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Claim-example-institutional-rich.ttl

Example Claim/960151 (Turtle)

Maturity Level : N/A
Responsible Owner: Financial Management Work Group Standards Status : Informative Compartments : Device , Encounter , Group , Patient , Practitioner , RelatedPerson

Raw Turtle (+ also see Turtle/RDF Format Specification )

Rich Institutional Service Claim 

@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .

@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

<http://hl7.org/fhir/Claim/960151> a fhir:Claim;
  fhir:nodeRole fhir:treeRoot;
  fhir:Resource.id [ fhir:value "960151"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">A human-readable rendering of the Claim</div>"
  ];
  fhir:Claim.identifier [
     fhir:index 0;
     fhir:Identifier.system [ fhir:value "http://happyhospital.com/claim" ];
     fhir:Identifier.value [ fhir:value "96123451" ]
  ];
  fhir:Claim.status [ fhir:value "active"];
  fhir:Claim.type [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/claim-type" ];
       fhir:Coding.code [ fhir:value "institutional" ]
     ]
  ];
  fhir:Claim.use [ fhir:value "claim"];
  fhir:Claim.patient [
     fhir:link <http://hl7.org/fhir/Patient/1>;
     fhir:Reference.reference [ fhir:value "Patient/1" ]
  ];
  fhir:Claim.billablePeriod [
     fhir:Period.start [ fhir:value "2014-08-15"^^xsd:date ];
     fhir:Period.end [ fhir:value "2014-08-16"^^xsd:date ]
  ];
  fhir:Claim.created [ fhir:value "2014-08-16"^^xsd:date];
  fhir:Claim.enterer [
     fhir:Reference.identifier [
       fhir:Identifier.system [ fhir:value "http://jurisdiction.org/facilities/HOSP1234/users" ];
       fhir:Identifier.value [ fhir:value "UC1234" ]
     ]
  ];
  fhir:Claim.insurer [
     fhir:link <http://hl7.org/fhir/Organization/2>;
     fhir:Reference.reference [ fhir:value "Organization/2" ]
  ];
  fhir:Claim.provider [
     fhir:Reference.identifier [
       fhir:Identifier.system [ fhir:value "http://npid.org/providerid" ];
       fhir:Identifier.value [ fhir:value "NJ12345" ]
     ]
  ];
  fhir:Claim.priority [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.code [ fhir:value "normal" ]
     ]
  ];
  fhir:Claim.payee [
     fhir:Claim.payee.type [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.code [ fhir:value "provider" ]
       ]

<http://hl7.org/fhir/Claim/960151> a fhir:Claim ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "960151"] ; # 
  fhir:text [
     fhir:status [ fhir:v "generated" ] ;
     fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\">A human-readable rendering of the Claim</div>"^^rdf:XMLLiteral ]
  ] ; # 
  fhir:identifier ( [
     fhir:system [
       fhir:v "http://happyhospital.com/claim"^^xsd:anyURI ;
       fhir:l <http://happyhospital.com/claim>
     ] ;
     fhir:value [ fhir:v "96123451" ]
  ] ) ; # 
  fhir:status [ fhir:v "active"] ; # 
  fhir:type [
     fhir:coding ( [
       fhir:system [
         fhir:v "http://terminology.hl7.org/CodeSystem/claim-type"^^xsd:anyURI ;
         fhir:l <http://terminology.hl7.org/CodeSystem/claim-type>
       ] ;
       fhir:code [ fhir:v "institutional" ]
     ] )
  ] ; # 
  fhir:use [ fhir:v "claim"] ; # 
  fhir:subject [
     fhir:l <http://hl7.org/fhir/Patient/1> ;
     fhir:reference [ fhir:v "Patient/1" ]
  ] ; # 
  fhir:billablePeriod [
     fhir:start [ fhir:v "2014-08-15"^^xsd:date ] ;
     fhir:end [ fhir:v "2014-08-16"^^xsd:date ]
  ] ; # 
  fhir:created [ fhir:v "2014-08-16"^^xsd:date] ; # 
  fhir:enterer [
     fhir:identifier [
       fhir:system [
         fhir:v "http://jurisdiction.org/facilities/HOSP1234/users"^^xsd:anyURI ;
         fhir:l <http://jurisdiction.org/facilities/HOSP1234/users>
       ] ;
       fhir:value [ fhir:v "UC1234" ]

