@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/us/davinci-pct/Claim/PCT-GFE-Summary-1> a fhir:Claim ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "PCT-GFE-Summary-1"] ; # 
  fhir:meta [
     fhir:profile ( [
       fhir:v "http://hl7.org/fhir/us/davinci-pct/StructureDefinition/davinci-pct-gfe-summary"^^xsd:anyURI ;
       fhir:l <http://hl7.org/fhir/us/davinci-pct/StructureDefinition/davinci-pct-gfe-summary>
     ] )
  ] ; # 
  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 PCT-GFE-Summary-1</b></p><a name=\"PCT-GFE-Summary-1\"> </a><a name=\"hcPCT-GFE-Summary-1\"> </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\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-davinci-pct-gfe-summary.html\">PCT Good Faith Estimate  Summary</a></p></div><p><b>status</b>: Active</p><p><b>type</b>: <span title=\"Codes:{http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTEstimateTypeSummaryCSTemporaryTrialUse estimate-summary}\">Estimate Summary</span></p><p><b>use</b>: Predetermination</p><p><b>patient</b>: <a href=\"Patient-patient1001.html\">Eve Betterhalf Female, DoB: 1955-07-23 ( http://example.com/identifiers/patient#1001)</a></p><p><b>billablePeriod</b>: 2021-10-31 --&gt; 2021-10-31</p><p><b>created</b>: 2021-10-05</p><p><b>insurer</b>: <a href=\"Organization-org1001.html\">Organization Umbrella Insurance Company</a></p><p><b>provider</b>: ?rref?</p><p><b>priority</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/processpriority normal}\">Normal</span></p><h3>Diagnoses</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Sequence</b></td><td><b>Diagnosis[x]</b></td><td><b>Type</b></td><td><b>PackageCode</b></td></tr><tr><td style=\"display: none\">*</td><td>1</td><td><span title=\"Codes:{http://hl7.org/fhir/sid/icd-10-cm S06.30}\">Unspecified focal traumatic brain injury</span></td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/diagnosistype principal}\">Principal Diagnosis</span></td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/ex-diagnosisrelatedgroup 400}\">Head trauma - concussion</span></td></tr></table><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-coverage1001.html\">Coverage: extension = insurance; status = active; subscriberId = PFP123450000; relationship = Self; period = 2021-01-01 --&gt; 2022-01-01</a></td></tr></table><h3>Totals</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>200</td><td>United States dollar</td></tr></table></div>"^^rdf:XMLLiteral ]
  ] ; # 
  fhir:status [ fhir:v "active"] ; # 
  fhir:type [
     fhir:coding ( [
       fhir:system [
         fhir:v "http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTEstimateTypeSummaryCSTemporaryTrialUse"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTEstimateTypeSummaryCSTemporaryTrialUse>
       ] ;
       fhir:code [ fhir:v "estimate-summary" ] ;
       fhir:display [ fhir:v "Estimate Summary" ]
     ] )
  ] ; # 
  fhir:use [ fhir:v "predetermination"] ; # 
  fhir:patient [
     fhir:l <http://hl7.org/fhir/us/davinci-pct/Patient/patient1001> ;
     fhir:reference [ fhir:v "Patient/patient1001" ]
  ] ; # 
  fhir:billablePeriod [
     fhir:start [ fhir:v "2021-10-31"^^xsd:date ] ;
     fhir:end [ fhir:v "2021-10-31"^^xsd:date ]
  ] ; # 
  fhir:created [ fhir:v "2021-10-05"^^xsd:date] ; # 
  fhir:insurer [
     fhir:l <http://hl7.org/fhir/us/davinci-pct/Organization/org1001> ;
     fhir:reference [ fhir:v "Organization/org1001" ]
  ] ; # 
  fhir:provider [
     fhir:extension ( [
       fhir:url [
         fhir:v "http://hl7.org/fhir/StructureDefinition/data-absent-reason"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/StructureDefinition/data-absent-reason>
       ] ;
       fhir:value [
         a fhir:Code ;
         fhir:v "not-applicable"
       ]
     ] )
  ] ; # 
  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:diagnosis ( [
     fhir:sequence [ fhir:v "1"^^xsd:positiveInteger ] ;
     fhir:diagnosis [
       a fhir:CodeableConcept ;
       fhir:coding ( [
         fhir:system [
           fhir:v "http://hl7.org/fhir/sid/icd-10-cm"^^xsd:anyURI ;
           fhir:l <http://hl7.org/fhir/sid/icd-10-cm>
         ] ;
         fhir:code [ fhir:v "S06.30" ] ;
         fhir:display [ fhir:v "Unspecified focal traumatic brain injury" ]
       ] )
     ] ;
     fhir:type ( [
       fhir:coding ( [
         fhir:system [
           fhir:v "http://terminology.hl7.org/CodeSystem/diagnosistype"^^xsd:anyURI ;
           fhir:l <http://terminology.hl7.org/CodeSystem/diagnosistype>
         ] ;
         fhir:code [ fhir:v "principal" ]
       ] )
     ] ) ;
     fhir:packageCode [
       fhir:coding ( [
         fhir:system [
           fhir:v "http://terminology.hl7.org/CodeSystem/ex-diagnosisrelatedgroup"^^xsd:anyURI ;
           fhir:l <http://terminology.hl7.org/CodeSystem/ex-diagnosisrelatedgroup>
         ] ;
         fhir:code [ fhir:v "400" ] ;
         fhir:display [ fhir:v "Head trauma - concussion" ]
       ] )
     ]
  ] ) ; # 
  fhir:insurance ( [
     fhir:sequence [ fhir:v "1"^^xsd:positiveInteger ] ;
     fhir:focal [ fhir:v true ] ;
     fhir:coverage [
       fhir:l <http://hl7.org/fhir/us/davinci-pct/Coverage/coverage1001> ;
       fhir:reference [ fhir:v "Coverage/coverage1001" ]
     ]
  ] ) ; # 
  fhir:total [
     fhir:value [ fhir:v "200"^^xsd:decimal ] ;
     fhir:currency [ fhir:v "USD" ]
  ] . # 

<http://hl7.org/fhir/us/davinci-pct/Patient/patient1001> a fhir:Us .

<http://hl7.org/fhir/us/davinci-pct/Organization/org1001> a fhir:Us .

<http://hl7.org/fhir/us/davinci-pct/Coverage/coverage1001> a fhir:Us .

# -------------------------------------------------------------------------------------