@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 sct: <http://snomed.info/id/> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

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

<https://nrces.in/ndhm/fhir/r4/Bundle/ClaimResponseBundle-example-01> a fhir:Bundle;
  fhir:nodeRole fhir:treeRoot;
  fhir:Resource.id [ fhir:value "ClaimResponseBundle-example-01"];
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "https://nrces.in/ndhm/fhir/r4/StructureDefinition/ClaimResponseBundle";
       fhir:index 0;
       fhir:link <https://nrces.in/ndhm/fhir/r4/StructureDefinition/ClaimResponseBundle>
     ];
     fhir:Meta.security [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-Confidentiality" ];
       fhir:Coding.code [ fhir:value "V" ];
       fhir:Coding.display [ fhir:value "very restricted" ]
     ]
  ];
  fhir:Bundle.identifier [
     fhir:Identifier.system [ fhir:value "http://hip.in" ];
     fhir:Identifier.value [ fhir:value "bc3c6c57-2053-4d0e-ac40-139ccccff645" ]
  ];
  fhir:Bundle.type [ fhir:value "collection"];
  fhir:Bundle.timestamp [ fhir:value "2020-07-09T15:32:26.605+05:30"^^xsd:dateTime];
  fhir:Bundle.entry [
     fhir:index 0;
     fhir:Bundle.entry.fullUrl [ fhir:value "ClaimResponse/example-01" ];
     fhir:Bundle.entry.resource <ClaimResponse/example-01>
  ], [
     fhir:index 1;
     fhir:Bundle.entry.fullUrl [ fhir:value "Patient/example-01" ];
     fhir:Bundle.entry.resource <Patient/example-01>
  ], [
     fhir:index 2;
     fhir:Bundle.entry.fullUrl [ fhir:value "Organization/example-01" ];
     fhir:Bundle.entry.resource <Organization/example-01>
  ], [
     fhir:index 3;
     fhir:Bundle.entry.fullUrl [ fhir:value "Organization/example-02" ];
     fhir:Bundle.entry.resource <Organization/example-02>
  ], [
     fhir:index 4;
     fhir:Bundle.entry.fullUrl [ fhir:value "Claim/preauth-example-01" ];
     fhir:Bundle.entry.resource <Claim/preauth-example-01>
  ], [
     fhir:index 5;
     fhir:Bundle.entry.fullUrl [ fhir:value "Coverage/example-01" ];
     fhir:Bundle.entry.resource <Coverage/example-01>
  ], [
     fhir:index 6;
     fhir:Bundle.entry.fullUrl [ fhir:value "Condition/example-01" ];
     fhir:Bundle.entry.resource <Condition/example-01>
  ], [
     fhir:index 7;
     fhir:Bundle.entry.fullUrl [ fhir:value "Condition/example-02" ];
     fhir:Bundle.entry.resource <Condition/example-02>
  ] .

