מדריך למטמיע - טופס 17
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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .
# - resource -------------------------------------------------------------------
a fhir:Bundle ;
fhir:nodeRole fhir:treeRoot ;
fhir:id [ fhir:v "cancellation-request-multiple-codes"] ; #
fhir:meta [
fhir:versionId [ fhir:v "1" ] ;
fhir:lastUpdated [ fhir:v "2023-07-20T12:21:34.190+00:00"^^xsd:dateTime ] ;
fhir:source [ fhir:v "#XilFlMo7DOtpxLzY"^^xsd:anyURI ]
] ; #
fhir:type [ fhir:v "collection"] ; #
fhir:entry ( [
fhir:fullUrl [ fhir:v "urn:uuid:3f003001-01cb-4f76-ada7-6d0bc6d04f62"^^xsd:anyURI ] ;
( fhir:resource <urn:uuid:3f003001-01cb-4f76-ada7-6d0bc6d04f62> )
] ) . #
<urn:uuid:3f003001-01cb-4f76-ada7-6d0bc6d04f62> a fhir:CoverageEligibilityRequest ;
fhir:id [ fhir:v "Inline-Instance-for-3822-1"] ; #
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"CoverageEligibilityRequest_Inline-Instance-for-3822-1\"> </a><p class=\"res-header-id\"><b>Generated Narrative: CoverageEligibilityRequest Inline-Instance-for-3822-1</b></p><a name=\"Inline-Instance-for-3822-1\"> </a><a name=\"hcInline-Instance-for-3822-1\"> </a><a name=\"Inline-Instance-for-3822-1-en-US\"> </a><p><b>identifier</b>: <code>http://fhir.tlvmc.gov.il/identifier/preauth-req-no</code>/3773</p><p><b>status</b>: Cancelled</p><p><b>purpose</b>: Coverage Validation</p><p><b>patient</b>: Identifier: <code>http://fhir.leumit.co.il/identifier/magnetic-card</code>/1-123456-123456-789</p><p><b>serviced</b>: 2023-07-02</p><p><b>created</b>: 2023-07-18 07:51:20+0000</p><p><b>provider</b>: בי"ח איכילוב (Identifier: Israeli Legal Entity/500106919)</p><p><b>insurer</b>: מאוחדת (Identifier: Israeli Legal Entity/5899584495)</p><h3>SupportingInfos</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Sequence</b></td><td><b>Information</b></td></tr><tr><td style=\"display: none\">*</td><td>1</td><td>בקשת ההתחייבות המבוטלת (Identifier: <code>http://fhir.tlvmc.gov.il/identifier/preauth-req-no</code>/3772)</td></tr></table><blockquote><p><b>item</b></p><p><b>productOrService</b>: <span title=\"Codes:{http://fhir.health.gov.il/cs/medical-service-moh L9258}\">בדיקת רופא ילדים במרפאה</span></p><p><b>quantity</b>: 2</p><h3>UnitPrices</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style=\"display: none\">*</td><td>210</td><td>Israeli new shekel</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>productOrService</b>: <span title=\"Codes:{http://fhir.health.gov.il/cs/medical-service-moh L9261}\">בדיקת רופא כירורג בית החזה במרפאה</span></p><p><b>quantity</b>: 1</p><h3>UnitPrices</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style=\"display: none\">*</td><td>242</td><td>Israeli new shekel</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>productOrService</b>: <span title=\"Codes:{http://fhir.health.gov.il/cs/medical-service-moh L9266}\">בדיקת רופא כירורג שד במרפאה</span></p><p><b>quantity</b>: 2</p><h3>UnitPrices</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style=\"display: none\">*</td><td>136</td><td>Israeli new shekel</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>productOrService</b>: <span title=\"Codes:{http://fhir.health.gov.il/cs/medical-service-moh 99242}\">בדיקת רופא מומחה במרפאה, למעט בדיקות להן קוד מיוחד</span></p><p><b>quantity</b>: 2</p><h3>UnitPrices</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style=\"display: none\">*</td><td>80</td><td>Israeli new shekel</td></tr></table></blockquote></div>"
