Example
Slot/1
(Turtle)
Raw
Raw
Turtle
(+
also
see
JSON
Turtle/RDF
Format
Specification
)
EOB
Example
for
an
Claim
a
slot
that
had
errors
has
an
appointment
allocated
to
it
{
"resourceType": "ExplanationOfBenefit",
"id": "EB3501",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">A human-readable rendering of the ExplanationOfBenefit for a claim that had errors, various other attributes (such as accident and hospitalization) are also completed.</div>"
},
"identifier": [
{
"system": "http://www.BenefitsInc.com/fhir/explanationofbenefit",
"value": "error-1"
}
],
"status": "active",
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "oral"
}
]
},
"subType": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/ex-claimsubtype",
"code": "emergency"
}
]
},
"use": "claim",
"patient": {
"reference": "Patient/pat1"
},
"billablePeriod": {
"start": "2014-02-01",
"end": "2014-03-01"
},
"created": "2014-08-16",
"enterer": {
"reference": "Practitioner/1"
},
"insurer": {
"reference": "Organization/2"
},
"provider": {
"reference": "Organization/2"
},
"related": [
{
"reference": {
"system": "http://www.BenefitsInc.com/case-number",
"value": "23-56Tu-XX-47-20150M14"
}
}
],
"prescription": {
"reference": "MedicationRequest/medrx002"
},
"originalPrescription": {
"reference": "MedicationRequest/medrx0301"
},
"facility": {
"reference": "Location/1"
},
"claim": {
"reference": "Claim/100150"
},
"claimResponse": {
"reference": "ClaimResponse/R3500"
},
"outcome": "error",
"disposition": "Could not process.",
"supportingInfo": [
{
"sequence": 1,
"category": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/claiminformationcategory",
"code": "employmentimpacted"
}
]
},
"timingPeriod": {
"start": "2014-02-14",
"end": "2014-02-28"
}
},
{
"sequence": 2,
"category": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/claiminformationcategory",
"code": "hospitalized"
}
]
},
"timingPeriod": {
"start": "2014-02-14",
"end": "2014-02-16"
}
}
],
"procedure": [
{
"sequence": 1,
"date": "2014-02-14",
"procedureCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/sid/ex-icd-10-procedures",
"code": "123001"
}
]
},
"udi": [
{
"reference": "Device/example"
}
]
}
],
"precedence": 2,
"insurance": [
{
"focal": true,
"coverage": {
"reference": "Coverage/9876B1"
}
}
],
"accident": {
"date": "2014-02-14",
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "SPT"
}
]
},
"locationReference": {
"reference": "Location/ph"
}
},
"total": [
{
"category": {
"coding": [
{
"code": "submitted"
}
]
},
"amount": {
"value": 2478.57,
"currency": "USD"
}
},
{
"category": {
"coding": [
{
"code": "benefit"
}
]
},
"amount": {
"value": 0.00,
"currency": "USD"
}
}
],
"formCode": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/forms-codes",
"code": "2"
}
]
},
"processNote": [
{
"number": 1,
"type": "display",
"text": "Invalid claim",
"language": {
"coding": [
{
"system": "urn:ietf:bcp:47",
"code": "en-CA"
}
]
}
}
]
}
@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .
# - resource -------------------------------------------------------------------
[a fhir:Slot ;
fhir:nodeRole fhir:treeRoot ;
fhir:id [ fhir:v "1"] ; #
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n 25 Dec 2013 9:00am - 9:15am: <b>Busy</b> Physiotherapy\n </div>"
] ; #
fhir:identifier ( [
fhir:system [ fhir:v "http://example.org/identifiers/slots"^^xsd:anyURI ] ;
fhir:value [ fhir:v "123132" ]
] ) ; #
fhir:serviceCategory ( [
fhir:coding ( [
fhir:code [ fhir:v "17" ] ;
fhir:display [ fhir:v "General Practice" ]
] )
] ) ; #
fhir:schedule [
fhir:reference [ fhir:v "Schedule/example" ]
] ; #
fhir:status [ fhir:v "busy"] ; #
fhir:start [ fhir:v "2013-12-25T09:00:00Z"^^xsd:dateTime] ; #
fhir:end [ fhir:v "2013-12-25T09:15:00Z"^^xsd:dateTime] ; #
fhir:overbooked [ fhir:v "true"^^xsd:boolean] ; #
fhir:comment [ fhir:v "Assessments should be performed before requesting appointments in this slot."]] . #
# -------------------------------------------------------------------------------------
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.
Workflow
.
Page
versions:
R5
R4B
R4
R3
|
Propose
a
change