OPENIMIS.FHIR.R4\ClaimResponse001 - TTL Representation

openIMIS FHIR R4 Implementation Guide
1.0.0 - ci-build
openIMIS FHIR R4 Implementation Guide - Local Development build (v1.0.0). See the Directory of published versions
: ClaimResponse001 - TTL Representation


@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 xsd: <http://www.w3.org/2001/XMLSchema#> .

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

 a fhir:ClaimResponse;
  fhir:nodeRole fhir:treeRoot;
  fhir:Resource.id [ fhir:value "Claim001"];
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "https://openimis.github.io/openimis_fhir_r4_ig/StructureDefinition/openimis-claim-response";
       fhir:index 0;
       fhir:link <https://openimis.github.io/openimis_fhir_r4_ig/StructureDefinition/openimis-claim-response>     ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "extensions" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></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 \"Claim001\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-openimis-claim-response.html\">openIMIS Claim Response</a></p></div><p><b>identifier</b>: UUID unique identifier: D30F70DF-D10B-43D4-BF31-5137C118AD83, Unique code: Code001</p><p><b>status</b>: active</p><p><b>type</b>: Other <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-claim-visit-type.html\">Visit Type (Claim)</a>#O)</span></p><p><b>use</b>: claim</p><p><b>patient</b>: <a href=\"Patient-john-doe.html\">Patient/john-doe</a> \" DOE\"</p><p><b>created</b>: 2021-09-17</p><p><b>insurer</b>: <a href=\"Organization-openIMIS-Implementation.html\">Organization/openIMIS-Implementation</a> \"openIMIS Implementation\"</p><p><b>requestor</b>: <a href=\"Practitioner-Rushila-Dani-CA.html\">Practitioner/Rushila-Dani-CA</a> \" RUSHILA\"</p><p><b>request</b>: <a href=\"Claim-Claim001.html\">Claim/Claim001</a></p><p><b>outcome</b>: partial</p><blockquote><p><b>item</b></p><p><b>Item Reference (Claim)</b>: <a href=\"ActivityDefinition-GeneralConsultationService.html\">ActivityDefinition/GeneralConsultationService</a> \"A1\"</p><p><b>itemSequence</b>: 1</p><blockquote><p><b>adjudication</b></p><p><b>category</b>: Checked <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-claim-status.html\">Status of the claim (Claim|ClaimResponse)</a>#4)</span></p><p><b>reason</b>: ACCEPTED <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-claim-rejection-reasons.html\">Rejection Reasons (Claim)</a>#0)</span></p><p><b>value</b>: 1</p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>Item Reference (Claim)</b>: <a href=\"Medication-AspirinMedication.html\">Medication/AspirinMedication</a></p><p><b>itemSequence</b>: 2</p><blockquote><p><b>adjudication</b></p><p><b>category</b>: Checked <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-claim-status.html\">Status of the claim (Claim|ClaimResponse)</a>#4)</span></p><p><b>reason</b>: ACCEPTED <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-claim-rejection-reasons.html\">Rejection Reasons (Claim)</a>#0)</span></p><p><b>value</b>: 2</p></blockquote></blockquote><blockquote><p><b>total</b></p><p><b>category</b>: Checked <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-claim-status.html\">Status of the claim (Claim|ClaimResponse)</a>#4)</span></p></blockquote></div>"
  ];
  fhir:ClaimResponse.identifier [
     fhir:index 0;
     fhir:Identifier.type [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "https://openimis.github.io/openimis_fhir_r4_ig/CodeSystem/openimis-identifiers" ];
         fhir:Coding.code [ fhir:value "UUID" ]       ]     ];
     fhir:Identifier.value [ fhir:value "D30F70DF-D10B-43D4-BF31-5137C118AD83" ]
  ], [
     fhir:index 1;
     fhir:Identifier.type [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "https://openimis.github.io/openimis_fhir_r4_ig/CodeSystem/openimis-identifiers" ];
         fhir:Coding.code [ fhir:value "Code" ]       ]     ];
     fhir:Identifier.value [ fhir:value "Code001" ]
  ];
  fhir:ClaimResponse.status [ fhir:value "active"];
