@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 -------------------------------------------------------------------

<https://nrces.in/ndhm/fhir/r4/Bundle/ClaimResponseBundle-enhancement-example-01> a fhir:Bundle ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "ClaimResponseBundle-enhancement-example-01"] ; # 
  fhir:meta [
     fhir:profile ( [
       fhir:v "https://nrces.in/ndhm/fhir/r4/StructureDefinition/ClaimResponseBundle"^^xsd:anyURI ;
       fhir:link <https://nrces.in/ndhm/fhir/r4/StructureDefinition/ClaimResponseBundle>
     ] ) ;
     fhir:security ( [
       fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-Confidentiality"^^xsd:anyURI ] ;
       fhir:code [ fhir:v "V" ] ;
       fhir:display [ fhir:v "very restricted" ]
     ] )
  ] ; # 
  fhir:identifier [
     fhir:value [ fhir:v "bc3c6c57-2053-4d0e-ac40-139ccccff645" ]
  ] ; # 
  fhir:type [ fhir:v "collection"] ; # 
  fhir:timestamp [ fhir:v "2025-03-13T15:32:26.605+05:30"^^xsd:dateTime] ; # 
  fhir:entry ( [
     fhir:fullUrl [ fhir:v "urn:uuid:b56a1f6e-c46e-4d06-95e4-aeaf9ecf5562"^^xsd:anyURI ] ;
     fhir:resource ( <urn:uuid:b56a1f6e-c46e-4d06-95e4-aeaf9ecf5562> )
  ] [
     fhir:fullUrl [ fhir:v "urn:uuid:cd1e58c5-08fa-4cac-8a46-c12d26d57f21"^^xsd:anyURI ] ;
     fhir:resource ( <urn:uuid:cd1e58c5-08fa-4cac-8a46-c12d26d57f21> )
  ] [
     fhir:fullUrl [ fhir:v "urn:uuid:d16be93a-0881-422f-a9f1-b49808449395"^^xsd:anyURI ] ;
     fhir:resource ( <urn:uuid:d16be93a-0881-422f-a9f1-b49808449395> )
  ] [
     fhir:fullUrl [ fhir:v "urn:uuid:344de91a-0662-43a5-b88e-c2cd00887244"^^xsd:anyURI ] ;
     fhir:resource ( <urn:uuid:344de91a-0662-43a5-b88e-c2cd00887244> )
  ] [
     fhir:fullUrl [ fhir:v "urn:uuid:de3a873e-3d69-44de-bf2b-4cb18384b07d"^^xsd:anyURI ] ;
     fhir:resource ( <urn:uuid:de3a873e-3d69-44de-bf2b-4cb18384b07d> )
  ] [
     fhir:fullUrl [ fhir:v "urn:uuid:04c47993-b2bc-4912-849b-65ee63883f2e"^^xsd:anyURI ] ;
     fhir:resource ( <urn:uuid:04c47993-b2bc-4912-849b-65ee63883f2e> )
  ] [
     fhir:fullUrl [ fhir:v "urn:uuid:02461bcb-aeaa-45ad-b24c-66b94272103c"^^xsd:anyURI ] ;
     fhir:resource ( <urn:uuid:02461bcb-aeaa-45ad-b24c-66b94272103c> )
  ] [
     fhir:fullUrl [ fhir:v "urn:uuid:66748b1f-0dac-47da-9ded-d8908ef42338"^^xsd:anyURI ] ;
     fhir:resource ( <urn:uuid:66748b1f-0dac-47da-9ded-d8908ef42338> )
  ] ) . # 

<urn:uuid:b56a1f6e-c46e-4d06-95e4-aeaf9ecf5562> a fhir:ClaimResponse ;
  fhir:id [ fhir:v "b56a1f6e-c46e-4d06-95e4-aeaf9ecf5562"] ; # 
  fhir:meta [
     fhir:profile ( [
       fhir:v "https://nrces.in/ndhm/fhir/r4/StructureDefinition/ClaimResponse"^^xsd:anyURI ;
       fhir:link <https://nrces.in/ndhm/fhir/r4/StructureDefinition/ClaimResponse>
     ] )
  ] ; # 
  fhir:text [
     fhir:status [ fhir:v "generated" ] ;
     fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"ClaimResponse_b56a1f6e-c46e-4d06-95e4-aeaf9ecf5562\"> </a><p class=\"res-header-id\"><b>Generated Narrative: ClaimResponse b56a1f6e-c46e-4d06-95e4-aeaf9ecf5562</b></p><a name=\"b56a1f6e-c46e-4d06-95e4-aeaf9ecf5562\"> </a><a name=\"hcb56a1f6e-c46e-4d06-95e4-aeaf9ecf5562\"> </a><a name=\"b56a1f6e-c46e-4d06-95e4-aeaf9ecf5562-hi-IN\"> </a><p><b>status</b>: Active</p><p><b>type</b>: <span title=\"Codes:{http://snomed.info/sct 737481003}\">Inpatient care management (procedure)</span></p><p><b>use</b>: Preauthorization</p><p><b>patient</b>: <a href=\"Bundle-ClaimResponseBundle-enhancement-example-01.html#urn-uuid-d16be93a-0881-422f-a9f1-b49808449395\">Patient</a></p><p><b>created</b>: 2025-03-07 15:32:26+0530</p><p><b>insurer</b>: <a href=\"Bundle-ClaimResponseBundle-enhancement-example-01.html#urn-uuid-344de91a-0662-43a5-b88e-c2cd00887244\">Organization</a></p><p><b>requestor</b>: <a href=\"Bundle-ClaimResponseBundle-enhancement-example-01.html#urn-uuid-de3a873e-3d69-44de-bf2b-4cb18384b07d\">Organization</a></p><p><b>request</b>: <a href=\"Bundle-ClaimResponseBundle-enhancement-example-01.html#urn-uuid-cd1e58c5-08fa-4cac-8a46-c12d26d57f21\">Claim-enhancement</a></p><p><b>outcome</b>: Processing Complete</p><p><b>disposition</b>: The enclosed services are authorized for your provision within 30 days of this notice.</p><p><b>preAuthRef</b>: 98765432</p><p><b>preAuthPeriod</b>: 2025-03-12 15:32:26+0530 --&gt; 2025-04-12 15:32:26+0530</p><blockquote><p><b>item</b></p><p><b>itemSequence</b>: 1</p><blockquote><p><b>adjudication</b></p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/adjudication submitted}\">Submitted Amount</span></p><h3>Amounts</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>10000</td><td>Indian rupee</td></tr></table></blockquote><blockquote><p><b>adjudication</b></p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/adjudication eligpercent}\">Eligible %</span></p><p><b>reason</b>: <span title=\"Codes:{https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-adjudication-reason covered}\">Product or Service requested is covered by the policy.