d0342eb4" Version "1"

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative with Details

id: e729a07d-3e26-37a7-52c1-63f1d0342eb4

status: active

use: complete

patient: urn:uuid:2fd1e877-04eb-b820-619f-06f14e918be7

billablePeriod: 12/13/2010 12:56:44 PM --> 12/13/2010 1:11:44 PM

organization: HARRINGTON PHYSICIAN SERVICES INC

total: 129.16 USD (Details: urn:iso:std:iso:4217 code USD := "USD")


<?xml version="1.0" encoding="UTF-8"?>
<Claim xmlns="http://hl7.org/fhir">
  <id value="e729a07d-3e26-37a7-52c1-63f1d0342eb4"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2021-01-15T16:21:01.094Z"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <p>
        <b>Generated Narrative with Details</b>
      </p>
      <p>
        <b>id</b>: e729a07d-3e26-37a7-52c1-63f1d0342eb4</p>
      <p>
        <b>status</b>: active</p>
      <p>
        <b>use</b>: complete</p>
      <p>
        <b>patient</b>:
        <a href="urn:uuid:2fd1e877-04eb-b820-619f-06f14e918be7">urn:uuid:2fd1e877-04eb-b820-619f-06f14e918be7</a>
      </p>
      <p>
        <b>billablePeriod</b>: 12/13/2010 12:56:44 PM --&gt; 12/13/2010 1:11:44 PM</p>
      <p>
        <b>organization</b>:
        <a href="urn:uuid:189f595a-277f-3a7f-93fc-f34a642885fc">HARRINGTON PHYSICIAN SERVICES INC</a>
      </p>
      <p>
        <b>total</b>: 129.16 USD
        <span style="background: LightGoldenRodYellow ">(Details: urn:iso:std:iso:4217 code USD := "USD")</span>
      </p>
    </div>
  </text>
  <status value="active"/>
  <use value="complete"/>
  <patient>
    <reference value="urn:uuid:2fd1e877-04eb-b820-619f-06f14e918be7"/>
  </patient>
  <billablePeriod>
    <start value="2010-12-13T12:56:44+01:00"/>
    <end value="2010-12-13T13:11:44+01:00"/>
  </billablePeriod>
  <organization>
    <reference value="urn:uuid:189f595a-277f-3a7f-93fc-f34a642885fc"/>
    <display value="HARRINGTON PHYSICIAN SERVICES INC"/>
  </organization>
  <diagnosis>
    <sequence value="1"/>
    <diagnosisReference>
      <reference value="urn:uuid:65241a27-9372-4a4a-fd23-cefecaa89c64"/>
    </diagnosisReference>
  </diagnosis>
  <item>
    <sequence value="1"/>
    <encounter>
      <reference value="urn:uuid:0f7c6b05-7d59-1cce-4a15-fbdc87ba2f1e"/>
    </encounter>
  </item>
  <item>
    <sequence value="2"/>
    <diagnosisLinkId value="1"/>
  </item>
  <total>
    <value value="129.16"/>
    <system value="urn:iso:std:iso:4217"/>
    <code value="USD"/>
  </total>
</Claim>

Claim "6f6470da-21ee-e19c-ca78-75a4f23c7ed7" Version "1"

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative with Details

id: 6f6470da-21ee-e19c-ca78-75a4f23c7ed7

status: active

use: complete

patient: urn:uuid:2fd1e877-04eb-b820-619f-06f14e918be7

billablePeriod: 12/13/2010 12:56:44 PM --> 12/13/2010 1:11:44 PM

organization: HARRINGTON PHYSICIAN SERVICES INC

prescription: urn:uuid:5e127373-ab8b-9ef6-07fd-7ff894140c8e

total: 0.02 USD (Details: urn:iso:std:iso:4217 code USD := "USD")


<?xml version="1.0" encoding="UTF-8"?>
<Claim xmlns="http://hl7.org/fhir">
  <id value="6f6470da-21ee-e19c-ca78-75a4f23c7ed7"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2021-01-15T16:21:00.438Z"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <p>
        <b>Generated Narrative with Details</b>
      </p>
      <p>
        <b>id</b>: 6f6470da-21ee-e19c-ca78-75a4f23c7ed7</p>
      <p>
        <b>status</b>: active</p>
      <p>
        <b>use</b>: complete</p>
      <p>
        <b>patient</b>:
        <a href="urn:uuid:2fd1e877-04eb-b820-619f-06f14e918be7">urn:uuid:2fd1e877-04eb-b820-619f-06f14e918be7</a>
      </p>
      <p>
        <b>billablePeriod</b>: 12/13/2010 12:56:44 PM --&gt; 12/13/2010 1:11:44 PM</p>
      <p>
        <b>organization</b>:
        <a href="urn:uuid:189f595a-277f-3a7f-93fc-f34a642885fc">HARRINGTON PHYSICIAN SERVICES INC</a>
      </p>
      <p>
        <b>prescription</b>:
        <a href="urn:uuid:5e127373-ab8b-9ef6-07fd-7ff894140c8e">urn:uuid:5e127373-ab8b-9ef6-07fd-7ff894140c8e</a>
      </p>
      <p>
        <b>total</b>: 0.02 USD
        <span style="background: LightGoldenRodYellow ">(Details: urn:iso:std:iso:4217 code USD := "USD")</span>
      </p>
    </div>
  </text>
  <status value="active"/>
  <use value="complete"/>
  <patient>
    <reference value="urn:uuid:2fd1e877-04eb-b820-619f-06f14e918be7"/>
  </patient>
  <billablePeriod>
    <start value="2010-12-13T12:56:44+01:00"/>
    <end value="2010-12-13T13:11:44+01:00"/>
  </billablePeriod>
  <organization>
    <reference value="urn:uuid:189f595a-277f-3a7f-93fc-f34a642885fc"/>
    <display value="HARRINGTON PHYSICIAN SERVICES INC"/>
  </organization>
  <prescription>
    <reference value="urn:uuid:5e127373-ab8b-9ef6-07fd-7ff894140c8e"/>
  </prescription>
  <item>
    <sequence value="1"/>
    <encounter>
      <reference value="urn:uuid:0f7c6b05-7d59-1cce-4a15-fbdc87ba2f1e"/>
    </encounter>
  </item>
  <total>
    <value value="0.02"/>
    <system value="urn:iso:std:iso:4217"/>
    <code value="USD"/>
  </total>
</Claim>

Claim "70280036-c326-06b5-2a84-4c3e5d829bd3" Version "1"

