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| Responsible Owner: Financial Management Work Group | Standards Status : Informative | Compartments : Device , Encounter , Group , Patient , Practitioner , RelatedPerson |
Raw Turtle (+ also see Turtle/RDF Format Specification )
Simple dental 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/100150> a fhir:Claim; fhir:nodeRole fhir:treeRoot; fhir:Resource.id [ fhir:value "100150"]; 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 Oral Health Claim</div>" ]; fhir:Claim.identifier [ fhir:index 0; fhir:Identifier.system [ fhir:value "http://happyvalley.com/claim" ]; fhir:Identifier.value [ fhir:value "12345" ] ]; 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 "oral" ] ] ]; 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.created [ fhir:value "2014-08-16"^^xsd:date]; fhir:Claim.insurer [ fhir:link <http://hl7.org/fhir/Organization/2>; fhir:Reference.reference [ fhir:value "Organization/2" ] ]; fhir:Claim.provider [ fhir:link <http://hl7.org/fhir/Organization/1>; fhir:Reference.reference [ fhir:value "Organization/1" ] ]; 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/100150> a fhir:Claim ; fhir:nodeRole fhir:treeRoot ; fhir:id [ fhir:v "100150"] ; # 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 Oral Health Claim</div>"^^rdf:XMLLiteral ] ] ; # fhir:identifier ( [ fhir:system [ fhir:v "http://happyvalley.com/claim"^^xsd:anyURI ; fhir:l <http://happyvalley.com/claim> ] ; fhir:value [ fhir:v "12345" ] ] ) ; # 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 "oral" ] ] ) ] ; # fhir:use [ fhir:v "claim"] ; # fhir:subject [ fhir:l <http://hl7.org/fhir/Patient/1> ; fhir:reference [ fhir:v "Patient/1" ] ] ; # fhir:created [ fhir:v "2014-08-16"^^xsd:date] ; # fhir:insurer [ fhir:l <http://hl7.org/fhir/Organization/2> ; fhir:reference [ fhir:v "Organization/2" ] ] ; # fhir:provider [ fhir:l <http://hl7.org/fhir/Organization/1> ; fhir:reference [ fhir:v "Organization/1" ] ] ; # fhir:priority [ fhir:coding ( [ fhir:code [ fhir:v "normal" ] ] ) ] ; # fhir:payee [ fhir:type [ fhir:coding ( [ fhir:code [ fhir:v "provider" ] ] ) ]]; 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: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: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 "123456" ] ]] ) ; # fhir:diagnosis ( [ fhir:sequence [ fhir:v "1"^^xsd:positiveInteger ] ; fhir:diagnosis [ a fhir:CodeableConcept ; fhir:coding ( [ fhir:code [ fhir:v "123456" ] ] ) ]]; 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.identifier [ fhir:Identifier.system [ fhir:value "http://happyvalley.com/claim" ]; fhir:Identifier.value [ fhir:value "12345" ] ]; fhir:Claim.insurance.coverage [ fhir:link <http://hl7.org/fhir/Coverage/9876B1>; fhir:Reference.reference [ fhir:value "Coverage/9876B1" ]] ) ; # fhir:insurance ( [ fhir:sequence [ fhir:v "1"^^xsd:positiveInteger ] ; fhir:focal [ fhir:v true ] ; fhir:identifier [ fhir:system [ fhir:v "http://happyvalley.com/claim"^^xsd:anyURI ; fhir:l <http://happyvalley.com/claim> ] ; fhir:value [ fhir:v "12345" ] ] ; fhir:coverage [ fhir:l <http://hl7.org/fhir/Coverage/9876B1> ; fhir:reference [ fhir:v "Coverage/9876B1" ] ]]; 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.code [ fhir:value "1200" ] ] ]; fhir:Claim.item.servicedDate [ fhir:value "2014-08-16"^^xsd:date ]; fhir:Claim.item.unitPrice [ fhir:Money.value [ fhir:value "135.57"^^xsd:decimal ]; fhir:Money.currency [ fhir:value "USD" ] ]; fhir:Claim.item.net [ fhir:Money.value [ fhir:value "135.57"^^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:code [ fhir:v "1200" ] ] ) ] ; fhir:serviced [ a fhir:Date ; fhir:v "2014-08-16"^^xsd:date ] ; fhir:unitPrice [ fhir:value [ fhir:v 135.57 ] ; fhir:currency [ fhir:v "USD" ] ] ; fhir:net [ fhir:value [ fhir:v 135.57 ] ; 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/Organization/1> 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/100150.ttl> a owl:Ontology; owl:imports fhir:fhir.ttl; owl:versionIRI <http://build.fhir.org/Claim/100150.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.
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FHIR
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R6
hl7.fhir.core#6.0.0-ballot3
generated
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2019
09:34+1100.
QA
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2025
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