</span></p><h3>Amounts</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>10000</td><td>Indian rupee</td></tr></table></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>itemSequence</b>: 2</p><blockquote><p><b>adjudication</b></p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/adjudication submitted}\">Submitted Amount</span></p><h3>Amounts</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>10000</td><td>Indian rupee</td></tr></table></blockquote><blockquote><p><b>adjudication</b></p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/adjudication eligpercent}\">Eligible %</span></p><p><b>reason</b>: <span title=\"Codes:{https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-adjudication-reason covered}\">Product or Service requested is covered by the policy.</span></p><h3>Amounts</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>10000</td><td>Indian rupee</td></tr></table></blockquote></blockquote><blockquote><p><b>total</b></p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/adjudication submitted}\">Submitted Amount</span></p><h3>Amounts</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>20000</td><td>Indian rupee</td></tr></table></blockquote><blockquote><p><b>total</b></p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/adjudication eligpercent}\">Eligible %</span></p><h3>Amounts</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>20000</td><td>Indian rupee</td></tr></table></blockquote><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=\"Bundle-ClaimResponseBundle-enhancement-example-01.html#urn-uuid-02461bcb-aeaa-45ad-b24c-66b94272103c\">Coverage</a></td></tr></table></div>"^^rdf:XMLLiteral
  ] ; # 
  fhir:status [ fhir:v "active"] ; # 
  fhir:type [
     fhir:coding ( [
       a sct:737481003 ;
       fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
       fhir:code [ fhir:v "737481003" ] ;
       fhir:display [ fhir:v "Inpatient care management (procedure)" ]
     ] )
  ] ; # 
  fhir:use [ fhir:v "preauthorization"] ; # 
  fhir:patient [
     fhir:reference [ fhir:v "urn:uuid:d16be93a-0881-422f-a9f1-b49808449395" ] ;
     fhir:display [ fhir:v "Patient" ]
  ] ; # 
  fhir:created [ fhir:v "2025-03-07T15:32:26.605+05:30"^^xsd:dateTime] ; # 
  fhir:insurer [
     fhir:reference [ fhir:v "urn:uuid:344de91a-0662-43a5-b88e-c2cd00887244" ] ;
     fhir:display [ fhir:v "Organization" ]
  ] ; # 
  fhir:requestor [
     fhir:reference [ fhir:v "urn:uuid:de3a873e-3d69-44de-bf2b-4cb18384b07d" ] ;
     fhir:display [ fhir:v "Organization" ]
  ] ; # 
  fhir:request [
     fhir:reference [ fhir:v "urn:uuid:cd1e58c5-08fa-4cac-8a46-c12d26d57f21" ] ;
     fhir:display [ fhir:v "Claim-enhancement" ]
  ] ; # 
  fhir:outcome [ fhir:v "complete"] ; # 
  fhir:disposition [ fhir:v "The enclosed services are authorized for your provision within 30 days of this notice."] ; # 
  fhir:preAuthRef [ fhir:v "98765432"] ; # 
  fhir:preAuthPeriod [
     fhir:start [ fhir:v "2025-03-12T15:32:26.605+05:30"^^xsd:dateTime ] ;
     fhir:end [ fhir:v "2025-04-12T15:32:26.605+05:30"^^xsd:dateTime ]
  ] ; # 
  fhir:item ( [
     fhir:itemSequence [ fhir:v "1"^^xsd:positiveInteger ] ;
     fhir:adjudication ( [
       fhir:category [
         fhir:coding ( [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/adjudication"^^xsd:anyURI ] ;
           fhir:code [ fhir:v "submitted" ] ;
           fhir:display [ fhir:v "Submitted Amount" ]
         ] )
       ] ;
       fhir:amount [
         fhir:value [ fhir:v "10000"^^xsd:decimal ] ;
         fhir:currency [ fhir:v "INR" ]
       ]
     ] [
       fhir:category [
         fhir:coding ( [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/adjudication"^^xsd:anyURI ] ;
           fhir:code [ fhir:v "eligpercent" ] ;
           fhir:display [ fhir:v "Eligible %" ]
         ] )
       ] ;
       fhir:reason [
         fhir:coding ( [
           fhir:system [ fhir:v "https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-adjudication-reason"^^xsd:anyURI ] ;
           fhir:code [ fhir:v "covered" ] ;
           fhir:display [ fhir:v "Product or Service requested is covered by the policy." ]
         ] )
       ] ;
       fhir:amount [
         fhir:value [ fhir:v "10000"^^xsd:decimal ] ;
         fhir:currency [ fhir:v "INR" ]
       ]
     ] )
  ] [
     fhir:itemSequence [ fhir:v "2"^^xsd:positiveInteger ] ;
     fhir:adjudication ( [
       fhir:category [
         fhir:coding ( [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/adjudication"^^xsd:anyURI ] ;
           fhir:code [ fhir:v "submitted" ] ;
           fhir:display [ fhir:v "Submitted Amount" ]
         ] )
       ] ;
       fhir:amount [
         fhir:value [ fhir:v "10000"^^xsd:decimal ] ;
         fhir:currency [ fhir:v "INR" ]
       ]
     ] [
       fhir:category [
         fhir:coding ( [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/adjudication"^^xsd:anyURI ] ;
           fhir:code [ fhir:v "eligpercent" ] ;
           fhir:display [ fhir:v "Eligible %" ]
         ] )
       ] ;
       fhir:reason [
         fhir:coding ( [
           fhir:system [ fhir:v "https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-adjudication-reason"^^xsd:anyURI ] ;
           fhir:code [ fhir:v "covered" ] ;
           fhir:display [ fhir:v "Product or Service requested is covered by the policy." ]
         ] )
       ] ;
       fhir:amount [
         fhir:value [ fhir:v "10000"^^xsd:decimal ] ;
         fhir:currency [ fhir:v "INR" ]
       ]
     ] )
  ] ) ; # 
  fhir:total ( [
     fhir:category [
       fhir:coding ( [
         fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/adjudication"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "submitted" ] ;
