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Update Json Coverage & Account

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Ragil Bayu
2025-05-15 12:29:47 +07:00
parent 5130621bc9
commit 9a284c5d1f
2 changed files with 400 additions and 0 deletions
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FHIR/Financial Management/Coverage.json
+230
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{
"resourceType" : "Coverage",
"id" : "",
"identifier" : [{
"use" : "",
"type": {
"coding" : [{
"system" : "http://terminology.hl7.org/CodeSystem/organization-type",
"version" : "",
"code" : "pay",
"display" : "Payer",
"userSelected" : true
}],
"text" : ""
},
"system" : "",
"value" : "",
"period" : {"start" : "", "end" : ""},
"assigner": {
"reference" : "",
"display" : ""
}
}],
"status" : "active",
"kind" : "",
"paymentBy" : [{
"party" : {
"reference" : "",
"display" : ""
},
"responsibility": ""
}],
"type" : {
"coding": [{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"version" : "",
"code" : "EHCPOL",
"display" : "extended healthcare",
"userSelected" : ""
}],
"text": "BPJS Kesehatan Coverage"
},
"policyHolder" : {
"reference" : "",
"display" : ""
},
"subscriber": {
"reference" : "Patient/12345",
"display" : "Budi Santoso"
},
"subscriberId" : [{
"coding": [{
"system" : "",
"version" : "",
"code" : "",
"display" : "",
"userSelected" : ""
}],
"text": ""
}],
"beneficiary": {
"reference" : "Patient/12345",
"display" : "Budi Santoso"
},
"dependent" : "",
"relationship" : {
"coding": [{
"system" : "http://terminology.hl7.org/CodeSystem/subscriber-relationship",
"version" : "",
"code" : "self",
"display" : "Self",
"userSelected" : ""
}],
"text" : ""
},
"period" : {"start": "2020-01-01","end": "9999-12-31"},
"insurer" : {
"reference" : "",
"display" : ""
},
"class": [{
"type" : {
"coding": [{
"system" : "http://terminology.hl7.org/CodeSystem/coverage-class",
"version" : "",
"code" : "group",
"display" : "Group",
"userSelected" : ""
}],
"text" : ""
},
"value" : {
"use" : "",
"type": {
"coding" : [{
"system" : "",
"version" : "",
"code" : "PPU",
"display" : "Pekerja Penerima Upah",
"userSelected" : false
}],
"text" : "Pekerja Penerima Upah"
},
"system" : "",
"value" : "",
"period" : {"start" : "", "end" : ""},
"assigner": {
"reference" : "",
"display" : ""
}
},
"name" : "Pekerja Penerima Upah"
},
{
"type": {
"coding": [{
"system" : "http://terminology.hl7.org/CodeSystem/coverage-class",
"version" : "",
"code" : "plan",
"display" : "Plan",
"userSelected" : ""
}],
"text" : ""
},
"value": {
"use" : "",
"type": {
"coding" : [{
"system" : "",
"version" : "",
"code" : "",
"display" : "Kelas 2",
"userSelected" : true
}],
"text" : ""
},
"system" : "",
"value" : "",
"period" : {"start" : "", "end" : ""},
"assigner": {
"reference" : "",
"display" : ""
}
},
"name" : ""
}],
"order" : 0,
"network" : "RSUD Dr. Saiful Anwar",
"costToBeneficiary" : [{
"type" : {
"coding" : [{
"system" : "",
"version" : "",
"code" : "",
"display" : "Kelas 2",
"userSelected" : true
}],
"text" : ""
},
"category" : {
"coding" : [{
"system" : "",
"version" : "",
"code" : "",
"display" : "Kelas 2",
"userSelected" : true
}],
"text" : ""
},
"network" : {
"coding" : [{
"system" : "",
"version" : "",
"code" : "",
"display" : "Kelas 2",
"userSelected" : true
}],
"text" : ""
},
"unit" : {
"coding" : [{
"system" : "",
"version" : "",
