@prefix fhir: . @prefix owl: . @prefix rdfs: . @prefix sct: . @prefix xsd: . # - resource ------------------------------------------------------------------- a fhir:Claim ; fhir:nodeRole fhir:treeRoot ; fhir:id [ fhir:v "example-01"] ; # fhir:meta [ fhir:profile ( [ fhir:v "https://nrces.in/ndhm/fhir/r4/StructureDefinition/Claim"^^xsd:anyURI ; fhir:link ] ) ] ; # fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "

Generated Narrative: Claim

Resource Claim "example-01"

Profile: Claim

identifier: id: 7612345

status: active

type: Management of health status after discharge from hospital (procedure) (SNOMED CT#710967003)

subType: Emergency Claim (Example Claim SubType Codes#emergency)

use: claim

patient: Patient/example-01 ""

created: 2023-09-07 11:01:00+0500

insurer: Organization/example-02 "XYZ Insurance Co. Ltd."

provider: Organization/example-02 "XYZ Insurance Co. Ltd."

priority: Normal (Process Priority Codes#normal)

prescription: MedicationRequest/example-02

Payees

-Type
*Provider (Payee Type Codes#provider)

CareTeams

-SequenceProviderRoleQualification
*1Practitioner/example-01 ""Consultant (SNOMED CT#768839008)Clinical specialty (qualifier value) (SNOMED CT#394658006)

SupportingInfos

-SequenceCategoryCodeValue[x]
*1proof of identity (SupportingInfo Category#POI)Adhaar number (Identifier Type Code#ADN)DocumentReference/example-02

Diagnoses

-SequenceDiagnosis[x]Type
*1Type 2 diabetes mellitus : Without complications (ICD-10#E11.9)Final diagnosis (discharge) (contextual qualifier) (qualifier value) (SNOMED CT#89100005)

Procedures

-SequenceProcedure[x]
*1Consultant (SNOMED CT#768839008)

Insurances

-SequenceFocalCoveragePreAuthRef
*1trueCoverage/example-0112S52

item

sequence: 1

careTeamSequence: 1

productOrService: Consultant (SNOMED CT#768839008)

serviced: 2023-09-07

UnitPrices

-ValueCurrency
*500.00INR

Nets

-ValueCurrency
*500.00INR

item

sequence: 2

careTeamSequence: 1

productOrService: Metformin hydrochloride 500 mg prolonged-release oral tablet (SNOMED CT#765507008)