         fhir:display [ fhir:v "Submitted Amount" ]
       ] )
     ] ;
     fhir:amount [
       fhir:value [ fhir:v "20000"^^xsd:decimal ] ;
       fhir:currency [ fhir:v "INR" ]
     ]
  ] [
     fhir:category [
       fhir:coding ( [
         fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/adjudication"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "eligpercent" ] ;
         fhir:display [ fhir:v "Eligible %" ]
       ] )
     ] ;
     fhir:amount [
       fhir:value [ fhir:v "20000"^^xsd:decimal ] ;
       fhir:currency [ fhir:v "INR" ]
     ]
  ] ) ; # 
  fhir:insurance ( [
     fhir:sequence [ fhir:v "1"^^xsd:positiveInteger ] ;
     fhir:focal [ fhir:v "true"^^xsd:boolean ] ;
     fhir:coverage [
       fhir:reference [ fhir:v "urn:uuid:02461bcb-aeaa-45ad-b24c-66b94272103c" ] ;
       fhir:display [ fhir:v "Coverage" ]
     ]
  ] ) . # 

<urn:uuid:cd1e58c5-08fa-4cac-8a46-c12d26d57f21> a fhir:Claim ;
  fhir:id [ fhir:v "cd1e58c5-08fa-4cac-8a46-c12d26d57f21"] ; # 
  fhir:meta [
     fhir:profile ( [
       fhir:v "https://nrces.in/ndhm/fhir/r4/StructureDefinition/Claim"^^xsd:anyURI ;
       fhir:link <https://nrces.in/ndhm/fhir/r4/StructureDefinition/Claim>
     ] )
  ] ; # 
  fhir:text [
     fhir:status [ fhir:v "generated" ] ;
     fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Claim_cd1e58c5-08fa-4cac-8a46-c12d26d57f21\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Claim cd1e58c5-08fa-4cac-8a46-c12d26d57f21</b></p><a name=\"cd1e58c5-08fa-4cac-8a46-c12d26d57f21\"> </a><a name=\"hccd1e58c5-08fa-4cac-8a46-c12d26d57f21\"> </a><a name=\"cd1e58c5-08fa-4cac-8a46-c12d26d57f21-hi-IN\"> </a><p><b>identifier</b>: 7612345, 96785763</p><p><b>status</b>: Active</p><p><b>type</b>: <span title=\"Codes:{http://snomed.info/sct 737481003}\">Inpatient care management (procedure)</span></p><p><b>use</b>: Preauthorization</p><p><b>patient</b>: <a href=\"Bundle-ClaimResponseBundle-enhancement-example-01.html#urn-uuid-d16be93a-0881-422f-a9f1-b49808449395\">Patient</a></p><p><b>billablePeriod</b>: 2025-03-07 11:01:00+0500 --&gt; 2025-04-07 11:01:00+0500</p><p><b>created</b>: 2025-03-13 11:01:00+0500</p><p><b>insurer</b>: <a href=\"Bundle-ClaimResponseBundle-enhancement-example-01.html#urn-uuid-344de91a-0662-43a5-b88e-c2cd00887244\">Organization</a></p><p><b>provider</b>: <a href=\"Bundle-ClaimResponseBundle-enhancement-example-01.html#urn-uuid-de3a873e-3d69-44de-bf2b-4cb18384b07d\">Organization</a></p><p><b>priority</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/processpriority normal}\">Normal</span></p><h3>Relateds</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Claim</b></td><td><b>Relationship</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"Bundle-ClaimResponseBundle-enhancement-example-01.html#urn-uuid-66748b1f-0dac-47da-9ded-d8908ef42338\">Claim-preauth</a></td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/ex-relatedclaimrelationship prior}\">Prior Claim</span></td></tr></table><h3>CareTeams</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Sequence</b></td><td><b>Provider</b></td><td><b>Role</b></td><td><b>Qualification</b></td></tr><tr><td style=\"display: none\">*</td><td>1</td><td><a href=\"Bundle-ClaimResponseBundle-enhancement-example-01.html#urn-uuid-04c47993-b2bc-4912-849b-65ee63883f2e\">Practitioner</a></td><td><span title=\"Codes:{http://snomed.info/sct 223366009}\">Healthcare professional (occupation)</span></td><td><span title=\"Codes:{http://snomed.info/sct 394658006}\">Clinical specialty (qualifier value)</span></td></tr></table><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></tr><tr><td style=\"display: none\">*</td><td>1</td><td><span title=\"Codes:{http://hl7.org/fhir/sid/icd-10 I46.9}\">Cardiac arrest, unspecified</span></td><td><span title=\"Codes:{http://snomed.info/sct 89100005}\">Final diagnosis (discharge) (contextual qualifier) (qualifier value)</span></td></tr></table><blockquote><p><b>procedure</b></p><p><b>sequence</b>: 1</p><p><b>procedure</b>: <span title=\"Codes:{http://snomed.info/sct 77343006}\">Angiography</span></p></blockquote><blockquote><p><b>procedure</b></p><p><b>sequence</b>: 2</p><p><b>procedure</b>: <span title=\"Codes:{http://snomed.info/sct 418285008}\">Angioplasty of blood vessel</span></p></blockquote><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><td><b>PreAuthRef</b></td></tr><tr><td style=\"display: none\">*</td><td>1</td><td>true</td><td><a href=\"Bundle-ClaimResponseBundle-enhancement-example-01.html#urn-uuid-02461bcb-aeaa-45ad-b24c-66b94272103c\">Coverage</a></td><td>123456</td></tr></table><blockquote><p><b>item</b></p><p><b>sequence</b>: 1</p><p><b>careTeamSequence</b>: 1</p><p><b>productOrService</b>: <span title=\"Codes:{http://snomed.info/sct 77343006}\">Angiography</span></p><p><b>serviced</b>: 2023-12-09</p><h3>UnitPrices</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>10000</td><td>Indian rupee</td></tr></table><h3>Nets</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>10000</td><td>Indian rupee</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>sequence</b>: 2</p><p><b>careTeamSequence</b>: 1</p><p><b>productOrService</b>: <span title=\"Codes:{http://snomed.info/sct 418285008}\">Angioplasty of blood vessel</span></p><h3>UnitPrices</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>10000</td><td>Indian rupee</td></tr></table><h3>Nets</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>10000</td><td>Indian rupee</td></tr></table></blockquote><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>20000</td><td>Indian rupee</td></tr></table></div>"^^rdf:XMLLiteral
