Example Claim/100155 (Turtle)
Raw Turtle (+ also see Turtle/RDF Format Specification)
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 -------------------------------------------------------------------
[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: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:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/claim-type" ];
fhir:Coding.code [ fhir:value "oral" ]
]
];
fhir:Claim.use [ fhir:value "claim"];
fhir:Claim.patient [
fhir:Reference.reference [ fhir:value "#patient-1" ]
];
fhir:Claim.created [ fhir:value "2014-08-16"^^xsd:date];
fhir:Claim.insurer [
fhir:Reference.identifier [
fhir:Identifier.system [ fhir:value "http://www.jurisdiction.com/insurers" ];
fhir:Identifier.value [ fhir:value "123456" ]
]
];
fhir:Claim.provider [
fhir:Reference.identifier [
fhir:Identifier.system [ fhir:value "http://www.jurisdiction.com/careorganizations" ];
fhir:Identifier.value [ fhir:value "HOSP12345" ]
]
];
fhir:Claim.priority [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.code [ fhir:value "normal" ]
]
];
fhir:Claim.payee [
fhir:Claim.payee.type [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.code [ fhir:value "provider" ]
]
]
];
fhir:Claim.careTeam [
fhir:index 0;
fhir:Claim.careTeam.sequence [ fhir:value "1"^^xsd:positiveInteger ];
fhir:Claim.careTeam.provider [
fhir:Reference.identifier [
fhir:Identifier.system [ fhir:value "http://www.jurisdiction.com/providerId" ];
fhir:Identifier.value [ fhir:value "MD98765" ]
]
]
];
fhir:Claim.diagnosis [
fhir:index 0;
fhir:Claim.diagnosis.sequence [ fhir:value "1"^^xsd:positiveInteger ];
fhir:Claim.diagnosis.diagnosisCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.code [ fhir:value "123456" ]
]
]
];
fhir:Claim.insurance [
fhir:index 0;
fhir:Claim.insurance.sequence [ fhir:value "1"^^xsd:positiveInteger ];
fhir:Claim.insurance.focal [ fhir:value "true"^^xsd:boolean ];
fhir:Claim.insurance.coverage [
fhir:link <http://www.jurisdiction.com/nationalplan/123AB345>;
fhir:Reference.reference [ fhir:value "http://www.jurisdiction.com/nationalplan/123AB345" ]
]
];
fhir:Claim.item [
fhir:index 0;
fhir:Claim.item.sequence [ fhir:value "1"^^xsd:positiveInteger ];
fhir:Claim.item.careTeamSequence [
fhir:value "1"^^xsd:positiveInteger;
fhir:index 0
];
fhir:Claim.item.productOrService [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.code [ fhir:value "1200" ]
]
];
fhir:Claim.item.servicedDate [ fhir:value "2014-08-16"^^xsd:date ];
fhir:Claim.item.unitPrice [
fhir:Money.value [ fhir:value "135.57"^^xsd:decimal ];
fhir:Money.currency [ fhir:value "USD" ]
];
fhir:Claim.item.net [
fhir:Money.value [ fhir:value "135.57"^^xsd:decimal ];
fhir:Money.currency [ fhir:value "USD" ]
]
]] .
# - ontology header ------------------------------------------------------------
[a owl:Ontology;
owl:imports fhir:fhir.ttl] .
# -------------------------------------------------------------------------------------
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.