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CompleteProviderOutpatientCareClaimRequest

Payload used by a provider to finalize an outpatient care claim.

biometric_reading_idstring<uuid>

Identifier of a previously accepted biometric reading. UUID.

doctor_medical_license_numberstringrequired

Attending doctor's medical license number.

doctor_country_codestringrequired

ISO 3166-1 alpha-2 country code of the doctor's license.

doctor_specialty_namestringrequired

Attending doctor's medical specialty.

doctor_namestringrequired

Attending doctor's full name.

document_numberstring

Invoice or receipt number backing the claim.

document_serialstring

Invoice or receipt series.

document_datestring<date-time>

Invoice date. ISO 8601 date-time.

document_digital_signaturestring

Digital signature of the invoice, when required by the country's electronic-invoice system.

medical_consultation_reasonstring

Reason for the medical consultation.

illness_historystring

Patient illness history as recorded during the consultation.

illness_evolution_timestring

Reported time since illness onset.

non_standardized_diagnosesstring

Free-text diagnoses that could not be mapped to a standard coding system.

diagnoses object[]
  • Array [
  • coding_systemstringrequired

    Coding system used for the diagnosis (for example, ICD-10, CIE-10).

    codestringrequired

    Diagnosis code within the coding system.

    typestring

    Diagnosis type as a free-form string.

    type_enumstring

    Diagnosis type. One of CHIEF_COMPLAINT, DIFFERENTIAL_DIAGNOSIS, MEDICAL_DIAGNOSIS.

    Role of the diagnosis in the encounter.

    • CHIEF_COMPLAINT: the primary reason the beneficiary sought care.
    • DIFFERENTIAL_DIAGNOSIS: an alternative diagnosis being considered.
    • MEDICAL_DIAGNOSIS: the confirmed medical diagnosis.

    Possible values: [CHIEF_COMPLAINT, DIFFERENTIAL_DIAGNOSIS, MEDICAL_DIAGNOSIS]

  • ]