  ] ; # 
  fhir:identifier ( [
     fhir:value [ fhir:v "7612345" ]
  ] [
     fhir:value [ fhir:v "96785763" ]
  ] ) ; # 
  fhir:status [ fhir:v "active"] ; # 
  fhir:type [
     fhir:coding ( [
       a sct:737481003 ;
       fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
       fhir:code [ fhir:v "737481003" ] ;
       fhir:display [ fhir:v "Inpatient care management (procedure)" ]
     ] )
  ] ; # 
  fhir:use [ fhir:v "preauthorization"] ; # 
  fhir:patient [
     fhir:reference [ fhir:v "urn:uuid:d16be93a-0881-422f-a9f1-b49808449395" ] ;
     fhir:display [ fhir:v "Patient" ]
  ] ; # 
  fhir:billablePeriod [
     fhir:start [ fhir:v "2025-03-07T11:01:00+05:00"^^xsd:dateTime ] ;
     fhir:end [ fhir:v "2025-04-07T11:01:00+05:00"^^xsd:dateTime ]
  ] ; # 
  fhir:created [ fhir:v "2025-03-13T11:01:00+05:00"^^xsd:dateTime] ; # 
  fhir:insurer [
     fhir:reference [ fhir:v "urn:uuid:344de91a-0662-43a5-b88e-c2cd00887244" ] ;
     fhir:display [ fhir:v "Organization" ]
  ] ; # 
  fhir:provider [
     fhir:reference [ fhir:v "urn:uuid:de3a873e-3d69-44de-bf2b-4cb18384b07d" ] ;
     fhir:display [ fhir:v "Organization" ]
  ] ; # 
  fhir:priority [
     fhir:coding ( [
       fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/processpriority"^^xsd:anyURI ] ;
       fhir:code [ fhir:v "normal" ]
     ] )
  ] ; # 
  fhir:related ( [
     fhir:claim [
       fhir:reference [ fhir:v "urn:uuid:66748b1f-0dac-47da-9ded-d8908ef42338" ] ;
       fhir:display [ fhir:v "Claim-preauth" ]
     ] ;
     fhir:relationship [
       fhir:coding ( [
         fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/ex-relatedclaimrelationship"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "prior" ] ;
         fhir:display [ fhir:v "Prior Claim" ]
       ] )
     ]
  ] ) ; # 
  fhir:careTeam ( [
     fhir:sequence [ fhir:v "1"^^xsd:positiveInteger ] ;
     fhir:provider [
       fhir:reference [ fhir:v "urn:uuid:04c47993-b2bc-4912-849b-65ee63883f2e" ] ;
       fhir:display [ fhir:v "Practitioner" ]
     ] ;
     fhir:role [
       fhir:coding ( [
         a sct:223366009 ;
         fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "223366009" ] ;
         fhir:display [ fhir:v "Healthcare professional (occupation)" ]
       ] )
     ] ;
     fhir:qualification [
       fhir:coding ( [
         a sct:394658006 ;
         fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "394658006" ] ;
         fhir:display [ fhir:v "Clinical specialty (qualifier value)" ]
       ] )
     ]
  ] ) ; # 
  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"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "I46.9" ] ;
         fhir:display [ fhir:v "Cardiac arrest, unspecified" ]
       ] )
     ] ;
     fhir:type ( [
       fhir:coding ( [
         a sct:89100005 ;
         fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "89100005" ] ;
         fhir:display [ fhir:v "Final diagnosis (discharge) (contextual qualifier) (qualifier value)" ]
       ] )
     ] )
  ] ) ; # 
  fhir:procedure ( [
     fhir:sequence [ fhir:v "1"^^xsd:positiveInteger ] ;
     fhir:procedure [
       a fhir:CodeableConcept ;
       fhir:coding ( [
         a sct:77343006 ;
         fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "77343006" ] ;
         fhir:display [ fhir:v "Angiography" ]
       ] )
     ]
  ] [
     fhir:sequence [ fhir:v "2"^^xsd:positiveInteger ] ;
     fhir:procedure [
       a fhir:CodeableConcept ;
       fhir:coding ( [
         a sct:418285008 ;
         fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "418285008" ] ;
         fhir:display [ fhir:v "Angioplasty of blood vessel" ]
       ] )
     ]
  ] ) ; # 
  fhir:insurance ( [
     fhir:sequence [ fhir:v "1"^^xsd:positiveInteger ] ;
     fhir:focal [ fhir:v "true"^^xsd:boolean ] ;
     fhir:coverage [
       fhir:reference [ fhir:v "urn:uuid:02461bcb-aeaa-45ad-b24c-66b94272103c" ] ;
       fhir:display [ fhir:v "Coverage" ]
     ] ;
     fhir:preAuthRef ( [ fhir:v "123456" ] )
  ] ) ; # 
  fhir:item ( [
     fhir:sequence [ fhir:v "1"^^xsd:positiveInteger ] ;
     fhir:careTeamSequence ( [ fhir:v "1"^^xsd:positiveInteger ] ) ;
     fhir:productOrService [
       fhir:coding ( [
         a sct:77343006 ;
         fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "77343006" ] ;
         fhir:display [ fhir:v "Angiography" ]
       ] )
     ] ;
     fhir:serviced [
       a fhir:date ;
       fhir:v "2023-12-09"^^xsd:date
     ] ;
     fhir:unitPrice [
       fhir:value [ fhir:v "10000"^^xsd:decimal ] ;
       fhir:currency [ fhir:v "INR" ]
     ] ;
     fhir:net [
       fhir:value [ fhir:v "10000"^^xsd:decimal ] ;
       fhir:currency [ fhir:v "INR" ]
     ]
  ] [
     fhir:sequence [ fhir:v "2"^^xsd:positiveInteger ] ;
     fhir:careTeamSequence ( [ fhir:v "1"^^xsd:positiveInteger ] ) ;
     fhir:productOrService [
       fhir:coding ( [
         a sct:418285008 ;
         fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "418285008" ] ;
         fhir:display [ fhir:v "Angioplasty of blood vessel" ]