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative with Details

id: 70280036-c326-06b5-2a84-4c3e5d829bd3

status: active

use: complete

patient: urn:uuid:2fd1e877-04eb-b820-619f-06f14e918be7

billablePeriod: 10/20/1996 1:56:44 PM --> 10/24/1996 3:05:44 PM

organization: HARRINGTON MEMORIAL HOSPITAL-1

total: 77.49 USD (Details: urn:iso:std:iso:4217 code USD := "USD")


<?xml version="1.0" encoding="UTF-8"?>
<Claim xmlns="http://hl7.org/fhir">
  <id value="70280036-c326-06b5-2a84-4c3e5d829bd3"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2021-01-15T16:20:59.688Z"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <p>
        <b>Generated Narrative with Details</b>
      </p>
      <p>
        <b>id</b>: 70280036-c326-06b5-2a84-4c3e5d829bd3</p>
      <p>
        <b>status</b>: active</p>
      <p>
        <b>use</b>: complete</p>
      <p>
        <b>patient</b>:
        <a href="urn:uuid:2fd1e877-04eb-b820-619f-06f14e918be7">urn:uuid:2fd1e877-04eb-b820-619f-06f14e918be7</a>
      </p>
      <p>
        <b>billablePeriod</b>: 10/20/1996 1:56:44 PM --&gt; 10/24/1996 3:05:44 PM</p>
      <p>
        <b>organization</b>:
        <a href="urn:uuid:4bdaa4c2-c664-3089-aee2-7137abbad27f">HARRINGTON MEMORIAL HOSPITAL-1</a>
      </p>
      <p>
        <b>total</b>: 77.49 USD
        <span style="background: LightGoldenRodYellow ">(Details: urn:iso:std:iso:4217 code USD := "USD")</span>
      </p>
    </div>
  </text>
  <status value="active"/>
  <use value="complete"/>
  <patient>
    <reference value="urn:uuid:2fd1e877-04eb-b820-619f-06f14e918be7"/>
  </patient>
  <billablePeriod>
    <start value="1996-10-20T13:56:44+02:00"/>
    <end value="1996-10-24T15:05:44+02:00"/>
  </billablePeriod>
  <organization>
    <reference value="urn:uuid:4bdaa4c2-c664-3089-aee2-7137abbad27f"/>
    <display value="HARRINGTON MEMORIAL HOSPITAL-1"/>
  </organization>
  <diagnosis>
    <sequence value="1"/>
    <diagnosisReference>
      <reference value="urn:uuid:686340ae-2420-c6f6-0179-297992d061ee"/>
    </diagnosisReference>
  </diagnosis>
  <item>
    <sequence value="1"/>
    <encounter>
      <reference value="urn:uuid:023910a8-a494-835a-e78a-86d323860527"/>
    </encounter>
  </item>
  <item>
    <sequence value="2"/>
    <diagnosisLinkId value="1"/>
  </item>
  <total>
    <value value="77.49"/>
    <system value="urn:iso:std:iso:4217"/>
    <code value="USD"/>
  </total>
</Claim>

Claim "540a1a0d-7aca-d9f0-fb93-318561d39bb7" Version "1"

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative with Details

id: 540a1a0d-7aca-d9f0-fb93-318561d39bb7

status: active

use: complete

patient: urn:uuid:2fd1e877-04eb-b820-619f-06f14e918be7

billablePeriod: 10/20/1996 1:56:44 PM --> 10/20/1996 2:56:44 PM

organization: HARRINGTON MEMORIAL HOSPITAL-1

total: 129.16 USD (Details: urn:iso:std:iso:4217 code USD := "USD")


<?xml version="1.0" encoding="UTF-8"?>
<Claim xmlns="http://hl7.org/fhir">
  <id value="540a1a0d-7aca-d9f0-fb93-318561d39bb7"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2021-01-15T16:20:58.704Z"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <p>
        <b>Generated Narrative with Details</b>
      </p>
      <p>
        <b>id</b>: 540a1a0d-7aca-d9f0-fb93-318561d39bb7</p>
      <p>
        <b>status</b>: active</p>
      <p>
        <b>use</b>: complete</p>
      <p>
        <b>patient</b>:
        <a href="urn:uuid:2fd1e877-04eb-b820-619f-06f14e918be7">urn:uuid:2fd1e877-04eb-b820-619f-06f14e918be7</a>
      </p>
      <p>
        <b>billablePeriod</b>: 10/20/1996 1:56:44 PM --&gt; 10/20/1996 2:56:44 PM</p>
      <p>
        <b>organization</b>:
        <a href="urn:uuid:4bdaa4c2-c664-3089-aee2-7137abbad27f">HARRINGTON MEMORIAL HOSPITAL-1</a>
      </p>
      <p>
        <b>total</b>: 129.16 USD
        <span style="background: LightGoldenRodYellow ">(Details: urn:iso:std:iso:4217 code USD := "USD")</span>
      </p>
    </div>
  </text>
  <status value="active"/>
  <use value="complete"/>
  <patient>
    <reference value="urn:uuid:2fd1e877-04eb-b820-619f-06f14e918be7"/>
  </patient>
  <billablePeriod>
    <start value="1996-10-20T13:56:44+02:00"/>
    <end value="1996-10-20T14:56:44+02:00"/>
  </billablePeriod>
  <organization>
    <reference value="urn:uuid:4bdaa4c2-c664-3089-aee2-7137abbad27f"/>
    <display value="HARRINGTON MEMORIAL HOSPITAL-1"/>
  </organization>
  <diagnosis>
    <sequence value="1"/>
    <diagnosisReference>
      <reference value="urn:uuid:5207d580-c8f5-5da2-e4df-498e5e6e51a2"/>
    </diagnosisReference>
  </diagnosis>
  <item>
    <sequence value="1"/>
    <encounter>
      <reference value="urn:uuid:235d1ba8-98dc-75ae-050c-bff0b7a67dc7"/>
    </encounter>
  </item>
  <item>
    <sequence value="2"/>
    <diagnosisLinkId value="1"/>
  </item>
  <total>
    <value value="129.16"/>
    <system value="urn:iso:std:iso:4217"/>
    <code value="USD"/>
  </total>
</Claim>

Claim "326" Version "1"

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative with Details

id: 326

status: active

use: complete

patient: Patient/158

billablePeriod: 4/22/2019 7:22:41 AM --> 4/22/2019 7:52:41 AM

organization: Organization/4

total: 129.16 USD (Details: urn:iso:std:iso:4217 code USD := "USD")