<ClaimResponse/example-01> a fhir:ClaimResponse;
  fhir:Resource.id [ fhir:value "example-01"];
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "https://nrces.in/ndhm/fhir/r4/StructureDefinition/ClaimResponse";
       fhir:index 0;
       fhir:link <https://nrces.in/ndhm/fhir/r4/StructureDefinition/ClaimResponse>
     ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: ClaimResponse</b><a name=\"example-01\"> </a></p><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\">Resource ClaimResponse \"example-01\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ClaimResponse.html\">ClaimResponse</a></p></div><p><b>status</b>: active</p><p><b>type</b>: Oral <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-claim-type.html\">Claim Type Codes</a>#oral)</span></p><p><b>use</b>: preauthorization</p><p><b>patient</b>: <a href=\"#Patient_example-01\">See above (Patient/example-01)</a></p><p><b>created</b>: 2022-12-20 03:32:26+0530</p><p><b>insurer</b>: <a href=\"#Organization_example-01\">See above (Organization/example-01)</a></p><p><b>requestor</b>: <a href=\"#Organization_example-01\">See above (Organization/example-01)</a></p><p><b>request</b>: <a href=\"#Claim_Claim-preauth-example-01\">See above (Claim/preauth-example-01)</a></p><p><b>outcome</b>: complete</p><p><b>disposition</b>: The enclosed services are authorized for your provision within 30 days of this notice.</p><p><b>preAuthRef</b>: 18SS12345</p><p><b>payeeType</b>: Provider <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-payeetype.html\">Claim Payee Type Codes</a>#provider)</span></p><blockquote><p><b>addItem</b></p><p><b>itemSequence</b>: 1</p><p><b>productOrService</b>: Dengue <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#38362002)</span></p><p><b>programCode</b>: Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB-PMJAY) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-ndhm-program-code.html\">Program Code</a>#AB-PMJAY)</span></p><h3>Nets</h3><table class=\"grid\"><tr><td>-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td>*</td><td>25000</td><td>INR</td></tr></table><blockquote><p><b>adjudication</b></p><p><b>category</b>: eligible <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ([not stated]#eligible)</span></p></blockquote></blockquote><blockquote><p><b>addItem</b></p><p><b>itemSequence</b>: 2</p><p><b>productOrService</b>: Chronic diarrhea <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#236071009)</span></p><p><b>programCode</b>: Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB-PMJAY) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-ndhm-program-code.html\">Program Code</a>#AB-PMJAY)</span></p><h3>Nets</h3><table class=\"grid\"><tr><td>-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td>*</td><td>15000</td><td>INR</td></tr></table><blockquote><p><b>adjudication</b></p><p><b>category</b>: eligible <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ([not stated]#eligible)</span></p></blockquote></blockquote><h3>ProcessNotes</h3><table class=\"grid\"><tr><td>-</td><td><b>Number</b></td><td><b>Type</b></td><td><b>Text</b></td><td><b>Language</b></td></tr><tr><td>*</td><td>101</td><td>print</td><td>Please submit a Pre-Authorization request if a more extensive examination or urgent services are required.</td><td>English (Region=India) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-v3-ietf3066.html\">Tags for the Identification of Languages</a>#en-IN)</span></td></tr></table><h3>Insurances</h3><table class=\"grid\"><tr><td>-</td><td><b>Sequence</b></td><td><b>Focal</b></td><td><b>Coverage</b></td></tr><tr><td>*</td><td>1</td><td>true</td><td><a href=\"#Coverage_example-01\">See above (Coverage/example-01)</a></td></tr></table></div>"
  ];
  fhir:ClaimResponse.status [ fhir:value "active"];
  fhir:ClaimResponse.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:ClaimResponse.use [ fhir:value "preauthorization"];
  fhir:ClaimResponse.patient [
     fhir:link <https://nrces.in/ndhm/fhir/r4/Patient/example-01>;
     fhir:Reference.reference [ fhir:value "Patient/example-01" ]
  ];
  fhir:ClaimResponse.created [ fhir:value "2022-12-20T15:32:26.605+05:30"^^xsd:dateTime];
  fhir:ClaimResponse.insurer [
     fhir:link <https://nrces.in/ndhm/fhir/r4/Organization/example-01>;
     fhir:Reference.reference [ fhir:value "Organization/example-01" ]
  ];
  fhir:ClaimResponse.requestor [
