0.2.3 - ci-build
HealthDataReceipt - Local Development build (v0.2.3). See the Directory of published versions
Resource Claim "Receipt-Purchase" Version "1" Updated "2018-10-04 07:42:52-0400"
status: active
type: Over The Counter (Claim Type Codes#over-the-counter)
use: claim
patient: Patient/john-smith: John Smith
created: 2018-10-04
provider: Patient/acme-pharmacy: ACME Pharmacy
priority: Normal (Process Priority Codes#normal)
| - | Sequence | Category | Value[x] |
| * | 1 | Medical Care (Benefit Category Codes#1) | Medication/zyrtec: Zyrtec |
| - | Sequence | Focal | Coverage |
| * | 1 | false | Coverage/self-pay: Self-pay |
item
sequence: 1
productOrService: Expense (USCLS Codes#99555)
serviced: 2018-10-04
quantity: 1
UnitPrices
- Value Currency * 12.95 USD Nets
- Value Currency * 13.65 USD
| - | Value | Currency |
| * | 13.65 | USD |