     ]
  ];
  fhir:Claim.facility [
     fhir:Reference.identifier [
       fhir:Identifier.system [ fhir:value "http://jurisdiction.org/facilities" ];
       fhir:Identifier.value [ fhir:value "HOSP1234" ]

  ] ; # 
  fhir:insurer [
     fhir:l <http://hl7.org/fhir/Organization/2> ;
     fhir:reference [ fhir:v "Organization/2" ]
  ] ; # 
  fhir:provider [
     fhir:identifier [
       fhir:system [
         fhir:v "http://npid.org/providerid"^^xsd:anyURI ;
         fhir:l <http://npid.org/providerid>
       ] ;
       fhir:value [ fhir:v "NJ12345" ]

     ]
  ];
  fhir:Claim.careTeam [
     fhir:index 0;
     fhir:Claim.careTeam.sequence [ fhir:value "1"^^xsd:positiveInteger ];
     fhir:Claim.careTeam.provider [
       fhir:link <http://hl7.org/fhir/Practitioner/example>;
       fhir:Reference.reference [ fhir:value "Practitioner/example" ]
     ];
     fhir:Claim.careTeam.responsible [ fhir:value "true"^^xsd:boolean ];
     fhir:Claim.careTeam.role [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://example.org/fhir/CodeSystem/claim-careteamrole" ];
         fhir:Coding.code [ fhir:value "primary" ]
       ]
     ];
     fhir:Claim.careTeam.qualification [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://example.org/fhir/CodeSystem/provider-qualification" ];
         fhir:Coding.code [ fhir:value "physician" ]
       ]

  ] ; # 
  fhir:priority [
     fhir:coding ( [
       fhir:code [ fhir:v "normal" ]
     ] )
  ] ; # 
  fhir:payee [
     fhir:type [
       fhir:coding ( [
         fhir:code [ fhir:v "provider" ]
       ] )

     ]
  ];
  fhir:Claim.supportingInfo [
     fhir:index 0;
     fhir:Claim.supportingInfo.sequence [ fhir:value "1"^^xsd:positiveInteger ];
     fhir:Claim.supportingInfo.category [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/claiminformationcategory" ];
         fhir:Coding.code [ fhir:value "employmentimpacted" ]
       ]
     ];
     fhir:Claim.supportingInfo.timingPeriod [
       fhir:Period.start [ fhir:value "2014-08-16"^^xsd:date ];
       fhir:Period.end [ fhir:value "2014-08-16"^^xsd:date ]

  ] ; # 
  fhir:facility [
     fhir:identifier [
       fhir:system [
         fhir:v "http://jurisdiction.org/facilities"^^xsd:anyURI ;
         fhir:l <http://jurisdiction.org/facilities>
       ] ;
       fhir:value [ fhir:v "HOSP1234" ]

     ]
  ], [
     fhir:index 1;
     fhir:Claim.supportingInfo.sequence [ fhir:value "2"^^xsd:positiveInteger ];
     fhir:Claim.supportingInfo.category [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/claiminformationcategory" ];
         fhir:Coding.code [ fhir:value "hospitalized" ]
       ]
     ];
     fhir:Claim.supportingInfo.timingPeriod [
       fhir:Period.start [ fhir:value "2014-08-15"^^xsd:date ];
       fhir:Period.end [ fhir:value "2014-08-16"^^xsd:date ]

  ] ; # 
  fhir:diagnosisRelatedGroup [
     fhir:coding ( [
       fhir:system [
         fhir:v "http://terminology.hl7.org/CodeSystem/ex-diagnosisrelatedgroup"^^xsd:anyURI ;
         fhir:l <http://terminology.hl7.org/CodeSystem/ex-diagnosisrelatedgroup>
       ] ;
       fhir:code [ fhir:v "400" ] ;
       fhir:display [ fhir:v "Head trauma - concussion" ]
     ] )
  ] ; # 
  fhir:careTeam ( [
     fhir:sequence [ fhir:v "1"^^xsd:positiveInteger ] ;
     fhir:provider [
       fhir:l <http://hl7.org/fhir/Practitioner/example> ;
       fhir:reference [ fhir:v "Practitioner/example" ]
     ] ;
     fhir:role [
       fhir:coding ( [
         fhir:system [
           fhir:v "http://example.org/fhir/CodeSystem/claim-careteamrole"^^xsd:anyURI ;
           fhir:l <http://example.org/fhir/CodeSystem/claim-careteamrole>
         ] ;
         fhir:code [ fhir:v "primary" ]
       ] )
     ] ;
     fhir:specialty [
       fhir:coding ( [
         fhir:system [
           fhir:v "http://example.org/fhir/CodeSystem/provider-qualification"^^xsd:anyURI ;
           fhir:l <http://example.org/fhir/CodeSystem/provider-qualification>
         ] ;
         fhir:code [ fhir:v "physician" ]
       ] )

