fhir_to_pad_converter.py working
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204
samples/fhir/sample_2/claim-sample.json
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204
samples/fhir/sample_2/claim-sample.json
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{
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"resourceType": "Bundle",
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"type": "collection",
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"entry": [
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{
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"fullUrl": "urn:uuid:45673360-9b71-1f40-0184-888d6ea4f9c4",
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"resource": {
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"resourceType": "Patient",
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"id": "patient-1",
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"name": [
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{
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"family": "Brück",
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"given": [
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"Karola"
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]
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}
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],
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"gender": "female",
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"birthDate": "1958-07-08"
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}
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},
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{
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"fullUrl": "urn:uuid:26c65f6a-9e4b-5bc1-6f0b-aca5b2f71a7a",
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"resource": {
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"resourceType": "Encounter",
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"id": "encounter-1",
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"status": "finished",
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"class": {
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"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
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"code": "IMP",
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"display": "inpatient encounter"
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},
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"subject": {
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"reference": "Patient/patient-1"
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},
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"period": {
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"start": "2024-07-08T10:00:00+02:00",
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"end": "2024-07-18T14:00:00+02:00"
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}
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}
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},
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{
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"fullUrl": "urn:uuid:0003706f-ddaf-d3a7-b792-907d47519157",
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"resource": {
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"resourceType": "Observation",
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"id": "obs-1",
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"status": "final",
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"code": {
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"coding": [
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{
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"system": "http://loinc.org",
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"code": "26515-7",
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"display": "Thrombozyten"
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}
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],
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"text": "Thrombozyten"
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},
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"subject": {
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"reference": "Patient/patient-1"
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},
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"encounter": {
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"reference": "Encounter/encounter-1"
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},
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"effectiveDateTime": "2024-07-18T11:49:00+02:00",
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"valueQuantity": {
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"value": 385,
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"unit": "10^3/uL",
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"system": "http://unitsofmeasure.org",
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"code": "10*3/uL"
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}
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}
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},
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{
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"fullUrl": "urn:uuid:claim-1",
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"resource": {
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"resourceType": "Claim",
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"id": "claim-1",
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"status": "active",
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"type": {
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"coding": [
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{
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"system": "http://terminology.hl7.org/CodeSystem/claim-type",
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"code": "institutional"
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}
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]
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},
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"use": "claim",
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"patient": {
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"reference": "Patient/patient-1"
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},
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"created": "2024-07-20T10:00:00+02:00",
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"provider": {
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"reference": "Organization/provider-org-1"
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},
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"insurer": {
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"reference": "Organization/insurer-org-1"
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},
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"priority": {
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"coding": [
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{
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"code": "normal"
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}
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]
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},
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"diagnosis": [
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{
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"sequence": 1,
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"diagnosisCodeableConcept": {
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"coding": [
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{
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"system": "http://hl7.org/fhir/sid/icd-10-gm",
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"code": "J44.0",
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"display": "Chronische obstruktive Lungenkrankheit mit akuter Infektion der unteren Atemwege"
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}
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]
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}
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}
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],
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"item": [
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{
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"sequence": 1,
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"servicedDate": "2024-07-18",
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"productOrService": {
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"coding": [
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{
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"system": "http://loinc.org",
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"code": "26515-7",
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"display": "Thrombozyten"
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}
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]
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},
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"encounter": [
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{
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"reference": "Encounter/encounter-1"
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}
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]
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}
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]
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}
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},
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{
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"fullUrl": "urn:uuid:eob-1",
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"resource": {
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"resourceType": "ExplanationOfBenefit",
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"id": "eob-1",
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"status": "active",
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"type": {
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"coding": [
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{
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"system": "http://terminology.hl7.org/CodeSystem/claim-type",
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"code": "institutional"
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}
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]
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},
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"use": "claim",
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"patient": {
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"reference": "Patient/patient-1"
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},
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"created": "2024-07-25T10:00:00+02:00",
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"insurer": {
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"reference": "Organization/insurer-org-1"
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},
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"provider": {
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"reference": "Organization/provider-org-1"
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},
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"claim": {
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"reference": "Claim/claim-1"
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},
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"outcome": "complete",
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"total": [
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{
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"category": {
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"coding": [
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{
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"code": "submitted"
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}
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]
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},
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"amount": {
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"value": 100.0,
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"currency": "EUR"
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}
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}
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]
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}
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},
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{
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"fullUrl": "urn:uuid:provider-org-1",
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"resource": {
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"resourceType": "Organization",
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"id": "provider-org-1",
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"name": "Dr. med. Max Mustermann"
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}
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},
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{
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"fullUrl": "urn:uuid:insurer-org-1",
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"resource": {
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"resourceType": "Organization",
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"id": "insurer-org-1",
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"name": "PVS Rhein-Ruhr GmbH"
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}
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}
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]
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}
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