{ "resourceType": "Bundle", "id": "example-Bundle-claim-summary", "type": "searchset", "total": 25, "link": [ { "relation": "self", "url": "https://api.bpcs.exchange/rest/v1/dev/THP/BPCS_vs1/Claim?_summary=true&coverage=Coverage/RB497867223" } ], "entry": [ { "fullUrl": "https://bpcs.exchange/fhir/Claim/RB497867223-2023-09-04-1", "resource": { "resourceType": "Claim", "id": "RB497867223-2023-09-04-1", "meta": { "security": [ { "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationValue", "code": "SUBSETTED" } ] }, "contained": [ { "resourceType": "Provenance", "id": "1", "target": [ { "reference": "#" } ], "occurredDateTime": "2022-11-04T20:12:47.260366+00:00", "activity": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v3-DataOperation", "code": "CREATE" } ] }, "agent": [ { "who": { "identifier": { "system": "https://bpcs.exchange/fhir/NamingSystem/userids", "value": "M_MBPCS" } } } ] }, { "resourceType": "Provenance", "id": "2", "target": [ { "reference": "#" } ], "occurredDateTime": "2023-01-18T17:38:43.446000000-04:00", "activity": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v3-DataOperation", "code": "UPDATE" } ] }, "agent": [ { "who": { "identifier": { "system": "https://bpcs.exchange/fhir/NamingSystem/userids", "value": "M_MBPCS" } } } ] } ], "status": "draft", "type": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/claim-type", "code": "pharmacy" } ] }, "use": "claim", "patient": { "extension": [ { "url": "https://bpcs.exchange/fhir/StructureDefinition/ext-Resource-Subject", "valueReference": { "reference": "Group/example-Group" } } ], "display": "Family RB497867223" }, "created": "2023-09-04", "insurer": { "reference": "Organization/bpcs" } }, "search": { "mode": "match" } }, { "fullUrl": "https://bpcs.exchange/fhir/Claim/RB497867223-2023-09-03-1", "resource": { "resourceType": "Claim", "id": "RB497867223-2023-09-03-1", "meta": { "security": [ { "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationValue", "code": "SUBSETTED" } ] }, "contained": [ { "resourceType": "Provenance", "id": "1", "target": [ { "reference": "#" } ], "occurredDateTime": "2022-11-04T20:12:47.260366+00:00", "activity": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v3-DataOperation", "code": "CREATE" } ] }, "agent": [ { "who": { "identifier": { "system": "https://bpcs.exchange/fhir/NamingSystem/userids", "value": "M_MBPCS" } } } ] }, { "resourceType": "Provenance", "id": "2", "target": [ { "reference": "#" } ], "occurredDateTime": "2023-01-18T17:38:43.446000000-04:00", "activity": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v3-DataOperation", "code": "UPDATE" } ] }, "agent": [ { "who": { "identifier": { "system": "https://bpcs.exchange/fhir/NamingSystem/userids", "value": "M_MBPCS" } } } ] } ], "extension": [ { "url": "https://bpcs.exchange/fhir/StructureDefinition/ext-Claim-PaidFlag", "valueBoolean": true } ], "status": "active", "type": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/claim-type", "code": "pharmacy" } ] }, "use": "claim", "patient": { "extension": [ { "url": "https://bpcs.exchange/fhir/StructureDefinition/ext-Resource-Subject", "valueReference": { "reference": "Group/example-Group" } } ], "display": "Family RB497867223" }, "created": "2023-09-03", "insurer": { "reference": "Organization/bpcs" } }, "search": { "mode": "match" } }, { "fullUrl": "https://bpcs.exchange/fhir/Claim/RB497867223-2023-09-02-1", "resource": { "resourceType": "Claim", "id": "RB497867223-2023-09-02-1", "meta": { "security": [ { "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationValue", "code": "SUBSETTED" } ] }, "contained": [ { "resourceType": "Provenance", "id": "1", "target": [ { "reference": "#" } ], "occurredDateTime": "2022-11-04T20:12:47.260366+00:00", "activity": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v3-DataOperation", "code": "CREATE" } ] }, "agent": [ { "who": { "identifier": { "system": "https://bpcs.exchange/fhir/NamingSystem/userids", "value": "M_MBPCS" } } } ] }, { "resourceType": "Provenance", "id": "2", "target": [ { "reference": "#" } ], "occurredDateTime": "2023-01-18T17:38:43.446000000-04:00", "activity": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v3-DataOperation", "code": "UPDATE" } ] }, "agent": [ { "who": { "identifier": { "system": "https://bpcs.exchange/fhir/NamingSystem/userids", "value": "M_MBPCS" } } } ] } ], "status": "draft", "type": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/claim-type", "code": "pharmacy" } ] }, "use": "claim", "patient": { "extension": [ { "url": "https://bpcs.exchange/fhir/StructureDefinition/ext-Resource-Subject", "valueReference": { "reference": "Group/example-Group" } } ], "display": "Family