<Claim xmlns="http://hl7.org/fhir"><id value="100155"/><text><status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml">This example assumes a national health care scheme where patients, providers and organizations have known business identifiers.</div></text><contained><Patient><id value="patient-1"/><name><use value="official"/><family value="Donald"/><given value="Duck"/></name><gender value="male"/><birthDate value="1986-05-17"/><address><use value="home"/><line value="1234 Main Street"/><city value="Vancouver"/><postalCode value="V2H1Y3"/><country value="CAD"/></address></Patient></contained><identifier><system value="http://happyvalley.com/claim"/><value value="12347"/></identifier><status value="active"/><type><coding><system value="http://terminology.hl7.org/CodeSystem/claim-type"/><code value="oral"/></coding></type><use value="claim"/><subject><reference value="#patient-1"/></subject><created value="2014-08-16"/><insurer><identifier><system value="http://www.jurisdiction.com/insurers"/><value value="123456"/></identifier></insurer><provider><identifier><system value="http://www.jurisdiction.com/careorganizations"/><value value="HOSP12345"/></identifier></provider><priority><coding><code value="normal"/></coding></priority><payee><type><coding><code value="provider"/></coding></type></payee><careTeam><sequence value="1"/><provider><identifier><system value="http://www.jurisdiction.com/providerId"/><value value="MD98765"/></identifier></provider></careTeam><diagnosis><sequence value="1"/><diagnosisCodeableConcept><coding><code value="123456"/></coding></diagnosisCodeableConcept></diagnosis><insurance><sequence value="1"/><focal value="true"/><coverage><reference value="http://www.jurisdiction.com/nationalplan/123AB345"/></coverage></insurance><item><sequence value="1"/><careTeamSequence value="1"/><productOrService><coding><code value="1200"/></coding></productOrService><servicedDate value="2014-08-16"/><unitPrice><value value="135.57"/><currency value="USD"/></unitPrice><net><value value="135.57"/><currency value="USD"/></net></item></Claim>