Example Claim - TTL Representation

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: Example Claim - TTL Representation

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@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: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 <https://shr.tiberbuapps.com/fhir/StructureDefinition/ClaimProfile>     ] )
  ] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Claim ClaimProfileExample</b></p><a name=\"ClaimProfileExample\"> </a><a name=\"hcClaimProfileExample\"> </a><a name=\"ClaimProfileExample-en-US\"> </a><p><b>identifier</b>: <code>http://example.org/fhir/claims</code>/123456</p><p><b>status</b>: Active</p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/claim-type institutional}\">Institutional</span></p><p><b>subType</b>: <span title=\"Codes:{http://example.org/fhir/claim-subtypes emergency}\">emergency</span></p><p><b>use</b>: Claim</p><p><b>patient</b>: <a href=\"Patient-SHAPatientExample.html\">Eliud Kipchoge Kiptun Male, DoB: 1984-11-05 ( Unique Patient Identifier: 123456 (use: official, ))</a></p><p><b>billablePeriod</b>: 2023-01-01 --&gt; 2023-01-31</p><p><b>created</b>: 2023-02-01</p><p><b>insurer</b>: <a href=\"Organization-SHAOrganizationExample.html\">Organization Kenyatta National Hospital</a></p><p><b>provider</b>: <a href=\"Practitioner-PractitionerExample.html\">Practitioner John Doe </a></p><p><b>priority</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/processpriority normal}\">Normal</span></p><h3>Relateds</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Claim</b></td><td><b>Relationship</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"Claim-ClaimExample.html\">Claim: status = active; type = Professional; use = claim; created = 2020-06-15; priority = Normal</a></td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/ex-claimrelationship associated}\">associated</span></td></tr></table><p><b>prescription</b>: <a href=\"MedicationRequest-MedicationRequestExample.html\">MedicationRequest: status = active; intent = order; medication[x] = -&gt;Medication Codeine phosphate</a></p><p><b>originalPrescription</b>: <a href=\"MedicationRequest-MedicationRequestExample.html\">MedicationRequest: status = active; intent = order; medication[x] = -&gt;Medication Codeine phosphate</a></p><h3>Payees</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Type</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/payeetype provider}\">Provider</span></td></tr></table><p><b>referral</b>: <a href=\"ServiceRequest-ServiceRequestExample.html\">ServiceRequest: status = active; intent = order</a></p><p><b>facility</b>: <a href=\"Location-LocationExample.html\">Location Kenya Medical Research Institute</a></p><h3>CareTeams</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Sequence</b></td><td><b>Provider</b></td><td><b>Role</b></td></tr><tr><td style=\"display: none\">*</td><td>1</td><td><a href=\"Practitioner-PractitionerExample.html\">Practitioner John Doe </a></td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/claimcareteamrole primary}\">Primary provider</span></td></tr></table><h3>SupportingInfos</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Sequence</b></td><td><b>Category</b></td><td><b>Code</b></td><td><b>Timing[x]</b></td><td><b>Value[x]</b></td></tr><tr><td style=\"display: none\">*</td><td>1</td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/claiminformationcategory info}\">Information</span></td><td><span title=\"Codes:{http://example.org/fhir/supporting-info additional-info}\">additional-info</span></td><td>2023-01-15</td><td>Supporting information value</td></tr></table><h3>Diagnoses</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Sequence</b></td><td><b>Diagnosis[x]</b></td><td><b>Type</b></td></tr><tr><td style=\"display: none\">*</td><td>1</td><td><span title=\"Codes:{http://hl7.org/fhir/sid/icd-10 I}\">DIAG-1a</span></td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/diagnosis-type principal}\">principal</span></td></tr></table><h3>Insurances</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Sequence</b></td><td><b>Focal</b></td><td><b>Coverage</b></td><td><b>ClaimResponse</b></td></tr><tr><td style=\"display: none\">*</td><td>1</td><td>true</td><td><a href=\"CoverageExample\">CoverageExample</a></td><td><a href=\"ClaimResponse-ClaimResponseExample.html\">ClaimResponse: status = active; type = Professional; use = claim; created = 2020-06-15; outcome = complete</a></td></tr></table><h3>Accidents</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Date</b></td><td><b>Type</b></td><td><b>Location[x]</b></td></tr><tr><td style=\"display: none\">*</td><td>2023-01-20</td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ActIncidentCode MVA}\">MVA</span></td><td>1234 Elm Street, Somewhere, ST 12345</td></tr></table><blockquote><p><b>item</b></p><p><b>sequence</b>: 1</p><p><b>productOrService</b>: <span title=\"Codes:{http://example.org/fhir/item-codes exam}\">exam</span></p><p><b>serviced</b>: 2023-01-21</p><p><b>quantity</b>: 1</p><h3>UnitPrices</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td></tr><tr><td style=\"display: none\">*</td><td>100</td></tr></table><h3>Nets</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td></tr><tr><td style=\"display: none\">*</td><td>100</td></tr></table><p><b>udi</b>: <a href=\"Device-DeviceExample.html\">Device: status = active</a></p><p><b>bodySite</b>: <span title=\"Codes:{http://example.org/fhir/bodysites forehead}\">forehead</span></p><p><b>subSite</b>: <span title=\"Codes:{http://example.org/fhir/subsites left}\">left</span></p><blockquote><p><b>detail</b></p><p><b>sequence</b>: 1</p><p><b>productOrService</b>: <span title=\"Codes:{http://example.org/fhir/item-detail-codes service}\">service</span></p><p><b>quantity</b>: 1</p><h3>UnitPrices</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td></tr><tr><td style=\"display: none\">*</td><td>50</td></tr></table><h3>Nets</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td></tr><tr><td style=\"display: none\">*</td><td>50</td></tr></table><p><b>udi</b>: <a href=\"Device-DeviceExample.html\">Device: status = active</a></p><blockquote><p><b>subDetail</b></p><p><b>sequence</b>: 1</p><p><b>productOrService</b>: <span title=\"Codes:{http://example.org/fhir/billings Billing}\">Billing</span></p><p><b>quantity</b>: 1</p><h3>UnitPrices</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td></tr><tr><td style=\"display: none\">*</td><td>25</td></tr></table><h3>Nets</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td></tr><tr><td style=\"display: none\">*</td><td>25</td></tr></table><p><b>udi</b>: <a href=\"Device-DeviceExample.html\">Device: status = active</a></p></blockquote></blockquote></blockquote><h3>Totals</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td></tr><tr><td style=\"display: none\">*</td><td>175</td></tr></table></div>"
  ] ; # 
  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: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:reference [ fhir:v "Organization/SHAOrganizationExample" ]
  ] ; # 
  fhir:provider [
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: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:reference [ fhir:v "MedicationRequest/MedicationRequestExample" ]
  ] ; # 
  fhir:originalPrescription [
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:reference [ fhir:v "ServiceRequest/ServiceRequestExample" ]
  ] ; # 
  fhir:facility [
fhir:reference [ fhir:v "Location/LocationExample" ]
  ] ; # 
  fhir:careTeam ( [
fhir:sequence [ fhir:v "1"^^xsd:positiveInteger ] ;
fhir:provider [
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: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: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: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:reference [ fhir:v "Device/DeviceExample" ]         ] )       ] )     ] )
  ] ) ; # 
  fhir:total [
fhir:value [ fhir:v "175"^^xsd:decimal ]
  ] . #