Kenya eClaims FHIR Implementation Guide - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
: Example Related Claim - TTL Representation
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@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 -------------------------------------------------------------------
a fhir:Claim ;
fhir:nodeRole fhir:treeRoot ;
fhir:id [ fhir:v "CLAIM-0000X"] ; #
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Claim CLAIM-0000X</b></p><a name=\"CLAIM-0000X\"> </a><a name=\"hcCLAIM-0000X\"> </a><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>: Claim</p><p><b>patient</b>: <a href=\"Patient-PT-0001.html\">John Doe Male, DoB: 1980-01-01</a></p><p><b>created</b>: 2025-01-01</p><p><b>insurer</b>: <a href=\"Organization-INS-001.html\">Organization Kenya Insurance Company</a></p><p><b>provider</b>: <a href=\"Organization-ORG-001.html\">Organization Nairobi General Hospital</a></p><p><b>priority</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/processpriority normal}\">Normal</span></p><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-COV-0001.html\">Coverage: status = active</a></td></tr></table></div>"^^rdf:XMLLiteral ]
] ; #
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 "claim"] ; #
fhir:patient [
fhir:l fhir:Patient/PT-0001 ;
fhir:reference [ fhir:v "Patient/PT-0001" ]
] ; #
fhir:created [ fhir:v "2025-01-01"^^xsd:date] ; #
fhir:insurer [
fhir:l fhir:Organization/INS-001 ;
fhir:reference [ fhir:v "Organization/INS-001" ]
] ; #
fhir:provider [
fhir:l fhir:Organization/ORG-001 ;
fhir:reference [ fhir:v "Organization/ORG-001" ]
] ; #
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:display [ fhir:v "Normal" ] ] )
] ; #
fhir:insurance ( [
fhir:sequence [ fhir:v "1"^^xsd:positiveInteger ] ;
fhir:focal [ fhir:v true ] ;
fhir:coverage [
fhir:l fhir:Coverage/COV-0001 ;
fhir:reference [ fhir:v "Coverage/COV-0001" ] ]
] ) . #
