<Bundle xmlns="http://hl7.org/fhir">
   <type value="transaction"/>
   <entry>
      <fullUrl value="http://mais.org.ar/fhir/TransaccionMais/Prestador"/>
      <resource>
         <Organization xmlns="http://hl7.org/fhir">
            <id value="Organization1"/>
            <identifier>
               <value value="2.16.840.1.113883.2.10.24.2.1.1"/>
            </identifier>
         </Organization>
      </resource>
   </entry>
   <entry>
      <fullUrl value="http://mais.org.ar/fhir/TransaccionMais/Financiador"/>
      <resource>
         <Organization xmlns="http://hl7.org/fhir">
            <id value="Organization2"/>
            <identifier>
               <value value="2.16.840.1.113883.2.10.24.2.2.6"/>
            </identifier>
         </Organization>
      </resource>
   </entry>
   <entry>
      <fullUrl value="http://mais.org.ar/fhir/ValueSet/EstadoTramites"/>
      <response>
         <status value="0"/>
      </response>
   </entry>
   <entry>
      <fullUrl value="http://mais.org.ar/fhir/ImplementationGuide/TransaccionDebitoMais/1"/>
      <resource>
         <ClaimResponse xmlns="http://hl7.org/fhir">
            <contained>
               <Patient xmlns="http://hl7.org/fhir">
                  <id value="P569874"/>
                  <modifierExtension url="http://mais.org.ar/fhir/StructureDefinition/SituacionIVAPaciente">
                     <valueCoding>
                        <system value="http://mais.org.ar/fhir/ValueSet/TipoIVAPaciente"/>
                        <code value="1"/>
                        <display value="Voluntario"/>
                     </valueCoding>
                  </modifierExtension>
                  <identifier>
                     <system value="2.16.840.1.113883.2.10.24.2.2.6.7"/>
                     <value value="6079560640"/>
                  </identifier>
                  <identifier>
                     <system value="2.16.840.1.113883.2.10.24.4.1"/>
                     <value value="22369874"/>
                  </identifier>
                  <name>
                     <family value="LARNE"/>
                     <given value="JORGE"/>
                  </name>
               </Patient>
            </contained>
            <contained>
               <Claim xmlns="http://hl7.org/fhir">
                  <id value="Claim1"/>
                  <modifierExtension url="http://mais.org.ar/fhir/StructureDefinition/Reliquidacion">
                     <valueBoolean value="true"/>
                  </modifierExtension>
                  <modifierExtension url="http://mais.org.ar/fhir/StructureDefinition/ReliquidacionNumeroFactura">
                     <valueIdentifier>
                        <system value="2.16.840.1.113883.2.10.24.2.1.1.10"/>
                        <value value="A 0001 12345678"/>
                     </valueIdentifier>
                  </modifierExtension>
                  <type value="institutional"/>
                  <identifier>
                     <system value="2.16.840.1.113883.2.10.24.2.1.1.11"/>
                     <value value="20910-2"/>
                  </identifier>
                  <identifier>
                     <system value="2.16.840.1.113883.2.10.24.2.1.1.10"/>
                     <value value="A 0001 12345679"/>
                  </identifier>
                  <created value="2015-09-01"/>
                  <provider>
                     <reference value="P650205"/>
                  </provider>
                  <organization>
                     <reference value="O176"/>
                  </organization>
                  <priority>
                     <system value="http://hl7.org/fhir/processpriority"/>
                     <code value="normal"/>
                  </priority>
                  <referral>
                     <reference value="P650205"/>
                  </referral>
                  <diagnosis>
                     <sequence value="1"/>
                     <diagnosis>
                        <system value="http://hl7.org/fhir/sid/icd-10"/>
                        <code value="E11"/>
                        <display value="DIABETES MELLITUS TIPO 2"/>
                     </diagnosis>
                  </diagnosis>
                  <patient>
                     <reference value="P569874"/>
                  </patient>
                  <coverage>
                     <sequence value="1"/>
                     <focal value="true"/>
                     <coverage>
                        <reference value="OSDE 310"/>
                     </coverage>
                     <relationship>
                        <system value="http://mais.org.ar/fhir/ValueSet/RelacionBenef"/>
                        <code value="T"/>
                        <display value="TITULAR"/>
                     </relationship>
                     <preAuthRef value="12 209111 2"/>
                     <originalRuleset>
                        <system value="http://mais.org.ar/fhir/ValueSet/NormasFacturacion"/>
                        <code value="NN"/>
                        <display value="NORMAS NOMENCLADOR NACIONAL"/>
                     </originalRuleset>
                  </coverage>
                  <item>
                     <modifierExtension url="http://mais.org.ar/fhir/StructureDefinition/ValorHonorarios">
                        <valueDecimal value="12.33"/>
                     </modifierExtension>
                     <modifierExtension url="http://mais.org.ar/fhir/StructureDefinition/ValorGastos">
                        <valueDecimal value="30.25"/>
                     </modifierExtension>
                     <modifierExtension url="http://mais.org.ar/fhir/StructureDefinition/ImporteGravado">
                        <valueDecimal value="32.58"/>
                     </modifierExtension>
                     <modifierExtension url="http://mais.org.ar/fhir/StructureDefinition/ImporteExento">
                        <valueDecimal value="0.00"/>
                     </modifierExtension>
                     <sequence value="1"/>
                     <type>
                        <system value="2.16.840.1.113883.2.10.24.2.1.1.12"/>
                        <code value="475"/>
                        <display value="HEMOGRAMA"/>
                     </type>
                     <service>
                        <system value="2.16.840.1.113883.2.10.24.2.2.6.12"/>
                        <code value="490475"/>
                        <display value="HEMOGRAMA"/>
                     </service>
                     <serviceDate value="2015-02-20"/>
                     <quantity>
                        <value value="1"/>
                     </quantity>
                     <net>
                        <value value="12.35"/>
                        <unit value="ARS"/>
                     </net>
                     <detail>
                        <sequence value="1"/>
                        <type>
                           <system value="http://mais.org.ar/fhir/ValueSet/TipoArancelCodigo"/>
                           <code value="A"/>
                           <display value="ANESTESISTA"/>
                        </type>
                        <service>
                           <system value="http://mais.org.ar/fhir/ValueSet/DiferencialServicio"/>
                           <code value="1"/>
                           <display value="AMBULATORIO"/>
                        </service>
                        <quantity>
                           <value value="1"/>
                        </quantity>
                        <net>
                           <value value="12.85"/>
                           <unit value="ARS"/>
                        </net>
                     </detail>
                  </item>
               </Claim>
            </contained>
            <request>
               <reference value="#Claim1"/>
            </request>
            <created value="2016-07-11"/>
            <error>
               <code>
                  <system value="http://mais.org.ar/fhir/ValueSet/ErroresTransacciones"/>
                  <code value="40"/>
                  <display value="No es afiliado o paciente dado de baja"/>
               </code>
            </error>
         </ClaimResponse>
      </resource>
   </entry>
</Bundle>