STU 3 Ballot

This page is part of the FHIR Specification (v1.6.0: STU 3 Ballot 4). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R4B R4 R3

Documentmanifest-fm-attachment.json

Raw JSON (canonical form)

Financial Supporting Documentation

{
  "resourceType": "DocumentManifest",
  "id": "654789",
  "text": {
    "status": "generated",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">A Financial Management Attachment example</div>"
  },
  "contained": [
    {
      "resourceType": "Organization",
      "id": "org-1",
      "identifier": [
        {
          "system": "http://nationalidentifiers.org/insurers",
          "value": "52345"
        }
      ]
    }
  ],
  "identifier": [
    {
      "system": "http://happyvalley.com/supportingdocumentation",
      "value": "52345"
    }
  ],
  "recipient": [
    {
      "reference": "#org-1"
    }
  ],
  "created": "2014-09-21T11:50:23-05:00",
  "status": "current",
  "content": [
    {
      "pAttachment": {
        "contentType": "application/pdf",
        "data": "SGVsbG8=",
        "title": "accident notes 20100201.pdf",
        "creation": "2010-02-01T11:50:23-05:00"
      }
    },
    {
      "pAttachment": {
        "contentType": "application/pdf",
        "url": "http://happyvalley.com/docs/AB12345",
        "size": 104274,
        "hash": "SGVsbG8gdGhlcmU=",
        "creation": "2010-02-01T10:57:34+01:00"
      }
    }
  ],
  "related": [
    {
      "identifier": {
        "system": "http://happyvalley.com/claim",
        "value": "12345"
      }
    },
    {
      "identifier": {
        "system": "http://www.BenefitsInc.com/fhir/remittance",
        "value": "R3500"
      }
    }
  ]
}

Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.