       ] )
     ] ;
     fhir:unitPrice [
       fhir:value [ fhir:v "10000"^^xsd:decimal ] ;
       fhir:currency [ fhir:v "INR" ]
     ] ;
     fhir:net [
       fhir:value [ fhir:v "10000"^^xsd:decimal ] ;
       fhir:currency [ fhir:v "INR" ]
     ]
  ] ) ; # 
  fhir:total [
     fhir:value [ fhir:v "20000"^^xsd:decimal ] ;
     fhir:currency [ fhir:v "INR" ]
  ] . # 

<urn:uuid:d16be93a-0881-422f-a9f1-b49808449395> a fhir:Patient ;
  fhir:id [ fhir:v "d16be93a-0881-422f-a9f1-b49808449395"] ; # 
  fhir:meta [
     fhir:profile ( [
       fhir:v "https://nrces.in/ndhm/fhir/r4/StructureDefinition/Patient"^^xsd:anyURI ;
       fhir:link <https://nrces.in/ndhm/fhir/r4/StructureDefinition/Patient>
     ] )
  ] ; # 
  fhir:text [
     fhir:status [ fhir:v "generated" ] ;
     fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_d16be93a-0881-422f-a9f1-b49808449395\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient d16be93a-0881-422f-a9f1-b49808449395</b></p><a name=\"d16be93a-0881-422f-a9f1-b49808449395\"> </a><a name=\"hcd16be93a-0881-422f-a9f1-b49808449395\"> </a><a name=\"d16be93a-0881-422f-a9f1-b49808449395-hi-IN\"> </a><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Adarsh Agrawal Male, DoB: 1981-01-12 ( Adhaar number: 7225-4829-5255)</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"Ways to contact the Patient\">Contact Detail</td><td colspan=\"3\"><a href=\"tel:+919818512600\">+919818512600</a></td></tr></table></div>"^^rdf:XMLLiteral
  ] ; # 
  fhir:identifier ( [
     fhir:type [
       fhir:coding ( [
         fhir:system [ fhir:v "https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-identifier-type-code"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "ADN" ] ;
         fhir:display [ fhir:v "Adhaar number" ]
       ] )
     ] ;
     fhir:system [ fhir:v "https://uidai.gov.in/"^^xsd:anyURI ] ;
     fhir:value [ fhir:v "7225-4829-5255" ]
  ] ) ; # 
  fhir:name ( [
     fhir:text [ fhir:v "Adarsh Agrawal" ]
  ] ) ; # 
  fhir:telecom ( [
     fhir:system [ fhir:v "phone" ] ;
     fhir:value [ fhir:v "+919818512600" ] ;
     fhir:use [ fhir:v "home" ]
  ] ) ; # 
  fhir:gender [ fhir:v "male"] ; # 
  fhir:birthDate [ fhir:v "1981-01-12"^^xsd:date] . # 

<urn:uuid:344de91a-0662-43a5-b88e-c2cd00887244> a fhir:Organization ;
  fhir:id [ fhir:v "344de91a-0662-43a5-b88e-c2cd00887244"] ; # 
  fhir:meta [
     fhir:profile ( [
       fhir:v "https://nrces.in/ndhm/fhir/r4/StructureDefinition/Organization"^^xsd:anyURI ;
       fhir:link <https://nrces.in/ndhm/fhir/r4/StructureDefinition/Organization>
     ] )
  ] ; # 
  fhir:text [
     fhir:status [ fhir:v "generated" ] ;
     fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Organization_344de91a-0662-43a5-b88e-c2cd00887244\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Organization 344de91a-0662-43a5-b88e-c2cd00887244</b></p><a name=\"344de91a-0662-43a5-b88e-c2cd00887244\"> </a><a name=\"hc344de91a-0662-43a5-b88e-c2cd00887244\"> </a><a name=\"344de91a-0662-43a5-b88e-c2cd00887244-hi-IN\"> </a><p><b>identifier</b>: Registry of Hospitals in Network of Insurance (ROHINI) ID/4567878</p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/organization-type ins}\">Insurance Company</span></p><p><b>name</b>: XYZ Insurance Co. Ltd.</p><p><b>telecom</b>: <a href=\"tel:+9124326341234\">+91 243 2634 1234</a>, <a href=\"mailto:contact@xyz.org\">contact@xyz.org</a></p></div>"^^rdf:XMLLiteral
  ] ; # 
  fhir:identifier ( [
     fhir:type [
       fhir:coding ( [
         fhir:system [ fhir:v "https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-identifier-type-code"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "ROHINI" ] ;
         fhir:display [ fhir:v "Registry of Hospitals in Network of Insurance (ROHINI) ID" ]
       ] )
     ] ;
     fhir:system [ fhir:v "https://rohini.iib.gov.in/"^^xsd:anyURI ] ;
     fhir:value [ fhir:v "4567878" ]
  ] ) ; # 
  fhir:type ( [
     fhir:coding ( [
       fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/organization-type"^^xsd:anyURI ] ;
       fhir:code [ fhir:v "ins" ] ;
       fhir:display [ fhir:v "Insurance Company" ]
     ] )
  ] ) ; # 
  fhir:name [ fhir:v "XYZ Insurance Co. Ltd."] ; # 
  fhir:telecom ( [
     fhir:system [ fhir:v "phone" ] ;
     fhir:value [ fhir:v "+91 243 2634 1234" ] ;
     fhir:use [ fhir:v "work" ]
  ] [
     fhir:system [ fhir:v "email" ] ;
     fhir:value [ fhir:v "contact@xyz.org" ] ;
     fhir:use [ fhir:v "work" ]
  ] ) . # 

<urn:uuid:de3a873e-3d69-44de-bf2b-4cb18384b07d> a fhir:Organization ;
  fhir:id [ fhir:v "de3a873e-3d69-44de-bf2b-4cb18384b07d"] ; # 
  fhir:meta [
     fhir:profile ( [
       fhir:v "https://nrces.in/ndhm/fhir/r4/StructureDefinition/Organization"^^xsd:anyURI ;
       fhir:link <https://nrces.in/ndhm/fhir/r4/StructureDefinition/Organization>
     ] )
  ] ; # 
  fhir:text [
     fhir:status [ fhir:v "generated" ] ;
     fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Organization_de3a873e-3d69-44de-bf2b-4cb18384b07d\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Organization de3a873e-3d69-44de-bf2b-4cb18384b07d</b></p><a name=\"de3a873e-3d69-44de-bf2b-4cb18384b07d\"> </a><a name=\"hcde3a873e-3d69-44de-bf2b-4cb18384b07d\"> </a><a name=\"de3a873e-3d69-44de-bf2b-4cb18384b07d-hi-IN\"> </a><p><b>identifier</b>: Provider number/45675454</p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/organization-type prov}\">Healthcare Provider</span></p><p><b>name</b>: XYZ Hospital Co. Ltd.</p><p><b>telecom</b>: <a href=\"tel:+9124326341278\">+91 243 2634 1278</a>, <a href=\"mailto:contact@xyz.org\">contact@xyz.org</a></p></div>"^^rdf:XMLLiteral
