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| Responsible Owner: Financial Management Work Group | Standards Status: Informative | Compartments: Device, Encounter, Group, Patient, Practitioner, RelatedPerson |
Raw Turtle (+ also see Turtle/RDF Format Specification)
Simple Pharmacy Compound Claim
Financial
@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 -------------------------------------------------------------------
<http://hl7.org/fhir/Claim/760152> a fhir:Claim ;
fhir:nodeRole fhir:treeRoot ;
fhir:id [ fhir:v "760152"] ; #
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\">A human-readable rendering of the Pharmacy Claim</div>"^^rdf:XMLLiteral ]
] ; #
fhir:identifier ( [
fhir:system [
fhir:v "http://happypharma.com/claim"^^xsd:anyURI ;
fhir:l <http://happypharma.com/claim>
] ;
fhir:value [ fhir:v "7612345" ]
] ) ; #
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 "pharmacy" ]
] )
] ; #
fhir:use [ fhir:v "claim"] ; #
fhir:subject [
fhir:l <http://hl7.org/fhir/Patient/1> ;
fhir:reference [ fhir:v "Patient/1" ]
] ; #
fhir:created [ fhir:v "2014-08-16"^^xsd:date] ; #
fhir:insurer [
fhir:l <http://hl7.org/fhir/Organization/2> ;
fhir:reference [ fhir:v "Organization/2" ]
] ; #
fhir:provider [
fhir:l <http://hl7.org/fhir/Organization/1> ;
fhir:reference [ fhir:v "Organization/1" ]
] ; #
fhir:priority [
fhir:coding ( [
fhir:code [ fhir:v "stat" ]
] )
] ; #
fhir:payee [
fhir:type [
fhir:coding ( [
fhir:code [ fhir:v "provider" ]
] )
]
] ; #
fhir:careTeam ( [
fhir:sequence [ fhir:v "1"^^xsd:positiveInteger ] ;
fhir:provider [
fhir:l <http://hl7.org/fhir/Practitioner/example> ;
fhir:reference [ fhir:v "Practitioner/example" ]
]
] ) ; #
fhir:supportingInfo ( [
fhir:sequence [ fhir:v "1"^^xsd:positiveInteger ] ;
fhir:category [
fhir:coding ( [
fhir:code [ fhir:v "pharmacyrefill" ]
] )
] ;
fhir:code [
fhir:coding ( [
fhir:system [
fhir:v "http://example.org/fhir/CodeSystem/pharmacy-refill"^^xsd:anyURI ;
fhir:l <http://example.org/fhir/CodeSystem/pharmacy-refill>
] ;
fhir:code [ fhir:v "new" ]
] )
]
] [
fhir:sequence [ fhir:v "2"^^xsd:positiveInteger ] ;
fhir:category [
fhir:coding ( [
fhir:code [ fhir:v "pharmacyinformation" ]
] )
] ;
fhir:code [
fhir:coding ( [
fhir:system [
fhir:v "http://example.org/fhir/CodeSystem/pharmacy-information"^^xsd:anyURI ;
fhir:l <http://example.org/fhir/CodeSystem/pharmacy-information>
] ;
fhir:code [ fhir:v "refillsremaining" ]
] )
] ;
fhir:value [
a fhir:Quantity ;
fhir:value [ fhir:v "0"^^xsd:decimal ]
]
] [
fhir:sequence [ fhir:v "3"^^xsd:positiveInteger ] ;
fhir:category [
fhir:coding ( [
fhir:code [ fhir:v "pharmacyinformation" ]
] )
] ;
fhir:code [
fhir:coding ( [
fhir:system [
fhir:v "http://example.org/fhir/CodeSystem/pharmacy-information"^^xsd:anyURI ;
fhir:l <http://example.org/fhir/CodeSystem/pharmacy-information>
] ;
fhir:code [ fhir:v "dayssupply" ]
] )
] ;
