FHIR Release 3 (STU) Snapshot 3: Connectathon 32 Base

This page is part of the Snapshot #3 for FHIR Specification (v3.0.2: STU 3). The current version which supercedes this version is 5.0.0 R5 , released to support Connectathon 32 . For a full list of available versions, see the Directory of published versions . Page versions: R4 R3 R2

Using Codes Code Systems Value Sets Concept Maps Identifier Systems 4.2.13.488 HL7 Version 2 Table 0488

Example Claim/660150 (XML)

External OID:
Vocabulary Financial Management Work Group   Maturity Level : N/A Use Context Standards Status : Any This is a table defined as part of HL7 v2 . Related FHIR content: v2 Specimen Collection Method . Summary Name: v2 Specimen Collection Method Definition: FHIR Value set/code system definition for HL7 v2 table 0488 ( Specimen Collection Method) Code System URL: http://hl7.org/fhir/v2/0488 Value Set URL: Informative http://hl7.org/fhir/ValueSet/v2-0488 Compartments : Device , Encounter , Patient , Practitioner , RelatedPerson

Specimen Collection Method Code Description Comment Version ANP Plates, Anaerobic added v2.5 BAP Plates, Blood Agar added v2.5 BCAE Blood Culture, Aerobic Bottle added v2.5 BCAN Blood Culture, Anaerobic Bottle added v2.5 BCPD Blood Culture, Pediatric Bottle added v2.5 BIO Biopsy added v2.5 CAP Capillary Specimen added v2.5 CATH Catheterized added v2.5 CVP Line, CVP added v2.5 EPLA Environmental, Plate added v2.5 ESWA Environmental, Swab added v2.5 FNA Aspiration, Fine Needle added v2.5 KOFFP Plate, Cough added v2.5 LNA Line, Arterial added v2.5 LNV Line, Venous added v2.5 MARTL Martin-Lewis Agar added v2.5 ML11 Mod. Martin-Lewis Agar added v2.5 MLP Plate, Martin-Lewis added v2.5 NYP Plate, New York City added v2.5 PACE Pace, Gen-Probe added v2.5 PIN Pinworm Prep added v2.5 PNA Arterial puncture added v2.5 PRIME Pump Prime added v2.5 PUMP Pump Specimen added v2.5 QC5 Quality Control For Micro added v2.5 SCLP Scalp, Fetal Vein added v2.5 SCRAPS Scrapings added v2.5 SHA Shaving added v2.5 SWA Swab added v2.5 SWD Swab, Dacron tipped added v2.5 TMAN Transport Media, Anaerobic added v2.5 TMCH Transport Media, Chalamydia added v2.5 TMM4 Transport Media, M4 added v2.5 TMMY Transport Media, Mycoplasma added v2.5 TMOT Transport Media, added v2.5 TMP Plate, Thayer-Martin added v2.5 TMPV Raw XML Transport Media, PVA added v2.5 TMSC ( canonical form Transport Media, Stool Culture added v2.5 TMUP + also see XML Format Specification )

Transport Media, Ureaplasma added v2.5 TMVI Jump past Narrative Transport Media, Viral added v2.5

Simple Vision Claim (id = "660150")


<?xml version="1.0" encoding="UTF-8"?>

<Claim xmlns="http://hl7.org/fhir">
  <id value="660150"/> 


  <text> 
    <status value="generated"/> 
    <div xmlns="http://www.w3.org/1999/xhtml">A human-readable rendering of the Vision Claim</div> 
  </text> 


  <identifier> 
    <system value="http://happysight.com/claim"/> 
    <value value="6612345"/> 
  </identifier> 


  <status value="active"/> 


  <type> 
    <coding> 
      <system value="http://terminology.hl7.org/CodeSystem/claim-type"/> 
      <code value="vision"/> 
    </coding> 
  </type> 


  <use value="claim"/> 


  <patient> 
    <reference value="Patient/1"/> 
  </patient> 


  <created value="2014-08-16"/> 


  <insurer> 
    <reference value="Organization/2"/> 
  </insurer> 


  <provider> 
    <reference value="Organization/1"/> 
  </provider> 


  <priority> 
    <coding> 
      <code value="normal"/> 
    </coding> 
  </priority> 


  <payee> 
    <type> 
      <coding> 
        <code value="provider"/> 
      </coding> 
    </type> 
  </payee> 


  <careTeam> 
    <sequence value="1"/> 
    <provider> 
      <reference value="Practitioner/example"/> 
    </provider> 
  </careTeam> 


  <diagnosis> 
    <sequence value="1"/> 
    <diagnosisCodeableConcept> 
      <coding> 
        <code value="654321"/> 
      </coding> 
    </diagnosisCodeableConcept> 
  </diagnosis> 


  <insurance> 
    <sequence value="1"/> 
    <focal value="true"/> 
    <coverage> 
      <reference value="Coverage/9876B1"/> 
    </coverage> 
  </insurance> 


  <item> 
    <sequence value="1"/> 
    <careTeamSequence value="1"/> 
    <productOrService> 
      <coding> 
        <system value="http://example.org/fhir/CodeSystem/ex-visionservice"/> 
        <code value="exam"/> 
      </coding> 
    </productOrService> 
    <servicedDate value="2014-08-16"/> 
    <unitPrice> 
      <value value="80.00"/> 
      <currency value="USD"/>  
    </unitPrice>  
    <net> 
      <value value="80.00"/> 
      <currency value="USD"/>  
    </net>  
  </item> 



VENIP


</

Claim


>

Venipuncture
added
v2.5
WOOD



Swab,
Wooden
Shaft
added
v2.5

Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.