@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/SurgicalAuthorizationRequestExample> a fhir:Claim ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "SurgicalAuthorizationRequestExample"] ; # 
  fhir:meta [
     fhir:profile ( [
       fhir:v "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-claim"^^xsd:anyURI ;
       fhir:l <http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-claim>
     ] )
  ] ; # 
  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 SurgicalAuthorizationRequestExample</b></p><a name=\"SurgicalAuthorizationRequestExample\"> </a><a name=\"hcSurgicalAuthorizationRequestExample\"> </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.html\">PAS Claim</a></p></div><p><b>Level of Service Code</b>: <span title=\"Codes:{https://codesystem.x12.org/005010/1338 E}\">Elective</span></p><p><b>R5: Encounters associated with the listed treatments (new)</b>: <a href=\"Encounter-SurgicalEncounterExample.html\">Encounter: extension = Still a patient; status = planned; class = ambulatory (ActCode#AMB); type = 2; period = 2020-07-02 --&gt; 2020-07-09</a></p><blockquote><p><b>Condition Code</b></p><ul><li>category: <span title=\"Codes:{https://codesystem.x12.org/005010/1136 07}\">07</span></li><li>indicator: true</li><li>code: <span title=\"Codes:{https://codesystem.x12.org/005010/1321 09}\">09</span></li></ul></blockquote><p><b>identifier</b>: <code>http://example.org/PATIENT_EVENT_TRACE_NUMBER</code>/16139462398</p><p><b>status</b>: Active</p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/claim-type institutional}\">Institutional</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>: 2020-06-24 07:34:00+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>CareTeams</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Extension</b></td><td><b>Sequence</b></td><td><b>Provider</b></td></tr><tr><td style=\"display: none\">*</td><td/><td>1</td><td><a href=\"PractitionerRole-SurgicalPractitionerRoleExample.html\">PractitionerRole: telecom = ph: 4029993456</a></td></tr></table><h3>SupportingInfos</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Sequence</b></td><td><b>Category</b></td><td><b>Timing[x]</b></td></tr><tr><td style=\"display: none\">*</td><td>1</td><td><span title=\"Codes:{http://hl7.org/fhir/us/davinci-pas/CodeSystem/PASTempCodes admissionDates}\">Admission Dates</span></td><td>2020-07-02 --&gt; 2020-07-09</td></tr></table><h3>Diagnoses</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Extension</b></td><td><b>Sequence</b></td><td><b>Diagnosis[x]</b></td></tr><tr><td style=\"display: none\">*</td><td/><td>1</td><td><span title=\"Codes:{http://hl7.org/fhir/sid/icd-10-cm C18.9}\">Malignant neoplasm of colon, unspecified</span></td></tr></table><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 AR}\">Admission Review</span></p><p><b>Certification Type</b>: <span title=\"Codes:{https://codesystem.x12.org/005010/1322 I}\">Initial</span></p><p><b>Item Trace Number</b>: <code>http://example.org/ITEM_TRACE_NUMBER</code>/1122334</p><p><b>Authorization Number</b>: 1122445</p><p><b>Administration Reference Number</b>: 9988311</p><p><b>sequence</b>: 1</p><p><b>careTeamSequence</b>: 1</p><p><b>diagnosisSequence</b>: 1</p><p><b>category</b>: <span title=\"Codes:{https://codesystem.x12.org/005010/1365 2}\">Surgical</span></p><p><b>productOrService</b>: <span title=\"Codes:{http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets 33510}\">Under Venous Grafting Only for Coronary Artery Bypass</span></p><p><b>location</b>: <span title=\"Codes:{https://www.cms.gov/Medicare/Coding/place-of-service-codes/Place_of_Service_Code_Set 21}\">Inpatient Hospital</span></p></blockquote></div>"^^rdf:XMLLiteral ]
  ] ; # 
  fhir:extension ( [
     fhir:url [
       fhir:v "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-levelOfServiceCode"^^xsd:anyURI ;
       fhir:l <http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-levelOfServiceCode>
     ] ;
     fhir:value [
       a fhir:CodeableConcept ;
       fhir:coding ( [
         fhir:system [
           fhir:v "https://codesystem.x12.org/005010/1338"^^xsd:anyURI ;
           fhir:l <https://codesystem.x12.org/005010/1338>
         ] ;
         fhir:code [ fhir:v "E" ] ;
         fhir:display [ fhir:v "Elective" ]
       ] )
     ]
  ] [
     fhir:url [
       fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Claim.encounter"^^xsd:anyURI ;
       fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Claim.encounter>
     ] ;
     fhir:value [
       a fhir:Reference ;
       fhir:l <http://hl7.org/fhir/us/davinci-pas/Encounter/SurgicalEncounterExample> ;
       fhir:reference [ fhir:v "Encounter/SurgicalEncounterExample" ]
     ]
  ] [
     fhir:extension ( [
       fhir:url [
         fhir:v "category"^^xsd:anyURI ;
         fhir:l fhir:category
       ] ;
       fhir:value [
         a fhir:CodeableConcept ;
         fhir:coding ( [
           fhir:system [
             fhir:v "https://codesystem.x12.org/005010/1136"^^xsd:anyURI ;
             fhir:l <https://codesystem.x12.org/005010/1136>
           ] ;
           fhir:code [ fhir:v "07" ]
         ] )
       ]
     ] [
       fhir:url [
         fhir:v "indicator"^^xsd:anyURI ;
         fhir:l fhir:indicator
       ] ;
       fhir:value [
         a fhir:Boolean ;
         fhir:v true