<?xml version="1.0" encoding="UTF-8"?>
<Claim xmlns="http://hl7.org/fhir">
  <id value="326"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2021-01-15T14:29:16.890Z"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <p>
        <b>Generated Narrative with Details</b>
      </p>
      <p>
        <b>id</b>: 326</p>
      <p>
        <b>status</b>: active</p>
      <p>
        <b>use</b>: complete</p>
      <p>
        <b>patient</b>:
        <a href="Patient/158">Patient/158</a>
      </p>
      <p>
        <b>billablePeriod</b>: 4/22/2019 7:22:41 AM --&gt; 4/22/2019 7:52:41 AM</p>
      <p>
        <b>organization</b>:
        <a href="Organization/4">Organization/4</a>
      </p>
      <p>
        <b>total</b>: 129.16 USD
        <span style="background: LightGoldenRodYellow ">(Details: urn:iso:std:iso:4217 code USD := "USD")</span>
      </p>
    </div>
  </text>
  <status value="active"/>
  <use value="complete"/>
  <patient>
    <reference value="Patient/158"/>
  </patient>
  <billablePeriod>
    <start value="2019-04-22T07:22:41-04:00"/>
    <end value="2019-04-22T07:52:41-04:00"/>
  </billablePeriod>
  <organization>
    <reference value="Organization/4"/>
  </organization>
  <information>
    <sequence value="1"/>
    <category>
      <coding>
        <system value="http://hl7.org/fhir/claiminformationcategory"/>
        <code value="info"/>
      </coding>
    </category>
    <valueReference>
      <reference value="urn:uuid:6c66e919-283f-4ca1-97d2-5a50958f9322"/>
    </valueReference>
  </information>
  <procedure>
    <sequence value="1"/>
    <procedureReference>
      <reference value="urn:uuid:4b87c0b7-c822-46a6-bf5b-5929dbb94429"/>
    </procedureReference>
  </procedure>
  <item>
    <sequence value="1"/>
    <encounter>
      <reference value="Encounter/266"/>
    </encounter>
  </item>
  <item>
    <sequence value="2"/>
    <informationLinkId value="1"/>
    <net>
      <value value="140.52"/>
      <system value="urn:iso:std:iso:4217"/>
      <code value="USD"/>
    </net>
  </item>
  <item>
    <sequence value="3"/>
    <procedureLinkId value="1"/>
    <service>
      <extension url="https://bluebutton.cms.gov/assets/ig/StructureDefinition-bluebutton-outpatient-rev-cntr-ide-ndc-upc-num-extension">
        <valueCoding>
          <system value="https://www.accessdata.fda.gov/scripts/cder/ndc"/>
          <code value="0624"/>
          <display value="Dummy"/>
        </valueCoding>
      </extension>
      <coding>
        <system value="http://snomed.info/sct"/>
        <version value="v1"/>
        <code value="430193006"/>
      </coding>
    </service>
    <net>
      <value value="495.00"/>
      <system value="urn:iso:std:iso:4217"/>
      <code value="USD"/>
    </net>
  </item>
  <total>
    <value value="129.16"/>
    <system value="urn:iso:std:iso:4217"/>
    <code value="USD"/>
  </total>
</Claim>

Claim "325" Version "1"

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative with Details

id: 325

status: active

use: complete

patient: Patient/158

billablePeriod: 4/16/2018 7:22:41 AM --> 4/16/2018 7:37:41 AM

organization: Organization/4

total: 129.16 USD (Details: urn:iso:std:iso:4217 code USD := "USD")


<?xml version="1.0" encoding="UTF-8"?>
<Claim xmlns="http://hl7.org/fhir">
  <id value="325"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2021-01-15T14:29:15.422Z"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <p>
        <b>Generated Narrative with Details</b>
      </p>
      <p>
        <b>id</b>: 325</p>
      <p>
        <b>status</b>: active</p>
      <p>
        <b>use</b>: complete</p>
      <p>
        <b>patient</b>:
        <a href="Patient/158">Patient/158</a>
      </p>
      <p>
        <b>billablePeriod</b>: 4/16/2018 7:22:41 AM --&gt; 4/16/2018 7:37:41 AM</p>
      <p>
        <b>organization</b>:
        <a href="Organization/4">Organization/4</a>
      </p>
      <p>
        <b>total</b>: 129.16 USD
        <span style="background: LightGoldenRodYellow ">(Details: urn:iso:std:iso:4217 code USD := "USD")</span>
      </p>
    </div>
  </text>
  <status value="active"/>
  <use value="complete"/>
  <patient>
    <reference value="Patient/158"/>
  </patient>
  <billablePeriod>
    <start value="2018-04-16T07:22:41-04:00"/>
    <end value="2018-04-16T07:37:41-04:00"/>
  </billablePeriod>
  <organization>
    <reference value="Organization/4"/>
  </organization>
  <information>
    <sequence value="1"/>
    <category>
      <coding>
        <system value="http://hl7.org/fhir/claiminformationcategory"/>
        <code value="info"/>
      </coding>
    </category>
    <valueReference>
      <reference value="urn:uuid:df4d1175-a4bb-4a9a-bc2f-c0aee05a3007"/>
    </valueReference>
  </information>
  <item>
    <sequence value="1"/>
    <encounter>
      <reference value="Encounter/265"/>
    </encounter>
  </item>
  <item>
    <sequence value="2"/>
    <informationLinkId value="1"/>
    <net>
      <value value="140.52"/>
      <system value="urn:iso:std:iso:4217"/>
      <code value="USD"/>
    </net>
  </item>
  <total>
    <value value="129.16"/>
    <system value="urn:iso:std:iso:4217"/>
    <code value="USD"/>
  </total>
</Claim>

Claim "324" Version "1"

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative with Details

id: 324

status: active

use: complete

patient: Patient/158

billablePeriod: 4/10/2017 7:22:41 AM --> 4/10/2017 7:52:41 AM

organization: Organization/4

total: 129.16 USD (Details: urn:iso:std:iso:4217 code USD := "USD")


