<?xml version="1.0" encoding="UTF-8"?><Claim xmlns="http://hl7.org/fhir">
	<id value="760152"/>

	<text>
		<status value="generated"/>
		<div xmlns="http://www.w3.org/1999/xhtml">A human-readable rendering of the Pharmacy Claim</div>
	</text>

	<identifier>
		<system value="http://happypharma.com/claim"/>
		<value value="7612345"/>
	</identifier>

	<status value="active"/>

	<type>
		<coding>
			<system value="http://hl7.org/fhir/ex-claimtype"/>
			<code value="pharmacy"/>
		</coding>	
	</type>

	<use value="complete"/>

	<patient>
		<reference value="Patient/1"/>
	</patient>

	<created value="2014-08-16"/>

	<insurer>
		<reference value="Organization/2"/>
	</insurer>

	<organization>
		<reference value="Organization/1"/>
	</organization>

	<priority>
		<coding>
			<code value="stat"/>
		</coding>
	</priority>

	<payee>
		<type>
			<coding>
				<code value="provider"/>
			</coding>
		</type>
	</payee>

	<careTeam>
		<sequence value="1"/>
		<provider>
			<reference value="Practitioner/example"/>
		</provider>
	</careTeam>

	<information>
		<sequence value="1"/>
		<category>
			<coding>
				<code value="pharmacyrefill"/>
			</coding>
		</category>
		<code>
			<coding>
				<system value="http://hl7.org/fhir/pharmacy-refill"/>
				<code value="new"/>
			</coding>
		</code>	
	</information>

	<information>
		<sequence value="2"/>
		<category>
			<coding>
				<code value="pharmacyinformation"/>
			</coding>
		</category>
		<code>
			<coding>
				<system value="http://hl7.org/fhir/pharmacy-information"/>
				<code value="refillsremaining"/>
			</coding>
		</code>	
		<valueQuantity>
			<value value="0"/>
		</valueQuantity>
	</information>

	<information>
		<sequence value="3"/>
		<category>
			<coding>
				<code value="pharmacyinformation"/>
			</coding>
		</category>
		<code>
			<coding>
				<system value="http://hl7.org/fhir/pharmacy-information"/>
				<code value="dayssupply"/>
			</coding>
		</code>	
		<valueQuantity>
			<value value="10"/>
		</valueQuantity>
	</information>

	<information>
		<sequence value="4"/>
		<category>
			<coding>
				<code value="pharmacy"/>
			</coding>
		</category>
		<code>
			<coding>
				<system value="http://hl7.org/fhir/pharmacy-form"/>
				<code value="capsule"/>
			</coding>
		</code>	
	</information>

	<diagnosis>
		<sequence value="1"/>
		<diagnosisCodeableConcept>
			<coding>
				<code value="654456"/>
			</coding>
		</diagnosisCodeableConcept>
	</diagnosis>

	<insurance>
		<sequence value="1"/>
		<focal value="true"/>
		<coverage>
			<reference value="Coverage/9876B1"/>
		</coverage>
	</insurance>

	<item>
		<sequence value="1"/>
		<careTeamLinkId value="1"/>
		<informationLinkId value="1"/>
		<informationLinkId value="2"/>
		<informationLinkId value="3"/>
		<informationLinkId value="4"/>
		<!--  type=compoundmedication  -->
		<service>
			<coding>
				<system value="http://localdruglist.org"/>
				<code value="compound"/> 
				<display value="Custom compound"/>
			</coding> 
		</service>
		<servicedDate value="2014-08-16"/>
		<quantity>
			<value value="30"/>
			<unit value="TAB"/>
			<system value="http://unitsofmeasure.org"/> <!--  UCUM  -->
			<code value="TAB"/>
		</quantity>
		<net>
			<value value="155.00"/>
			<system value="urn:iso:std:iso:4217"/>
			<code value="USD"/> 
		</net> 
		<detail>
			<sequence value="1"/>
			<!--  type=packagemedication  -->
			<service>
				<coding>
					<system value="http://localdruglist.org"/>
					<code value="44001"/> 
					<display value="Acetaminophen 250mg"/>
				</coding> 
			</service>
			<quantity>
				<value value="250"/>
				<unit value="mg"/>
			</quantity>
			<net>
				<value value="20.00"/>
				<system value="urn:iso:std:iso:4217"/>
				<code value="USD"/> 
			</net> 	
			<subDetail>
				<sequence value="1"/>
				<!--  type=costitem  -->
				<service>
					<coding>
						<system value="http://hl7.org/fhir/ex-pharmaservice"/>
						<code value="drugcost"/> 
					</coding> 
				</service>
				<net>
					<value value="20.00"/>
					<system value="urn:iso:std:iso:4217"/>
					<code value="USD"/> 
				</net> 
			</subDetail>
		</detail>
		<detail>
			<sequence value="2"/>
			<!--  type=packagemedication  -->
			<service>
				<coding>
					<system value="http://localdruglist.org"/>
					<code value="44035"/> 
					<display value="Phenacetin 50mg"/>
				</coding> 
			</service>
			<quantity>
				<value value="50"/>
				<unit value="mg"/>
			</quantity>
			<net>
				<value value="25.00"/>
				<system value="urn:iso:std:iso:4217"/>
				<code value="USD"/> 
			</net> 	
			<subDetail>
				<sequence value="1"/>
				<!--  type=costitem  -->
				<service>
					<coding>
						<system value="http://hl7.org/fhir/ex-pharmaservice"/>
						<code value="drugcost"/> 
					</coding> 
				</service>
				<net>
					<value value="25.00"/>
					<system value="urn:iso:std:iso:4217"/>
					<code value="USD"/> 
				</net> 
			</subDetail>
		</detail>
		<detail>
			<sequence value="3"/>
			<!--  type=packagemedication  -->
			<service>
				<coding>
					<system value="http://localdruglist.org"/>
					<code value="44057"/> 
					<display value="Codeine 25mg"/>
				</coding> 
			</service>
			<quantity>
				<value value="25"/>
				<unit value="mg"/>
			</quantity>
			<net>
				<value value="28.00"/>
				<system value="urn:iso:std:iso:4217"/>
				<code value="USD"/> 
			</net> 	
			<subDetail>
				<sequence value="1"/>
				<!--  type=costitem  -->
				<service>
					<coding>
						<system value="http://hl7.org/fhir/ex-pharmaservice"/>
						<code value="drugcost"/> 
					</coding> 
				</service>
				<net>
					<value value="28.00"/>
					<system value="urn:iso:std:iso:4217"/>
					<code value="USD"/> 
				</net> 
			</subDetail>
		</detail>
		<detail>
			<sequence value="2"/>
			<!--  type=costitem  -->
			<service>
				<coding>
					<system value="http://hl7.org/fhir/ex-pharmaservice"/>
					<code value="markup"/> 
				</coding> 
			</service>
			<net>
				<value value="22.00"/>
				<system value="urn:iso:std:iso:4217"/>
				<code value="USD"/> 
			</net> 
		</detail>
		<detail>
			<sequence value="3"/>
			<!--  type=costitem  -->
			<service>
				<coding>
					<system value="http://hl7.org/fhir/ex-pharmaservice"/>
					<code value="compoundfee"/> 
				</coding> 
			</service>
			<net>
				<value value="60.00"/>
				<system value="urn:iso:std:iso:4217"/>
				<code value="USD"/> 
			</net> 
		</detail>
	</item>
	<total>
		<value value="155.00"/>
		<system value="urn:iso:std:iso:4217"/>
		<code value="USD"/> 
	</total>
</Claim>