     fhir:link <https://nrces.in/ndhm/fhir/r4/Organization/example-01>;
     fhir:Reference.reference [ fhir:value "Organization/example-01" ]
  ];
  fhir:ClaimResponse.request [
     fhir:link <https://nrces.in/ndhm/fhir/r4/Claim/preauth-example-01>;
     fhir:Reference.reference [ fhir:value "Claim/preauth-example-01" ]
  ];
  fhir:ClaimResponse.outcome [ fhir:value "complete"];
  fhir:ClaimResponse.disposition [ fhir:value "The enclosed services are authorized for your provision within 30 days of this notice."];
  fhir:ClaimResponse.preAuthRef [ fhir:value "18SS12345"];
  fhir:ClaimResponse.payeeType [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/payeetype" ];
       fhir:Coding.code [ fhir:value "provider" ]
     ]
  ];
  fhir:ClaimResponse.addItem [
     fhir:index 0;
     fhir:ClaimResponse.addItem.itemSequence [
       fhir:value "1"^^xsd:positiveInteger;
       fhir:index 0
     ];
     fhir:ClaimResponse.addItem.productOrService [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a sct:38362002;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
         fhir:Coding.code [ fhir:value "38362002" ];
         fhir:Coding.display [ fhir:value "Dengue" ]
       ]
     ];
     fhir:ClaimResponse.addItem.programCode [
       fhir:index 0;
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-program-code" ];
         fhir:Coding.code [ fhir:value "AB-PMJAY" ];
         fhir:Coding.display [ fhir:value "Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB-PMJAY)" ]
       ]
     ];
     fhir:ClaimResponse.addItem.net [
       fhir:Money.value [ fhir:value "25000"^^xsd:decimal ];
       fhir:Money.currency [ fhir:value "INR" ]
     ];
     fhir:ClaimResponse.addItem.adjudication [
       fhir:index 0;
       fhir:ClaimResponse.item.adjudication.category [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.code [ fhir:value "eligible" ]
         ]
       ];
       fhir:ClaimResponse.item.adjudication.amount [
         fhir:Money.value [ fhir:value "25000"^^xsd:decimal ];
         fhir:Money.currency [ fhir:value "INR" ]
       ]
     ]
  ], [
     fhir:index 1;
     fhir:ClaimResponse.addItem.itemSequence [
       fhir:value "2"^^xsd:positiveInteger;
       fhir:index 0
     ];
     fhir:ClaimResponse.addItem.productOrService [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a sct:236071009;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
         fhir:Coding.code [ fhir:value "236071009" ];
         fhir:Coding.display [ fhir:value "Chronic diarrhea" ]
       ]
     ];
     fhir:ClaimResponse.addItem.programCode [
       fhir:index 0;
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-program-code" ];
         fhir:Coding.code [ fhir:value "AB-PMJAY" ];
         fhir:Coding.display [ fhir:value "Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB-PMJAY)" ]
       ]
     ];
     fhir:ClaimResponse.addItem.net [
       fhir:Money.value [ fhir:value "15000"^^xsd:decimal ];
       fhir:Money.currency [ fhir:value "INR" ]
     ];
     fhir:ClaimResponse.addItem.adjudication [
       fhir:index 0;
       fhir:ClaimResponse.item.adjudication.category [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.code [ fhir:value "eligible" ]
         ]
       ];
       fhir:ClaimResponse.item.adjudication.amount [
         fhir:Money.value [ fhir:value "15000"^^xsd:decimal ];
         fhir:Money.currency [ fhir:value "INR" ]
       ]
     ]
  ];
  fhir:ClaimResponse.processNote [
     fhir:index 0;
     fhir:ClaimResponse.processNote.number [ fhir:value "101"^^xsd:positiveInteger ];
     fhir:ClaimResponse.processNote.type [ fhir:value "print" ];
     fhir:ClaimResponse.processNote.text [ fhir:value "Please submit a Pre-Authorization request if a more extensive examination or urgent services are required." ];
     fhir:ClaimResponse.processNote.language [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "urn:ietf:bcp:47" ];
         fhir:Coding.code [ fhir:value "en-IN" ]
       ]
     ]
  ];
  fhir:ClaimResponse.insurance [
     fhir:index 0;
     fhir:ClaimResponse.insurance.sequence [ fhir:value "1"^^xsd:positiveInteger ];
     fhir:ClaimResponse.insurance.focal [ fhir:value "true"^^xsd:boolean ];
     fhir:ClaimResponse.insurance.coverage [
       fhir:link <https://nrces.in/ndhm/fhir/r4/Coverage/example-01>;
       fhir:Reference.reference [ fhir:value "Coverage/example-01" ]
     ]
  ] .