<?xml version="1.0" encoding="UTF-8"?>
<Claim xmlns="http://hl7.org/fhir">
  <id value="324"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2021-01-15T14:29:13.109Z"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <p>
        <b>Generated Narrative with Details</b>
      </p>
      <p>
        <b>id</b>: 324</p>
      <p>
        <b>status</b>: active</p>
      <p>
        <b>use</b>: complete</p>
      <p>
        <b>patient</b>:
        <a href="Patient/158">Patient/158</a>
      </p>
      <p>
        <b>billablePeriod</b>: 4/10/2017 7:22:41 AM --&gt; 4/10/2017 7:52:41 AM</p>
      <p>
        <b>organization</b>:
        <a href="Organization/4">Organization/4</a>
      </p>
      <p>
        <b>total</b>: 129.16 USD
        <span style="background: LightGoldenRodYellow ">(Details: urn:iso:std:iso:4217 code USD := "USD")</span>
      </p>
    </div>
  </text>
  <status value="active"/>
  <use value="complete"/>
  <patient>
    <reference value="Patient/158"/>
  </patient>
  <billablePeriod>
    <start value="2017-04-10T07:22:41-04:00"/>
    <end value="2017-04-10T07:52:41-04:00"/>
  </billablePeriod>
  <organization>
    <reference value="Organization/4"/>
  </organization>
  <information>
    <sequence value="1"/>
    <category>
      <coding>
        <system value="http://hl7.org/fhir/claiminformationcategory"/>
        <code value="info"/>
      </coding>
    </category>
    <valueReference>
      <reference value="urn:uuid:cc0ed594-451f-4a7c-a363-ad82eb19c943"/>
    </valueReference>
  </information>
  <information>
    <sequence value="2"/>
    <category>
      <coding>
        <system value="http://hl7.org/fhir/claiminformationcategory"/>
        <code value="info"/>
      </coding>
    </category>
    <valueReference>
      <reference value="urn:uuid:363ee9ad-f698-4d5d-872f-83e50d916d3e"/>
    </valueReference>
  </information>
  <procedure>
    <sequence value="1"/>
    <procedureReference>
      <reference value="urn:uuid:a95a7cf5-10aa-4aa9-b487-e445e9afde05"/>
    </procedureReference>
  </procedure>
  <item>
    <sequence value="1"/>
    <encounter>
      <reference value="Encounter/264"/>
    </encounter>
  </item>
  <item>
    <sequence value="2"/>
    <informationLinkId value="1"/>
    <net>
      <value value="140.52"/>
      <system value="urn:iso:std:iso:4217"/>
      <code value="USD"/>
    </net>
  </item>
  <item>
    <sequence value="3"/>
    <informationLinkId value="2"/>
    <net>
      <value value="140.52"/>
      <system value="urn:iso:std:iso:4217"/>
      <code value="USD"/>
    </net>
  </item>
  <item>
    <sequence value="4"/>
    <procedureLinkId value="1"/>
    <service>
      <extension url="https://bluebutton.cms.gov/assets/ig/StructureDefinition-bluebutton-outpatient-rev-cntr-ide-ndc-upc-num-extension">
        <valueCoding>
          <system value="https://www.accessdata.fda.gov/scripts/cder/ndc"/>
          <code value="0624"/>
          <display value="Dummy"/>
        </valueCoding>
      </extension>
      <coding>
        <system value="http://snomed.info/sct"/>
        <version value="v1"/>
        <code value="430193006"/>
      </coding>
    </service>
    <net>
      <value value="594.02"/>
      <system value="urn:iso:std:iso:4217"/>
      <code value="USD"/>
    </net>
  </item>
  <total>
    <value value="129.16"/>
    <system value="urn:iso:std:iso:4217"/>
    <code value="USD"/>
  </total>
</Claim>

Claim "323" Version "1"

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative with Details

id: 323

status: active

use: complete

patient: Patient/158

billablePeriod: 3/30/2017 7:22:41 AM --> 3/30/2017 8:20:41 AM

organization: Organization/3

total: 129.16 USD (Details: urn:iso:std:iso:4217 code USD := "USD")


<?xml version="1.0" encoding="UTF-8"?>
<Claim xmlns="http://hl7.org/fhir">
  <id value="323"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2021-01-15T14:29:11.515Z"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <p>
        <b>Generated Narrative with Details</b>
      </p>
      <p>
        <b>id</b>: 323</p>
      <p>
        <b>status</b>: active</p>
      <p>
        <b>use</b>: complete</p>
      <p>
        <b>patient</b>:
        <a href="Patient/158">Patient/158</a>
      </p>
      <p>
        <b>billablePeriod</b>: 3/30/2017 7:22:41 AM --&gt; 3/30/2017 8:20:41 AM</p>
      <p>
        <b>organization</b>:
        <a href="Organization/3">Organization/3</a>
      </p>
      <p>
        <b>total</b>: 129.16 USD
        <span style="background: LightGoldenRodYellow ">(Details: urn:iso:std:iso:4217 code USD := "USD")</span>
      </p>
    </div>
  </text>
  <status value="active"/>
  <use value="complete"/>
  <patient>
    <reference value="Patient/158"/>
  </patient>
  <billablePeriod>
    <start value="2017-03-30T07:22:41-04:00"/>
    <end value="2017-03-30T08:20:41-04:00"/>
  </billablePeriod>
  <organization>
    <reference value="Organization/3"/>
  </organization>
  <procedure>
    <sequence value="1"/>
    <procedureReference>
      <reference value="urn:uuid:b09d2863-10c7-41a1-8865-4695a64217c1"/>
    </procedureReference>
  </procedure>
  <item>
    <sequence value="1"/>
    <encounter>
      <reference value="Encounter/263"/>
    </encounter>
  </item>
  <item>
    <sequence value="2"/>
    <procedureLinkId value="1"/>
    <service>
      <extension url="https://bluebutton.cms.gov/assets/ig/StructureDefinition-bluebutton-outpatient-rev-cntr-ide-ndc-upc-num-extension">
        <valueCoding>
          <system value="https://www.accessdata.fda.gov/scripts/cder/ndc"/>
          <code value="0624"/>
          <display value="Dummy"/>
        </valueCoding>
      </extension>
      <coding>
        <system value="http://snomed.info/sct"/>
        <version value="v1"/>
        <code value="73761001"/>
      </coding>
    </service>
    <net>
      <value value="11843.25"/>
      <system value="urn:iso:std:iso:4217"/>
      <code value="USD"/>
    </net>
  </item>
  <total>
    <value value="129.16"/>
    <system value="urn:iso:std:iso:4217"/>
    <code value="USD"/>
  </total>
</Claim>

Claim "322" Version "1"

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative with Details

id: 322

status: active

use: complete

patient: Patient/158

billablePeriod: 6/20/2016 7:22:41 AM --> 6/20/2016 7:37:41 AM

organization: Organization/3

total: 129.16 USD (Details: urn:iso:std:iso:4217 code USD := "USD")


