0.1.0 - ci-build

kenyaClaimsIG - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

: ClaimResponseProfileExample - 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:ClaimResponse ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "ClaimResponseProfileExample"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "https://shr.tiberbuapps.com/fhir/StructureDefinition/ClaimResponse-ke"^^xsd:anyURI ;
fhir:link <https://shr.tiberbuapps.com/fhir/StructureDefinition/ClaimResponse-ke>     ] )
  ] ; # 
  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: ClaimResponse ClaimResponseProfileExample</b></p><a name=\"ClaimResponseProfileExample\"> </a><a name=\"hcClaimResponseProfileExample\"> </a><a name=\"ClaimResponseProfileExample-en-US\"> </a><p><b>identifier</b>: <code>http://example.org/fhir/identifier-type</code>/KMFL12345 (use: official, )</p><p><b>status</b>: Active</p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/claim-type professional}\">Professional</span></p><p><b>subType</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/ex-claimsubtype ortho}\">Orthodontic Claim</span></p><p><b>use</b>: Claim</p><p><b>patient</b>: <a href=\"Patient-SHAPatientExample2.html\">Eliud Kipchoge Kiptun Male, DoB: 1984-11-05 ( Unique Patient Identifier: 123456 (use: official, ))</a></p><p><b>created</b>: 2020-06-15</p><p><b>insurer</b>: <a href=\"Organization-SHAOrganizationExample.html\">Organization Kenyatta National Hospital</a></p><p><b>requestor</b>: <a href=\"SHAPractitionerExample\">SHAPractitionerExample</a></p><p><b>request</b>: <a href=\"Claim-ClaimExample.html\">Claim: status = active; type = Professional; use = claim; created = 2020-06-15; priority = Normal</a></p><p><b>outcome</b>: Processing Complete</p><p><b>disposition</b>: Claim settled as per policy.</p><p><b>payeeType</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/payeetype provider}\">Provider</span></p><blockquote><p><b>item</b></p><p><b>itemSequence</b>: 1</p><p><b>noteNumber</b>: 1</p><blockquote><p><b>adjudication</b></p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/adjudication tax}\">Tax</span></p><p><b>reason</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/adjudication-reason ar001}\">Not covered</span></p><h3>Amounts</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style=\"display: none\">*</td><td>100</td><td>Kenyan shilling</td></tr></table><p><b>value</b>: 100</p></blockquote><blockquote><p><b>detail</b></p><p><b>detailSequence</b>: 1</p><p><b>noteNumber</b>: 1</p><blockquote><p><b>adjudication</b></p></blockquote><blockquote><p><b>subDetail</b></p><p><b>subDetailSequence</b>: 1</p><p><b>noteNumber</b>: 1</p><blockquote><p><b>adjudication</b></p></blockquote></blockquote></blockquote></blockquote><h3>ProcessNotes</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Number</b></td><td><b>Type</b></td><td><b>Text</b></td><td><b>Language</b></td></tr><tr><td style=\"display: none\">*</td><td>1</td><td>Display</td><td>Claim settled as per policy.</td><td><span title=\"Codes:{urn:ietf:bcp:47 en}\">English</span></td></tr></table><p><b>communicationRequest</b>: <a href=\"CommunicationRequest-CommunicationRequestExample.html\">CommunicationRequest: status = active</a></p><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>Errors</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>DetailSequence</b></td><td><b>SubDetailSequence</b></td><td><b>Code</b></td></tr><tr><td style=\"display: none\">*</td><td>1</td><td>1</td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/adjudication-error a001}\">Missing Creation Date</span></td></tr></table></div>"
  ] ; # 
  fhir:identifier ( [
fhir:use [ fhir:v "official" ] ;
fhir:system [ fhir:v "http://example.org/fhir/identifier-type"^^xsd:anyURI ] ;
fhir:value [ fhir:v "KMFL12345" ]
  ] ) ; # 
  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 "professional" ] ;
fhir:display [ fhir:v "Professional" ]     ] ) ;
fhir:text [ fhir:v "Professional" ]
  ] ; # 
  fhir:subType [
    ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/ex-claimsubtype"^^xsd:anyURI ] ;
fhir:code [ fhir:v "ortho" ] ;
fhir:display [ fhir:v "Orthodontic Claim" ]     ] ) ;