"code" : "",
"display" : "Kelas 2",
"userSelected" : true
}],
"text" : ""
},
"term" : {
"coding" : [{
"system" : "",
"version" : "",
"code" : "",
"display" : "Kelas 2",
"userSelected" : true
}],
"text" : ""
}
}],
"value" : {
"valueQuantity" : "",
"valueMoney" : {
"value" : 0,
"currency" : ""
}
},
"exception" : [{
"type" : {
"coding" : [{
"system" : "",
"version" : "",
"code" : "",
"display" : "Kelas 2",
"userSelected" : true
}],
"text" : ""
},
"period" : {"start" : "", "end" : ""}
}],
"subrogation" : 0,
"contact" : {
"reference" : "",
"display" : ""
},
"insurancePlan" : {
"reference" : "",
"display" : ""
}
}
FHIR/Patient Administration/Account.json
+170
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{
"resourceType" : "Account",
"id" : "",
"identifier" : [{
"use" : "",
"type": {
"coding" : [{
"system" : "",
"version" : "",
"code" : "",
"display" : "",
"userSelected" : false
}],
"text" : ""
},
"system" : "",
"value" : "",
"period" : {"start" : "", "end" : ""},
"assigner": {
"reference" : "",
"display" : ""
}
}],
"status" : "active",
"billingStatus" : {
"coding" : [{
"system" : "",
"version" : "",
"code" : "",
"display" : "",
"userSelected" : false
}],
"text" : ""
},
"type" : {
"coding": [{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"version" : "6.3.0",
"code" : "PBILLACCT",
"display" : "patient billing account",
"userSelected" : true
}],
"text" : "Patient Billing Account"
},
"name" : "BPJS RSSA Billing for Budi Santoso",
"subject" : {
"reference" : "Patient/12345",
"display" : "Budi Santoso"
},
"servicePeriod" : {"start": "2025-05-01","end": "2025-05-10"},
"coverage" : [{
"coverage": {
"reference" : "Coverage/bpjs-rssa-coverage-001",
"display" : "BPJS Kesehatan"
},
"priority": 1
}],
"owner" : {
"reference" : "Organization/rssa",
"display" : "RSUD Dr. Saiful Anwar"
},
"description" : "Akun penagihan pasien BPJS untuk rawat inap di RSSA",
"guarantor" : [{
"party" : {
"reference" : "Patient/12345",
"display" : "Budi Santoso"
},
"onHold": false,
"period": {"start": "2025-05-01","end": "2025-05-10"}
}],
"diagnosis" : [{
"sequence" : 0,
"condition" : {
"concept": {
"coding" : [{
"system" : "",
"version" : "",
"code" : "",
"display" : "",
"userSelected" : false
}],
"text" : ""
},
"reference" : {
"reference" : "",
"display" : ""
}
},
"dateOfDiagnosis": "",
"type" : [{
"coding" : [{
"system" : "",
"version" : "",
"code" : "",
"display" : "",
"userSelected" : false
}],
"text" : ""
}],
"onAdmission" : "",
"packageCode" : [{
"coding" : [{
"system" : "",
"version" : "",
"code" : "",
"display" : "",
"userSelected" : false
}],
"text" : ""
}],
"device" : {
"reference" : "",
"display" : ""
}
}],
"relatedAccount" : {
"relationship" : {
"coding" : [{
"system" : "",
"version" : "",
"code" : "",
"display" : "",
"userSelected" : false
}],
"text" : ""
},
"account" : {
"reference" : "",
"display" : ""
}
},
"currency" : {
"coding" : [{
"system" : "",
"version" : "",
"code" : "",
"display" : "",
"userSelected" : false
}],
"text" : ""
},
"balance": [{
"aggregate" : {
"coding" : [{
"system" : "",
"version" : "",
"code" : "",
"display" : "",
"userSelected" : false
}],
"text" : ""
},
"term" : {
"coding" : [{
"system" : "",
"version" : "",
"code" : "",
"display" : "",
"userSelected" : false
}],
"text" : ""
},
"estimate" : false,
"amount" : {
"value" : 0,
"currency" : ""
}
}],
"calculatedAt" : ""
}