<?xml version="1.0" encoding="UTF-8"?>
<Claim xmlns="http://hl7.org/fhir">
  <id value="322"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2021-01-15T14:29:11.140Z"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <p>
        <b>Generated Narrative with Details</b>
      </p>
      <p>
        <b>id</b>: 322</p>
      <p>
        <b>status</b>: active</p>
      <p>
        <b>use</b>: complete</p>
      <p>
        <b>patient</b>:
        <a href="Patient/158">Patient/158</a>
      </p>
      <p>
        <b>billablePeriod</b>: 6/20/2016 7:22:41 AM --&gt; 6/20/2016 7:37:41 AM</p>
      <p>
        <b>organization</b>:
        <a href="Organization/3">Organization/3</a>
      </p>
      <p>
        <b>total</b>: 129.16 USD
        <span style="background: LightGoldenRodYellow ">(Details: urn:iso:std:iso:4217 code USD := "USD")</span>
      </p>
    </div>
  </text>
  <status value="active"/>
  <use value="complete"/>
  <patient>
    <reference value="Patient/158"/>
  </patient>
  <billablePeriod>
    <start value="2016-06-20T07:22:41-04:00"/>
    <end value="2016-06-20T07:37:41-04:00"/>
  </billablePeriod>
  <organization>
    <reference value="Organization/3"/>
  </organization>
  <item>
    <sequence value="1"/>
    <encounter>
      <reference value="Encounter/262"/>
    </encounter>
  </item>
  <total>
    <value value="129.16"/>
    <system value="urn:iso:std:iso:4217"/>
    <code value="USD"/>
  </total>
</Claim>

Claim "321" Version "1"

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative with Details

id: 321

status: active

use: complete

patient: Patient/158

billablePeriod: 5/21/2016 7:22:41 AM --> 5/21/2016 10:07:41 AM

organization: Organization/3

total: 129.16 USD (Details: urn:iso:std:iso:4217 code USD := "USD")


<?xml version="1.0" encoding="UTF-8"?>
<Claim xmlns="http://hl7.org/fhir">
  <id value="321"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2021-01-15T14:29:10.969Z"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <p>
        <b>Generated Narrative with Details</b>
      </p>
      <p>
        <b>id</b>: 321</p>
      <p>
        <b>status</b>: active</p>
      <p>
        <b>use</b>: complete</p>
      <p>
        <b>patient</b>:
        <a href="Patient/158">Patient/158</a>
      </p>
      <p>
        <b>billablePeriod</b>: 5/21/2016 7:22:41 AM --&gt; 5/21/2016 10:07:41 AM</p>
      <p>
        <b>organization</b>:
        <a href="Organization/3">Organization/3</a>
      </p>
      <p>
        <b>total</b>: 129.16 USD
        <span style="background: LightGoldenRodYellow ">(Details: urn:iso:std:iso:4217 code USD := "USD")</span>
      </p>
    </div>
  </text>
  <status value="active"/>
  <use value="complete"/>
  <patient>
    <reference value="Patient/158"/>
  </patient>
  <billablePeriod>
    <start value="2016-05-21T07:22:41-04:00"/>
    <end value="2016-05-21T10:07:41-04:00"/>
  </billablePeriod>
  <organization>
    <reference value="Organization/3"/>
  </organization>
  <diagnosis>
    <sequence value="1"/>
    <diagnosisReference>
      <reference value="urn:uuid:c9423f8b-e65e-4f78-8cf9-6b1a60b8355c"/>
    </diagnosisReference>
  </diagnosis>
  <procedure>
    <sequence value="1"/>
    <procedureReference>
      <reference value="urn:uuid:127fddba-2ff1-4a40-9630-1fe1e52e7dce"/>
    </procedureReference>
  </procedure>
  <procedure>
    <sequence value="2"/>
    <procedureReference>
      <reference value="urn:uuid:0540f73c-cc97-4fae-ba9b-d8fbcc1f0dec"/>
    </procedureReference>
  </procedure>
  <procedure>
    <sequence value="3"/>
    <procedureReference>
      <reference value="urn:uuid:6ad8b233-fba8-4aae-a3df-c98f1d6f1d4b"/>
    </procedureReference>
  </procedure>
  <item>
    <sequence value="1"/>
    <encounter>
      <reference value="Encounter/261"/>
    </encounter>
  </item>
  <item>
    <sequence value="2"/>
    <diagnosisLinkId value="1"/>
  </item>
  <item>
    <sequence value="3"/>
    <procedureLinkId value="1"/>
    <service>
      <coding>
        <system value="http://snomed.info/sct"/>
        <version value="v1"/>
        <code value="168594001"/>
      </coding>
    </service>
    <net>
      <value value="516.65"/>
      <system value="urn:iso:std:iso:4217"/>
      <code value="USD"/>
    </net>
  </item>
  <item>
    <sequence value="4"/>
    <procedureLinkId value="2"/>
    <service>
      <coding>
        <system value="http://snomed.info/sct"/>
        <version value="v1"/>
        <code value="305428000"/>
      </coding>
    </service>
    <net>
      <value value="516.65"/>
      <system value="urn:iso:std:iso:4217"/>
      <code value="USD"/>
    </net>
  </item>
  <item>
    <sequence value="5"/>
    <procedureLinkId value="3"/>
    <service>
      <coding>
        <system value="http://snomed.info/sct"/>
        <version value="v1"/>
        <code value="312681000"/>
      </coding>
    </service>
    <net>
      <value value="11911.50"/>
      <system value="urn:iso:std:iso:4217"/>
      <code value="USD"/>
    </net>
  </item>
  <total>
    <value value="129.16"/>
    <system value="urn:iso:std:iso:4217"/>
    <code value="USD"/>
  </total>
</Claim>

Claim "320" Version "1"

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative with Details

id: 320

status: active

use: complete

patient: Patient/158

billablePeriod: 5/21/2016 7:22:41 AM --> 5/21/2016 10:07:41 AM

organization: Organization/3

prescription: MedicationRequest/72

total: 30.68 USD (Details: urn:iso:std:iso:4217 code USD := "USD")


<?xml version="1.0" encoding="UTF-8"?>
<Claim xmlns="http://hl7.org/fhir">
  <id value="320"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2021-01-15T14:29:10.719Z"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <p>
        <b>Generated Narrative with Details</b>
      </p>
      <p>
        <b>id</b>: 320</p>
      <p>
        <b>status</b>: active</p>
      <p>
        <b>use</b>: complete</p>
      <p>
        <b>patient</b>:
        <a href="Patient/158">Patient/158</a>
      </p>
      <p>
        <b>billablePeriod</b>: 5/21/2016 7:22:41 AM --&gt; 5/21/2016 10:07:41 AM</p>
      <p>
        <b>organization</b>:
        <a href="Organization/3">Organization/3</a>
      </p>
      <p>
        <b>prescription</b>:
        <a href="MedicationRequest/72">MedicationRequest/72</a>
      </p>
      <p>
        <b>total</b>: 30.68 USD
        <span style="background: LightGoldenRodYellow ">(Details: urn:iso:std:iso:4217 code USD := "USD")</span>
      </p>
    </div>
  </text>
  <status value="active"/>
  <use value="complete"/>
  <patient>
    <reference value="Patient/158"/>
  </patient>
  <billablePeriod>
    <start value="2016-05-21T07:22:41-04:00"/>
    <end value="2016-05-21T10:07:41-04:00"/>
  </billablePeriod>
  <organization>
    <reference value="Organization/3"/>
  </organization>
  <prescription>
    <reference value="MedicationRequest/72"/>
  </prescription>
  <item>
    <sequence value="1"/>
    <encounter>
      <reference value="Encounter/261"/>
    </encounter>
  </item>
  <total>
    <value value="30.68"/>
    <system value="urn:iso:std:iso:4217"/>
    <code value="USD"/>
  </total>
</Claim>