<Patient/example-01> a fhir:Patient;
  fhir:Resource.id [ fhir:value "example-01"];
  fhir:Resource.meta [
     fhir:Meta.versionId [ fhir:value "1" ];
     fhir:Meta.lastUpdated [ fhir:value "2020-07-09T14:58:58.181+05:30"^^xsd:dateTime ];
     fhir:Meta.profile [
       fhir:value "https://nrces.in/ndhm/fhir/r4/StructureDefinition/Patient";
       fhir:index 0;
       fhir:link <https://nrces.in/ndhm/fhir/r4/StructureDefinition/Patient>
     ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Patient</b><a name=\"example-01\"> </a></p><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\">Resource Patient \"example-01\" Version \"1\" Updated \"2020-07-09 02:58:58+0530\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-Patient.html\">Patient</a></p></div><p><b>identifier</b>: Adhaar number: 7225-4829-5255</p><p><b>name</b>: Ayush Sharma</p><p><b>telecom</b>: <a href=\"tel:+919818512600\">+919818512600</a></p><p><b>gender</b>: male</p><p><b>birthDate</b>: 1981-01-12</p></div>"
  ];
  fhir:Patient.identifier [
     fhir:index 0;
     fhir:Identifier.type [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-identifier-type-code" ];
         fhir:Coding.code [ fhir:value "ADN" ];
         fhir:Coding.display [ fhir:value "Adhaar number" ]
       ]
     ];
     fhir:Identifier.system [ fhir:value "https://uidai.gov.in/" ];
     fhir:Identifier.value [ fhir:value "7225-4829-5255" ]
  ];
  fhir:Patient.name [
     fhir:index 0;
     fhir:HumanName.text [ fhir:value "Ayush Sharma" ]
  ];
  fhir:Patient.telecom [
     fhir:index 0;
     fhir:ContactPoint.system [ fhir:value "phone" ];
     fhir:ContactPoint.value [ fhir:value "+919818512600" ];
     fhir:ContactPoint.use [ fhir:value "home" ]
  ];
  fhir:Patient.gender [ fhir:value "male"];
  fhir:Patient.birthDate [ fhir:value "1981-01-12"^^xsd:date] .

<Organization/example-01> a fhir:Organization;
  fhir:Resource.id [ fhir:value "example-01"];
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "https://nrces.in/ndhm/fhir/r4/StructureDefinition/Organization";
       fhir:index 0;
       fhir:link <https://nrces.in/ndhm/fhir/r4/StructureDefinition/Organization>
     ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Organization</b><a name=\"example-01\"> </a></p><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\">Resource Organization \"example-01\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-Organization.html\">Organization</a></p></div><p><b>identifier</b>: Provider number: 4567878</p><p><b>name</b>: Appolo Hospital</p><p><b>telecom</b>: <a href=\"tel:+9124326341234\">+91 243 2634 1234</a>, <a href=\"mailto:contact@xyz.org\">contact@xyz.org</a></p></div>"
  ];
  fhir:Organization.identifier [
     fhir:index 0;
     fhir:Identifier.type [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0203" ];
         fhir:Coding.code [ fhir:value "PRN" ];
         fhir:Coding.display [ fhir:value "Provider number" ]
       ]
     ];
     fhir:Identifier.system [ fhir:value "https://facility.ndhm.gov.in" ];
     fhir:Identifier.value [ fhir:value "4567878" ]
  ];
  fhir:Organization.name [ fhir:value "Appolo Hospital"];
  fhir:Organization.telecom [
     fhir:index 0;
     fhir:ContactPoint.system [ fhir:value "phone" ];
     fhir:ContactPoint.value [ fhir:value "+91 243 2634 1234" ];
     fhir:ContactPoint.use [ fhir:value "work" ]
  ], [
     fhir:index 1;
     fhir:ContactPoint.system [ fhir:value "email" ];
     fhir:ContactPoint.value [ fhir:value "contact@xyz.org" ];
     fhir:ContactPoint.use [ fhir:value "work" ]
  ] .