  ] ; # 
  fhir:identifier ( [
     fhir:type [
       fhir:coding ( [
         fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "PRN" ] ;
         fhir:display [ fhir:v "Provider number" ]
       ] )
     ] ;
     fhir:system [ fhir:v "https://facility.ndhm.gov.in"^^xsd:anyURI ] ;
     fhir:value [ fhir:v "45675454" ]
  ] ) ; # 
  fhir:type ( [
     fhir:coding ( [
       fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/organization-type"^^xsd:anyURI ] ;
       fhir:code [ fhir:v "prov" ] ;
       fhir:display [ fhir:v "Healthcare Provider" ]
     ] )
  ] ) ; # 
  fhir:name [ fhir:v "XYZ Hospital Co. Ltd."] ; # 
  fhir:telecom ( [
     fhir:system [ fhir:v "phone" ] ;
     fhir:value [ fhir:v "+91 243 2634 1278" ] ;
     fhir:use [ fhir:v "work" ]
  ] [
     fhir:system [ fhir:v "email" ] ;
     fhir:value [ fhir:v "contact@xyz.org" ] ;
     fhir:use [ fhir:v "work" ]
  ] ) . # 

<urn:uuid:04c47993-b2bc-4912-849b-65ee63883f2e> a fhir:Practitioner ;
  fhir:id [ fhir:v "04c47993-b2bc-4912-849b-65ee63883f2e"] ; # 
  fhir:meta [
     fhir:profile ( [
       fhir:v "https://nrces.in/ndhm/fhir/r4/StructureDefinition/Practitioner"^^xsd:anyURI ;
       fhir:link <https://nrces.in/ndhm/fhir/r4/StructureDefinition/Practitioner>
     ] )
  ] ; # 
  fhir:text [
     fhir:status [ fhir:v "generated" ] ;
     fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Practitioner_04c47993-b2bc-4912-849b-65ee63883f2e\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Practitioner 04c47993-b2bc-4912-849b-65ee63883f2e</b></p><a name=\"04c47993-b2bc-4912-849b-65ee63883f2e\"> </a><a name=\"hc04c47993-b2bc-4912-849b-65ee63883f2e\"> </a><a name=\"04c47993-b2bc-4912-849b-65ee63883f2e-hi-IN\"> </a><p><b>identifier</b>: Medical License number/21-1521-3828-3227</p><p><b>name</b>: Dr. Aayush Agrawal</p></div>"^^rdf:XMLLiteral
  ] ; # 
  fhir:identifier ( [
     fhir:type [
       fhir:coding ( [
         fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "MD" ] ;
         fhir:display [ fhir:v "Medical License number" ]
       ] )
     ] ;
     fhir:system [ fhir:v "https://doctor.ndhm.gov.in"^^xsd:anyURI ] ;
     fhir:value [ fhir:v "21-1521-3828-3227" ]
  ] ) ; # 
  fhir:name ( [
     fhir:text [ fhir:v "Dr. Aayush Agrawal" ]
  ] ) . # 

<urn:uuid:02461bcb-aeaa-45ad-b24c-66b94272103c> a fhir:Coverage ;
  fhir:id [ fhir:v "02461bcb-aeaa-45ad-b24c-66b94272103c"] ; # 
  fhir:meta [
     fhir:profile ( [
       fhir:v "https://nrces.in/ndhm/fhir/r4/StructureDefinition/Coverage"^^xsd:anyURI ;
       fhir:link <https://nrces.in/ndhm/fhir/r4/StructureDefinition/Coverage>
     ] )
  ] ; # 
  fhir:text [
     fhir:status [ fhir:v "generated" ] ;
     fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Coverage_02461bcb-aeaa-45ad-b24c-66b94272103c\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Coverage 02461bcb-aeaa-45ad-b24c-66b94272103c</b></p><a name=\"02461bcb-aeaa-45ad-b24c-66b94272103c\"> </a><a name=\"hc02461bcb-aeaa-45ad-b24c-66b94272103c\"> </a><a name=\"02461bcb-aeaa-45ad-b24c-66b94272103c-hi-IN\"> </a><p><b>identifier</b>: <code>https://xyzinsurance.in/policynumber/</code>/235037120</p><p><b>status</b>: Active</p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ActCode HIP}\">health insurance plan policy</span></p><p><b>subscriber</b>: <a href=\"Bundle-ClaimResponseBundle-enhancement-example-01.html#urn-uuid-d16be93a-0881-422f-a9f1-b49808449395\">Patient</a></p><p><b>subscriberId</b>: ABC123456BI007</p><p><b>beneficiary</b>: <a href=\"Bundle-ClaimResponseBundle-enhancement-example-01.html#urn-uuid-d16be93a-0881-422f-a9f1-b49808449395\">Patient</a></p><p><b>relationship</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/subscriber-relationship self}\">Self</span></p><p><b>period</b>: ?? --&gt; 2026-03-17</p><p><b>payor</b>: <a href=\"Bundle-ClaimResponseBundle-enhancement-example-01.html#urn-uuid-344de91a-0662-43a5-b88e-c2cd00887244\">Organization</a></p></div>"^^rdf:XMLLiteral
  ] ; # 
  fhir:identifier ( [
     fhir:system [ fhir:v "https://xyzinsurance.in/policynumber/"^^xsd:anyURI ] ;
     fhir:value [ fhir:v "235037120" ]
  ] ) ; # 
  fhir:status [ fhir:v "active"] ; # 
  fhir:type [
     fhir:coding ( [
       fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ActCode"^^xsd:anyURI ] ;
       fhir:code [ fhir:v "HIP" ] ;
       fhir:display [ fhir:v "health insurance plan policy" ]
     ] )
  ] ; # 
  fhir:subscriber [
     fhir:reference [ fhir:v "urn:uuid:d16be93a-0881-422f-a9f1-b49808449395" ] ;
     fhir:display [ fhir:v "Patient" ]
  ] ; # 
  fhir:subscriberId [ fhir:v "ABC123456BI007"] ; # 
  fhir:beneficiary [
     fhir:reference [ fhir:v "urn:uuid:d16be93a-0881-422f-a9f1-b49808449395" ] ;
     fhir:display [ fhir:v "Patient" ]
  ] ; # 
  fhir:relationship [
     fhir:coding ( [
       fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/subscriber-relationship"^^xsd:anyURI ] ;
       fhir:code [ fhir:v "self" ]
     ] )
  ] ; # 
  fhir:period [
     fhir:end [ fhir:v "2026-03-17"^^xsd:date ]
