MHK Interoperability Implementation Guide
0.1.0 - CI Build

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: PAS ClaimResponse for Eylea - TTL Representation

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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 xsd: <http://www.w3.org/2001/XMLSchema#> .

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

 a fhir:ClaimResponse ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "PAS-ClaimResponse"] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3>Eylea Injection Prior Authorization Response</h3><p>This response indicates approval for Eylea injection treatment.</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:code [ fhir:v "professional" ] ;
fhir:display [ fhir:v "Professional Claim" ]     ] )
  ] ; # 
  fhir:use [ fhir:v "preauthorization"] ; # 
  fhir:patient [
fhir:reference [ fhir:v "Patient/example" ]
  ] ; # 
  fhir:created [ fhir:v "2025-06-05"^^xsd:date] ; # 
  fhir:insurer [
fhir:reference [ fhir:v "Organization/payer" ]
  ] ; # 
  fhir:outcome [ fhir:v "complete"] ; # 
  fhir:disposition [ fhir:v "Approved for Eylea injection"] ; # 
  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 "eligible" ] ;
fhir:display [ fhir:v "Eligible Amount" ]         ] )       ] ;
fhir:amount [
fhir:value [ fhir:v "500"^^xsd:decimal ] ;
fhir:currency [ fhir:v "USD" ]       ]     ] )
  ] ) ; # 
  fhir:payment [
fhir:type [
      ( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/payment-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "payment" ] ;
fhir:display [ fhir:v "Payment" ]       ] )     ] ;
fhir:amount [
fhir:value [ fhir:v "500"^^xsd:decimal ] ;
fhir:currency [ fhir:v "USD" ]     ]
  ] . #