@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/ClaimResponse/ClaimResponse-enhancement-example-01> a fhir:ClaimResponse ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "ClaimResponse-enhancement-example-01"] ; # 
  fhir:meta [
     fhir:profile ( [
       fhir:v "https://nrces.in/ndhm/fhir/r4/StructureDefinition/ClaimResponse"^^xsd:anyURI ;
       fhir:link <https://nrces.in/ndhm/fhir/r4/StructureDefinition/ClaimResponse>
     ] )
  ] ; # 
  fhir:text [
     fhir:status [ fhir:v "generated" ] ;
     fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: ClaimResponse</b><a name=\"ClaimResponse-enhancement-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 &quot;ClaimResponse-enhancement-example-01&quot; </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>: Inpatient care management (procedure) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#737481003)</span></p><p><b>subType</b>: Emergency Claim <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.3.0/CodeSystem-ex-claimsubtype.html\">Example Claim SubType Codes</a>#emergency)</span></p><p><b>use</b>: preauthorization</p><p><b>patient</b>: <a href=\"Patient-example-01.html\">Patient/example-01</a> &quot;&quot;</p><p><b>created</b>: 2023-12-12 15:32:26+0530</p><p><b>insurer</b>: <a href=\"Organization-example-02.html\">Organization/example-02</a> &quot;XYZ Insurance Co. Ltd.&quot;</p><p><b>requestor</b>: <a href=\"Organization-example-03.html\">Organization/example-03</a> &quot;XYZ Hospital Co. Ltd.&quot;</p><p><b>request</b>: <a href=\"Claim-Claim-enhancement-example-01.html\">Claim/Claim-enhancement-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>: 123456</p><p><b>payeeType</b>: Provider <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.3.0/CodeSystem-payeetype.html\">Payee Type Codes</a>#provider)</span></p><blockquote><p><b>item</b></p><p><b>itemSequence</b>: 1</p><blockquote><p><b>adjudication</b></p><p><b>category</b>: Eligible Amount <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.3.0/CodeSystem-adjudication.html\">Adjudication Value Codes</a>#eligible)</span></p><p><b>reason</b>: Covered <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#255334000)</span></p><h3>Amounts</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style=\"display: none\">*</td><td>10000.00</td><td>INR</td></tr></table></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>itemSequence</b>: 2</p><blockquote><p><b>adjudication</b></p><p><b>category</b>: Eligible Amount <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.3.0/CodeSystem-adjudication.html\">Adjudication Value Codes</a>#eligible)</span></p><p><b>reason</b>: Covered <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#255334000)</span></p><h3>Amounts</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style=\"display: none\">*</td><td>10000</td><td>INR</td></tr></table></blockquote></blockquote><blockquote><p><b>total</b></p><p><b>category</b>: Submitted Amount <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.3.0/CodeSystem-adjudication.html\">Adjudication Value Codes</a>#submitted)</span></p><h3>Amounts</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style=\"display: none\">*</td><td>20000</td><td>INR</td></tr></table></blockquote><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-example-01.html\">Coverage/example-01</a></td></tr></table></div>"
  ] ; # 
  fhir:status [ fhir:v "active"] ; # 
  fhir:type [
     fhir:coding ( [
       a sct:737481003 ;
       fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
       fhir:code [ fhir:v "737481003" ] ;
       fhir:display [ fhir:v "Inpatient care management (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 "preauthorization"] ; # 
  fhir:patient [
     fhir:link <https://nrces.in/ndhm/fhir/r4/Patient/example-01> ;
     fhir:reference [ fhir:v "Patient/example-01" ]
  ] ; # 
  fhir:created [ fhir:v "2023-12-12T15:32:26.605+05:30"^^xsd:dateTime] ; # 
  fhir:insurer [
     fhir:link <https://nrces.in/ndhm/fhir/r4/Organization/example-02> ;
     fhir:reference [ fhir:v "Organization/example-02" ]
  ] ; # 
  fhir:requestor [
     fhir:link <https://nrces.in/ndhm/fhir/r4/Organization/example-03> ;
     fhir:reference [ fhir:v "Organization/example-03" ]
  ] ; # 
  fhir:request [
     fhir:link <https://nrces.in/ndhm/fhir/r4/Claim/Claim-enhancement-example-01> ;
     fhir:reference [ fhir:v "Claim/Claim-enhancement-example-01" ]
  ] ; # 
  fhir:outcome [ fhir:v "complete"] ; # 
  fhir:disposition [ fhir:v "The enclosed services are authorized for your provision within 30 days of this notice."] ; # 
  fhir:preAuthRef [ fhir:v "123456"] ; # 
  fhir:payeeType [
     fhir:coding ( [
       fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/payeetype"^^xsd:anyURI ] ;
       fhir:code [ fhir:v "provider" ]
     ] )
  ] ; # 
  fhir:item ( [
     fhir:itemSequence [ fhir:v "1"^^xsd:positiveInteger ] ;
     fhir:adjudication ( [
       fhir:category [
         fhir:coding ( [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/adjudication"^^xsd:anyURI ] ;
           fhir:code [ fhir:v "eligible" ] ;
           fhir:display [ fhir:v "Eligible Amount" ]
         ] )
       ] ;
       fhir:reason [
         fhir:coding ( [
           a sct:255334000 ;
           fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
           fhir:code [ fhir:v "255334000" ] ;
           fhir:display [ fhir:v "Covered" ]
         ] )
       ] ;
       fhir:amount [
         fhir:value [ fhir:v "10000.00"^^xsd:decimal ] ;
         fhir:currency [ fhir:v "INR" ]
       ]
     ] )
  ] [
     fhir:itemSequence [ fhir:v "2"^^xsd:positiveInteger ] ;
     fhir:adjudication ( [
       fhir:category [
         fhir:coding ( [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/adjudication"^^xsd:anyURI ] ;
           fhir:code [ fhir:v "eligible" ] ;
           fhir:display [ fhir:v "Eligible Amount" ]
         ] )
       ] ;
       fhir:reason [
         fhir:coding ( [
           a sct:255334000 ;
           fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
           fhir:code [ fhir:v "255334000" ] ;
           fhir:display [ fhir:v "Covered" ]
         ] )
       ] ;
       fhir:amount [
         fhir:value [ fhir:v "10000"^^xsd:decimal ] ;
         fhir:currency [ fhir:v "INR" ]
       ]
     ] )
  ] ) ; # 
  fhir:total ( [
     fhir:category [
       fhir:coding ( [
         fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/adjudication"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "submitted" ]
       ] )
     ] ;
     fhir:amount [
       fhir:value [ fhir:v "20000"^^xsd:decimal ] ;
       fhir:currency [ fhir:v "INR" ]
     ]
  ] ) ; # 
  fhir:insurance ( [
     fhir:sequence [ fhir:v "1"^^xsd:positiveInteger ] ;
     fhir:focal [ fhir:v "true"^^xsd:boolean ] ;
     fhir:coverage [
       fhir:link <https://nrces.in/ndhm/fhir/r4/Coverage/example-01> ;
       fhir:reference [ fhir:v "Coverage/example-01" ]
     ]
  ] ) . # 

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