@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

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

<http://hl7.org/fhir/us/davinci-pas/Claim/PASClaimInquiryExample> a fhir:Claim ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "PASClaimInquiryExample"] ; # 
  fhir:meta [
     fhir:profile ( [
       fhir:v "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-claim-inquiry"^^xsd:anyURI ;
       fhir:l <http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-claim-inquiry>
     ] )
  ] ; # 
  fhir:language [ fhir:v "en"] ; # 
  fhir:text [
     fhir:status [ fhir:v "extensions" ] ;
     fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"en\" lang=\"en\"><p class=\"res-header-id\"><b>Generated Narrative: Claim PASClaimInquiryExample</b></p><a name=\"PASClaimInquiryExample\"> </a><a name=\"hcPASClaimInquiryExample\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Language: en</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-profile-claim-inquiry.html\">PAS Claim Inquiry</a></p></div><p><b>identifier</b>: <code>http://example.org/PATIENT_EVENT_TRACE_NUMBER</code>/111099</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>use</b>: Preauthorization</p><p><b>patient</b>: <a href=\"Patient-SubscriberExample.html\">JOE SMITH  Male, DoB Unknown ( http://example.org/MIN#12345678901)</a></p><p><b>created</b>: 2019-07-20 11:01:00+0500</p><p><b>insurer</b>: <a href=\"Organization-InsurerExample.html\">Organization MARYLAND CAPITAL INSURANCE COMPANY</a></p><p><b>provider</b>: <a href=\"Organization-UMOExample.html\">Organization DR. JOE SMITH CORPORATION</a></p><p><b>priority</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/processpriority normal}\">Normal</span></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></tr><tr><td style=\"display: none\">*</td><td>1</td><td>true</td><td><a href=\"Coverage-InsuranceExample.html\">Coverage: identifier = Member Number; status = active; subscriberId = 1122334455; relationship = Self</a></td></tr></table><blockquote><p><b>item</b></p><p><b>Service Item Request Type</b>: <span title=\"Codes:{https://codesystem.x12.org/005010/1525 HS}\">Health Services Review</span></p><p><b>Certification Type</b>: <span title=\"Codes:{https://codesystem.x12.org/005010/1322 I}\">Initial</span></p><p><b>sequence</b>: 1</p><p><b>productOrService</b>: <span title=\"Codes:{http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets G0154}\">health or hospice setting, each 15 minutes</span></p></blockquote><blockquote><p><b>item</b></p><p><b>Service Item Request Type</b>: <span title=\"Codes:{https://codesystem.x12.org/005010/1525 HS}\">Health Services Review</span></p><p><b>Certification Type</b>: <span title=\"Codes:{https://codesystem.x12.org/005010/1322 I}\">Initial</span></p><p><b>Certification Issue Date</b>: 2019-07-01</p><p><b>Certification Effective Date</b>: 2019-07-01</p><p><b>Certification Expiration Date</b>: 2019-07-31</p><p><b>Review Action Code</b>: <span title=\"Codes:{https://codesystem.x12.org/005010/306 A1}\">Certified in total</span></p><p><b>Product or Service Code End</b>: <span title=\"Codes:{http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets B4190}\">B4190</span></p><p><b>sequence</b>: 2</p><p><b>productOrService</b>: <span title=\"Codes:{http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets B4184}\">B4184</span></p></blockquote></div>"^^rdf:XMLLiteral ]
  ] ; # 
  fhir:identifier ( [
     fhir:system [
       fhir:v "http://example.org/PATIENT_EVENT_TRACE_NUMBER"^^xsd:anyURI ;
       fhir:l <http://example.org/PATIENT_EVENT_TRACE_NUMBER>
     ] ;
     fhir:value [ fhir:v "111099" ] ;
     fhir:assigner [
       fhir:identifier [
         fhir:system [
           fhir:v "http://example.org/USER_ASSIGNED"^^xsd:anyURI ;
           fhir:l <http://example.org/USER_ASSIGNED>
         ] ;
         fhir:value [ fhir:v "9012345678" ]
       ]
     ]
  ] ) ; # 
  fhir:status [ fhir:v "active"] ; # 
  fhir:type [
     fhir:coding ( [
       fhir:system [
         fhir:v "http://terminology.hl7.org/CodeSystem/claim-type"^^xsd:anyURI ;
         fhir:l <http://terminology.hl7.org/CodeSystem/claim-type>
       ] ;
       fhir:code [ fhir:v "professional" ]
     ] )
  ] ; # 
  fhir:use [ fhir:v "preauthorization"] ; # 
  fhir:patient [
     fhir:l <http://hl7.org/fhir/us/davinci-pas/Patient/SubscriberExample> ;
     fhir:reference [ fhir:v "Patient/SubscriberExample" ]
  ] ; # 
  fhir:created [ fhir:v "2019-07-20T11:01:00+05:00"^^xsd:dateTime] ; # 
  fhir:insurer [
     fhir:l <http://hl7.org/fhir/us/davinci-pas/Organization/InsurerExample> ;
     fhir:reference [ fhir:v "Organization/InsurerExample" ]
  ] ; # 
  fhir:provider [
     fhir:l <http://hl7.org/fhir/us/davinci-pas/Organization/UMOExample> ;
     fhir:reference [ fhir:v "Organization/UMOExample" ]
  ] ; # 
  fhir:priority [
     fhir:coding ( [
       fhir:system [
         fhir:v "http://terminology.hl7.org/CodeSystem/processpriority"^^xsd:anyURI ;
         fhir:l <http://terminology.hl7.org/CodeSystem/processpriority>
       ] ;
       fhir:code [ fhir:v "normal" ]
     ] )
  ] ; # 
  fhir:insurance ( [
     fhir:sequence [ fhir:v "1"^^xsd:positiveInteger ] ;
     fhir:focal [ fhir:v true ] ;
     fhir:coverage [
       fhir:l <http://hl7.org/fhir/us/davinci-pas/Coverage/InsuranceExample> ;