<Organization/example-02> a fhir:Organization;
  fhir:Resource.id [ fhir:value "example-02"];
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "https://nrces.in/ndhm/fhir/r4/StructureDefinition/Organization";
       fhir:index 0;
       fhir:link <https://nrces.in/ndhm/fhir/r4/StructureDefinition/Organization>
     ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Organization</b><a name=\"example-02\"> </a></p><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\">Resource Organization \"example-02\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-Organization.html\">Organization</a></p></div><p><b>identifier</b>: Provider number: 555511</p><p><b>name</b>: Star Health  Corporation.</p><p><b>telecom</b>: <a href=\"tel:+915552634888\">+91 555 2634 888</a>, <a href=\"mailto:contact@xyz.org\">contact@xyz.org</a></p></div>"
  ];
  fhir:Organization.identifier [
     fhir:index 0;
     fhir:Identifier.type [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0203" ];
         fhir:Coding.code [ fhir:value "PRN" ];
         fhir:Coding.display [ fhir:value "Provider number" ]
       ]
     ];
     fhir:Identifier.system [ fhir:value "https://facility.ndhm.gov.in" ];
     fhir:Identifier.value [ fhir:value "555511" ]
  ];
  fhir:Organization.name [ fhir:value "Star Health  Corporation."];
  fhir:Organization.telecom [
     fhir:index 0;
     fhir:ContactPoint.system [ fhir:value "phone" ];
     fhir:ContactPoint.value [ fhir:value "+91 555 2634 888" ];
     fhir:ContactPoint.use [ fhir:value "work" ]
  ], [
     fhir:index 1;
     fhir:ContactPoint.system [ fhir:value "email" ];
     fhir:ContactPoint.value [ fhir:value "contact@xyz.org" ];
     fhir:ContactPoint.use [ fhir:value "work" ]
  ] .

<Claim/preauth-example-01> a fhir:Claim;
  fhir:Resource.id [ fhir:value "Claim-preauth-example-01"];
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "https://nrces.in/ndhm/fhir/r4/StructureDefinition/Claim";
       fhir:index 0;
       fhir:link <https://nrces.in/ndhm/fhir/r4/StructureDefinition/Claim>
     ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Claim</b><a name=\"Claim-preauth-example-01\"> </a></p><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\">Resource Claim \"Claim-preauth-example-01\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-Claim.html\">Claim</a></p></div><p><b>identifier</b>: id: 7612345</p><p><b>status</b>: active</p><p><b>type</b>: Professional <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-claim-type.html\">Claim Type Codes</a>#professional)</span></p><p><b>use</b>: preauthorization</p><p><b>patient</b>: <a href=\"#Patient_example-01\">See above (Patient/example-01)</a></p><p><b>created</b>: 2022-07-20 11:01:00+0500</p><p><b>insurer</b>: <a href=\"#Organization_example-01\">See above (Organization/example-01)</a></p><p><b>provider</b>: <a href=\"#Organization_example-02\">See above (Organization/example-02)</a></p><p><b>priority</b>: Normal <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-processpriority.html\">Process Priority Codes</a>#normal)</span></p><h3>SupportingInfos</h3><table class=\"grid\"><tr><td>-</td><td><b>Sequence</b></td><td><b>Category</b></td><td><b>Code</b></td><td><b>Value[x]</b></td></tr><tr><td>*</td><td>1</td><td>proof of identity <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-ndhm-supportinginfo-category.html\">SupportingInfo Category</a>#POI)</span></td><td>Adhaar number <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-ndhm-identifier-type-code.html\">Identifier Type Code</a>#ADN)</span></td><td><a href=\"DocumentReference-example-01.html\">DocumentReference/example-01</a></td></tr></table><blockquote><p><b>diagnosis</b></p><p><b>sequence</b>: 1</p><p><b>diagnosis</b>: <a href=\"#Condition_example-01\">See above (Condition/example-01)</a></p><p><b>type</b>: Clinical