{"careTeam":[{"provider":{"identifier":{"system":"http://www.jurisdiction.com/providerId","value":"MD98765"}},"sequence":1}],"created":"2014-08-16","diagnosis":[{"diagnosisCodeableConcept":{"coding":[{"code":"123456"}]},"sequence":1}],"id":"100154","identifier":[{"system":"http://happyvalley.com/claim","value":"12347"}],"insurance":[{"coverage":{"identifier":{"system":"http://www.jurisdiction.com/nationalplan","value":"123AB345"}},"focal":true,"sequence":1}],"insurer":{"identifier":{"system":"http://www.jurisdiction.com/insurers","value":"123456"}},"item":[{"careTeamSequence":[1],"net":{"currency":"USD","value":135.57},"productOrService":{"coding":[{"code":"1200"}]},"sequence":1,"servicedDate":"2014-08-16","unitPrice":{"currency":"USD","value":135.57}}],"payee":{"type":{"coding":[{"code":"provider"}]}},"priority":{"coding":[{"code":"normal"}]},"provider":{"identifier":{"system":"http://www.jurisdiction.com/careorganizations","value":"HOSP12345"}},"resourceType":"Claim","status":"active","subject":{"identifier":{"system":"http://www.jurisdiction.com/nationalId","value":"123AB345"}},"text":{"div":"<div xmlns=\"http://www.w3.org/1999/xhtml\">This example assumes a national health care scheme where patients, providers and organizations have known business identifiers.</div>","status":"generated"},"type":{"coding":[{"code":"oral","system":"http://terminology.hl7.org/CodeSystem/claim-type"}]},"use":"claim"}