Example
ClaimResponse/R3501
(Turtle)
Raw
Turtle
(+
also
see
Turtle/RDF
Format
Specification
)
A
ClaimResponse
for
a
Claim
that
contains
processing
errors
@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 -------------------------------------------------------------------
<http://hl7.org/fhir/ClaimResponse/R3501> a fhir:ClaimResponse;
[a fhir:ClaimResponse;
fhir:nodeRole fhir:treeRoot;
fhir:Resource.id [ fhir:value "R3501"];
fhir:Resource.id [ fhir:value "R3501"]; #
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 ClaimResponse that demonstrates returning errors</div>"
];
]; #
fhir:ClaimResponse.identifier [
fhir:index 0;
fhir:Identifier.system [ fhir:value "http://www.BenefitsInc.com/fhir/remittance" ];
fhir:Identifier.value [ fhir:value "R3501" ]
];
fhir:ClaimResponse.status [ fhir:value "active"];
]; #
fhir:ClaimResponse.status [ fhir:value "active"]; #
fhir:ClaimResponse.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:ClaimResponse.use [ fhir:value "claim"];
]; #
fhir:ClaimResponse.use [ fhir:value "claim"]; #
fhir:ClaimResponse.patient [
fhir:link <http://hl7.org/fhir/Patient/1>;
fhir:Reference.reference [ fhir:value "Patient/1" ]
];
fhir:ClaimResponse.created [ fhir:value "2014-08-16"^^xsd:date];
]; #
fhir:ClaimResponse.created [ fhir:value "2014-08-16"^^xsd:date]; #
fhir:ClaimResponse.insurer [
fhir:Reference.identifier [
fhir:Identifier.system [ fhir:value "http://www.jurisdiction.org/insurers" ];
fhir:Identifier.value [ fhir:value "555123" ]
]
];
]; #
fhir:ClaimResponse.requestor [
fhir:link <http://hl7.org/fhir/Practitioner/1>;
fhir:Reference.reference [ fhir:value "Practitioner/1" ]
];
]; #
fhir:ClaimResponse.request [
fhir:link <http://hl7.org/fhir/Claim/100156>;
fhir:Reference.reference [ fhir:value "Claim/100156" ]
];
fhir:ClaimResponse.outcome [ fhir:value "error"];
fhir:ClaimResponse.disposition [ fhir:value "Claim could not be processed"];
]; #
fhir:ClaimResponse.outcome [ fhir:value "error"]; #
fhir:ClaimResponse.disposition [ fhir:value "Claim could not be processed"]; #
fhir:ClaimResponse.formCode [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/forms-codes" ];
fhir:Coding.code [ fhir:value "2" ]
]
];
]; #
fhir:ClaimResponse.processNote [
fhir:index 0;
fhir:ClaimResponse.processNote.number [ fhir:value "1"^^xsd:positiveInteger ];
fhir:ClaimResponse.processNote.type [ fhir:value "display" ];
fhir:ClaimResponse.processNote.text [ fhir:value "Invalid claim" ];
fhir:ClaimResponse.processNote.language [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "urn:ietf:bcp:47" ];
fhir:Coding.code [ fhir:value "en-CA" ]
]
]
];
]; #
fhir:ClaimResponse.communicationRequest [
fhir:index 0;
fhir:link <http://hl7.org/fhir/CommunicationRequest/fm-solicit>;
fhir:Reference.reference [ fhir:value "CommunicationRequest/fm-solicit" ]
];
]; #
fhir:ClaimResponse.error [
fhir:index 0;
fhir:ClaimResponse.error.itemSequence [ fhir:value "3"^^xsd:positiveInteger ];
fhir:ClaimResponse.error.detailSequence [ fhir:value "2"^^xsd:positiveInteger ];
fhir:ClaimResponse.error.code [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/adjudication-error" ];
fhir:Coding.code [ fhir:value "a002" ]
]
]
] .
<http://hl7.org/fhir/Patient/1> a fhir:Patient .
<http://hl7.org/fhir/Practitioner/1> a fhir:Practitioner .
<http://hl7.org/fhir/Claim/100156> a fhir:Claim .
<http://hl7.org/fhir/CommunicationRequest/fm-solicit> a fhir:CommunicationRequest .
]] . # Detailed error description
# - ontology header ------------------------------------------------------------
<http://hl7.org/fhir/ClaimResponse/R3501.ttl> a owl:Ontology;
owl:imports fhir:fhir.ttl;
owl:versionIRI <http://build.fhir.org/ClaimResponse/R3501.ttl> .
[a owl:Ontology;
owl:imports fhir:fhir.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.