       ]
     ] [
       fhir:url [
         fhir:v "code"^^xsd:anyURI ;
         fhir:l fhir:code
       ] ;
       fhir:value [
         a fhir:CodeableConcept ;
         fhir:coding ( [
           fhir:system [
             fhir:v "https://codesystem.x12.org/005010/1321"^^xsd:anyURI ;
             fhir:l <https://codesystem.x12.org/005010/1321>
           ] ;
           fhir:code [ fhir:v "09" ]
         ] )
       ]
     ] ) ;
     fhir:url [
       fhir:v "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-conditionCode"^^xsd:anyURI ;
       fhir:l <http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-conditionCode>
     ]
  ] ) ; # 
  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 "16139462398" ] ;
     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 "3030240928" ]
       ]
     ]
  ] ) ; # 
  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 "institutional" ]
     ] )
  ] ; # 
  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 "2020-06-24T07:34:00+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:careTeam ( [
     fhir:extension ( [
       fhir:url [
         fhir:v "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-careTeamClaimScope"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-careTeamClaimScope>
       ] ;
       fhir:value [
         a fhir:Boolean ;
         fhir:v true
       ]
     ] ) ;
     fhir:sequence [ fhir:v "1"^^xsd:positiveInteger ] ;
     fhir:provider [
       fhir:l <http://hl7.org/fhir/us/davinci-pas/PractitionerRole/SurgicalPractitionerRoleExample> ;
       fhir:reference [ fhir:v "PractitionerRole/SurgicalPractitionerRoleExample" ]
     ]
  ] ) ; # 
  fhir:supportingInfo ( [
     fhir:sequence [ fhir:v "1"^^xsd:positiveInteger ] ;
     fhir:category [
       fhir:coding ( [
         fhir:system [
           fhir:v "http://hl7.org/fhir/us/davinci-pas/CodeSystem/PASTempCodes"^^xsd:anyURI ;
           fhir:l <http://hl7.org/fhir/us/davinci-pas/CodeSystem/PASTempCodes>
         ] ;
         fhir:code [ fhir:v "admissionDates" ]
       ] )
     ] ;
     fhir:timing [
       a fhir:Period ;
       fhir:start [ fhir:v "2020-07-02"^^xsd:date ] ;
       fhir:end [ fhir:v "2020-07-09"^^xsd:date ]
     ]
  ] ) ; # 
  fhir:diagnosis ( [
     fhir:extension ( [
       fhir:url [
         fhir:v "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-diagnosisRecordedDate"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-diagnosisRecordedDate>
       ] ;
       fhir:value [
         a fhir:Date ;
         fhir:v "2020-06-24"^^xsd:date
       ]
     ] ) ;
     fhir:sequence [ fhir:v "1"^^xsd:positiveInteger ] ;
     fhir:diagnosis [
       a fhir:CodeableConcept ;
       fhir:coding ( [
         fhir:system [
           fhir:v "http://hl7.org/fhir/sid/icd-10-cm"^^xsd:anyURI ;
           fhir:l <http://hl7.org/fhir/sid/icd-10-cm>
         ] ;
         fhir:code [ fhir:v "C18.9" ]
       ] )
     ]
  ] ) ; # 
  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 "AR" ] ;
           fhir:display [ fhir:v "Admission 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-itemTraceNumber"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-itemTraceNumber>
       ] ;
       fhir:value [
         a fhir:Identifier ;
         fhir:system [
           fhir:v "http://example.org/ITEM_TRACE_NUMBER"^^xsd:anyURI ;
           fhir:l <http://example.org/ITEM_TRACE_NUMBER>
         ] ;
         fhir:value [ fhir:v "1122334" ]
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-authorizationNumber"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-authorizationNumber>
       ] ;
       fhir:value [
         a fhir:String ;
         fhir:v "1122445"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-administrationReferenceNumber"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-administrationReferenceNumber>
       ] ;
       fhir:value [
         a fhir:String ;
         fhir:v "9988311"
       ]
     ] ) ;
     fhir:sequence [ fhir:v "1"^^xsd:positiveInteger ] ;
     fhir:careTeamSequence ( [ fhir:v "1"^^xsd:positiveInteger ] ) ;
     fhir:diagnosisSequence ( [ fhir:v "1"^^xsd:positiveInteger ] ) ;
     fhir:category [
       fhir:coding ( [
         fhir:system [
           fhir:v "https://codesystem.x12.org/005010/1365"^^xsd:anyURI ;
           fhir:l <https://codesystem.x12.org/005010/1365>
         ] ;
         fhir:code [ fhir:v "2" ] ;
         fhir:display [ fhir:v "Surgical" ]
       ] )
     ] ;
     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 "33510" ] ;
         fhir:display [ fhir:v "Under Venous Grafting Only for Coronary Artery Bypass" ]
       ] )
     ] ;
     fhir:location [
       a fhir:CodeableConcept ;
       fhir:coding ( [
         fhir:system [
           fhir:v "https://www.cms.gov/Medicare/Coding/place-of-service-codes/Place_of_Service_Code_Set"^^xsd:anyURI ;
           fhir:l <https://www.cms.gov/Medicare/Coding/place-of-service-codes/Place_of_Service_Code_Set>
         ] ;
         fhir:code [ fhir:v "21" ]
       ] )
     ]
  ] ) . # 

<http://hl7.org/fhir/us/davinci-pas/Encounter/SurgicalEncounterExample> a fhir:Us .

<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/PractitionerRole/SurgicalPractitionerRoleExample> a fhir:Us .

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

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