  ] ; # 
  fhir:payor ( [
     fhir:reference [ fhir:v "urn:uuid:344de91a-0662-43a5-b88e-c2cd00887244" ] ;
     fhir:display [ fhir:v "Organization" ]
  ] ) . # 

<urn:uuid:66748b1f-0dac-47da-9ded-d8908ef42338> a fhir:Claim ;
  fhir:id [ fhir:v "66748b1f-0dac-47da-9ded-d8908ef42338"] ; # 
  fhir:meta [
     fhir:profile ( [
       fhir:v "https://nrces.in/ndhm/fhir/r4/StructureDefinition/Claim"^^xsd:anyURI ;
       fhir:link <https://nrces.in/ndhm/fhir/r4/StructureDefinition/Claim>
     ] )
  ] ; # 
  fhir:text [
     fhir:status [ fhir:v "generated" ] ;
     fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Claim_66748b1f-0dac-47da-9ded-d8908ef42338\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Claim 66748b1f-0dac-47da-9ded-d8908ef42338</b></p><a name=\"66748b1f-0dac-47da-9ded-d8908ef42338\"> </a><a name=\"hc66748b1f-0dac-47da-9ded-d8908ef42338\"> </a><a name=\"66748b1f-0dac-47da-9ded-d8908ef42338-hi-IN\"> </a><p><b>identifier</b>: 7612345, 96785763</p><p><b>status</b>: Active</p><p><b>type</b>: <span title=\"Codes:{http://snomed.info/sct 737481003}\">Inpatient care management (procedure)</span></p><p><b>use</b>: Preauthorization</p><p><b>patient</b>: <a href=\"Bundle-ClaimResponseBundle-enhancement-example-01.html#urn-uuid-d16be93a-0881-422f-a9f1-b49808449395\">Patient</a></p><p><b>billablePeriod</b>: 2025-03-07 11:01:00+0500 --&gt; 2025-04-07 11:01:00+0500</p><p><b>created</b>: 2023-12-11 11:01:00+0500</p><p><b>insurer</b>: <a href=\"Bundle-ClaimResponseBundle-enhancement-example-01.html#urn-uuid-344de91a-0662-43a5-b88e-c2cd00887244\">Organization</a></p><p><b>provider</b>: <a href=\"Bundle-ClaimResponseBundle-enhancement-example-01.html#urn-uuid-de3a873e-3d69-44de-bf2b-4cb18384b07d\">Organization</a></p><p><b>priority</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/processpriority normal}\">Normal</span></p><h3>CareTeams</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Sequence</b></td><td><b>Provider</b></td><td><b>Role</b></td><td><b>Qualification</b></td></tr><tr><td style=\"display: none\">*</td><td>1</td><td><a href=\"Bundle-ClaimResponseBundle-enhancement-example-01.html#urn-uuid-04c47993-b2bc-4912-849b-65ee63883f2e\">Practitioner</a></td><td><span title=\"Codes:{http://snomed.info/sct 223366009}\">Healthcare professional (occupation)</span></td><td><span title=\"Codes:{http://snomed.info/sct 394658006}\">Clinical specialty (qualifier value)</span></td></tr></table><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></tr><tr><td style=\"display: none\">*</td><td>1</td><td><span title=\"Codes:{http://hl7.org/fhir/sid/icd-10 I46.9}\">Cardiac arrest, unspecified</span></td><td><span title=\"Codes:{http://snomed.info/sct 89100005}\">Final diagnosis (discharge) (contextual qualifier) (qualifier value)</span></td></tr></table><blockquote><p><b>procedure</b></p><p><b>sequence</b>: 1</p><p><b>procedure</b>: <span title=\"Codes:{http://snomed.info/sct 77343006}\">Angiography</span></p></blockquote><blockquote><p><b>procedure</b></p><p><b>sequence</b>: 2</p><p><b>procedure</b>: <span title=\"Codes:{http://snomed.info/sct 418285008}\">Angioplasty of blood vessel</span></p></blockquote><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=\"Bundle-ClaimResponseBundle-enhancement-example-01.html#urn-uuid-02461bcb-aeaa-45ad-b24c-66b94272103c\">Coverage</a></td></tr></table><blockquote><p><b>item</b></p><p><b>sequence</b>: 1</p><p><b>careTeamSequence</b>: 1</p><p><b>productOrService</b>: <span title=\"Codes:{http://snomed.info/sct 77343006}\">Angiography</span></p><p><b>serviced</b>: 2023-12-09</p><h3>UnitPrices</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>10000</td><td>Indian rupee</td></tr></table><h3>Nets</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>10000</td><td>Indian rupee</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>sequence</b>: 2</p><p><b>careTeamSequence</b>: 1</p><p><b>productOrService</b>: <span title=\"Codes:{http://snomed.info/sct 418285008}\">Angioplasty of blood vessel</span></p><h3>UnitPrices</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>40000</td><td>Indian rupee</td></tr></table><h3>Nets</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>40000</td><td>Indian rupee</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>sequence</b>: 3</p><p><b>careTeamSequence</b>: 1</p><p><b>productOrService</b>: <span title=\"Codes:{http://snomed.info/sct 309904001}\">Intensive care unit</span></p><p><b>serviced</b>: 2023-12-11</p><p><b>quantity</b>: 10 day</p><h3>UnitPrices</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>2000</td><td>Indian rupee</td></tr></table><h3>Nets</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>20000</td><td>Indian rupee</td></tr></table></blockquote><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>70000</td><td>Indian rupee</td></tr></table></div>"^^rdf:XMLLiteral
  ] ; # 
  fhir:identifier ( [
     fhir:value [ fhir:v "7612345" ]
  ] [
     fhir:value [ fhir:v "96785763" ]
  ] ) ; # 
  fhir:status [ fhir:v "active"] ; # 
  fhir:type [
     fhir:coding ( [
       a sct:737481003 ;
       fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
       fhir:code [ fhir:v "737481003" ] ;
       fhir:display [ fhir:v "Inpatient care management (procedure)" ]
     ] )
  ] ; # 
  fhir:use [ fhir:v "preauthorization"] ; # 