       fhir:reference [ fhir:v "Coverage/InsuranceExample" ]
     ]
  ] ) ; # 
  fhir:item ( [
     fhir:extension ( [
       fhir:url [
         fhir:v "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-serviceItemRequestType"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-serviceItemRequestType>
       ] ;
       fhir:value [
         a fhir:CodeableConcept ;
         fhir:coding ( [
           fhir:system [
             fhir:v "https://codesystem.x12.org/005010/1525"^^xsd:anyURI ;
             fhir:l <https://codesystem.x12.org/005010/1525>
           ] ;
           fhir:code [ fhir:v "HS" ] ;
           fhir:display [ fhir:v "Health Services Review" ]
         ] )
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-certificationType"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-certificationType>
       ] ;
       fhir:value [
         a fhir:CodeableConcept ;
         fhir:coding ( [
           fhir:system [
             fhir:v "https://codesystem.x12.org/005010/1322"^^xsd:anyURI ;
             fhir:l <https://codesystem.x12.org/005010/1322>
           ] ;
           fhir:code [ fhir:v "I" ] ;
           fhir:display [ fhir:v "Initial" ]
         ] )
       ]
     ] ) ;
     fhir:sequence [ fhir:v "1"^^xsd:positiveInteger ] ;
     fhir:productOrService [
       fhir:coding ( [
         fhir:system [
           fhir:v "http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets"^^xsd:anyURI ;
           fhir:l <http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets>
         ] ;
         fhir:code [ fhir:v "G0154" ]
       ] )
     ]
  ] [
     fhir:extension ( [
       fhir:url [
         fhir:v "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-serviceItemRequestType"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-serviceItemRequestType>
       ] ;
       fhir:value [
         a fhir:CodeableConcept ;
         fhir:coding ( [
           fhir:system [
             fhir:v "https://codesystem.x12.org/005010/1525"^^xsd:anyURI ;
             fhir:l <https://codesystem.x12.org/005010/1525>
           ] ;
           fhir:code [ fhir:v "HS" ] ;
           fhir:display [ fhir:v "Health Services Review" ]
         ] )
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-certificationType"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-certificationType>
       ] ;
       fhir:value [
         a fhir:CodeableConcept ;
         fhir:coding ( [
           fhir:system [
             fhir:v "https://codesystem.x12.org/005010/1322"^^xsd:anyURI ;
             fhir:l <https://codesystem.x12.org/005010/1322>
           ] ;
           fhir:code [ fhir:v "I" ] ;
           fhir:display [ fhir:v "Initial" ]
         ] )
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-itemCertificationIssueDate"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-itemCertificationIssueDate>
       ] ;
       fhir:value [
         a fhir:Date ;
         fhir:v "2019-07-01"^^xsd:date
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-itemCertificationEffectiveDate"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-itemCertificationEffectiveDate>
       ] ;
       fhir:value [
         a fhir:Date ;
         fhir:v "2019-07-01"^^xsd:date
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-itemCertificationExpirationDate"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-itemCertificationExpirationDate>
       ] ;
       fhir:value [
         a fhir:Date ;
         fhir:v "2019-07-31"^^xsd:date
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-reviewActionCode"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-reviewActionCode>
       ] ;
       fhir:value [
         a fhir:CodeableConcept ;
         fhir:coding ( [
           fhir:system [
             fhir:v "https://codesystem.x12.org/005010/306"^^xsd:anyURI ;
             fhir:l <https://codesystem.x12.org/005010/306>
           ] ;
           fhir:code [ fhir:v "A1" ] ;
           fhir:display [ fhir:v "Certified in total" ]
         ] )
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-productOrServiceCodeEnd"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-productOrServiceCodeEnd>
       ] ;
       fhir:value [
         a fhir:CodeableConcept ;
         fhir:coding ( [
           fhir:system [
             fhir:v "http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets"^^xsd:anyURI ;
             fhir:l <http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets>
           ] ;
           fhir:code [ fhir:v "B4190" ]
         ] )
       ]
     ] ) ;
     fhir:sequence [ fhir:v "2"^^xsd:positiveInteger ] ;
     fhir:productOrService [
       fhir:coding ( [
         fhir:system [
           fhir:v "http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets"^^xsd:anyURI ;
           fhir:l <http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets>
         ] ;
         fhir:code [ fhir:v "B4184" ]
       ] )
     ]
  ] ) . # 

<http://hl7.org/fhir/us/davinci-pas/Patient/SubscriberExample> a fhir:Us .

<http://hl7.org/fhir/us/davinci-pas/Organization/InsurerExample> a fhir:Us .

<http://hl7.org/fhir/us/davinci-pas/Organization/UMOExample> a fhir:Us .

<http://hl7.org/fhir/us/davinci-pas/Coverage/InsuranceExample> a fhir:Us .

# -------------------------------------------------------------------------------------