Kenya eClaims FHIR IG
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: ClaimResponse - Example - 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:ClaimResponse ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "a236b53e-0144-41f4-a3d9-99a3fed76c35"] ; # 
  fhir:meta [
fhir:versionId [ fhir:v "2" ] ;
fhir:lastUpdated [ fhir:v "2025-01-04T11:03:06+03:00"^^xsd:dateTime ] ;
fhir:source [
fhir:v "#e4fd6c167838fdfb"^^xsd:anyURI ;
fhir:l <#e4fd6c167838fdfb>     ] ;
    ( fhir:profile [
fhir:v "https://example.com/fhir/StructureDefinition/eclaims-claimresponse"^^xsd:anyURI ;
fhir:l <https://example.com/fhir/StructureDefinition/eclaims-claimresponse>     ] )
  ] ; # 
  fhir:text [
fhir:status [ fhir:v "extensions" ] ;
fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ClaimResponse a236b53e-0144-41f4-a3d9-99a3fed76c35</b></p><a name=\"a236b53e-0144-41f4-a3d9-99a3fed76c35\"> </a><a name=\"hca236b53e-0144-41f4-a3d9-99a3fed76c35\"> </a><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\">version: 2; Last updated: 2025-01-04 11:03:06+0300; </p><p style=\"margin-bottom: 0px\">Information Source: #e4fd6c167838fdfb</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-eclaims-claimresponse.html\">ClaimResponse Profile</a></p></div><p><b>com/fhir/StructureDefinition/claim-state-extension</b>: <span title=\"Codes:{https://uat-mis.apeiro-digital.com/fhir/CodeSystem/claim-state approved}\">Approved</span></p><p><b>status</b>: Active</p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/claim-type professional}\">Professional</span></p><p><b>use</b>: Claim</p><p><b>patient</b>: <a href=\"http://hl7.org/fhir/us/core/STU4/Patient-example.html\">Amy V. Shaw  Female, DoB: 1987-02-20 ( Medical Record Number: 1032702 (use: usual, ))</a></p><p><b>created</b>: 2025-01-04 11:00:00+0300</p><p><b>insurer</b>: <a href=\"Organization/insurer-example\">Organization/insurer-example</a></p><p><b>request</b>: <a href=\"Claim-f6dc7f9e-1558-4b92-adbd-447771c7b2f9.html\">Claim: identifier = https://uat-mis.apeiro-digital.com/fhir/claim#f6dc7f9e-1558-4b92-adbd-447771c7b2f9; status = active; type = Institutional; subType = op; use = preauthorization; billablePeriod = 2025-01-04 --&gt; 2025-01-05; created = 2025-01-03; priority = Normal</a></p><p><b>outcome</b>: Processing Complete</p><blockquote><p><b>item</b></p><p><b>itemSequence</b>: 1</p><blockquote><p><b>adjudication</b></p><p><b>category</b>: <span title=\"Codes:\">benefit</span></p><p><b>reason</b>: <span title=\"Codes:\">Auto Approved.</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>50</td><td>KSH</td></tr></table></blockquote></blockquote><blockquote><p><b>total</b></p><p><b>category</b>: <span title=\"Codes:\">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>50</td><td>KSH</td></tr></table></blockquote></div>"^^rdf:XMLLiteral ]
  ] ; # 
  fhir:extension ( [
fhir:url [
fhir:v "https://uat-mis.apeiro-digital.com/fhir/StructureDefinition/claim-state-extension"^^xsd:anyURI ;
fhir:l <https://uat-mis.apeiro-digital.com/fhir/StructureDefinition/claim-state-extension>     ] ;
fhir:value [
a fhir:CodeableConcept ;
      ( fhir:coding [
fhir:system [
fhir:v "https://uat-mis.apeiro-digital.com/fhir/CodeSystem/claim-state"^^xsd:anyURI ;
fhir:l <https://uat-mis.apeiro-digital.com/fhir/CodeSystem/claim-state>         ] ;
fhir:code [ fhir:v "approved" ] ;
fhir:display [ fhir:v "Approved" ]       ] )     ]
  ] ) ; # 
  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 "professional" ] ;
fhir:display [ fhir:v "Professional" ]     ] )
  ] ; # 
  fhir:use [ fhir:v "claim"] ; # 
  fhir:patient [
fhir:l fhir:Patient/example ;
fhir:reference [ fhir:v "Patient/example" ]
  ] ; # 
  fhir:created [ fhir:v "2025-01-04T11:00:00+03:00"^^xsd:dateTime] ; # 
  fhir:insurer [
fhir:l fhir:Organization/insurer-example ;
fhir:reference [ fhir:v "Organization/insurer-example" ]
  ] ; # 
  fhir:request [
fhir:l fhir:Claim/f6dc7f9e-1558-4b92-adbd-447771c7b2f9 ;
fhir:reference [ fhir:v "Claim/f6dc7f9e-1558-4b92-adbd-447771c7b2f9" ]
  ] ; # 
  fhir:outcome [ fhir:v "complete"] ; # 
  fhir:item ( [
fhir:itemSequence [ fhir:v "1"^^xsd:positiveInteger ] ;
    ( fhir:adjudication [
fhir:category [
fhir:text [ fhir:v "benefit" ]       ] ;
fhir:reason [
fhir:text [ fhir:v "Auto Approved." ]       ] ;
fhir:amount [
fhir:value [ fhir:v "50"^^xsd:decimal ] ;
fhir:currency [ fhir:v "KSH" ]       ]     ] )
  ] ) ; # 
  fhir:total ( [
fhir:category [
fhir:text [ fhir:v "submitted" ]     ] ;
fhir:amount [
fhir:value [ fhir:v "50"^^xsd:decimal ] ;
fhir:currency [ fhir:v "KSH" ]     ]
  ] ) . #