EMA Billing Implementation Guide
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: Ejemplo Reclamo FONASA - JSON Representation

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{
  "resourceType" : "Claim",
  "id" : "EjemploEmaClaim",
  "meta" : {
    "profile" : [
      🔗 "https://emahealth.io/fhir/billing/StructureDefinition/ema-claim"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Reclamación / Factura EjemploEmaClaim</b></p><a name=\"EjemploEmaClaim\"> </a><a name=\"hcEjemploEmaClaim\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ema-claim.html\">EMA Claim</a></p></div><p><b>status</b>: Active</p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/claim-type professional}\">Professional</span></p><p><b>use</b>: Claim</p><p><b>patient</b>: <a href=\"Patient/ejemplo-patient\">María Fernández</a></p><p><b>created</b>: 2026-03-14</p><p><b>provider</b>: <a href=\"Organization/ejemplo-organization\">EMA Clinic</a></p><p><b>priority</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/processpriority normal}\">Normal</span></p><h3>Insurances</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Sequence</b></td><td><b>Focal</b></td><td><b>Coverage</b></td></tr><tr><td style=\"display: none\">*</td><td>1</td><td>true</td><td><a href=\"Coverage/ejemplo-coverage\">FONASA Tramo B</a></td></tr></table><blockquote><p><b>item</b></p><p><b>sequence</b>: 1</p><p><b>productOrService</b>: <span title=\"Codes:{https://emahealth.io/fhir/billing/CodeSystem/cs-prestaciones-fonasa 0101001}\">Consulta medicina general</span></p><p><b>serviced</b>: 2026-03-14</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>25000</td><td>Chilean peso</td></tr></table><h3>Nets</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>25000</td><td>Chilean peso</td></tr></table></blockquote></div>"
  },
  "status" : "active",
  "type" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/claim-type",
        "code" : "professional",
        "display" : "Professional"
      }
    ]
  },
  "use" : "claim",
  "patient" : {
    "reference" : "Patient/ejemplo-patient",
    "display" : "María Fernández"
  },
  "created" : "2026-03-14",
  "provider" : {
    "reference" : "Organization/ejemplo-organization",
    "display" : "EMA Clinic"
  },
  "priority" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/processpriority",
        "code" : "normal",
        "display" : "Normal"
      }
    ]
  },
  "insurance" : [
    {
      "sequence" : 1,
      "focal" : true,
      "coverage" : {
        "reference" : "Coverage/ejemplo-coverage",
        "display" : "FONASA Tramo B"
      }
    }
  ],
  "item" : [
    {
      "sequence" : 1,
      "productOrService" : {
        "coding" : [
          {
            "system" : "https://emahealth.io/fhir/billing/CodeSystem/cs-prestaciones-fonasa",
            "code" : "0101001",
            "display" : "Consulta medicina general"
          }
        ]
      },
      "servicedDate" : "2026-03-14",
      "unitPrice" : {
        "value" : 25000,
        "currency" : "CLP"
      },
      "net" : {
        "value" : 25000,
        "currency" : "CLP"
      }
    }
  ]
}