fhir:value [
a fhir:Quantity ;
fhir:value [ fhir:v "10"^^xsd:decimal ]
]
] [
fhir:sequence [ fhir:v "4"^^xsd:positiveInteger ] ;
fhir:category [
fhir:coding ( [
fhir:code [ fhir:v "pharmacy" ]
] )
] ;
fhir:code [
fhir:coding ( [
fhir:system [
fhir:v "http://example.org/fhir/CodeSystem/pharmacy-form"^^xsd:anyURI ;
fhir:l <http://example.org/fhir/CodeSystem/pharmacy-form>
] ;
fhir:code [ fhir:v "capsule" ]
] )
]
] ) ; #
fhir:diagnosis ( [
fhir:sequence [ fhir:v "1"^^xsd:positiveInteger ] ;
fhir:diagnosis [
a fhir:CodeableConcept ;
fhir:coding ( [
fhir:code [ fhir:v "654456" ]
] )
]
] ) ; #
fhir:insurance ( [
fhir:sequence [ fhir:v "1"^^xsd:positiveInteger ] ;
fhir:focal [ fhir:v true ] ;
fhir:coverage [
fhir:l <http://hl7.org/fhir/Coverage/9876B1> ;
fhir:reference [ fhir:v "Coverage/9876B1" ]
]
] ) ; #
fhir:item ( [
fhir:sequence [ fhir:v "1"^^xsd:positiveInteger ] ;
fhir:careTeamSequence ( [ fhir:v "1"^^xsd:positiveInteger ] ) ;
fhir:informationSequence ( [ fhir:v "1"^^xsd:positiveInteger ] [ fhir:v "2"^^xsd:positiveInteger ] [ fhir:v "3"^^xsd:positiveInteger ] [ fhir:v "4"^^xsd:positiveInteger ] ) ;
fhir:productOrService [
fhir:coding ( [
fhir:system [
fhir:v "http://localdruglist.org"^^xsd:anyURI ;
fhir:l <http://localdruglist.org>
] ;
fhir:code [ fhir:v "compound" ] ;
fhir:display [ fhir:v "Custom compound" ]
] )
] ; # type=compoundmedication
fhir:serviced [
a fhir:Date ;
fhir:v "2014-08-16"^^xsd:date
] ;
fhir:quantity [
fhir:value [ fhir:v "30"^^xsd:decimal ] ;
fhir:unit [ fhir:v "TAB" ] ;
fhir:system [
fhir:v "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm"^^xsd:anyURI ;
fhir:l <http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm>
] ;
fhir:code [ fhir:v "TAB" ]
] ;
fhir:net [
fhir:value [ fhir:v 155.00 ] ;
fhir:currency [ fhir:v "USD" ]
] ;
fhir:detail ( [
fhir:sequence [ fhir:v "1"^^xsd:positiveInteger ] ;
fhir:productOrService [
fhir:coding ( [
fhir:system [
fhir:v "http://localdruglist.org"^^xsd:anyURI ;
fhir:l <http://localdruglist.org>
] ;
fhir:code [ fhir:v "44001" ] ;
fhir:display [ fhir:v "Acetaminophen 250mg" ]
] )
] ; # type=packagemedication
fhir:quantity [
fhir:value [ fhir:v "250"^^xsd:decimal ] ;
fhir:unit [ fhir:v "mg" ]
] ;
fhir:net [
fhir:value [ fhir:v 20.00 ] ;
fhir:currency [ fhir:v "USD" ]
] ;
fhir:subDetail ( [
fhir:sequence [ fhir:v "1"^^xsd:positiveInteger ] ;
fhir:productOrService [
fhir:coding ( [
fhir:system [
fhir:v "http://hl7.org/fhir/ex-pharmaservice"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/ex-pharmaservice>
] ;
fhir:code [ fhir:v "drugcost" ]
] )
] ; # type=costitem
fhir:net [
fhir:value [ fhir:v 20.00 ] ;
fhir:currency [ fhir:v "USD" ]
]
] )
] [
fhir:sequence [ fhir:v "2"^^xsd:positiveInteger ] ;
fhir:productOrService [
fhir:coding ( [
fhir:system [
fhir:v "http://localdruglist.org"^^xsd:anyURI ;
fhir:l <http://localdruglist.org>
] ;
fhir:code [ fhir:v "44035" ] ;