Diagnosis <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-ex-diagnosistype.html\">Example Diagnosis Type Codes</a>#clinical)</span></p></blockquote><blockquote><p><b>diagnosis</b></p><p><b>sequence</b>: 2</p><p><b>diagnosis</b>: <a href=\"#Condition_example-02\">See above (Condition/example-02)</a></p><p><b>type</b>: Clinical Diagnosis <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-ex-diagnosistype.html\">Example Diagnosis Type Codes</a>#clinical)</span></p></blockquote><h3>Insurances</h3><table class=\"grid\"><tr><td>-</td><td><b>Sequence</b></td><td><b>Focal</b></td><td><b>Coverage</b></td><td><b>PreAuthRef</b></td></tr><tr><td>*</td><td>1</td><td>true</td><td><a href=\"#Coverage_example-01\">See above (Coverage/example-01)</a></td><td>12S52</td></tr></table><blockquote><p><b>item</b></p><p><b>sequence</b>: 1</p><p><b>category</b>: Medical care <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#781087000)</span></p><p><b>productOrService</b>: Dengue <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#38362002)</span></p><p><b>programCode</b>: Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB-PMJAY) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-ndhm-program-code.html\">Program Code</a>#AB-PMJAY)</span></p><h3>UnitPrices</h3><table class=\"grid\"><tr><td>-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td>*</td><td>25000</td><td>INR</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>sequence</b>: 2</p><p><b>category</b>: Medical care <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#781087000)</span></p><p><b>productOrService</b>: Chronic diarrhea <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#236071009)</span></p><p><b>programCode</b>: Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB-PMJAY) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-ndhm-program-code.html\">Program Code</a>#AB-PMJAY)</span></p><h3>UnitPrices</h3><table class=\"grid\"><tr><td>-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td>*</td><td>15000</td><td>INR</td></tr></table></blockquote></div>"
  ];
  fhir:Claim.identifier [
     fhir:index 0;
     fhir:Identifier.system [ fhir:value "http://happypharma.com/claim" ];
     fhir:Identifier.value [ fhir:value "7612345" ]
  ];
  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 "professional" ]
     ]
  ];
  fhir:Claim.use [ fhir:value "preauthorization"];
  fhir:Claim.patient [
     fhir:link <https://nrces.in/ndhm/fhir/r4/Patient/example-01>;
     fhir:Reference.reference [ fhir:value "Patient/example-01" ]
  ];
  fhir:Claim.created [ fhir:value "2022-07-20T11:01:00+05:00"^^xsd:dateTime];
  fhir:Claim.insurer [
     fhir:link <https://nrces.in/ndhm/fhir/r4/Organization/example-01>;
     fhir:Reference.reference [ fhir:value "Organization/example-01" ]
  ];
  fhir:Claim.provider [
     fhir:link <https://nrces.in/ndhm/fhir/r4/Organization/example-02>;
     fhir:Reference.reference [ fhir:value "Organization/example-02" ]
  ];
  fhir:Claim.priority [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/processpriority" ];
       fhir:Coding.code [ fhir:value "normal" ]
     ]
  ];
  fhir:Claim.supportingInfo [
     fhir:index 0;
     fhir:Claim.supportingInfo.sequence [ fhir:value "1"^^xsd:positiveInteger ];
     fhir:Claim.supportingInfo.category [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-supportinginfo-category" ];
         fhir:Coding.code [ fhir:value "POI" ];
         fhir:Coding.display [ fhir:value "proof of identity" ]
       ]
     ];
     fhir:Claim.supportingInfo.code [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-identifier-type-code" ];
         fhir:Coding.code [ fhir:value "ADN" ];
         fhir:Coding.display [ fhir:value "Adhaar number" ]
       ]
     ];
     fhir:Claim.supportingInfo.valueReference [
