@prefix fhir: . @prefix owl: . @prefix rdfs: . @prefix xsd: . # - resource ------------------------------------------------------------------- a fhir:Claim ; fhir:nodeRole fhir:treeRoot ; fhir:id [ fhir:v "ClaimProfileExample"] ; # fhir:meta [ fhir:profile ( [ fhir:v "https://shr.tiberbuapps.com/fhir/StructureDefinition/ClaimProfile"^^xsd:anyURI ; fhir:link ] ) ] ; # fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "

Generated Narrative: Claim ClaimProfileExample

identifier: http://example.org/fhir/claims/123456

status: Active

type: Institutional

subType: emergency

use: Claim

patient: Eliud Kipchoge Kiptun Male, DoB: 1984-11-05 ( Unique Patient Identifier: 123456 (use: official, ))

billablePeriod: 2023-01-01 --> 2023-01-31

created: 2023-02-01

insurer: Organization Kenyatta National Hospital

provider: Practitioner John Doe

priority: Normal

Relateds

-ClaimRelationship
*Claim: status = active; type = Professional; use = claim; created = 2020-06-15; priority = Normalassociated

prescription: MedicationRequest: status = active; intent = order; medication[x] = ->Medication Codeine phosphate

originalPrescription: MedicationRequest: status = active; intent = order; medication[x] = ->Medication Codeine phosphate

Payees

-Type
*Provider

referral: ServiceRequest: status = active; intent = order

facility: Location Kenya Medical Research Institute

CareTeams

-SequenceProviderRole
*1Practitioner John Doe Primary provider

SupportingInfos

-SequenceCategoryCodeTiming[x]Value[x]
*1Informationadditional-info2023-01-15Supporting information value

Diagnoses

-SequenceDiagnosis[x]Type
*1DIAG-1aprincipal

Insurances

-SequenceFocalCoverageClaimResponse
*1trueCoverageExampleClaimResponse: status = active; type = Professional; use = claim; created = 2020-06-15; outcome = complete