     ]
  ];
  fhir:Claim.diagnosis [
     fhir:index 0;
     fhir:Claim.diagnosis.sequence [ fhir:value "1"^^xsd:positiveInteger ];
     fhir:Claim.diagnosis.diagnosisCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.code [ fhir:value "654456" ]
       ]
     ];
     fhir:Claim.diagnosis.type [
       fhir:index 0;
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/ex-diagnosistype" ];
         fhir:Coding.code [ fhir:value "admitting" ]
       ]
     ];
     fhir:Claim.diagnosis.packageCode [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/ex-diagnosisrelatedgroup" ];
         fhir:Coding.code [ fhir:value "400" ];
         fhir:Coding.display [ fhir:value "Head trauma - concussion" ]
       ]

  ] ) ; # 
  fhir:supportingInfo ( [
     fhir:sequence [ fhir:v "1"^^xsd:positiveInteger ] ;
     fhir:category [
       fhir:coding ( [
         fhir:system [
           fhir:v "http://terminology.hl7.org/CodeSystem/claiminformationcategory"^^xsd:anyURI ;
           fhir:l <http://terminology.hl7.org/CodeSystem/claiminformationcategory>
         ] ;
         fhir:code [ fhir:v "employmentimpacted" ]
       ] )
     ] ;
     fhir:timing [
       a fhir:Period ;
       fhir:start [ fhir:v "2014-08-16"^^xsd:date ] ;
       fhir:end [ fhir:v "2014-08-16"^^xsd:date ]

     ]
  ];
  fhir:Claim.insurance [
     fhir:index 0;
     fhir:Claim.insurance.sequence [ fhir:value "1"^^xsd:positiveInteger ];
     fhir:Claim.insurance.focal [ fhir:value "true"^^xsd:boolean ];
     fhir:Claim.insurance.coverage [
       fhir:link <http://hl7.org/fhir/Coverage/9876B1>;
       fhir:Reference.reference [ fhir:value "Coverage/9876B1" ]
     ];
     fhir:Claim.insurance.businessArrangement [ fhir:value "BA987123" ];
     fhir:Claim.insurance.preAuthRef [
       fhir:value "PA2014G56473";
       fhir:index 0

  ] [
     fhir:sequence [ fhir:v "2"^^xsd:positiveInteger ] ;
     fhir:category [
       fhir:coding ( [
         fhir:system [
           fhir:v "http://terminology.hl7.org/CodeSystem/claiminformationcategory"^^xsd:anyURI ;
           fhir:l <http://terminology.hl7.org/CodeSystem/claiminformationcategory>
         ] ;
         fhir:code [ fhir:v "hospitalized" ]
       ] )
     ] ;
     fhir:timing [
       a fhir:Period ;
       fhir:start [ fhir:v "2014-08-15"^^xsd:date ] ;
       fhir:end [ fhir:v "2014-08-16"^^xsd:date ]

     ]
  ];
  fhir:Claim.accident [
     fhir:Claim.accident.date [ fhir:value "2014-07-09"^^xsd:date ];
     fhir:Claim.accident.type [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ActIncidentCode" ];
         fhir:Coding.code [ fhir:value "SPT" ];
         fhir:Coding.display [ fhir:value "Sporting Accident" ]
       ]
     ];
     fhir:Claim.accident.locationAddress [
       fhir:Address.text [ fhir:value "Grouse Mountain Ski Hill" ]

