{
    "resourceType":"Bundle",
    "meta":{
        "profile":[
            "http://mais.org.ar/fhir/ImplementationGuide/TransaccionFacturacionMais"
        ]
    },
    "type":"transaction",
    "entry":[
        {
            "fullUrl":"http://mais.org.ar/fhir/TransaccionMais/Prestador",
            "resource":{
                "resourceType":"Organization",
                "id":"Organization1",
                "identifier":[
                    {
                        "value":"2.16.840.1.113883.2.10.24.2.1.1"
                    }
                ]
            },
            "request":{
                "method":"POST",
                "url":"HOSPITAL ALEMAN"
            }
        },
        {
            "fullUrl":"http://mais.org.ar/fhir/TransaccionMais/Financiador",
            "resource":{
                "resourceType":"Organization",
                "id":"Organization2",
                "identifier":[
                    {
                        "value":"2.16.840.1.113883.2.10.24.2.2.6"
                    }
                ]
            },
            "request":{
                "method":"POST",
                "url":"OSDE"
            }
        },
        {
            "fullUrl":"Claim1",
            "resource":{
                "resourceType":"Claim",
                "id":"Claim1",
                "modifierExtension":[
                    {
                        "url":"http://mais.org.ar/fhir/StructureDefinition/Reliquidacion",
                        "valueBoolean":true
                    },
                    {
                        "url":"http://mais.org.ar/fhir/StructureDefinition/ReliquidacionNumeroFactura",
                        "valueIdentifier":{
                            "system":"2.16.840.1.113883.2.10.24.2.1.1.10",
                            "value":"A 0001 12345678"
                        }
                    }
                ],
                "contained":[
                    {
                        "resourceType":"Patient",
                        "id":"P569874",
                        "modifierExtension":[
                            {
                                "url":"http://mais.org.ar/fhir/StructureDefinition/SituacionIVAPaciente",
                                "valueCoding":{
                                    "system":"http://mais.org.ar/fhir/ValueSet/TipoIVAPaciente",
                                    "code":"1",
                                    "display":"Voluntario"
                                }
                            }
                        ],
                        "identifier":[
                            {
                                "system":"2.16.840.1.113883.2.10.24.2.2.6.7",
                                "value":"60795606402"
                            },
                            {
                                "system":"2.16.840.1.113883.2.10.24.4.1",
                                "value":"22369874"
                            }
                        ],
                        "name":[
                            {
                                "family":[
                                    "LARNE"
                                ],
                                "given":[
                                    "JORGE"
                                ]
                            }
                        ]
                    }
                ],
                "type":"institutional",
                "identifier":[
                    {
                        "system":"2.16.840.1.113883.2.10.24.2.1.1.11",
                        "value":"20910-2"
                    },
                    {
                        "system":"2.16.840.1.113883.2.10.24.2.1.1.10",
                        "value":"A 0001 12345679"
                    }
                ],
                "created":"2015-09-01",
                "provider":{
                    "reference":"P650205"
                },
                "organization":{
                    "reference":"O176"
                },
                "priority":{
                    "system":"http://hl7.org/fhir/processpriority",
                    "code":"normal"
                },
                "referral":{
                    "reference":"P650205"
                },
                "diagnosis":[
                    {
                        "sequence":1,
                        "diagnosis":{
                            "system":"http://hl7.org/fhir/sid/icd-10",
                            "code":"E11",
                            "display":"DIABETES MELLITUS TIPO 2"
                        }
                    }
                ],
                "patient":{
                    "reference":"P569874"
                },
                "coverage":[
                    {
                        "sequence":1,
                        "focal":true,
                        "coverage":{
                            "reference":"OSDE 310"
                        },
                        "relationship":{
                            "system":"http://mais.org.ar/fhir/ValueSet/RelacionBenef",
                            "code":"T",
                            "display":"TITULAR"
                        },
                        "preAuthRef":[
                            "12 209111 2"
                        ],
                        "originalRuleset":{
                            "system":"http://mais.org.ar/fhir/ValueSet/NormasFacturacion",
                            "code":"NN",
                            "display":"NORMAS NOMENCLADOR NACIONAL"
                        }
                    }
                ],
                "item":[
                    {
                        "modifierExtension":[
                            {
                                "url":"http://mais.org.ar/fhir/StructureDefinition/ValorHonorarios",
                                "valueDecimal":12.33
                            },
                            {
                                "url":"http://mais.org.ar/fhir/StructureDefinition/ValorGastos",
                                "valueDecimal":30.25
                            },
                            {
                                "url":"http://mais.org.ar/fhir/StructureDefinition/ImporteGravado",
                                "valueDecimal":32.58
                            },
                            {
                                "url":"http://mais.org.ar/fhir/StructureDefinition/ImporteExento",
                                "valueDecimal":0.00
                            }
                        ],
                        "sequence":1,
                        "type":{
                            "system":"2.16.840.1.113883.2.10.24.2.1.1.12",
                            "code":"475",
                            "display":"HEMOGRAMA"
                        },
                        "service":{
                            "system":"2.16.840.1.113883.2.10.24.2.2.6.12",
                            "code":"490475",
                            "display":"HEMOGRAMA"
                        },
                        "serviceDate":"2015-02-20",
                        "quantity":{
                            "value":1
                        },
                        "net":{
                            "value":12.35,
                            "unit":"ARS"
                        },
                        "detail":[
                            {
                                "sequence":1,
                                "type":{
                                    "system":"http://mais.org.ar/fhir/ValueSet/TipoArancelCodigo",
                                    "code":"A",
                                    "display":"ANESTESISTA"
                                },
                                "service":{
                                    "system":"http://mais.org.ar/fhir/ValueSet/DiferencialServicio",
                                    "code":"1",
                                    "display":"AMBULATORIO"
                                },
                                "quantity":{
                                    "value":1
                                },
                                "net":{
                                    "value":12.85,
                                    "unit":"ARS"
                                }
                            }
                        ]
                    }
                ]
            }
        }
    ]
}