Claim-example-oral-identifier.ttl

SOA Dental Claim using identifiers

@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 xs: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

<http://hl7.org/fhir//Claim/100154> a fhir:Claim;
  fhir:nodeRole fhir:treeRoot;
  fhir:Resource.id [ fhir:value "100154"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ]
  ];
  fhir:Claim.type [ fhir:value "oral"];
  fhir:Claim.identifier [
     fhir:index 0;
     fhir:Identifier.system [ fhir:value "http://happyvalley.com/claim" ];
     fhir:Identifier.value [ fhir:value "12347" ]
  ];
  fhir:Claim.created [ fhir:value "2014-08-16"^^xs:date];
  fhir:Claim.targetIdentifier [
     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"^^xs:int ];
     fhir:Claim.diagnosis.diagnosis [
       fhir:Coding.code [ fhir:value "123456" ]     ]
  ];
  fhir:Claim.patientIdentifier [
     fhir:Identifier.system [ fhir:value "http://www.jurisdiction.com/nationalId" ];
     fhir:Identifier.value [ fhir:value "123AB345" ]
  ];
  fhir:Claim.coverage [
     fhir:index 0;
     fhir:Claim.coverage.sequence [ fhir:value "1"^^xs:int ];
     fhir:Claim.coverage.focal [ fhir:value "true"^^xs: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"^^xs:int ];
     fhir:Claim.item.type [
       fhir:Coding.code [ fhir:value "service" ]     ];
     fhir:Claim.item.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"^^xs:date ];
     fhir:Claim.item.unitPrice [
       fhir:Quantity.value [ fhir:value "135.57"^^xs: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"^^xs:decimal ];
       fhir:Quantity.system [ fhir:value "urn:iso:std:iso:4217" ];
       fhir:Quantity.code [ fhir:value "USD" ]     ]
  ].

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