       fhir:link <https://nrces.in/ndhm/fhir/r4/DocumentReference/example-01>;
       fhir:Reference.reference [ fhir:value "DocumentReference/example-01" ]
     ]
  ];
  fhir:Claim.diagnosis [
     fhir:index 0;
     fhir:Claim.diagnosis.sequence [ fhir:value "1"^^xsd:positiveInteger ];
     fhir:Claim.diagnosis.diagnosisReference [
       fhir:link <https://nrces.in/ndhm/fhir/r4/Condition/example-01>;
       fhir:Reference.reference [ fhir:value "Condition/example-01" ]
     ];
     fhir:Claim.diagnosis.type [
       fhir:index 0;
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/ex-diagnosistype" ];
         fhir:Coding.code [ fhir:value "clinical" ];
         fhir:Coding.display [ fhir:value "Clinical Diagnosis" ]
       ]
     ]
  ], [
     fhir:index 1;
     fhir:Claim.diagnosis.sequence [ fhir:value "2"^^xsd:positiveInteger ];
     fhir:Claim.diagnosis.diagnosisReference [
       fhir:link <https://nrces.in/ndhm/fhir/r4/Condition/example-02>;
       fhir:Reference.reference [ fhir:value "Condition/example-02" ]
     ];
     fhir:Claim.diagnosis.type [
       fhir:index 0;
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/ex-diagnosistype" ];
         fhir:Coding.code [ fhir:value "clinical" ];
         fhir:Coding.display [ fhir:value "Clinical Diagnosis" ]
       ]
     ]
  ];
  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 <https://nrces.in/ndhm/fhir/r4/Coverage/example-01>;
       fhir:Reference.reference [ fhir:value "Coverage/example-01" ]
     ];
     fhir:Claim.insurance.preAuthRef [
       fhir:value "12S52";
       fhir:index 0
     ]
  ];
  fhir:Claim.item [
     fhir:index 0;
     fhir:Claim.item.sequence [ fhir:value "1"^^xsd:positiveInteger ];
     fhir:Claim.item.category [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a sct:781087000;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
         fhir:Coding.code [ fhir:value "781087000" ];
         fhir:Coding.display [ fhir:value "Medical care" ]
       ]
     ];
     fhir:Claim.item.productOrService [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a sct:38362002;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
         fhir:Coding.code [ fhir:value "38362002" ];
         fhir:Coding.display [ fhir:value "Dengue" ]
       ]
     ];
     fhir:Claim.item.programCode [
       fhir:index 0;
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-program-code" ];
         fhir:Coding.code [ fhir:value "AB-PMJAY" ];
         fhir:Coding.display [ fhir:value "Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB-PMJAY)" ]
       ]
     ];
     fhir:Claim.item.unitPrice [
       fhir:Money.value [ fhir:value "25000"^^xsd:decimal ];
       fhir:Money.currency [ fhir:value "INR" ]
     ]
  ], [
     fhir:index 1;
     fhir:Claim.item.sequence [ fhir:value "2"^^xsd:positiveInteger ];
     fhir:Claim.item.category [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a sct:781087000;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
         fhir:Coding.code [ fhir:value "781087000" ];
         fhir:Coding.display [ fhir:value "Medical care" ]
       ]
     ];
     fhir:Claim.item.productOrService [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a sct:236071009;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
         fhir:Coding.code [ fhir:value "236071009" ];
         fhir:Coding.display [ fhir:value "Chronic diarrhea" ]
       ]
     ];
     fhir:Claim.item.programCode [
       fhir:index 0;
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-program-code" ];
         fhir:Coding.code [ fhir:value "AB-PMJAY" ];
         fhir:Coding.display [ fhir:value "Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB-PMJAY)" ]
       ]
     ];
     fhir:Claim.item.unitPrice [
       fhir:Money.value [ fhir:value "15000"^^xsd:decimal ];
       fhir:Money.currency [ fhir:value "INR" ]
     ]
  ] .