RB497867223" }, "created": "2023-09-02", "insurer": { "reference": "Organization/bpcs" } }, "search": { "mode": "match" } }, { "fullUrl": "https://bpcs.exchange/fhir/Claim/RB497867223-2023-09-01-1", "resource": { "resourceType": "Claim", "id": "RB497867223-2023-09-01-1", "meta": { "security": [ { "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationValue", "code": "SUBSETTED" } ] }, "contained": [ { "resourceType": "Provenance", "id": "1", "target": [ { "reference": "#" } ], "occurredDateTime": "2022-11-04T20:12:47.260366+00:00", "activity": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v3-DataOperation", "code": "CREATE" } ] }, "agent": [ { "who": { "identifier": { "system": "https://bpcs.exchange/fhir/NamingSystem/userids", "value": "M_MBPCS" } } } ] }, { "resourceType": "Provenance", "id": "2", "target": [ { "reference": "#" } ], "occurredDateTime": "2023-01-18T17:38:43.446000000-04:00", "activity": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v3-DataOperation", "code": "UPDATE" } ] }, "agent": [ { "who": { "identifier": { "system": "https://bpcs.exchange/fhir/NamingSystem/userids", "value": "M_MBPCS" } } } ] } ], "status": "draft", "type": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/claim-type", "code": "pharmacy" } ] }, "use": "claim", "patient": { "extension": [ { "url": "https://bpcs.exchange/fhir/StructureDefinition/ext-Resource-Subject", "valueReference": { "reference": "Group/example-Group" } } ], "display": "Family RB497867223" }, "created": "2023-09-01", "insurer": { "reference": "Organization/bpcs" } }, "search": { "mode": "match" } }, { "fullUrl": "https://bpcs.exchange/fhir/Claim/RB497867223-2023-08-15-2", "resource": { "resourceType": "Claim", "id": "RB497867223-2023-08-15-2", "meta": { "security": [ { "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationValue", "code": "SUBSETTED" } ] }, "contained": [ { "resourceType": "Provenance", "id": "1", "target": [ { "reference": "#" } ], "occurredDateTime": "2022-11-04T20:12:47.260366+00:00", "activity": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v3-DataOperation", "code": "CREATE" } ] }, "agent": [ { "who": { "identifier": { "system": "https://bpcs.exchange/fhir/NamingSystem/userids", "value": "M_MBPCS" } } } ] }, { "resourceType": "Provenance", "id": "2", "target": [ { "reference": "#" } ], "occurredDateTime": "2023-01-18T17:38:43.446000000-04:00", "activity": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v3-DataOperation", "code": "UPDATE" } ] }, "agent": [ { "who": { "identifier": { "system": "https://bpcs.exchange/fhir/NamingSystem/userids", "value": "M_MBPCS" } } } ] } ], "status": "draft", "type": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/claim-type", "code": "pharmacy" } ] }, "use": "claim", "patient": { "extension": [ { "url": "https://bpcs.exchange/fhir/StructureDefinition/ext-Resource-Subject", "valueReference": { "reference": "Group/example-Group" } } ], "display": "Family RB497867223" }, "created": "2023-08-15", "insurer": { "reference": "Organization/bpcs" } }, "search": { "mode": "match" } }, { "fullUrl": "https://bpcs.exchange/fhir/Claim/RB497867223-2023-08-15-1", "resource": { "resourceType": "Claim", "id": "RB497867223-2023-08-15-1", "meta": { "security": [ { "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationValue", "code": "SUBSETTED" } ] }, "contained": [ { "resourceType": "Provenance", "id": "1", "target": [ { "reference": "#" } ], "occurredDateTime": "2022-11-04T20:12:47.260366+00:00", "activity": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v3-DataOperation", "code": "CREATE" } ] }, "agent": [ { "who": { "identifier": { "system": "https://bpcs.exchange/fhir/NamingSystem/userids", "value": "M_MBPCS" } } } ] }, { "resourceType": "Provenance", "id": "2", "target": [ { "reference": "#" } ], "occurredDateTime": "2023-01-18T17:38:43.446000000-04:00", "activity": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v3-DataOperation", "code": "UPDATE" } ] }, "agent": [ { "who": { "identifier": { "system": "https://bpcs.exchange/fhir/NamingSystem/userids", "value": "M_MBPCS" } } } ] } ], "status": "draft", "type": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/claim-type", "code": "pharmacy" } ] }, "use": "claim", "patient": { "extension": [ { "url": "https://bpcs.exchange/fhir/StructureDefinition/ext-Resource-Subject", "valueReference": { "reference": "Group/example-Group" } } ], "display": "Family RB497867223" }, "created": "2023-08-15", "insurer": { "reference": "Organization/bpcs" } }, "search": { "mode": "match" } }, { "fullUrl": "https://bpcs.exchange/fhir/Claim/RB497867223-2023-08-11-1", "resource": { "resourceType": "Claim", "id": "RB497867223-2023-08-11-1", "meta": { "security": [ { "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationValue", "code": "SUBSETTED" } ] }, "contained": [ { "resourceType": "Provenance", "id": "1", "target": [ { "reference": "#" } ], "occurredDateTime": "2022-11-04T20:12:47.260366+00:00", "activity": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v3-DataOperation", "code": "CREATE" } ] }, "agent": [ { "who": { "identifier": { "system": "https://bpcs.exchange/fhir/NamingSystem/userids", "value": "M_MBPCS" } } } ] }, { "resourceType": "Provenance", "id": "2", "target": [ { "reference": "#" } ], "occurredDateTime": "2023-01-18T17:38:43.446000000-04:00", "activity": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v3-DataOperation", "code": "UPDATE" } ] }, "agent": [ { "who": { "identifier": { "system": "https://bpcs.exchange/fhir/NamingSystem/userids", "value": "M_MBPCS" } } } ] } ], "status": "draft", "type": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/claim-type", "code": "pharmacy" } ] }, "use": "claim", "patient": { "extension": [ { "url": "https://bpcs.exchange/fhir/StructureDefinition/ext-Resource-Subject", "valueReference": { "reference": "Group/example-Group" } } ], "display": "Family RB497867223" }, "created": "2023-08-11", "insurer": { "reference": "Organization/bpcs" } }, "search": { "mode": "match" } }, { "fullUrl": "https://bpcs.exchange/fhir/Claim/RB497867223-2023-08-09-1", "resource": { "resourceType": "Claim", "id": "RB497867223-2023-08-09-1", "meta": { "security": [ { "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationValue", "code": "SUBSETTED" } ] }, "contained": [ { "resourceType": "Provenance", "id": "1", "target": [ { "reference": "#" } ], "occurredDateTime": "2022-11-04T20:12:47.260366+00:00", "activity": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v3-DataOperation", "code": "CREATE" } ] }, "agent": [ { "who": { "identifier": { "system": "https://bpcs.exchange/fhir/NamingSystem/userids", "value": "M_MBPCS" } } } ] }, { "resourceType": "Provenance", "id": "2", "target": [ { "reference": "#" } ], "occurredDateTime": "2023-01-18T17:38:43.446000000-04:00", "activity": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v3-DataOperation", "code": "UPDATE" } ] }, "agent": [ { "who": { "identifier": { "system": "https://bpcs.exchange/fhir/NamingSystem/userids", "value": "M_MBPCS" } } } ] } ], "status": "draft", "type": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/claim-type", "code": "pharmacy" } ] }, "use": "claim", "patient": { "extension": [ { "url": "https://bpcs.exchange/fhir/StructureDefinition/ext-Resource-Subject", "valueReference": { "reference": "Group/example-Group" } } ], "display": "Family RB497867223" }, "created": "2023-08-09", "insurer": { "reference": "Organization/bpcs" } }, "search": { "mode": "match" } }, { "fullUrl": "https://bpcs.exchange/fhir/Claim/RB497867223-2023-08-08-1", "resource": { "resourceType": "Claim", "id": "RB497867223-2023-08-08-1", "meta": { "security": [ { "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationValue", "code": "SUBSETTED" } ] }, "contained": [ { "resourceType": "Provenance", "id": "1", "target": [ { "reference": "#" } ], "occurredDateTime": "2022-11-04T20:12:47.260366+00:00", "activity": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v3-DataOperation", "code": "CREATE" } ] }, "agent": [ { "who": { "identifier": { "system": "https://bpcs.exchange/fhir/NamingSystem/userids", "value": "M_MBPCS" } } } ] }, { "resourceType": "Provenance", "id": "2", "target": [ { "reference": "#" } ], "occurredDateTime": "2023-01-18T17:38:43.446000000-04:00", "activity": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v3-DataOperation", "code": "UPDATE" } ] }, "agent": [ { "who": { "identifier": { "system": "https://bpcs.exchange/fhir/NamingSystem/userids", "value": "M_MBPCS" } } } ] } ], "status": "draft", "type": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/claim-type", "code": "pharmacy" } ] }, "use": "claim", "patient": { "extension": [ { "url": "https://bpcs.exchange/fhir/StructureDefinition/ext-Resource-Subject", "valueReference": { "reference": "Group/example-Group" } } ], "display": "Family RB497867223" }, "created": "2023-08-08", "insurer": { "reference": "Organization/bpcs" } }, "search": { "mode": "match" } }, { "fullUrl": "https://bpcs.exchange/fhir/Claim/RB497867223-2023-08-07-1", "resource": { "resourceType": "Claim", "id": "RB497867223-2023-08-07-1", "meta": { "security": [ { "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationValue", "code": "SUBSETTED" } ] }, "contained": [ { "resourceType": "Provenance", "id": "1", "target": [ { "reference": "#" } ], "occurredDateTime": "2022-11-04T20:12:47.260366+00:00", "activity": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v3-DataOperation", "code": "CREATE" } ] }, "agent": [ { "who": { "identifier": { "system": "https://bpcs.exchange/fhir/NamingSystem/userids", "value": "M_MBPCS" } } } ] }, { "resourceType": "Provenance", "id": "2", "target": [ { "reference": "#" } ], "occurredDateTime": "2023-01-18T17:38:43.446000000-04:00", "activity": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v3-DataOperation", "code": "UPDATE" } ] }, "agent": [ { "who": { "identifier": { "system": "https://bpcs.exchange/fhir/NamingSystem/userids", "value": "M_MBPCS" } } } ] } ], "status": "draft", "type": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/claim-type", "code": "pharmacy" } ] }, "use": "claim", "patient": { "extension": [ { "url": "https://bpcs.exchange/fhir/StructureDefinition/ext-Resource-Subject", "valueReference": { "reference": "Group/example-Group" } } ], "display": "Family RB497867223" }, "created": "2023-08-07", "insurer": { "reference": "Organization/bpcs" } }, "search": { "mode": "match" } }, { "fullUrl": "https://bpcs.exchange/fhir/Claim/RB497867223-2023-08-06-3", "resource": { "resourceType": "Claim", "id": "RB497867223-2023-08-06-3", "meta": { "security": [ { "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationValue", "code": "SUBSETTED" } ] }, "contained": [ { "resourceType": "Provenance", "id": "1", "target": [ { "reference": "#" } ], "occurredDateTime": "2022-11-04T20:12:47.260366+00:00", "activity": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v3-DataOperation", "code": "CREATE" } ] }, "agent": [ { "who": { "identifier": { "system": "https://bpcs.exchange/fhir/NamingSystem/userids", "value": "M_MBPCS" } } } ] }, { "resourceType": "Provenance", "id": "2", "target": [ { "reference": "#" } ], "occurredDateTime": "2023-01-18T17:38:43.446000000-04:00", "activity": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v3-DataOperation", "code": "UPDATE" } ] }, "agent": [ { "who": { "identifier": { "system": "https://bpcs.exchange/fhir/NamingSystem/userids", "value": "M_MBPCS" } } } ] } ], "extension": [ { "url": "https://bpcs.exchange/fhir/StructureDefinition/ext-Claim-PaidFlag", "valueBoolean": true } ], "status": "active", "type": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/claim-type", "code": "pharmacy" } ] }, "use": "claim", "patient": { "extension": [ { "url": "https://bpcs.exchange/fhir/StructureDefinition/ext-Resource-Subject", "valueReference": { "reference": "Group/example-Group" } } ], "display": "Family RB497867223" }, "created": "2023-08-06", "insurer": { "reference": "Organization/bpcs" } }, "search": { "mode": "match" } }, { "fullUrl": "https://bpcs.exchange/fhir/Claim/RB497867223-2023-08-06-2", "resource": { "resourceType": "Claim", "id": "RB497867223-2023-08-06-2", "meta": { "security": [ { "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationValue", "code": "SUBSETTED" } ] }, "contained": [ { "resourceType": "Provenance", "id": "1", "target": [ { "reference": "#" } ], "occurredDateTime": "2022-11-04T20:12:47.260366+00:00", "activity": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v3-DataOperation", "code": "CREATE" } ] }, "agent": [ { "who": { "identifier": { "system": "https://bpcs.exchange/fhir/NamingSystem/userids", "value": "M_MBPCS" } } } ] }, { "resourceType": "Provenance", "id": "2", "target": [ { "reference": "#" } ], "occurredDateTime": "2023-01-18T17:38:43.446000000-04:00", "activity": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v3-DataOperation", "code": "UPDATE" } ] }, "agent": [ { "who": { "identifier": { "system": "https://bpcs.exchange/fhir/NamingSystem/userids", "value": "M_MBPCS" } } } ] } ], "status": "draft", "type": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/claim-type", "code": "pharmacy" } ] }, "use": "claim", "patient": { "extension": [ { "url": "https://bpcs.exchange/fhir/StructureDefinition/ext-Resource-Subject", "valueReference": { "reference": "Group/example-Group" } } ], "display": "Family RB497867223" }, "created": "2023-08-06", "insurer": { "reference": "Organization/bpcs" } }, "search": { "mode": "match" } }, { "fullUrl": "https://bpcs.exchange/fhir/Claim/RB497867223-2023-08-02-1", "resource": { "resourceType": "Claim", "id": "RB497867223-2023-08-02-1", "meta": { "security": [ { "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationValue", "code": "SUBSETTED" } ] }, "contained": [ { "resourceType": "Provenance", "id": "1", "target": [ { "reference": "#" } ], "occurredDateTime": "2022-11-04T20:12:47.260366+00:00", "activity": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v3-DataOperation", "code": "CREATE" } ] }, "agent": [ { "who": { "identifier": { "system": "https://bpcs.exchange/fhir/NamingSystem/userids", "value": "M_MBPCS" } } } ] }, { "resourceType": "Provenance", "id": "2", "target": [ { "reference": "#" } ], "occurredDateTime": "2023-01-18T17:38:43.446000000-04:00", "activity": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v3-DataOperation", "code": "UPDATE" } ] }, "agent": [ { "who": { "identifier": { "system": "https://bpcs.exchange/fhir/NamingSystem/userids", "value": "M_MBPCS" } } } ] } ], "status": "draft", "type": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/claim-type", "code": "pharmacy" } ] }, "use": "claim", "patient": { "extension": [ { "url": "https://bpcs.exchange/fhir/StructureDefinition/ext-Resource-Subject", "valueReference": { "reference": "Group/example-Group" } } ], "display": "Family RB497867223" }, "created": "2023-08-02", "insurer": { "reference": "Organization/bpcs" } }, "search": { "mode": "match" } }, { "fullUrl": "https://bpcs.exchange/fhir/Claim/RB497867223-2023-08-01-8", "resource": { "resourceType": "Claim", "id": "RB497867223-2023-08-01-8", "meta": { "security": [ { "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationValue", "code": "SUBSETTED" } ] }, "contained": [ { "resourceType": "Provenance", "id": "1", "target": [ { "reference": "#" } ], "occurredDateTime": "2022-11-04T20:12:47.260366+00:00", "activity": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v3-DataOperation", "code": "CREATE" } ] }, "agent": [ { "who": { "identifier": { "system": "https://bpcs.exchange/fhir/NamingSystem/userids", "value": "M_MBPCS" } } } ] }, { "resourceType": "Provenance", "id": "2", "target": [ { "reference": "#" } ], "occurredDateTime": "2023-01-18T17:38:43.446000000-04:00", "activity": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v3-DataOperation", "code": "UPDATE" } ] }, "agent": [ { "who": { "identifier": { "system": "https://bpcs.exchange/fhir/NamingSystem/userids", "value": "M_MBPCS" } } } ] } ], "status": "draft", "type": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/claim-type", "code": "pharmacy" } ] }, "use": "claim", "patient": { "extension": [ { "url": "https://bpcs.exchange/fhir/StructureDefinition/ext-Resource-Subject", "valueReference": { "reference": "Group/example-Group" } } ], "display": "Family RB497867223" }, "created": "2023-08-01", "insurer": { "reference": "Organization/bpcs" } }, "search": { "mode": "match" } }, { "fullUrl": "https://bpcs.exchange/fhir/Claim/RB497867223-2023-08-01-7", "resource": { "resourceType": "Claim", "id": "RB497867223-2023-08-01-7", "meta": { "security": [ { "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationValue", "code": "SUBSETTED" } ] }, "contained": [ { "resourceType": "Provenance", "id": "1", "target": [ { "reference": "#" } ], "occurredDateTime": "2022-11-04T20:12:47.260366+00:00", "activity": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v3-DataOperation", "code": "CREATE" } ] }, "agent": [ { "who": { "identifier": { "system": "https://bpcs.exchange/fhir/NamingSystem/userids", "value": "M_MBPCS" } } } ] }, { "resourceType": "Provenance", "id": "2", "target": [ { "reference": "#" } ], "occurredDateTime": "2023-01-18T17:38:43.446000000-04:00", "activity": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v3-DataOperation", "code": "UPDATE" } ] }, "agent": [ { "who": { "identifier": { "system": "https://bpcs.exchange/fhir/NamingSystem/userids", "value": "M_MBPCS" } } } ] } ], "extension": [ { "url": "https://bpcs.exchange/fhir/StructureDefinition/ext-Claim-PaidFlag", "valueBoolean": true } ], "status": "active", "type": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/claim-type", "code": "pharmacy" } ] }, "use": "claim", "patient": { "extension": [ { "url": "https://bpcs.exchange/fhir/StructureDefinition/ext-Resource-Subject", "valueReference": { "reference": "Group/example-Group" } } ], "display": "Family RB497867223" }, "created": "2023-08-01", "insurer": { "reference": "Organization/bpcs" } }, "search": { "mode": "match" } }, { "fullUrl": "https://bpcs.exchange/fhir/Claim/RB497867223-2023-08-01-6", "resource": { "resourceType": "Claim", "id": "RB497867223-2023-08-01-6", "meta": { "security": [ { "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationValue", "code": "SUBSETTED" } ] }, "contained": [ { "resourceType": "Provenance", "id": "1", "target": [ { "reference": "#" } ], "occurredDateTime": "2022-11-04T20:12:47.260366+00:00", "activity": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v3-DataOperation", "code": "CREATE" } ] }, "agent": [ { "who": { "identifier": { "system": "https://bpcs.exchange/fhir/NamingSystem/userids", "value": "M_MBPCS" } } } ] }, { "resourceType": "Provenance", "id": "2", "target": [ { "reference": "#" } ], "occurredDateTime": "2023-01-18T17:38:43.446000000-04:00", "activity": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v3-DataOperation", "code": "UPDATE" } ] }, "agent": [ { "who": { "identifier": { "system": "https://bpcs.exchange/fhir/NamingSystem/userids", "value": "M_MBPCS" } } } ] } ], "status": "draft", "type": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/claim-type", "code": "pharmacy" } ] }, "use": "claim", "patient": { "extension": [ { "url": "https://bpcs.exchange/fhir/StructureDefinition/ext-Resource-Subject", "valueReference": { "reference": "Group/example-Group" } } ], "display": "Family RB497867223" }, "created": "2023-08-01", "insurer": { "reference": "Organization/bpcs" } }, "search": { "mode": "match" } }, { "fullUrl": "https://bpcs.exchange/fhir/Claim/RB497867223-2023-08-01-5", "resource": { "resourceType": "Claim", "id": "RB497867223-2023-08-01-5", "meta": { "security": [ { "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationValue", "code": "SUBSETTED" } ] }, "contained": [ { "resourceType": "Provenance", "id": "1", "target": [ { "reference": "#" } ], "occurredDateTime": "2022-11-04T20:12:47.260366+00:00", "activity": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v3-DataOperation", "code": "CREATE" } ] }, "agent": [ { "who": { "identifier": { "system": "https://bpcs.exchange/fhir/NamingSystem/userids", "value": "M_MBPCS" } } } ] }, { "resourceType": "Provenance", "id": "2", "target": [ { "reference": "#" } ], "occurredDateTime": "2023-01-18T17:38:43.446000000-04:00", "activity": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v3-DataOperation", "code": "UPDATE" } ] }, "agent": [ { "who": { "identifier": { "system": "https://bpcs.exchange/fhir/NamingSystem/userids", "value": "M_MBPCS" } } } ] } ], "status": "draft", "type": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/claim-type", "code": "pharmacy" } ] }, "use": "claim", "patient": { "extension": [ { "url": "https://bpcs.exchange/fhir/StructureDefinition/ext-Resource-Subject", "valueReference": { "reference": "Group/example-Group" } } ], "display": "Family RB497867223" }, "created": "2023-08-01", "insurer": { "reference": "Organization/bpcs" } }, "search": { "mode": "match" } }, { "fullUrl": "https://bpcs.exchange/fhir/Claim/RB497867223-2023-08-01-4", "resource": { "resourceType": "Claim", "id": "RB497867223-2023-08-01-4", "meta": { "security": [ { "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationValue", "code": "SUBSETTED" } ] }, "contained": [ { "resourceType": "Provenance", "id": "1", "target": [ { "reference": "#" } ], "occurredDateTime": "2022-11-04T20:12:47.260366+00:00", "activity": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v3-DataOperation", "code": "CREATE" } ] }, "agent": [ { "who": { "identifier": { "system": "https://bpcs.exchange/fhir/NamingSystem/userids", "value": "M_MBPCS" } } } ] }, { "resourceType": "Provenance", "id": "2", "target": [ { "reference": "#" } ], "occurredDateTime": "2023-01-18T17:38:43.446000000-04:00", "activity": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v3-DataOperation", "code": "UPDATE" } ] }, "agent": [ { "who": { "identifier": { "system": "https://bpcs.exchange/fhir/NamingSystem/userids", "value": "M_MBPCS" } } } ] } ], "status": "draft", "type": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/claim-type", "code": "pharmacy" } ] }, "use": "claim", "patient": { "extension": [ { "url": "https://bpcs.exchange/fhir/StructureDefinition/ext-Resource-Subject", "valueReference": { "reference": "Group/example-Group" } } ], "display": "Family RB497867223" }, "created": "2023-08-01", "insurer": { "reference": "Organization/bpcs" } }, "search": { "mode": "match" } }, { "fullUrl": "https://bpcs.exchange/fhir/Claim/RB497867223-2023-08-01-3", "resource": { "resourceType": "Claim", "id": "RB497867223-2023-08-01-3", "meta": { "security": [ { "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationValue", "code": "SUBSETTED" } ] }, "contained": [ { "resourceType": "Provenance", "id": "1", "target": [ { "reference": "#" } ], "occurredDateTime": "2022-11-04T20:12:47.260366+00:00", "activity": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v3-DataOperation", "code": "CREATE" } ] }, "agent": [ { "who": { "identifier": { "system": "https://bpcs.exchange/fhir/NamingSystem/userids", "value": "M_MBPCS" } } } ] }, { "resourceType": "Provenance", "id": "2", "target": [ { "reference": "#" } ], "occurredDateTime": "2023-01-18T17:38:43.446000000-04:00", "activity": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v3-DataOperation", "code": "UPDATE" } ] }, "agent": [ { "who": { "identifier": { "system": "https://bpcs.exchange/fhir/NamingSystem/userids", "value": "M_MBPCS" } } } ] } ], "status": "draft", "type": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/claim-type", "code": "pharmacy" } ] }, "use": "claim", "patient": { "extension": [ { "url": "https://bpcs.exchange/fhir/StructureDefinition/ext-Resource-Subject", "valueReference": { "reference": "Group/example-Group" } } ], "display": "Family RB497867223" }, "created": "2023-08-01", "insurer": { "reference": "Organization/bpcs" } }, "search": { "mode": "match" } }, { "fullUrl": "https://bpcs.exchange/fhir/Claim/RB497867223-2023-08-01-2", "resource": { "resourceType": "Claim", "id": "RB497867223-2023-08-01-2", "meta": { "security": [ { "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationValue", "code": "SUBSETTED" } ] }, "contained": [ { "resourceType": "Provenance", "id": "1", "target": [ { "reference": "#" } ], "occurredDateTime": "2022-11-04T20:12:47.260366+00:00", "activity": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v3-DataOperation", "code": "CREATE" } ] }, "agent": [ { "who": { "identifier": { "system": "https://bpcs.exchange/fhir/NamingSystem/userids", "value": "M_MBPCS" } } } ] }, { "resourceType": "Provenance", "id": "2", "target": [ { "reference": "#" } ], "occurredDateTime": "2023-01-18T17:38:43.446000000-04:00", "activity": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v3-DataOperation", "code": "UPDATE" } ] }, "agent": [ { "who": { "identifier": { "system": "https://bpcs.exchange/fhir/NamingSystem/userids", "value": "M_MBPCS" } } } ] } ], "status": "draft", "type": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/claim-type", "code": "pharmacy" } ] }, "use": "claim", "patient": { "extension": [ { "url": "https://bpcs.exchange/fhir/StructureDefinition/ext-Resource-Subject", "valueReference": { "reference": "Group/example-Group" } } ], "display": "Family RB497867223" }, "created": "2023-08-01", "insurer": { "reference": "Organization/bpcs" } }, "search": { "mode": "match" } }, { "fullUrl": "https://bpcs.exchange/fhir/Claim/RB497867223-2023-08-01-1", "resource": { "resourceType": "Claim", "id": "RB497867223-2023-08-01-1", "meta": { "security": [ { "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationValue", "code": "SUBSETTED" } ] }, "contained": [ { "resourceType": "Provenance", "id": "1", "target": [ { "reference": "#" } ], "occurredDateTime": "2022-11-04T20:12:47.260366+00:00", "activity": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v3-DataOperation", "code": "CREATE" } ] }, "agent": [ { "who": { "identifier": { "system": "https://bpcs.exchange/fhir/NamingSystem/userids", "value": "M_MBPCS" } } } ] }, { "resourceType": "Provenance", "id": "2", "target": [ { "reference": "#" } ], "occurredDateTime": "2023-01-18T17:38:43.446000000-04:00", "activity": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v3-DataOperation", "code": "UPDATE" } ] }, "agent": [ { "who": { "identifier": { "system": "https://bpcs.exchange/fhir/NamingSystem/userids", "value": "M_MBPCS" } } } ] } ], "extension": [ { "url": "https://bpcs.exchange/fhir/StructureDefinition/ext-Claim-PaidFlag", "valueBoolean": true } ], "status": "active", "type": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/claim-type", "code": "pharmacy" } ] }, "use": "claim", "patient": { "extension": [ { "url": "https://bpcs.exchange/fhir/StructureDefinition/ext-Resource-Subject", "valueReference": { "reference": "Group/example-Group" } } ], "display": "Family RB497867223" }, "created": "2023-08-01", "insurer": { "reference": "Organization/bpcs" } }, "search": { "mode": "match" } }, { "fullUrl": "https://bpcs.exchange/fhir/Claim/RB497867223-2023-01-11-1", "resource": { "resourceType": "Claim", "id": "RB497867223-2023-01-11-1", "meta": { "security": [ { "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationValue", "code": "SUBSETTED" } ] }, "contained": [ { "resourceType": "Provenance", "id": "1", "target": [ { "reference": "#" } ], "occurredDateTime": "2022-11-04T20:12:47.260366+00:00", "activity": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v3-DataOperation", "code": "CREATE" } ] }, "agent": [ { "who": { "identifier": { "system": "https://bpcs.exchange/fhir/NamingSystem/userids", "value": "M_MBPCS" } } } ] }, { "resourceType": "Provenance", "id": "2", "target": [ { "reference": "#" } ], "occurredDateTime": "2023-01-18T17:38:43.446000000-04:00", "activity": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v3-DataOperation", "code": "UPDATE" } ] }, "agent": [ { "who": { "identifier": { "system": "https://bpcs.exchange/fhir/NamingSystem/userids", "value": "M_MBPCS" } } } ] } ], "status": "draft", "type": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/claim-type", "code": "pharmacy" } ] }, "use": "claim", "patient": { "extension": [ { "url": "https://bpcs.exchange/fhir/StructureDefinition/ext-Resource-Subject", "valueReference": { "reference": "Group/example-Group" } } ], "display": "Family RB497867223" }, "created": "2023-01-11", "insurer": { "reference": "Organization/bpcs" } }, "search": { "mode": "match" } }, { "fullUrl": "https://bpcs.exchange/fhir/Claim/RB497867223-2022-08-15-1", "resource": { "resourceType": "Claim", "id": "RB497867223-2022-08-15-1", "meta": { "security": [ { "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationValue", "code": "SUBSETTED" } ] }, "contained": [ { "resourceType": "Provenance", "id": "1", "target": [ { "reference": "#" } ], "occurredDateTime": "2022-11-04T20:12:47.260366+00:00", "activity": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v3-DataOperation", "code": "CREATE" } ] }, "agent": [ { "who": { "identifier": { "system": "https://bpcs.exchange/fhir/NamingSystem/userids", "value": "M_MBPCS" } } } ] }, { "resourceType": "Provenance", "id": "2", "target": [ { "reference": "#" } ], "occurredDateTime": "2023-01-18T17:38:43.446000000-04:00", "activity": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v3-DataOperation", "code": "UPDATE" } ] }, "agent": [ { "who": { "identifier": { "system": "https://bpcs.exchange/fhir/NamingSystem/userids", "value": "M_MBPCS" } } } ] } ], "status": "draft", "type": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/claim-type", "code": "pharmacy" } ] }, "use": "claim", "patient": { "extension": [ { "url": "https://bpcs.exchange/fhir/StructureDefinition/ext-Resource-Subject", "valueReference": { "reference": "Group/example-Group" } } ], "display": "Family RB497867223" }, "created": "2022-08-15", "insurer": { "reference": "Organization/bpcs" } }, "search": { "mode": "match" } }, { "fullUrl": "https://bpcs.exchange/fhir/Claim/RB497867223-2022-08-05-2", "resource": { "resourceType": "Claim", "id": "RB497867223-2022-08-05-2", "meta": { "security": [ { "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationValue", "code": "SUBSETTED" } ] }, "contained": [ { "resourceType": "Provenance", "id": "1", "target": [ { "reference": "#" } ], "occurredDateTime": "2022-11-04T20:12:47.260366+00:00", "activity": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v3-DataOperation", "code": "CREATE" } ] }, "agent": [ { "who": { "identifier": { "system": "https://bpcs.exchange/fhir/NamingSystem/userids", "value": "M_MBPCS" } } } ] }, { "resourceType": "Provenance", "id": "2", "target": [ { "reference": "#" } ], "occurredDateTime": "2023-01-18T17:38:43.446000000-04:00", "activity": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v3-DataOperation", "code": "UPDATE" } ] }, "agent": [ { "who": { "identifier": { "system": "https://bpcs.exchange/fhir/NamingSystem/userids", "value": "M_MBPCS" } } } ] } ], "status": "draft", "type": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/claim-type", "code": "pharmacy" } ] }, "use": "claim", "patient": { "extension": [ { "url": "https://bpcs.exchange/fhir/StructureDefinition/ext-Resource-Subject", "valueReference": { "reference": "Group/example-Group" } } ], "display": "Family RB497867223" }, "created": "2022-08-05", "insurer": { "reference": "Organization/bpcs" } }, "search": { "mode": "match" } }, { "fullUrl": "https://bpcs.exchange/fhir/Claim/RB497867223-2022-08-03-1", "resource": { "resourceType": "Claim", "id": "RB497867223-2022-08-03-1", "meta": { "security": [ { "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationValue", "code": "SUBSETTED" } ] }, "contained": [ { "resourceType": "Provenance", "id": "1", "target": [ { "reference": "#" } ], "occurredDateTime": "2022-11-04T20:12:47.260366+00:00", "activity": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v3-DataOperation", "code": "CREATE" } ] }, "agent": [ { "who": { "identifier": { "system": "https://bpcs.exchange/fhir/NamingSystem/userids", "value": "M_MBPCS" } } } ] }, { "resourceType": "Provenance", "id": "2", "target": [ { "reference": "#" } ], "occurredDateTime": "2023-01-18T17:38:43.446000000-04:00", "activity": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v3-DataOperation", "code": "UPDATE" } ] }, "agent": [ { "who": { "identifier": { "system": "https://bpcs.exchange/fhir/NamingSystem/userids", "value": "M_MBPCS" } } } ] } ], "status": "draft", "type": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/claim-type", "code": "pharmacy" } ] }, "use": "claim", "patient": { "extension": [ { "url": "https://bpcs.exchange/fhir/StructureDefinition/ext-Resource-Subject", "valueReference": { "reference": "Group/example-Group" } } ], "display": "Family RB497867223" }, "created": "2022-08-03", "insurer": { "reference": "Organization/bpcs" } }, "search": { "mode": "match" } } ] }