serviced: 2023-09-07

UnitPrices

-ValueCurrency
*910.28INR

Nets

-ValueCurrency
*910.28INR
" ] ; # fhir:identifier ( [ fhir:system [ fhir:v "https://irdai.gov.in"^^xsd:anyURI ] ; fhir:value [ fhir:v "7612345" ] ] ) ; # fhir:status [ fhir:v "active"] ; # fhir:type [ fhir:coding ( [ a sct:710967003 ; fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ; fhir:code [ fhir:v "710967003" ] ; fhir:display [ fhir:v "Management of health status after discharge from hospital (procedure)" ] ] ) ] ; # fhir:subType [ fhir:coding ( [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/ex-claimsubtype"^^xsd:anyURI ] ; fhir:code [ fhir:v "emergency" ] ] ) ] ; # fhir:use [ fhir:v "claim"] ; # fhir:patient [ fhir:link ; fhir:reference [ fhir:v "Patient/example-01" ] ] ; # fhir:created [ fhir:v "2023-09-07T11:01:00+05:00"^^xsd:dateTime] ; # fhir:insurer [ fhir:link ; fhir:reference [ fhir:v "Organization/example-02" ] ] ; # fhir:provider [ fhir:link ; fhir:reference [ fhir:v "Organization/example-02" ] ] ; # fhir:priority [ fhir:coding ( [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/processpriority"^^xsd:anyURI ] ; fhir:code [ fhir:v "normal" ] ] ) ] ; # fhir:prescription [ fhir:link ; fhir:reference [ fhir:v "MedicationRequest/example-02" ] ] ; # fhir:payee [ fhir:type [ fhir:coding ( [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/payeetype"^^xsd:anyURI ] ; fhir:code [ fhir:v "provider" ] ; fhir:display [ fhir:v "Provider" ] ] ) ] ] ; # fhir:careTeam ( [ fhir:sequence [ fhir:v "1"^^xsd:positiveInteger ] ; fhir:provider [ fhir:link ; fhir:reference [ fhir:v "Practitioner/example-01" ] ] ; fhir:role [ fhir:coding ( [ a sct:768839008 ; fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ; fhir:code [ fhir:v "768839008" ] ; fhir:display [ fhir:v "Consultant" ] ] ) ] ; fhir:qualification [ fhir:coding ( [ a sct:394658006 ; fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ; fhir:code [ fhir:v "394658006" ] ; fhir:display [ fhir:v "Clinical specialty (qualifier value)" ] ] ) ] ] ) ; # fhir:supportingInfo ( [ fhir:sequence [ fhir:v "1"^^xsd:positiveInteger ] ; fhir:category [ fhir:coding ( [ fhir:system [ fhir:v "https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-supportinginfo-category"^^xsd:anyURI ] ; fhir:code [ fhir:v "POI" ] ; fhir:display [ fhir:v "proof of identity" ] ] ) ] ; fhir:code [ fhir:coding ( [ fhir:system [ fhir:v "https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-identifier-type-code"^^xsd:anyURI ] ; fhir:code [ fhir:v "ADN" ] ; fhir:display [ fhir:v "Adhaar number" ] ] ) ] ; fhir:value [ a fhir:Reference ; fhir:link ; fhir:reference [ fhir:v "DocumentReference/example-02" ] ] ] ) ; # fhir:diagnosis ( [ 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"^^xsd:anyURI ] ; fhir:code [ fhir:v "E11.9" ] ; fhir:display [ fhir:v "Type 2 diabetes mellitus : Without complications" ] ] ) ] ; fhir:type ( [ fhir:coding ( [ a sct:89100005 ; fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ; fhir:code [ fhir:v "89100005" ] ; fhir:display [ fhir:v "Final diagnosis (discharge) (contextual qualifier) (qualifier value)" ] ] ) ] ) ] ) ; # fhir:procedure ( [ fhir:sequence [ fhir:v "1"^^xsd:positiveInteger ] ; fhir:procedure [ a fhir:CodeableConcept ; fhir:coding ( [ a sct:768839008 ; fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ; fhir:code [ fhir:v "768839008" ] ; fhir:display [ fhir:v "Consultant" ] ] ) ] ] ) ; # fhir:insurance ( [ fhir:sequence [ fhir:v "1"^^xsd:positiveInteger ] ; fhir:focal [ fhir:v "true"^^xsd:boolean ] ; fhir:coverage [ fhir:link ; fhir:reference [ fhir:v "Coverage/example-01" ] ] ; fhir:preAuthRef ( [ fhir:v "12S52" ] ) ] ) ; # fhir:item ( [ fhir:sequence [ fhir:v "1"^^xsd:positiveInteger ] ; fhir:careTeamSequence ( [ fhir:v "1"^^xsd:positiveInteger ] ) ; fhir:productOrService [ fhir:coding ( [ a sct:768839008 ; fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ; fhir:code [ fhir:v "768839008" ] ; fhir:display [ fhir:v "Consultant" ] ] ) ] ; fhir:serviced [ fhir:v "2023-09-07"^^xsd:date ] ; fhir:unitPrice [ fhir:value [ fhir:v "500.00"^^xsd:decimal ] ; fhir:currency [ fhir:v "INR" ] ] ; fhir:net [ fhir:value [ fhir:v "500.00"^^xsd:decimal ] ; fhir:currency [ fhir:v "INR" ] ] ] [ fhir:sequence [ fhir:v "2"^^xsd:positiveInteger ] ; fhir:careTeamSequence ( [ fhir:v "1"^^xsd:positiveInteger ] ) ; fhir:productOrService [ fhir:coding ( [ a sct:765507008 ; fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ; fhir:code [ fhir:v "765507008" ] ; fhir:display [ fhir:v "Metformin hydrochloride 500 mg prolonged-release oral tablet" ] ] ) ] ; fhir:serviced [ fhir:v "2023-09-07"^^xsd:date ] ; fhir:unitPrice [ fhir:value [ fhir:v "910.28"^^xsd:decimal ] ; fhir:currency [ fhir:v "INR" ] ] ; fhir:net [ fhir:value [ fhir:v "910.28"^^xsd:decimal ] ; fhir:currency [ fhir:v "INR" ] ] ] ) . # # -------------------------------------------------------------------------------------