  fhir:patient [
     fhir:reference [ fhir:v "urn:uuid:d16be93a-0881-422f-a9f1-b49808449395" ] ;
     fhir:display [ fhir:v "Patient" ]
  ] ; # 
  fhir:billablePeriod [
     fhir:start [ fhir:v "2025-03-07T11:01:00+05:00"^^xsd:dateTime ] ;
     fhir:end [ fhir:v "2025-04-07T11:01:00+05:00"^^xsd:dateTime ]
  ] ; # 
  fhir:created [ fhir:v "2023-12-11T11:01:00+05:00"^^xsd:dateTime] ; # 
  fhir:insurer [
     fhir:reference [ fhir:v "urn:uuid:344de91a-0662-43a5-b88e-c2cd00887244" ] ;
     fhir:display [ fhir:v "Organization" ]
  ] ; # 
  fhir:provider [
     fhir:reference [ fhir:v "urn:uuid:de3a873e-3d69-44de-bf2b-4cb18384b07d" ] ;
     fhir:display [ fhir:v "Organization" ]
  ] ; # 
  fhir:priority [
     fhir:coding ( [
       fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/processpriority"^^xsd:anyURI ] ;
       fhir:code [ fhir:v "normal" ]
     ] )
  ] ; # 
  fhir:careTeam ( [
     fhir:sequence [ fhir:v "1"^^xsd:positiveInteger ] ;
     fhir:provider [
       fhir:reference [ fhir:v "urn:uuid:04c47993-b2bc-4912-849b-65ee63883f2e" ] ;
       fhir:display [ fhir:v "Practitioner" ]
     ] ;
     fhir:role [
       fhir:coding ( [
         a sct:223366009 ;
         fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "223366009" ] ;
         fhir:display [ fhir:v "Healthcare professional (occupation)" ]
       ] )
     ] ;
     fhir:qualification [
       fhir:coding ( [
         a sct:394658006 ;
         fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "394658006" ] ;
         fhir:display [ fhir:v "Clinical specialty (qualifier value)" ]
       ] )
     ]
  ] ) ; # 
  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"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "I46.9" ] ;
         fhir:display [ fhir:v "Cardiac arrest, unspecified" ]
       ] )
     ] ;
     fhir:type ( [
       fhir:coding ( [
         a sct:89100005 ;
         fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "89100005" ] ;
         fhir:display [ fhir:v "Final diagnosis (discharge) (contextual qualifier) (qualifier value)" ]
       ] )
     ] )
  ] ) ; # 
  fhir:procedure ( [
     fhir:sequence [ fhir:v "1"^^xsd:positiveInteger ] ;
     fhir:procedure [
       a fhir:CodeableConcept ;
       fhir:coding ( [
         a sct:77343006 ;
         fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "77343006" ] ;
         fhir:display [ fhir:v "Angiography" ]
       ] )
     ]
  ] [
     fhir:sequence [ fhir:v "2"^^xsd:positiveInteger ] ;
     fhir:procedure [
       a fhir:CodeableConcept ;
       fhir:coding ( [
         a sct:418285008 ;
         fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "418285008" ] ;
         fhir:display [ fhir:v "Angioplasty of blood vessel" ]
       ] )
     ]
  ] ) ; # 
  fhir:insurance ( [
     fhir:sequence [ fhir:v "1"^^xsd:positiveInteger ] ;
     fhir:focal [ fhir:v "true"^^xsd:boolean ] ;
     fhir:coverage [
       fhir:reference [ fhir:v "urn:uuid:02461bcb-aeaa-45ad-b24c-66b94272103c" ] ;
       fhir:display [ fhir:v "Coverage" ]
     ]
  ] ) ; # 
  fhir:item ( [
     fhir:sequence [ fhir:v "1"^^xsd:positiveInteger ] ;
     fhir:careTeamSequence ( [ fhir:v "1"^^xsd:positiveInteger ] ) ;
     fhir:productOrService [
       fhir:coding ( [
         a sct:77343006 ;
         fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "77343006" ] ;
         fhir:display [ fhir:v "Angiography" ]
       ] )
     ] ;
     fhir:serviced [
       a fhir:date ;
       fhir:v "2023-12-09"^^xsd:date
     ] ;
     fhir:unitPrice [
       fhir:value [ fhir:v "10000"^^xsd:decimal ] ;
       fhir:currency [ fhir:v "INR" ]
     ] ;
     fhir:net [
       fhir:value [ fhir:v "10000"^^xsd:decimal ] ;
       fhir:currency [ fhir:v "INR" ]
     ]
  ] [
     fhir:sequence [ fhir:v "2"^^xsd:positiveInteger ] ;
     fhir:careTeamSequence ( [ fhir:v "1"^^xsd:positiveInteger ] ) ;
     fhir:productOrService [
       fhir:coding ( [
         a sct:418285008 ;
         fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "418285008" ] ;
         fhir:display [ fhir:v "Angioplasty of blood vessel" ]
       ] )
     ] ;
     fhir:unitPrice [
       fhir:value [ fhir:v "40000"^^xsd:decimal ] ;
       fhir:currency [ fhir:v "INR" ]
     ] ;
     fhir:net [
       fhir:value [ fhir:v "40000"^^xsd:decimal ] ;
       fhir:currency [ fhir:v "INR" ]
     ]
  ] [
     fhir:sequence [ fhir:v "3"^^xsd:positiveInteger ] ;
     fhir:careTeamSequence ( [ fhir:v "1"^^xsd:positiveInteger ] ) ;
     fhir:productOrService [
       fhir:coding ( [
         a sct:309904001 ;
         fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "309904001" ] ;
         fhir:display [ fhir:v "Intensive care unit" ]
       ] )
     ] ;
     fhir:serviced [
       a fhir:date ;
       fhir:v "2023-12-11"^^xsd:date
     ] ;
     fhir:quantity [
       fhir:value [ fhir:v "10"^^xsd:decimal ] ;
       fhir:unit [ fhir:v "day" ]
     ] ;
     fhir:unitPrice [
       fhir:value [ fhir:v "2000"^^xsd:decimal ] ;
       fhir:currency [ fhir:v "INR" ]
     ] ;
     fhir:net [
       fhir:value [ fhir:v "20000"^^xsd:decimal ] ;
       fhir:currency [ fhir:v "INR" ]
     ]
  ] ) ; # 
  fhir:total [
     fhir:value [ fhir:v "70000"^^xsd:decimal ] ;
     fhir:currency [ fhir:v "INR" ]
  ] . # 

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