Claim "319" Version "1"

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative with Details

id: 319

status: active

use: complete

patient: Patient/158

billablePeriod: 4/4/2016 7:22:41 AM --> 4/4/2016 7:37:41 AM

organization: Organization/4

total: 129.16 USD (Details: urn:iso:std:iso:4217 code USD := "USD")


<?xml version="1.0" encoding="UTF-8"?>
<Claim xmlns="http://hl7.org/fhir">
  <id value="319"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2021-01-15T14:29:10.250Z"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <p>
        <b>Generated Narrative with Details</b>
      </p>
      <p>
        <b>id</b>: 319</p>
      <p>
        <b>status</b>: active</p>
      <p>
        <b>use</b>: complete</p>
      <p>
        <b>patient</b>:
        <a href="Patient/158">Patient/158</a>
      </p>
      <p>
        <b>billablePeriod</b>: 4/4/2016 7:22:41 AM --&gt; 4/4/2016 7:37:41 AM</p>
      <p>
        <b>organization</b>:
        <a href="Organization/4">Organization/4</a>
      </p>
      <p>
        <b>total</b>: 129.16 USD
        <span style="background: LightGoldenRodYellow ">(Details: urn:iso:std:iso:4217 code USD := "USD")</span>
      </p>
    </div>
  </text>
  <status value="active"/>
  <use value="complete"/>
  <patient>
    <reference value="Patient/158"/>
  </patient>
  <billablePeriod>
    <start value="2016-04-04T07:22:41-04:00"/>
    <end value="2016-04-04T07:37:41-04:00"/>
  </billablePeriod>
  <organization>
    <reference value="Organization/4"/>
  </organization>
  <information>
    <sequence value="1"/>
    <category>
      <coding>
        <system value="http://hl7.org/fhir/claiminformationcategory"/>
        <code value="info"/>
      </coding>
    </category>
    <valueReference>
      <reference value="urn:uuid:354f8740-a21a-4e3a-a9bd-7cb0adf58314"/>
    </valueReference>
  </information>
  <item>
    <sequence value="1"/>
    <encounter>
      <reference value="Encounter/260"/>
    </encounter>
  </item>
  <item>
    <sequence value="2"/>
    <informationLinkId value="1"/>
    <net>
      <value value="140.52"/>
      <system value="urn:iso:std:iso:4217"/>
      <code value="USD"/>
    </net>
  </item>
  <total>
    <value value="129.16"/>
    <system value="urn:iso:std:iso:4217"/>
    <code value="USD"/>
  </total>
</Claim>

Claim "318" Version "1"

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative with Details

id: 318

status: active

use: complete

patient: Patient/158

billablePeriod: 3/30/2015 7:22:41 AM --> 3/30/2015 7:52:41 AM

organization: Organization/4

total: 129.16 USD (Details: urn:iso:std:iso:4217 code USD := "USD")


<?xml version="1.0" encoding="UTF-8"?>
<Claim xmlns="http://hl7.org/fhir">
  <id value="318"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2021-01-15T14:29:08.859Z"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <p>
        <b>Generated Narrative with Details</b>
      </p>
      <p>
        <b>id</b>: 318</p>
      <p>
        <b>status</b>: active</p>
      <p>
        <b>use</b>: complete</p>
      <p>
        <b>patient</b>:
        <a href="Patient/158">Patient/158</a>
      </p>
      <p>
        <b>billablePeriod</b>: 3/30/2015 7:22:41 AM --&gt; 3/30/2015 7:52:41 AM</p>
      <p>
        <b>organization</b>:
        <a href="Organization/4">Organization/4</a>
      </p>
      <p>
        <b>total</b>: 129.16 USD
        <span style="background: LightGoldenRodYellow ">(Details: urn:iso:std:iso:4217 code USD := "USD")</span>
      </p>
    </div>
  </text>
  <status value="active"/>
  <use value="complete"/>
  <patient>
    <reference value="Patient/158"/>
  </patient>
  <billablePeriod>
    <start value="2015-03-30T07:22:41-04:00"/>
    <end value="2015-03-30T07:52:41-04:00"/>
  </billablePeriod>
  <organization>
    <reference value="Organization/4"/>
  </organization>
  <information>
    <sequence value="1"/>
    <category>
      <coding>
        <system value="http://hl7.org/fhir/claiminformationcategory"/>
        <code value="info"/>
      </coding>
    </category>
    <valueReference>
      <reference value="urn:uuid:4c0d990b-ab5c-4e8b-ab1d-e038476b3eb5"/>
    </valueReference>
  </information>
  <procedure>
    <sequence value="1"/>
    <procedureReference>
      <reference value="urn:uuid:990896c5-ff13-44b9-b6a4-9a23de01a12d"/>
    </procedureReference>
  </procedure>
  <item>
    <sequence value="1"/>
    <encounter>
      <reference value="Encounter/259"/>
    </encounter>
  </item>
  <item>
    <sequence value="2"/>
    <informationLinkId value="1"/>
    <net>
      <value value="140.52"/>
      <system value="urn:iso:std:iso:4217"/>
      <code value="USD"/>
    </net>
  </item>
  <item>
    <sequence value="3"/>
    <procedureLinkId value="1"/>
    <service>
      <extension url="https://bluebutton.cms.gov/assets/ig/StructureDefinition-bluebutton-outpatient-rev-cntr-ide-ndc-upc-num-extension">
        <valueCoding>
          <system value="https://www.accessdata.fda.gov/scripts/cder/ndc"/>
          <code value="0624"/>
          <display value="Dummy"/>
        </valueCoding>
      </extension>
      <coding>
        <system value="http://snomed.info/sct"/>
        <version value="v1"/>
        <code value="430193006"/>
      </coding>
    </service>
    <net>
      <value value="629.13"/>
      <system value="urn:iso:std:iso:4217"/>
      <code value="USD"/>
    </net>
  </item>
  <total>
    <value value="129.16"/>
    <system value="urn:iso:std:iso:4217"/>
    <code value="USD"/>
  </total>
</Claim>

Claim "317" Version "1"