<Coverage/example-01> a fhir:Coverage;
  fhir:Resource.id [ fhir:value "example-01"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Coverage</b><a name=\"example-01\"> </a></p><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\">Resource Coverage \"example-01\" </p></div><p><b>identifier</b>: id: SP12345678</p><p><b>status</b>: active</p><p><b>type</b>: PAY <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-coverage-selfpay.html\">Coverage SelfPay Codes</a>#pay)</span></p><p><b>subscriber</b>: <a href=\"#Patient_example-01\">See above (Patient/example-01)</a></p><p><b>beneficiary</b>: <a href=\"#Patient_example-01\">See above (Patient/example-01)</a></p><p><b>relationship</b>: Self <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-subscriber-relationship.html\">SubscriberPolicyholder Relationship Codes</a>#self)</span></p><p><b>period</b>: 2022-12-01 --&gt; 2025-03-17</p><p><b>payor</b>: <a href=\"#Patient_example-01\">See above (Patient/example-01)</a></p></div>"
  ];
  fhir:Coverage.identifier [
     fhir:index 0;
     fhir:Identifier.system [ fhir:value "http://hospitalx.com/selfpayagreement" ];
     fhir:Identifier.value [ fhir:value "SP12345678" ]
  ];
  fhir:Coverage.status [ fhir:value "active"];
  fhir:Coverage.type [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/coverage-selfpay" ];
       fhir:Coding.code [ fhir:value "pay" ];
       fhir:Coding.display [ fhir:value "PAY" ]
     ]
  ];
  fhir:Coverage.subscriber [
     fhir:link <https://nrces.in/ndhm/fhir/r4/Patient/example-01>;
     fhir:Reference.reference [ fhir:value "Patient/example-01" ]
  ];
  fhir:Coverage.beneficiary [
     fhir:link <https://nrces.in/ndhm/fhir/r4/Patient/example-01>;
     fhir:Reference.reference [ fhir:value "Patient/example-01" ]
  ];
  fhir:Coverage.relationship [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/subscriber-relationship" ];
       fhir:Coding.code [ fhir:value "self" ]
     ]
  ];
  fhir:Coverage.period [
     fhir:Period.start [ fhir:value "2022-12-01"^^xsd:date ];
     fhir:Period.end [ fhir:value "2025-03-17"^^xsd:date ]
  ];
  fhir:Coverage.payor [
     fhir:index 0;
     fhir:link <https://nrces.in/ndhm/fhir/r4/Patient/example-01>;
     fhir:Reference.reference [ fhir:value "Patient/example-01" ]
  ] .

<Condition/example-01> a fhir:Condition;
  fhir:Resource.id [ fhir:value "example-01"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Condition</b><a name=\"example-01\"> </a></p><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\">Resource Condition \"example-01\" </p></div><p><b>code</b>: Dengue (disorder) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#38362002)</span></p><p><b>subject</b>: <a href=\"#Patient_example-01\">See above (Patient/example-01)</a></p></div>"
  ];
  fhir:Condition.code [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       a sct:38362002;
       fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
       fhir:Coding.code [ fhir:value "38362002" ];
       fhir:Coding.display [ fhir:value "Dengue (disorder)" ]
     ]
  ];
  fhir:Condition.subject [
     fhir:link <https://nrces.in/ndhm/fhir/r4/Patient/example-01>;
     fhir:Reference.reference [ fhir:value "Patient/example-01" ]
  ] .

<Condition/example-02> a fhir:Condition;
  fhir:Resource.id [ fhir:value "example-02"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Condition</b><a name=\"example-02\"> </a></p><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\">Resource Condition \"example-02\" </p></div><p><b>code</b>: Chronic diarrhea of unknown origin (disorder) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#17551007)</span></p><p><b>subject</b>: <a href=\"#Patient_example-01\">See above (Patient/example-01)</a></p></div>"
  ];
  fhir:Condition.code [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       a sct:17551007;
       fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
       fhir:Coding.code [ fhir:value "17551007" ];
       fhir:Coding.display [ fhir:value "Chronic diarrhea of unknown origin (disorder)" ]
     ]
  ];
  fhir:Condition.subject [
     fhir:link <https://nrces.in/ndhm/fhir/r4/Patient/example-01>;
     fhir:Reference.reference [ fhir:value "Patient/example-01" ]
  ] .

# - ontology header ------------------------------------------------------------

<https://nrces.in/ndhm/fhir/r4/Bundle/ClaimResponseBundle-example-01.ttl> a owl:Ontology;
  owl:imports fhir:fhir.ttl .

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