Finance and Insurance Service (FAIS)
1.0.0 - trial-use International flag

This page is part of the IHE ITI Finance and Insurance Services (v1.0.0: Publication) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions

Example Claim: Use Case 3 - Example claim

Generated Narrative: Claim ex-claim-3

status: Active

type: Institutional

use: Claim

patient: Purity Atieno Female, DoB: 2000-05-04

created: 2024-07-15 03:00:00+0000

enterer: Practitioner Kalu Kalu

insurer: Organization National Health Insurance Scheme

provider: Practitioner Kalu Kalu

priority: Normal

Payees

-TypeParty
*ProviderOrganization National Health Hospital System

facility: Location Local Hospital

Diagnoses

-SequenceDiagnosis[x]
*1Hybrid oncocytic chromophobe tumour

Procedures

-SequenceProcedure[x]
*1Chemotherapy treatment Cancer

Insurances

-SequenceFocalCoverage
*1trueCoverage: status = active; type = public healthcare; subscriberId = 05710b56-4448-11ef-b676-774a043da147; relationship = Self; period = 2024-01-01 --> 2024-12-31