171 lines
4.8 KiB
JSON
171 lines
4.8 KiB
JSON
{
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"resourceType" : "Account",
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"id" : "",
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"identifier" : [{
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"use" : "",
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"type": {
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"coding" : [{
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"system" : "",
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"version" : "",
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"code" : "",
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"display" : "",
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"userSelected" : false
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}],
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"text" : ""
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},
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"system" : "",
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"value" : "",
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"period" : {"start" : "", "end" : ""},
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"assigner": {
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"reference" : "",
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"display" : ""
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}
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}],
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"status" : "active",
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"billingStatus" : {
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"coding" : [{
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"system" : "",
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"version" : "",
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"code" : "",
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"display" : "",
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"userSelected" : false
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}],
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"text" : ""
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},
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"type" : {
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"coding": [{
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"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
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"version" : "6.3.0",
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"code" : "PBILLACCT",
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"display" : "patient billing account",
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"userSelected" : true
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}],
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"text" : "Patient Billing Account"
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},
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"name" : "BPJS RSSA Billing for Budi Santoso",
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"subject" : {
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"reference" : "Patient/12345",
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"display" : "Budi Santoso"
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},
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"servicePeriod" : {"start": "2025-05-01","end": "2025-05-10"},
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"coverage" : [{
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"coverage": {
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"reference" : "Coverage/bpjs-rssa-coverage-001",
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"display" : "BPJS Kesehatan"
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},
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"priority": 1
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}],
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"owner" : {
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"reference" : "Organization/rssa",
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"display" : "RSUD Dr. Saiful Anwar"
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},
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"description" : "Akun penagihan pasien BPJS untuk rawat inap di RSSA",
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"guarantor" : [{
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"party" : {
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"reference" : "Patient/12345",
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"display" : "Budi Santoso"
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},
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"onHold": false,
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"period": {"start": "2025-05-01","end": "2025-05-10"}
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}],
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"diagnosis" : [{
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"sequence" : 0,
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"condition" : {
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"concept": {
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"coding" : [{
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"system" : "",
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"version" : "",
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"code" : "",
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"display" : "",
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"userSelected" : false
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}],
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"text" : ""
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},
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"reference" : {
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"reference" : "",
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"display" : ""
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}
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},
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"dateOfDiagnosis": "",
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"type" : [{
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"coding" : [{
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"system" : "",
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"version" : "",
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"code" : "",
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"display" : "",
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"userSelected" : false
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}],
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"text" : ""
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}],
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"onAdmission" : "",
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"packageCode" : [{
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"coding" : [{
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"system" : "",
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"version" : "",
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"code" : "",
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"display" : "",
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"userSelected" : false
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}],
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"text" : ""
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}],
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"device" : {
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"reference" : "",
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"display" : ""
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}
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}],
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"relatedAccount" : {
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"relationship" : {
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"coding" : [{
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"system" : "",
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"version" : "",
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"code" : "",
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"display" : "",
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"userSelected" : false
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}],
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"text" : ""
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},
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"account" : {
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"reference" : "",
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"display" : ""
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}
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},
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"currency" : {
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"coding" : [{
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"system" : "",
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"version" : "",
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"code" : "",
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"display" : "",
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"userSelected" : false
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}],
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"text" : ""
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},
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"balance": [{
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"aggregate" : {
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"coding" : [{
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"system" : "",
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"version" : "",
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"code" : "",
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"display" : "",
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"userSelected" : false
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}],
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"text" : ""
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},
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"term" : {
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"coding" : [{
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"system" : "",
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"version" : "",
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"code" : "",
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"display" : "",
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"userSelected" : false
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}],
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"text" : ""
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},
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"estimate" : false,
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"amount" : {
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"value" : 0,
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"currency" : ""
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}
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}],
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"calculatedAt" : ""
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}
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