<Claim xmlns="http://hl7.org/fhir"><id value="960150"/><text><status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml">A human-readable rendering of the Claim</div></text><identifier><system value="http://happyhospital.com/claim"/><value value="9612345"/></identifier><status value="active"/><type><coding><system value="http://terminology.hl7.org/CodeSystem/claim-type"/><code value="institutional"/></coding></type><subType><coding><system value="http://terminology.hl7.org/CodeSystem/ex-claimsubtype"/><code value="emergency"/></coding></subType><use value="claim"/><subject><reference value="Patient/1"/></subject><created value="2014-08-16"/><enterer><identifier><system value="http://jurisdiction.org/facilities/HOSP1234/users"/><value value="UC1234"/></identifier></enterer><insurer><reference value="Organization/2"/></insurer><provider><reference value="Organization/1"/></provider><priority><coding><code value="normal"/></coding></priority><payee><type><coding><code value="provider"/></coding></type></payee><facility><identifier><system value="http://jurisdiction.org/facilities"/><value value="HOSP1234"/></identifier></facility><careTeam><sequence value="1"/><provider><reference value="Practitioner/example"/></provider></careTeam><diagnosis><sequence value="1"/><diagnosisCodeableConcept><coding><code value="654456"/></coding></diagnosisCodeableConcept></diagnosis><procedure><sequence value="1"/><type><coding><code value="primary"/></coding></type><date value="2014-08-16"/><procedureCodeableConcept><coding><code value="SDI9901"/></coding><text value="Subcutaneous diagnostic implant"/></procedureCodeableConcept><udi><reference value="Device/example"/></udi></procedure><insurance><sequence value="1"/><focal value="true"/><coverage><reference value="Coverage/9876B1"/></coverage></insurance><item><sequence value="1"/><careTeamSequence value="1"/><productOrService><coding><system value="http://hl7.org/fhir/ex-serviceproduct"/><code value="exam"/></coding></productOrService><servicedDate value="2014-08-16"/><unitPrice><value value="125.00"/><currency value="USD"/></unitPrice><net><value value="125.00"/><currency value="USD"/></net><encounter><reference value="Encounter/example"/></encounter></item><total><value value="125.00"/><currency value="USD"/></total></Claim>