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative with Details

id: 317

status: active

use: complete

patient: Patient/158

billablePeriod: 3/24/2014 7:22:41 AM --> 3/24/2014 7:37:41 AM

organization: Organization/4

total: 129.16 USD (Details: urn:iso:std:iso:4217 code USD := "USD")


<?xml version="1.0" encoding="UTF-8"?>
<Claim xmlns="http://hl7.org/fhir">
  <id value="317"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2021-01-15T14:29:07.281Z"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <p>
        <b>Generated Narrative with Details</b>
      </p>
      <p>
        <b>id</b>: 317</p>
      <p>
        <b>status</b>: active</p>
      <p>
        <b>use</b>: complete</p>
      <p>
        <b>patient</b>:
        <a href="Patient/158">Patient/158</a>
      </p>
      <p>
        <b>billablePeriod</b>: 3/24/2014 7:22:41 AM --&gt; 3/24/2014 7:37:41 AM</p>
      <p>
        <b>organization</b>:
        <a href="Organization/4">Organization/4</a>
      </p>
      <p>
        <b>total</b>: 129.16 USD
        <span style="background: LightGoldenRodYellow ">(Details: urn:iso:std:iso:4217 code USD := "USD")</span>
      </p>
    </div>
  </text>
  <status value="active"/>
  <use value="complete"/>
  <patient>
    <reference value="Patient/158"/>
  </patient>
  <billablePeriod>
    <start value="2014-03-24T07:22:41-04:00"/>
    <end value="2014-03-24T07:37:41-04:00"/>
  </billablePeriod>
  <organization>
    <reference value="Organization/4"/>
  </organization>
  <information>
    <sequence value="1"/>
    <category>
      <coding>
        <system value="http://hl7.org/fhir/claiminformationcategory"/>
        <code value="info"/>
      </coding>
    </category>
    <valueReference>
      <reference value="urn:uuid:dd6c4e8d-7280-4700-afdc-3ca3df122221"/>
    </valueReference>
  </information>
  <item>
    <sequence value="1"/>
    <encounter>
      <reference value="Encounter/258"/>
    </encounter>
  </item>
  <item>
    <sequence value="2"/>
    <informationLinkId value="1"/>
    <net>
      <value value="140.52"/>
      <system value="urn:iso:std:iso:4217"/>
      <code value="USD"/>
    </net>
  </item>
  <total>
    <value value="129.16"/>
    <system value="urn:iso:std:iso:4217"/>
    <code value="USD"/>
  </total>
</Claim>

Claim "316" Version "1"

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative with Details

id: 316

status: active

use: complete

patient: Patient/158

billablePeriod: 10/13/2013 7:22:41 AM --> 10/13/2013 7:37:41 AM

organization: Organization/3

total: 129.16 USD (Details: urn:iso:std:iso:4217 code USD := "USD")


<?xml version="1.0" encoding="UTF-8"?>
<Claim xmlns="http://hl7.org/fhir">
  <id value="316"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2021-01-15T14:29:05.172Z"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <p>
        <b>Generated Narrative with Details</b>
      </p>
      <p>
        <b>id</b>: 316</p>
      <p>
        <b>status</b>: active</p>
      <p>
        <b>use</b>: complete</p>
      <p>
        <b>patient</b>:
        <a href="Patient/158">Patient/158</a>
      </p>
      <p>
        <b>billablePeriod</b>: 10/13/2013 7:22:41 AM --&gt; 10/13/2013 7:37:41 AM</p>
      <p>
        <b>organization</b>:
        <a href="Organization/3">Organization/3</a>
      </p>
      <p>
        <b>total</b>: 129.16 USD
        <span style="background: LightGoldenRodYellow ">(Details: urn:iso:std:iso:4217 code USD := "USD")</span>
      </p>
    </div>
  </text>
  <status value="active"/>
  <use value="complete"/>
  <patient>
    <reference value="Patient/158"/>
  </patient>
  <billablePeriod>
    <start value="2013-10-13T07:22:41-04:00"/>
    <end value="2013-10-13T07:37:41-04:00"/>
  </billablePeriod>
  <organization>
    <reference value="Organization/3"/>
  </organization>
  <diagnosis>
    <sequence value="1"/>
    <diagnosisReference>
      <reference value="urn:uuid:f99e3699-3748-4c6d-99b0-cf13d47509ac"/>
    </diagnosisReference>
  </diagnosis>
  <item>
    <sequence value="1"/>
    <encounter>
      <reference value="Encounter/257"/>
    </encounter>
  </item>
  <item>
    <sequence value="2"/>
    <diagnosisLinkId value="1"/>
  </item>
  <total>
    <value value="129.16"/>
    <system value="urn:iso:std:iso:4217"/>
    <code value="USD"/>
  </total>
</Claim>

Claim "315" Version "1"

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative with Details

id: 315

status: active

use: complete

patient: Patient/158

billablePeriod: 3/18/2013 7:22:41 AM --> 3/18/2013 7:52:41 AM

organization: Organization/4

total: 129.16 USD (Details: urn:iso:std:iso:4217 code USD := "USD")


<?xml version="1.0" encoding="UTF-8"?>
<Claim xmlns="http://hl7.org/fhir">
  <id value="315"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2021-01-15T14:29:04.906Z"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <p>
        <b>Generated Narrative with Details</b>
      </p>
      <p>
        <b>id</b>: 315</p>
      <p>
        <b>status</b>: active</p>
      <p>
        <b>use</b>: complete</p>
      <p>
        <b>patient</b>:
        <a href="Patient/158">Patient/158</a>
      </p>
      <p>
        <b>billablePeriod</b>: 3/18/2013 7:22:41 AM --&gt; 3/18/2013 7:52:41 AM</p>
      <p>
        <b>organization</b>:
        <a href="Organization/4">Organization/4</a>
      </p>
      <p>
        <b>total</b>: 129.16 USD
        <span style="background: LightGoldenRodYellow ">(Details: urn:iso:std:iso:4217 code USD := "USD")</span>
      </p>
    </div>
  </text>
  <status value="active"/>
  <use value="complete"/>
  <patient>
    <reference value="Patient/158"/>
  </patient>
  <billablePeriod>
    <start value="2013-03-18T07:22:41-04:00"/>
    <end value="2013-03-18T07:52:41-04:00"/>
  </billablePeriod>
  <organization>
    <reference value="Organization/4"/>
  </organization>
  <information>
    <sequence value="1"/>
    <category>
      <coding>
        <system value="http://hl7.org/fhir/claiminformationcategory"/>
        <code value="info"/>
      </coding>
    </category>
    <valueReference>
      <reference value="urn:uuid:f5b5b8a5-106b-4e7c-a054-d798baf99361"/>
    </valueReference>
  </information>
  <procedure>
    <sequence value="1"/>
    <procedureReference>
      <reference value="urn:uuid:20a44908-68a2-44a0-9cd5-c9a5a27ca910"/>
    </procedureReference>
  </procedure>
  <item>
    <sequence value="1"/>
    <encounter>
      <reference value="Encounter/256"/>
    </encounter>
  </item>
  <item>
    <sequence value="2"/>
    <informationLinkId value="1"/>
    <net>
      <value value="140.52"/>
      <system value="urn:iso:std:iso:4217"/>
      <code value="USD"/>
    </net>
  </item>
  <item>
    <sequence value="3"/>
    <procedureLinkId value="1"/>
    <service>
      <extension url="https://bluebutton.cms.gov/assets/ig/StructureDefinition-bluebutton-outpatient-rev-cntr-ide-ndc-upc-num-extension">
        <valueCoding>
          <system value="https://www.accessdata.fda.gov/scripts/cder/ndc"/>
          <code value="0624"/>
          <display value="Dummy"/>
        </valueCoding>
      </extension>
      <coding>
        <system value="http://snomed.info/sct"/>
        <version value="v1"/>
        <code value="430193006"/>
      </coding>
    </service>
    <net>
      <value value="325.32"/>
      <system value="urn:iso:std:iso:4217"/>
      <code value="USD"/>
    </net>
  </item>
  <total>
    <value value="129.16"/>
    <system value="urn:iso:std:iso:4217"/>
    <code value="USD"/>
  </total>
</Claim>