fhir:text [ fhir:v "Orthodontic Claim" ]
  ] ; # 
  fhir:use [ fhir:v "claim"] ; # 
  fhir:patient [
fhir:reference [ fhir:v "Patient/SHAPatientExample2" ]
  ] ; # 
  fhir:created [ fhir:v "2020-06-15"^^xsd:date] ; # 
  fhir:insurer [
fhir:reference [ fhir:v "Organization/SHAOrganizationExample" ]
  ] ; # 
  fhir:requestor [
fhir:reference [ fhir:v "SHAPractitionerExample" ]
  ] ; # 
  fhir:request [
fhir:reference [ fhir:v "Claim/ClaimExample" ]
  ] ; # 
  fhir:outcome [ fhir:v "complete"] ; # 
  fhir:disposition [ fhir:v "Claim settled as per policy."] ; # 
  fhir:payeeType [
    ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/payeetype"^^xsd:anyURI ] ;
fhir:code [ fhir:v "provider" ] ;
fhir:display [ fhir:v "Provider" ]     ] ) ;
fhir:text [ fhir:v "Provider" ]
  ] ; # 
  fhir:item ( [
fhir:itemSequence [ fhir:v "1"^^xsd:positiveInteger ] ;
    ( fhir:noteNumber [ fhir:v "1"^^xsd:positiveInteger ] ) ;
    ( fhir:adjudication [
fhir:category [
        ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/adjudication"^^xsd:anyURI ] ;
fhir:code [ fhir:v "tax" ] ;
fhir:display [ fhir:v "Tax" ]         ] ) ;
fhir:text [ fhir:v "Tax" ]       ] ;
fhir:reason [
        ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/adjudication-reason"^^xsd:anyURI ] ;
fhir:code [ fhir:v "ar001" ] ;
fhir:display [ fhir:v "Not covered" ]         ] ) ;
fhir:text [ fhir:v "Not covered" ]       ] ;
fhir:amount [
fhir:value [ fhir:v "100"^^xsd:decimal ] ;
fhir:currency [ fhir:v "KES" ]       ] ;
fhir:value [ fhir:v "100"^^xsd:decimal ]     ] ) ;
    ( fhir:detail [
fhir:detailSequence [ fhir:v "1"^^xsd:positiveInteger ] ;
      ( fhir:noteNumber [ fhir:v "1"^^xsd:positiveInteger ] ) ;
      ( fhir:adjudication [
fhir:category [
          ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/adjudication"^^xsd:anyURI ] ;
fhir:code [ fhir:v "tax" ] ;
fhir:display [ fhir:v "Tax" ]           ] ) ;
fhir:text [ fhir:v "Tax" ]         ] ;
fhir:reason [
          ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/adjudication-reason"^^xsd:anyURI ] ;
fhir:code [ fhir:v "ar001" ] ;
fhir:display [ fhir:v "Not covered" ]           ] ) ;
fhir:text [ fhir:v "Not covered" ]         ] ;
fhir:amount [
fhir:value [ fhir:v "100"^^xsd:decimal ] ;
fhir:currency [ fhir:v "KES" ]         ] ;
fhir:value [ fhir:v "100"^^xsd:decimal ]       ] ) ;
      ( fhir:subDetail [
fhir:subDetailSequence [ fhir:v "1"^^xsd:positiveInteger ] ;
        ( fhir:noteNumber [ fhir:v "1"^^xsd:positiveInteger ] ) ;
        ( fhir:adjudication [
fhir:category [
            ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/adjudication"^^xsd:anyURI ] ;
fhir:code [ fhir:v "tax" ] ;
fhir:display [ fhir:v "Tax" ]             ] ) ;
fhir:text [ fhir:v "Tax" ]           ] ;
fhir:reason [
            ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/adjudication-reason"^^xsd:anyURI ] ;
fhir:code [ fhir:v "ar001" ] ;
fhir:display [ fhir:v "Not covered" ]             ] ) ;
fhir:text [ fhir:v "Not covered" ]           ] ;
fhir:amount [
fhir:value [ fhir:v "100"^^xsd:decimal ] ;
fhir:currency [ fhir:v "KES" ]           ] ;
fhir:value [ fhir:v "100"^^xsd:decimal ]         ] )       ] )     ] )
  ] ) ; # 
  fhir:processNote ( [
fhir:number [ fhir:v "1"^^xsd:positiveInteger ] ;
fhir:type [ fhir:v "display" ] ;
fhir:text [ fhir:v "Claim settled as per policy." ] ;
fhir:language [
      ( fhir:coding [
fhir:system [ fhir:v "urn:ietf:bcp:47"^^xsd:anyURI ] ;
fhir:code [ fhir:v "en" ] ;
fhir:display [ fhir:v "English" ]       ] ) ;
fhir:text [ fhir:v "English" ]     ]
  ] ) ; # 
  fhir:communicationRequest ( [
fhir:reference [ fhir:v "CommunicationRequest/CommunicationRequestExample" ]
  ] ) ; # 
  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:error ( [
fhir:detailSequence [ fhir:v "1"^^xsd:positiveInteger ] ;
fhir:subDetailSequence [ fhir:v "1"^^xsd:positiveInteger ] ;
fhir:code [
      ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/adjudication-error"^^xsd:anyURI ] ;
fhir:code [ fhir:v "a001" ] ;
fhir:display [ fhir:v "Missing Creation Date" ]       ] ) ;
fhir:text [ fhir:v "Missing Creation Date" ]     ]
  ] ) . #