  fhir:ClaimResponse.type [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "https://openimis.github.io/openimis_fhir_r4_ig/CodeSystem/claim-visit-type" ];
       fhir:Coding.code [ fhir:value "O" ];
       fhir:Coding.display [ fhir:value "Other" ]     ]
  ];
  fhir:ClaimResponse.use [ fhir:value "claim"];
  fhir:ClaimResponse.patient [
     fhir:Reference.reference [ fhir:value "Patient/john-doe" ]
  ];
  fhir:ClaimResponse.created [ fhir:value "2021-09-17"^^xsd:date];
  fhir:ClaimResponse.insurer [
     fhir:Reference.reference [ fhir:value "Organization/openIMIS-Implementation" ]
  ];
  fhir:ClaimResponse.requestor [
     fhir:Reference.reference [ fhir:value "Practitioner/Rushila-Dani-CA" ]
  ];
  fhir:ClaimResponse.request [
     fhir:Reference.reference [ fhir:value "Claim/Claim001" ]
  ];
  fhir:ClaimResponse.outcome [ fhir:value "partial"];
  fhir:ClaimResponse.item [
     fhir:index 0;
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "https://openimis.github.io/openimis_fhir_r4_ig/StructureDefinition/claim-item-reference" ];
       fhir:Extension.valueReference [
         fhir:Reference.reference [ fhir:value "ActivityDefinition/GeneralConsultationService" ]       ]     ];
     fhir:ClaimResponse.item.itemSequence [ fhir:value "1"^^xsd:positiveInteger ];
     fhir:ClaimResponse.item.adjudication [
       fhir:index 0;
       fhir:ClaimResponse.item.adjudication.category [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "https://openimis.github.io/openimis_fhir_r4_ig/CodeSystem/claim-status" ];
           fhir:Coding.code [ fhir:value "4" ];
           fhir:Coding.display [ fhir:value "Checked" ]         ]       ];
       fhir:ClaimResponse.item.adjudication.reason [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "https://openimis.github.io/openimis_fhir_r4_ig/CodeSystem/claim-rejection-reasons" ];
           fhir:Coding.code [ fhir:value "0" ];
           fhir:Coding.display [ fhir:value "ACCEPTED" ]         ]       ];
       fhir:ClaimResponse.item.adjudication.amount [
         fhir:Money.value [ fhir:value "40"^^xsd:decimal ]       ];
       fhir:ClaimResponse.item.adjudication.value [ fhir:value "1"^^xsd:decimal ]     ]
  ], [
     fhir:index 1;
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "https://openimis.github.io/openimis_fhir_r4_ig/StructureDefinition/claim-item-reference" ];
       fhir:Extension.valueReference [
         fhir:Reference.reference [ fhir:value "Medication/AspirinMedication" ]       ]     ];
     fhir:ClaimResponse.item.itemSequence [ fhir:value "2"^^xsd:positiveInteger ];
     fhir:ClaimResponse.item.adjudication [
       fhir:index 0;
       fhir:ClaimResponse.item.adjudication.category [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "https://openimis.github.io/openimis_fhir_r4_ig/CodeSystem/claim-status" ];
           fhir:Coding.code [ fhir:value "4" ];
           fhir:Coding.display [ fhir:value "Checked" ]         ]       ];
       fhir:ClaimResponse.item.adjudication.reason [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "https://openimis.github.io/openimis_fhir_r4_ig/CodeSystem/claim-rejection-reasons" ];
           fhir:Coding.code [ fhir:value "0" ];
           fhir:Coding.display [ fhir:value "ACCEPTED" ]         ]       ];
       fhir:ClaimResponse.item.adjudication.amount [
         fhir:Money.value [ fhir:value "10"^^xsd:decimal ]       ];
       fhir:ClaimResponse.item.adjudication.value [ fhir:value "2"^^xsd:decimal ]     ]
  ];
  fhir:ClaimResponse.total [
     fhir:index 0;
     fhir:ClaimResponse.total.category [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "https://openimis.github.io/openimis_fhir_r4_ig/CodeSystem/claim-status" ];
         fhir:Coding.code [ fhir:value "4" ];
         fhir:Coding.display [ fhir:value "Checked" ]       ]     ];
     fhir:ClaimResponse.total.amount [
       fhir:Money.value [ fhir:value "60"^^xsd:decimal ]     ]
  ].

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

 a owl:Ontology;
  owl:imports fhir:fhir.ttl.
IG © 2021+ openIMIS Initiative. Package openimis.fhir.r4#1.0.0 based on FHIR 4.0.1. Generated 2022-05-31
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