{"careTeam":[{"provider":{"reference":"Practitioner/example"},"sequence":1}],"created":"2014-08-16","diagnosis":[{"diagnosisCodeableConcept":{"coding":[{"code":"654456"}]},"sequence":1}],"enterer":{"identifier":{"system":"http://jurisdiction.org/facilities/HOSP1234/users","value":"UC1234"}},"facility":{"identifier":{"system":"http://jurisdiction.org/facilities","value":"HOSP1234"}},"id":"960150","identifier":[{"system":"http://happyhospital.com/claim","value":"9612345"}],"insurance":[{"coverage":{"reference":"Coverage/9876B1"},"focal":true,"sequence":1}],"insurer":{"reference":"Organization/2"},"item":[{"careTeamSequence":[1],"encounter":[{"reference":"Encounter/example"}],"net":{"currency":"USD","value":125},"productOrService":{"coding":[{"code":"exam","system":"http://hl7.org/fhir/ex-serviceproduct"}]},"sequence":1,"servicedDate":"2014-08-16","unitPrice":{"currency":"USD","value":125}}],"payee":{"type":{"coding":[{"code":"provider"}]}},"priority":{"coding":[{"code":"normal"}]},"procedure":[{"date":"2014-08-16","procedureCodeableConcept":{"coding":[{"code":"SDI9901"}],"text":"Subcutaneous diagnostic implant"},"sequence":1,"type":[{"coding":[{"code":"primary"}]}],"udi":[{"reference":"Device/example"}]}],"provider":{"reference":"Organization/1"},"resourceType":"Claim","status":"active","subType":{"coding":[{"code":"emergency","system":"http://terminology.hl7.org/CodeSystem/ex-claimsubtype"}]},"subject":{"reference":"Patient/1"},"text":{"div":"<div xmlns=\"http://www.w3.org/1999/xhtml\">A human-readable rendering of the Claim</div>","status":"generated"},"total":{"currency":"USD","value":125},"type":{"coding":[{"code":"institutional","system":"http://terminology.hl7.org/CodeSystem/claim-type"}]},"use":"claim"}