Claim "314" Version "1"

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative with Details

id: 314

status: active

use: complete

patient: Patient/158

billablePeriod: 1/18/2013 6:22:41 AM --> 1/18/2013 6:37:41 AM

organization: Organization/3

total: 129.16 USD (Details: urn:iso:std:iso:4217 code USD := "USD")


<?xml version="1.0" encoding="UTF-8"?>
<Claim xmlns="http://hl7.org/fhir">
  <id value="314"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2021-01-15T14:29:02.797Z"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <p>
        <b>Generated Narrative with Details</b>
      </p>
      <p>
        <b>id</b>: 314</p>
      <p>
        <b>status</b>: active</p>
      <p>
        <b>use</b>: complete</p>
      <p>
        <b>patient</b>:
        <a href="Patient/158">Patient/158</a>
      </p>
      <p>
        <b>billablePeriod</b>: 1/18/2013 6:22:41 AM --&gt; 1/18/2013 6:37:41 AM</p>
      <p>
        <b>organization</b>:
        <a href="Organization/3">Organization/3</a>
      </p>
      <p>
        <b>total</b>: 129.16 USD
        <span style="background: LightGoldenRodYellow ">(Details: urn:iso:std:iso:4217 code USD := "USD")</span>
      </p>
    </div>
  </text>
  <status value="active"/>
  <use value="complete"/>
  <patient>
    <reference value="Patient/158"/>
  </patient>
  <billablePeriod>
    <start value="2013-01-18T06:22:41-05:00"/>
    <end value="2013-01-18T06:37:41-05:00"/>
  </billablePeriod>
  <organization>
    <reference value="Organization/3"/>
  </organization>
  <diagnosis>
    <sequence value="1"/>
    <diagnosisReference>
      <reference value="urn:uuid:85394aea-62f6-43ba-a68b-9c6252dce93a"/>
    </diagnosisReference>
  </diagnosis>
  <item>
    <sequence value="1"/>
    <encounter>
      <reference value="Encounter/255"/>
    </encounter>
  </item>
  <item>
    <sequence value="2"/>
    <diagnosisLinkId value="1"/>
  </item>
  <total>
    <value value="129.16"/>
    <system value="urn:iso:std:iso:4217"/>
    <code value="USD"/>
  </total>
</Claim>

Claim "313" Version "1"

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative with Details

id: 313

status: active

use: complete

patient: Patient/158

billablePeriod: 3/31/2012 7:22:41 AM --> 3/31/2012 8:16:41 AM

organization: Organization/3

total: 129.16 USD (Details: urn:iso:std:iso:4217 code USD := "USD")


<?xml version="1.0" encoding="UTF-8"?>
<Claim xmlns="http://hl7.org/fhir">
  <id value="313"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2021-01-15T14:29:02.359Z"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <p>
        <b>Generated Narrative with Details</b>
      </p>
      <p>
        <b>id</b>: 313</p>
      <p>
        <b>status</b>: active</p>
      <p>
        <b>use</b>: complete</p>
      <p>
        <b>patient</b>:
        <a href="Patient/158">Patient/158</a>
      </p>
      <p>
        <b>billablePeriod</b>: 3/31/2012 7:22:41 AM --&gt; 3/31/2012 8:16:41 AM</p>
      <p>
        <b>organization</b>:
        <a href="Organization/3">Organization/3</a>
      </p>
      <p>
        <b>total</b>: 129.16 USD
        <span style="background: LightGoldenRodYellow ">(Details: urn:iso:std:iso:4217 code USD := "USD")</span>
      </p>
    </div>
  </text>
  <status value="active"/>
  <use value="complete"/>
  <patient>
    <reference value="Patient/158"/>
  </patient>
  <billablePeriod>
    <start value="2012-03-31T07:22:41-04:00"/>
    <end value="2012-03-31T08:16:41-04:00"/>
  </billablePeriod>
  <organization>
    <reference value="Organization/3"/>
  </organization>
  <procedure>
    <sequence value="1"/>
    <procedureReference>
      <reference value="urn:uuid:c65572ea-6ae1-40ed-9575-ec0aae87e644"/>
    </procedureReference>
  </procedure>
  <item>
    <sequence value="1"/>
    <encounter>
      <reference value="Encounter/254"/>
    </encounter>
  </item>
  <item>
    <sequence value="2"/>
    <procedureLinkId value="1"/>
    <service>
      <extension url="https://bluebutton.cms.gov/assets/ig/StructureDefinition-bluebutton-outpatient-rev-cntr-ide-ndc-upc-num-extension">
        <valueCoding>
          <system value="https://www.accessdata.fda.gov/scripts/cder/ndc"/>
          <code value="0624"/>
          <display value="Dummy"/>
        </valueCoding>
      </extension>
      <coding>
        <system value="http://snomed.info/sct"/>
        <version value="v1"/>
        <code value="73761001"/>
      </coding>
    </service>
    <net>
      <value value="16338.86"/>
      <system value="urn:iso:std:iso:4217"/>
      <code value="USD"/>
    </net>
  </item>
  <total>
    <value value="129.16"/>
    <system value="urn:iso:std:iso:4217"/>
    <code value="USD"/>
  </total>
</Claim>