Accidents

-DateTypeLocation[x]
*2023-01-20MVA1234 Elm Street, Somewhere, ST 12345

item

sequence: 1

productOrService: exam

serviced: 2023-01-21

quantity: 1

UnitPrices

-Value
*100

Nets

-Value
*100

udi: Device: status = active

bodySite: forehead

subSite: left

detail

sequence: 1

productOrService: service

quantity: 1

UnitPrices

-Value
*50

Nets

-Value
*50

udi: Device: status = active

subDetail

sequence: 1

productOrService: Billing

quantity: 1

UnitPrices

-Value
*25

Nets

-Value
*25

udi: Device: status = active

Totals

-Value
*175
" ] ; # fhir:identifier ( [ fhir:system [ fhir:v "http://example.org/fhir/claims"^^xsd:anyURI ] ; fhir:value [ fhir:v "123456" ] ] ) ; # fhir:status [ fhir:v "active"] ; # fhir:type [ fhir:coding ( [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/claim-type"^^xsd:anyURI ] ; fhir:code [ fhir:v "institutional" ] ] ) ] ; # fhir:subType [ fhir:coding ( [ fhir:system [ fhir:v "http://example.org/fhir/claim-subtypes"^^xsd:anyURI ] ; fhir:code [ fhir:v "emergency" ] ] ) ] ; # fhir:use [ fhir:v "claim"] ; # fhir:patient [ fhir:link ; fhir:reference [ fhir:v "Patient/SHAPatientExample" ] ] ; # fhir:billablePeriod [ fhir:start [ fhir:v "2023-01-01"^^xsd:date ] ; fhir:end [ fhir:v "2023-01-31"^^xsd:date ] ] ; # fhir:created [ fhir:v "2023-02-01"^^xsd:date] ; # fhir:insurer [ fhir:link ; fhir:reference [ fhir:v "Organization/SHAOrganizationExample" ] ] ; # fhir:provider [ fhir:link ; fhir:reference [ fhir:v "Practitioner/PractitionerExample" ] ] ; # fhir:priority [ fhir:coding ( [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/processpriority"^^xsd:anyURI ] ; fhir:code [ fhir:v "normal" ] ] ) ] ; # fhir:related ( [ fhir:claim [ fhir:link ; fhir:reference [ fhir:v "Claim/ClaimExample" ] ] ; fhir:relationship [ fhir:coding ( [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/ex-claimrelationship"^^xsd:anyURI ] ; fhir:code [ fhir:v "associated" ] ] ) ] ] ) ; # fhir:prescription [ fhir:link ; fhir:reference [ fhir:v "MedicationRequest/MedicationRequestExample" ] ] ; # fhir:originalPrescription [ fhir:link ; fhir:reference [ fhir:v "MedicationRequest/MedicationRequestExample" ] ] ; # fhir:payee [ fhir:type [ fhir:coding ( [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/payeetype"^^xsd:anyURI ] ; fhir:code [ fhir:v "provider" ] ] ) ] ] ; # fhir:referral [ fhir:link ; fhir:reference [ fhir:v "ServiceRequest/ServiceRequestExample" ] ] ; # fhir:facility [ fhir:link ; fhir:reference [ fhir:v "Location/LocationExample" ] ] ; # fhir:careTeam ( [ fhir:sequence [ fhir:v "1"^^xsd:positiveInteger ] ; fhir:provider [ fhir:link ; fhir:reference [ fhir:v "Practitioner/PractitionerExample" ] ] ; fhir:role [ fhir:coding ( [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/claimcareteamrole"^^xsd:anyURI ] ; fhir:code [ fhir:v "primary" ] ] ) ] ] ) ; # 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:code [ fhir:v "info" ] ] ) ] ; fhir:code [ fhir:coding ( [ fhir:system [ fhir:v "http://example.org/fhir/supporting-info"^^xsd:anyURI ] ; fhir:code [ fhir:v "additional-info" ] ] ) ] ; fhir:timing [ fhir:v "2023-01-15"^^xsd:date ] ; fhir:value [ fhir:v "Supporting information value" ] ] ) ; # fhir:diagnosis ( [ fhir:sequence [ fhir:v "1"^^xsd:positiveInteger ] ; fhir:diagnosis [ a fhir:CodeableConcept ; fhir:coding ( [ fhir:system [ fhir:v "http://hl7.org/fhir/sid/icd-10"^^xsd:anyURI ] ; fhir:code [ fhir:v "I" ] ; fhir:display [ fhir:v "Certain infectious and parasitic diseases" ] ] ) ; fhir:text [ fhir:v "DIAG-1a" ] ] ; fhir:type ( [ fhir:coding ( [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/diagnosis-type"^^xsd:anyURI ] ; fhir:code [ fhir:v "principal" ] ] ) ] ) ] ) ; # fhir:insurance ( [ fhir:sequence [ fhir:v "1"^^xsd:positiveInteger ] ; fhir:focal [ fhir:v "true"^^xsd:boolean ] ; fhir:coverage [ fhir:reference [ fhir:v "CoverageExample" ] ] ; fhir:claimResponse [ fhir:link ; fhir:reference [ fhir:v "ClaimResponse/ClaimResponseExample" ] ] ] ) ; # fhir:accident [ fhir:date [ fhir:v "2023-01-20"^^xsd:date ] ; fhir:type [ fhir:coding ( [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ActIncidentCode"^^xsd:anyURI ] ; fhir:code [ fhir:v "MVA" ] ] ) ] ; fhir:location [ a fhir:Address ; fhir:text [ fhir:v "1234 Elm Street, Somewhere, ST 12345" ] ] ] ; # fhir:item ( [ fhir:sequence [ fhir:v "1"^^xsd:positiveInteger ] ; fhir:productOrService [ fhir:coding ( [ fhir:system [ fhir:v "http://example.org/fhir/item-codes"^^xsd:anyURI ] ; fhir:code [ fhir:v "exam" ] ] ) ] ; fhir:serviced [ fhir:v "2023-01-21"^^xsd:date ] ; fhir:quantity [ fhir:value [ fhir:v "1"^^xsd:decimal ] ] ; fhir:unitPrice [ fhir:value [ fhir:v "100"^^xsd:decimal ] ] ; fhir:net [ fhir:value [ fhir:v "100"^^xsd:decimal ] ] ; fhir:udi ( [ fhir:link ; fhir:reference [ fhir:v "Device/DeviceExample" ] ] ) ; fhir:bodySite [ fhir:coding ( [ fhir:system [ fhir:v "http://example.org/fhir/bodysites"^^xsd:anyURI ] ; fhir:code [ fhir:v "forehead" ] ] ) ] ; fhir:subSite ( [ fhir:coding ( [ fhir:system [ fhir:v "http://example.org/fhir/subsites"^^xsd:anyURI ] ; fhir:code [ fhir:v "left" ] ] ) ] ) ; fhir:detail ( [ fhir:sequence [ fhir:v "1"^^xsd:positiveInteger ] ; fhir:productOrService [ fhir:coding ( [ fhir:system [ fhir:v "http://example.org/fhir/item-detail-codes"^^xsd:anyURI ] ; fhir:code [ fhir:v "service" ] ] ) ] ; fhir:quantity [ fhir:value [ fhir:v "1"^^xsd:decimal ] ] ; fhir:unitPrice [ fhir:value [ fhir:v "50"^^xsd:decimal ] ] ; fhir:net [ fhir:value [ fhir:v "50"^^xsd:decimal ] ] ; fhir:udi ( [ fhir:link ; fhir:reference [ fhir:v "Device/DeviceExample" ] ] ) ; fhir:subDetail ( [ fhir:sequence [ fhir:v "1"^^xsd:positiveInteger ] ; fhir:productOrService [ fhir:coding ( [ fhir:system [ fhir:v "http://example.org/fhir/billings"^^xsd:anyURI ] ; fhir:code [ fhir:v "Billing" ] ] ) ] ; fhir:quantity [ fhir:value [ fhir:v "1"^^xsd:decimal ] ] ; fhir:unitPrice [ fhir:value [ fhir:v "25"^^xsd:decimal ] ] ; fhir:net [ fhir:value [ fhir:v "25"^^xsd:decimal ] ] ; fhir:udi ( [ fhir:link ; fhir:reference [ fhir:v "Device/DeviceExample" ] ] ) ] ) ] ) ] ) ; # fhir:total [ fhir:value [ fhir:v "175"^^xsd:decimal ] ] . # # -------------------------------------------------------------------------------------