  ] ) ; # 
  fhir:diagnosis ( [
     fhir:sequence [ fhir:v "1"^^xsd:positiveInteger ] ;
     fhir:diagnosis [
       a fhir:CodeableConcept ;
       fhir:coding ( [
         fhir:code [ fhir:v "654456" ]
       ] )
     ] ;
     fhir:type ( [
       fhir:coding ( [
         fhir:system [
           fhir:v "http://terminology.hl7.org/CodeSystem/ex-diagnosistype"^^xsd:anyURI ;
           fhir:l <http://terminology.hl7.org/CodeSystem/ex-diagnosistype>
         ] ;
         fhir:code [ fhir:v "admitting" ]
       ] )
     ] )
  ] ) ; # 
  fhir:insurance ( [
     fhir:sequence [ fhir:v "1"^^xsd:positiveInteger ] ;
     fhir:focal [ fhir:v true ] ;
     fhir:coverage [
       fhir:l <http://hl7.org/fhir/Coverage/9876B1> ;
       fhir:reference [ fhir:v "Coverage/9876B1" ]
     ] ;
     fhir:businessArrangement [ fhir:v "BA987123" ] ;
     fhir:preAuthRef ( [ fhir:v "PA2014G56473" ] )
  ] ) ; # 
  fhir:accident [
     fhir:date [ fhir:v "2014-07-09"^^xsd:date ] ;
     fhir:type [
       fhir:coding ( [
         fhir:system [
           fhir:v "http://terminology.hl7.org/CodeSystem/v3-ActIncidentCode"^^xsd:anyURI ;
           fhir:l <http://terminology.hl7.org/CodeSystem/v3-ActIncidentCode>
         ] ;
         fhir:code [ fhir:v "SPT" ] ;
         fhir:display [ fhir:v "Sporting Accident" ]
       ] )
     ] ;
     fhir:location [
       a fhir:Address ;
       fhir:text [ fhir:v "Grouse Mountain Ski Hill" ]

     ]
  ];
  fhir:Claim.item [
     fhir:index 0;
     fhir:Claim.item.sequence [ fhir:value "1"^^xsd:positiveInteger ];
     fhir:Claim.item.careTeamSequence [
       fhir:value "1"^^xsd:positiveInteger;
       fhir:index 0
     ];
     fhir:Claim.item.productOrService [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://hl7.org/fhir/ex-serviceproduct" ];
         fhir:Coding.code [ fhir:value "exam" ]
       ]
     ];
     fhir:Claim.item.servicedDate [ fhir:value "2014-08-16"^^xsd:date ];
     fhir:Claim.item.unitPrice [
       fhir:Money.value [ fhir:value "125.00"^^xsd:decimal ];
       fhir:Money.currency [ fhir:value "USD" ]
     ];
     fhir:Claim.item.net [
       fhir:Money.value [ fhir:value "125.00"^^xsd:decimal ];
       fhir:Money.currency [ fhir:value "USD" ]

  ] ; # 
  fhir:item ( [
     fhir:sequence [ fhir:v "1"^^xsd:positiveInteger ] ;
     fhir:careTeamSequence ( [ fhir:v "1"^^xsd:positiveInteger ] ) ;
     fhir:productOrService [
       fhir:coding ( [
         fhir:system [
           fhir:v "http://hl7.org/fhir/ex-serviceproduct"^^xsd:anyURI ;
           fhir:l <http://hl7.org/fhir/ex-serviceproduct>
         ] ;
         fhir:code [ fhir:v "exam" ]
       ] )
     ] ;
     fhir:serviced [
       a fhir:Date ;
       fhir:v "2014-08-16"^^xsd:date
     ] ;
     fhir:unitPrice [
       fhir:value [ fhir:v 125.00 ] ;
       fhir:currency [ fhir:v "USD" ]
     ] ;
     fhir:net [
       fhir:value [ fhir:v 125.00 ] ;
       fhir:currency [ fhir:v "USD" ]

     ]
  ];
  fhir:Claim.total [
     fhir:Money.value [ fhir:value "125.00"^^xsd:decimal ];
     fhir:Money.currency [ fhir:value "USD" ]
  ] .

  ] ) ; # 
  fhir:total [
     fhir:value [ fhir:v 125.00 ] ;
     fhir:currency [ fhir:v "USD" ]
  ] . # 


<http://hl7.org/fhir/Patient/1> a fhir:Patient .

<http://hl7.org/fhir/Organization/2> a fhir:Organization .

<http://hl7.org/fhir/Practitioner/example> a fhir:Practitioner .

<http://hl7.org/fhir/Coverage/9876B1> a fhir:Coverage .

# - ontology header ------------------------------------------------------------

<http://hl7.org/fhir/Claim/960151.ttl> a owl:Ontology;
  owl:imports fhir:fhir.ttl;
  owl:versionIRI <http://build.fhir.org/Claim/960151.ttl> .


# -------------------------------------------------------------------------------------

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.