] ; #
fhir:identifier ( [
fhir:system [ fhir:v "http://fhir.tlvmc.gov.il/identifier/preauth-req-no"^^xsd:anyURI ] ;
fhir:value [ fhir:v "3773" ]
] ) ; #
fhir:status [ fhir:v "cancelled"] ; #
fhir:purpose ( [ fhir:v "validation"] ) ; #
fhir:patient [
fhir:identifier [
fhir:system [ fhir:v "http://fhir.leumit.co.il/identifier/magnetic-card"^^xsd:anyURI ] ;
fhir:value [ fhir:v "1-123456-123456-789" ] ]
] ; #
fhir:serviced [ fhir:v "2023-07-02"^^xsd:date] ; #
fhir:created [ fhir:v "2023-07-18T07:51:20.001Z"^^xsd:dateTime] ; #
fhir:provider [
fhir:type [ fhir:v "Organization"^^xsd:anyURI ] ;
fhir:identifier [
fhir:system [ fhir:v "http://fhir.health.gov.il/identifier/legal-entity"^^xsd:anyURI ] ;
fhir:value [ fhir:v "500106919" ] ] ;
fhir:display [ fhir:v "בי\"ח איכילוב" ]
] ; #
fhir:insurer [
fhir:identifier [
fhir:system [ fhir:v "http://fhir.health.gov.il/identifier/legal-entity"^^xsd:anyURI ] ;
fhir:value [ fhir:v "5899584495" ] ] ;
fhir:display [ fhir:v "מאוחדת" ]
] ; #
fhir:supportingInfo ( [
fhir:sequence [ fhir:v "1"^^xsd:positiveInteger ] ;
fhir:information [
fhir:type [ fhir:v "CoverageEligibilityRequest"^^xsd:anyURI ] ;
fhir:identifier [
fhir:system [ fhir:v "http://fhir.tlvmc.gov.il/identifier/preauth-req-no"^^xsd:anyURI ] ;
fhir:value [ fhir:v "3772" ] ] ;
fhir:display [ fhir:v "בקשת ההתחייבות המבוטלת" ] ]
] ) ; #
fhir:item ( [
fhir:productOrService [
( fhir:coding [
fhir:system [ fhir:v "http://fhir.health.gov.il/cs/medical-service-moh"^^xsd:anyURI ] ;
fhir:code [ fhir:v "L9258" ] ;
fhir:display [ fhir:v "בדיקת רופא ילדים במרפאה" ] ] ) ] ;
fhir:quantity [
fhir:value [ fhir:v "2"^^xsd:decimal ] ] ;
fhir:unitPrice [
fhir:value [ fhir:v "210"^^xsd:decimal ] ;
fhir:currency [ fhir:v "ILS" ] ]
] [
fhir:productOrService [
( fhir:coding [
fhir:system [ fhir:v "http://fhir.health.gov.il/cs/medical-service-moh"^^xsd:anyURI ] ;
fhir:code [ fhir:v "L9261" ] ;
fhir:display [ fhir:v "בדיקת רופא כירורג בית החזה במרפאה" ] ] ) ] ;
fhir:quantity [
fhir:value [ fhir:v "1"^^xsd:decimal ] ] ;
fhir:unitPrice [
fhir:value [ fhir:v "242"^^xsd:decimal ] ;
fhir:currency [ fhir:v "ILS" ] ]
] [
fhir:productOrService [
( fhir:coding [
fhir:system [ fhir:v "http://fhir.health.gov.il/cs/medical-service-moh"^^xsd:anyURI ] ;
fhir:code [ fhir:v "L9266" ] ;
fhir:display [ fhir:v "בדיקת רופא כירורג שד במרפאה" ] ] ) ] ;
fhir:quantity [
fhir:value [ fhir:v "2"^^xsd:decimal ] ] ;
fhir:unitPrice [
fhir:value [ fhir:v "136"^^xsd:decimal ] ;
fhir:currency [ fhir:v "ILS" ] ]
] [
fhir:productOrService [
( fhir:coding [
fhir:system [ fhir:v "http://fhir.health.gov.il/cs/medical-service-moh"^^xsd:anyURI ] ;
fhir:code [ fhir:v "99242" ] ;
fhir:display [ fhir:v "בדיקת רופא מומחה במרפאה, למעט בדיקות להן קוד מיוחד" ] ] ) ] ;
fhir:quantity [
fhir:value [ fhir:v "2"^^xsd:decimal ] ] ;
fhir:unitPrice [
fhir:value [ fhir:v "80"^^xsd:decimal ] ;
fhir:currency [ fhir:v "ILS" ] ]
] ) . #
IG © 2024+ FHIR-il community. Package il.community.fhir.r4.T17#1.0.0 based on FHIR 4.0.1. Generated 2024-09-01
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