Draft PH Core Implementation Guide
0.2.0 - ci-build PH

Draft PH Core Implementation Guide, published by UP Manila National TeleHealth Center. This guide is not an authorized publication; it is the continuous build for version 0.2.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/UP-Manila-SILab/ph-core/ and changes regularly. See the Directory of published versions

: claim-single-example

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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 sct: <http://snomed.info/id/> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:Claim ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "claim-single-example"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "https://fhir.doh.gov.ph/phcore/StructureDefinition/ph-core-claim"^^xsd:anyURI ;
fhir:l <https://fhir.doh.gov.ph/phcore/StructureDefinition/ph-core-claim>     ] [
fhir:v "http://doh.gov.ph/fhir/ph-core/StructureDefinition/ph-core-claim"^^xsd:anyURI ;
fhir:l <http://doh.gov.ph/fhir/ph-core/StructureDefinition/ph-core-claim>     ] )
  ] ; # 
  fhir:language [ fhir:v "en"] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Claim:</b> PhilHealth Outpatient Consultation</p><p><b>Status:</b> Active</p><p><b>Patient:</b> Juan Dela Cruz (PhilHealth ID: 63-584789845-5)</p><p><b>Created:</b> March 15, 2024</p><p><b>Insurer:</b> Philippine Health Insurance Corporation (PhilHealth)</p><p><b>Provider:</b> Dr. Maria Clara Santos</p><p><b>Diagnosis:</b> Type 2 Diabetes Mellitus (Principal)</p><p><b>Service:</b> Outpatient Consultation on March 15, 2024 - PHP 500.00</p></div>"^^rdf:XMLLiteral ]
  ] ; # 
  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/patient-single-example ;
fhir:reference [ fhir:v "Patient/patient-single-example" ]
  ] ; # 
  fhir:created [ fhir:v "2024-03-15"^^xsd:date] ; # 
  fhir:insurer [
fhir:l fhir:Organization/organization-single-example ;
fhir:reference [ fhir:v "Organization/organization-single-example" ]
  ] ; # 
  fhir:provider [
fhir:l fhir:Practitioner/practitioner-single-example ;
fhir:reference [ fhir:v "Practitioner/practitioner-single-example" ]
  ] ; # 
  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:display [ fhir:v "Normal" ]     ] )
  ] ; # 
  fhir:payee [
fhir:type [
      ( fhir:coding [
fhir:system [
fhir:v "http://terminology.hl7.org/CodeSystem/payeetype"^^xsd:anyURI ;
fhir:l <http://terminology.hl7.org/CodeSystem/payeetype>         ] ;
fhir:code [ fhir:v "provider" ] ;
fhir:display [ fhir:v "Provider" ]       ] )     ] ;
fhir:party [
fhir:l fhir:Practitioner/practitioner-single-example ;
fhir:reference [ fhir:v "Practitioner/practitioner-single-example" ]     ]
  ] ; # 
  fhir:careTeam ( [
fhir:sequence [ fhir:v "1"^^xsd:positiveInteger ] ;
fhir:provider [
fhir:l fhir:Practitioner/practitioner-single-example ;
fhir:reference [ fhir:v "Practitioner/practitioner-single-example" ]     ] ;
fhir:responsible [ fhir:v true ] ;
fhir:role [
      ( fhir:coding [
fhir:system [
fhir:v "http://terminology.hl7.org/CodeSystem/claimcareteamrole"^^xsd:anyURI ;
fhir:l <http://terminology.hl7.org/CodeSystem/claimcareteamrole>         ] ;
fhir:code [ fhir:v "primary" ] ;
fhir:display [ fhir:v "Primary Provider" ]       ] )     ]
  ] ) ; # 
  fhir:diagnosis ( [
fhir:sequence [ fhir:v "1"^^xsd:positiveInteger ] ;
fhir:diagnosis [
a fhir:Reference ;
fhir:l fhir:Condition/condition-single-example ;
fhir:reference [ fhir:v "Condition/condition-single-example" ]     ] ;
    ( fhir:type [
      ( fhir:coding [
fhir:system [
fhir:v "http://terminology.hl7.org/CodeSystem/ex-diagnosistype"^^xsd:anyURI ;
fhir:l <http://terminology.hl7.org/CodeSystem/ex-diagnosistype>         ] ;
fhir:code [ fhir:v "principal" ] ;
fhir:display [ fhir:v "Principal Diagnosis" ]       ] )     ] )
  ] ) ; # 
  fhir:insurance ( [
fhir:sequence [ fhir:v "1"^^xsd:positiveInteger ] ;
fhir:focal [ fhir:v true ] ;
fhir:identifier [
fhir:system [
fhir:v "http://philhealth.gov.ph/fhir/Identifier/philhealth-id"^^xsd:anyURI ;
fhir:l <http://philhealth.gov.ph/fhir/Identifier/philhealth-id>       ] ;
fhir:value [ fhir:v "63-584789845-5" ]     ] ;
fhir:coverage [
fhir:l fhir:Coverage/philhealth-coverage-example ;
fhir:reference [ fhir:v "Coverage/philhealth-coverage-example" ]     ]
  ] ) ; # 
  fhir:item ( [
fhir:sequence [ fhir:v "1"^^xsd:positiveInteger ] ;
    ( fhir:careTeamSequence [ fhir:v "1"^^xsd:positiveInteger ] ) ;
    ( fhir:diagnosisSequence [ fhir:v "1"^^xsd:positiveInteger ] ) ;
fhir:productOrService [
      ( fhir:coding [
a sct:11429006 ;
fhir:system [
fhir:v "http://snomed.info/sct"^^xsd:anyURI ;
fhir:l <http://snomed.info/sct>         ] ;
fhir:code [ fhir:v "11429006" ] ;
fhir:display [ fhir:v "Consultation" ]       ] ) ;
fhir:text [ fhir:v "Outpatient Consultation" ]     ] ;
fhir:serviced [
a fhir:Date ;
fhir:v "2024-03-15"^^xsd:date     ] ;
fhir:quantity [
fhir:value [ fhir:v "1"^^xsd:decimal ]     ] ;
fhir:unitPrice [
fhir:value [ fhir:v "500"^^xsd:decimal ] ;
fhir:currency [ fhir:v "PHP" ]     ] ;
fhir:net [
fhir:value [ fhir:v "500"^^xsd:decimal ] ;
fhir:currency [ fhir:v "PHP" ]     ]
  ] ) . #