STU 3 Ballot

This page is part of the FHIR Specification (v1.6.0: STU 3 Ballot 4). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3

Claim-example-oral-contained-identifier.ttl

Raw Turtle, JSON-LD

SOA Dental Claim using identifiers and Contained

@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/Claim/100155> a fhir:Claim;
  fhir:nodeRole fhir:treeRoot;
  fhir:Resource.id [ fhir:value "100155"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">This example assumes a national health care scheme where patients, providers and organizations have known business identifiers.</div>"
  ];
  fhir:DomainResource.contained [
     a fhir:Patient;
     fhir:index 0;
     fhir:Resource.id [ fhir:value "patient-1" ];
     fhir:Patient.name [
       fhir:index 0;
       fhir:HumanName.use [ fhir:value "official" ];
       fhir:HumanName.family [
         fhir:value "Donald";
         fhir:index 0
       ];
       fhir:HumanName.given [
         fhir:value "Duck";
         fhir:index 0
       ]
     ];
     fhir:Patient.gender [ fhir:value "male" ];
     fhir:Patient.birthDate [ fhir:value "1986-05-17"^^xsd:date ];
     fhir:Patient.address [
       fhir:index 0;
       fhir:Address.use [ fhir:value "home" ];
       fhir:Address.line [
         fhir:value "1234 Main Street";
         fhir:index 0
       ];
       fhir:Address.city [ fhir:value "Vancouver" ];
       fhir:Address.postalCode [ fhir:value "V2H1Y3" ];
       fhir:Address.country [ fhir:value "CAD" ]
     ]
  ];
  fhir:Claim.identifier [
     fhir:index 0;
     fhir:Identifier.system [ fhir:value "http://happyvalley.com/claim" ];
     fhir:Identifier.value [ fhir:value "12347" ]
  ];
  fhir:Claim.status [ fhir:value "active"];
  fhir:Claim.type [
     fhir:Coding.system [ fhir:value "http://hl7.org/fhir/ex-claimtype" ];
     fhir:Coding.code [ fhir:value "oral" ]
  ];
  fhir:Claim.created [ fhir:value "2014-08-16"^^xsd:date];
  fhir:Claim.insurerIdentifier [
     fhir:Identifier.system [ fhir:value "http://www.jurisdiction.com/insurers" ];
     fhir:Identifier.value [ fhir:value "123456" ]
  ];
  fhir:Claim.organizationIdentifier [
     fhir:Identifier.system [ fhir:value "http://www.jurisdiction.com/careorganizations" ];
     fhir:Identifier.value [ fhir:value "HOSP12345" ]
  ];
  fhir:Claim.use [ fhir:value "complete"];
  fhir:Claim.priority [
     fhir:Coding.code [ fhir:value "normal" ]
  ];
  fhir:Claim.payee [
     fhir:Claim.payee.type [
       fhir:Coding.code [ fhir:value "provider" ]
     ]
  ];
  fhir:Claim.diagnosis [
     fhir:index 0;
     fhir:Claim.diagnosis.sequence [ fhir:value "1"^^xsd:positiveInteger ];
     fhir:Claim.diagnosis.diagnosis [
       fhir:Coding.code [ fhir:value "123456" ]
     ]
  ];
  fhir:Claim.patientReference [
     fhir:Reference.reference [ fhir:value "#patient-1" ]
  ];
  fhir:Claim.coverage [
     fhir:index 0;
     fhir:Claim.coverage.sequence [ fhir:value "1"^^xsd:positiveInteger ];
     fhir:Claim.coverage.focal [ fhir:value "true"^^xsd:boolean ];
     fhir:Claim.coverage.coverageIdentifier [
       fhir:Identifier.system [ fhir:value "http://www.jurisdiction.com/nationalplan" ];
       fhir:Identifier.value [ fhir:value "123AB345" ]
     ]
  ];
  fhir:Claim.item [
     fhir:index 0;
     fhir:Claim.item.sequence [ fhir:value "1"^^xsd:positiveInteger ];
     fhir:Claim.item.careTeam [
       fhir:index 0;
       fhir:Claim.item.careTeam.providerIdentifier [
         fhir:Identifier.system [ fhir:value "http://www.jurisdiction.com/providerId" ];
         fhir:Identifier.value [ fhir:value "MD98765" ]
       ]
     ];
     fhir:Claim.item.service [
       fhir:Coding.code [ fhir:value "1200" ]
     ];
     fhir:Claim.item.servicedDate [ fhir:value "2014-08-16"^^xsd:date ];
     fhir:Claim.item.unitPrice [
       fhir:Quantity.value [ fhir:value "135.57"^^xsd:decimal ];
       fhir:Quantity.system [ fhir:value "urn:iso:std:iso:4217" ];
       fhir:Quantity.code [ fhir:value "USD" ]
     ];
     fhir:Claim.item.net [
       fhir:Quantity.value [ fhir:value "135.57"^^xsd:decimal ];
       fhir:Quantity.system [ fhir:value "urn:iso:std:iso:4217" ];
       fhir:Quantity.code [ fhir:value "USD" ]
     ]
  ] .

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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.