fhir:display [ fhir:v "Phenacetin 50mg" ]
] )
] ; # type=packagemedication
fhir:quantity [
fhir:value [ fhir:v "50"^^xsd:decimal ] ;
fhir:unit [ fhir:v "mg" ]
] ;
fhir:net [
fhir:value [ fhir:v 25.00 ] ;
fhir:currency [ fhir:v "USD" ]
] ;
fhir:subDetail ( [
fhir:sequence [ fhir:v "1"^^xsd:positiveInteger ] ;
fhir:productOrService [
fhir:coding ( [
fhir:system [
fhir:v "http://hl7.org/fhir/ex-pharmaservice"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/ex-pharmaservice>
] ;
fhir:code [ fhir:v "drugcost" ]
] )
] ; # type=costitem
fhir:net [
fhir:value [ fhir:v 25.00 ] ;
fhir:currency [ fhir:v "USD" ]
]
] )
] [
fhir:sequence [ fhir:v "3"^^xsd:positiveInteger ] ;
fhir:productOrService [
fhir:coding ( [
fhir:system [
fhir:v "http://localdruglist.org"^^xsd:anyURI ;
fhir:l <http://localdruglist.org>
] ;
fhir:code [ fhir:v "44057" ] ;
fhir:display [ fhir:v "Codeine 25mg" ]
] )
] ; # type=packagemedication
fhir:quantity [
fhir:value [ fhir:v "25"^^xsd:decimal ] ;
fhir:unit [ fhir:v "mg" ]
] ;
fhir:net [
fhir:value [ fhir:v 28.00 ] ;
fhir:currency [ fhir:v "USD" ]
] ;
fhir:subDetail ( [
fhir:sequence [ fhir:v "1"^^xsd:positiveInteger ] ;
fhir:productOrService [
fhir:coding ( [
fhir:system [
fhir:v "http://hl7.org/fhir/ex-pharmaservice"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/ex-pharmaservice>
] ;
fhir:code [ fhir:v "drugcost" ]
] )
] ; # type=costitem
fhir:net [
fhir:value [ fhir:v 28.00 ] ;
fhir:currency [ fhir:v "USD" ]
]
] )
] [
fhir:sequence [ fhir:v "2"^^xsd:positiveInteger ] ;
fhir:productOrService [
fhir:coding ( [
fhir:system [
fhir:v "http://hl7.org/fhir/ex-pharmaservice"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/ex-pharmaservice>
] ;
fhir:code [ fhir:v "markup" ]
] )
] ; # type=costitem
fhir:net [
fhir:value [ fhir:v 22.00 ] ;
fhir:currency [ fhir:v "USD" ]
]
] [
fhir:sequence [ fhir:v "3"^^xsd:positiveInteger ] ;
fhir:productOrService [
fhir:coding ( [
fhir:system [
fhir:v "http://hl7.org/fhir/ex-pharmaservice"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/ex-pharmaservice>
] ;
fhir:code [ fhir:v "compoundfee" ]
] )
] ; # type=costitem
fhir:net [
fhir:value [ fhir:v 60.00 ] ;
fhir:currency [ fhir:v "USD" ]
]
] )
] ) ; #
fhir:total [
fhir:value [ fhir:v 155.00 ] ;
fhir:currency [ fhir:v "USD" ]
] . #
<http://hl7.org/fhir/Patient/1> a fhir:Patient .
<http://hl7.org/fhir/Organization/2> a fhir:Organization .
<http://hl7.org/fhir/Organization/1> a fhir:Organization .
<http://hl7.org/fhir/Practitioner/example> a fhir:Practitioner .
<http://hl7.org/fhir/Coverage/9876B1> a fhir:Coverage .
# -------------------------------------------------------------------------------------
Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.
FHIR ®© HL7.org 2011+. FHIR R6 hl7.fhir.core#6.0.0-ballot3 generated on Sun, Nov 2, 2025 07:22+0000.
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