🌐 EMA Health Core Implementation Guide
0.10.0 - ci-build

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: Ejemplo Reclamo al asegurador - TTL Representation

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

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

<http://hl7.org/fhir/Claim/EjemploEmaCoreClaim> a fhir:Claim ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:Resource.id [ fhir:value "EjemploEmaCoreClaim"] ;
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "https://emahealth.io/fhir/core/StructureDefinition/ema-core-claim" ;
       fhir:index 0 ;
       fhir:link <https://emahealth.io/fhir/core/StructureDefinition/ema-core-claim>
     ]
  ] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ] ;
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Claim EjemploEmaCoreClaim</b></p><a name=\"EjemploEmaCoreClaim\"> </a><a name=\"hcEjemploEmaCoreClaim\"> </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-ema-core-claim.html\">EMA Core Claim</a></p></div><p><b>identifier</b>: <code>https://tenant-ejemplo.emahealth.io/fhir/sid/claim</code>/CLM-2026-000318</p><p><b>status</b>: Active</p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/claim-type professional}\">Professional</span></p><p><b>use</b>: Claim</p><p><b>patient</b>: <a href=\"Patient-EjemploEmaCorePatient.html\">Carmen Díaz (official) Female, DoB: 1969-04-22 ( Medical record number (use: usual, ))</a></p><p><b>created</b>: 2026-08-18 18:00:00-0400</p><p><b>provider</b>: <a href=\"Organization-EjemploEmaCoreOrganization.html\">Organization Centro Médico EMA</a></p><p><b>priority</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/processpriority normal}\">Normal</span></p><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-EjemploEmaCoreCoverage.html\">Coverage: status = active; type = ; period = 2026-01-01 --&gt; 2026-12-31</a></td></tr></table><blockquote><p><b>item</b></p><p><b>sequence</b>: 1</p><p><b>productOrService</b>: <span title=\"Codes:{https://tenant-ejemplo.emahealth.io/fhir/CodeSystem/catalog CLI-CONS-CTRL}\">CLI-CONS-CTRL</span></p><p><b>serviced</b>: 2026-08-18</p><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>35000</td><td>Chilean peso</td></tr></table></blockquote></div>"
  ] ;
  fhir:Claim.identifier [
     fhir:index 0 ;
     fhir:Identifier.system [ fhir:value "https://tenant-ejemplo.emahealth.io/fhir/sid/claim" ] ;
     fhir:Identifier.value [ fhir:value "CLM-2026-000318" ]
  ] ;
  fhir:Claim.status [ fhir:value "active"] ;
  fhir:Claim.type [
     fhir:CodeableConcept.coding [
       fhir:index 0 ;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/claim-type" ] ;
       fhir:Coding.code [ fhir:value "professional" ]
     ]
  ] ;
  fhir:Claim.use [ fhir:value "claim"] ;
  fhir:Claim.patient [
     fhir:link <http://hl7.org/fhir/Patient/EjemploEmaCorePatient> ;
     fhir:Reference.reference [ fhir:value "Patient/EjemploEmaCorePatient" ]
  ] ;
  fhir:Claim.created [ fhir:value "2026-08-18T18:00:00-04:00"^^xsd:dateTime] ;
  fhir:Claim.provider [
     fhir:link <http://hl7.org/fhir/Organization/EjemploEmaCoreOrganization> ;
     fhir:Reference.reference [ fhir:value "Organization/EjemploEmaCoreOrganization" ]
  ] ;
  fhir:Claim.priority [
     fhir:CodeableConcept.coding [
       fhir:index 0 ;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/processpriority" ] ;
       fhir:Coding.code [ fhir:value "normal" ]
     ]
  ] ;
  fhir:Claim.insurance [
     fhir:index 0 ;
     fhir:Claim.insurance.sequence [ fhir:value "1"^^xsd:positiveInteger ] ;
     fhir:Claim.insurance.focal [ fhir:value "true"^^xsd:boolean ] ;
     fhir:Claim.insurance.coverage [
       fhir:link <http://hl7.org/fhir/Coverage/EjemploEmaCoreCoverage> ;
       fhir:Reference.reference [ fhir:value "Coverage/EjemploEmaCoreCoverage" ]
     ]
  ] ;
  fhir:Claim.item [
     fhir:index 0 ;
     fhir:Claim.item.sequence [ fhir:value "1"^^xsd:positiveInteger ] ;
     fhir:Claim.item.productOrService [
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         fhir:Coding.system [ fhir:value "https://tenant-ejemplo.emahealth.io/fhir/CodeSystem/catalog" ] ;
         fhir:Coding.code [ fhir:value "CLI-CONS-CTRL" ]
       ]
     ] ;
     fhir:Claim.item.servicedDate [ fhir:value "2026-08-18"^^xsd:date ] ;
     fhir:Claim.item.net [
       fhir:Money.value [ fhir:value "35000"^^xsd:decimal ] ;
       fhir:Money.currency [ fhir:value "CLP" ]
     ]
  ] .

<http://hl7.org/fhir/Patient/EjemploEmaCorePatient> a fhir:Patient .

<http://hl7.org/fhir/Organization/EjemploEmaCoreOrganization> a fhir:Organization .

<http://hl7.org/fhir/Coverage/EjemploEmaCoreCoverage> a fhir:Coverage .

# - ontology header ------------------------------------------------------------

<http://hl7.org/fhir/Claim/EjemploEmaCoreClaim.ttl> a owl:Ontology ;
  owl:imports fhir:fhir.ttl ;
  owl:versionIRI <http://build.fhir.org/Claim/EjemploEmaCoreClaim.ttl> .