<?xml version="1.0" encoding="UTF-8"?><Claim xmlns="http://hl7.org/fhir">
	<id value="960151"/>

	<text>
		<status value="generated"/>
		<div xmlns="http://www.w3.org/1999/xhtml">A human-readable rendering of the Claim</div>
	</text>

	<identifier>
		<system value="http://happyhospital.com/claim"/>
		<value value="96123451"/>
	</identifier>

	<status value="active"/>

	<type>
		<coding>
			<system value="http://terminology.hl7.org/CodeSystem/claim-type"/>
			<code value="institutional"/>
		</coding>
	</type>

	<use value="claim"/>

	<patient>
		<reference value="Patient/1"/>
	</patient>

	<billablePeriod>
		<start value="2014-08-15"/>
		<end value="2014-08-16"/>
	</billablePeriod>

	<created value="2014-08-16"/>

	<enterer>
		<identifier>
			<system value="http://jurisdiction.org/facilities/HOSP1234/users"/>
			<value value="UC1234"/>
		</identifier>
	</enterer>

	<insurer>
		<reference value="Organization/2"/>
	</insurer>

	<provider>
		<identifier>
			<system value="http://npid.org/providerid"/>
			<value value="NJ12345"/>
		</identifier>
	</provider>

	<priority>
		<coding>
			<code value="normal"/>
		</coding>
	</priority>

	<payee>
		<type>
			<coding>
				<code value="provider"/>
			</coding>
		</type>
	</payee>

	<facility>
		<identifier>
			<system value="http://jurisdiction.org/facilities"/>
			<value value="HOSP1234"/>
		</identifier>
	</facility>

	<diagnosisRelatedGroup>
		<coding>
			<system value="http://terminology.hl7.org/CodeSystem/ex-diagnosisrelatedgroup"/>
			<code value="400"/>
			<display value="Head trauma - concussion"/>
		</coding>
	</diagnosisRelatedGroup>
	
	<careTeam>
		<sequence value="1"/>
		<provider>
			<reference value="Practitioner/example"/>
		</provider>
		<responsible value="true"/>
		<role>
			<coding>
				<system value="http://example.org/fhir/CodeSystem/claim-careteamrole"/>
				<code value="primary"/>
			</coding>
		</role>
		<specialty>
			<coding>
				<system value="http://example.org/fhir/CodeSystem/provider-qualification"/>
				<code value="physician"/>
			</coding>
		</specialty>
	</careTeam>

	<supportingInfo>
		<sequence value="1"/>
		<category>
			<coding>
				<system value="http://terminology.hl7.org/CodeSystem/claiminformationcategory"/>
				<code value="employmentimpacted"/>
			</coding>
		</category>
		<timingPeriod>
			<start value="2014-08-16"/>
			<end value="2014-08-16"/>
		</timingPeriod>
	</supportingInfo>

	<supportingInfo>
		<sequence value="2"/>
		<category>
			<coding>
				<system value="http://terminology.hl7.org/CodeSystem/claiminformationcategory"/>
				<code value="hospitalized"/>
			</coding>
		</category>
		<timingPeriod>
			<start value="2014-08-15"/>
			<end value="2014-08-16"/>
		</timingPeriod>
	</supportingInfo>

	<diagnosis>
		<sequence value="1"/>
		<diagnosisCodeableConcept>
			<coding>
				<code value="654456"/>
			</coding>
		</diagnosisCodeableConcept>
		<type>
			<coding>
				<system value="http://terminology.hl7.org/CodeSystem/ex-diagnosistype"/>
				<code value="admitting"/>
			</coding>
		</type>

	</diagnosis>

	<insurance>
		<sequence value="1"/>
		<focal value="true"/>
		<coverage>
			<reference value="Coverage/9876B1"/>
		</coverage>
		<businessArrangement value="BA987123"/>
		<preAuthRef value="PA2014G56473"/>
	</insurance>

	<accident>
		<date value="2014-07-09"/>
		<type>
			<coding>
				<system value="http://terminology.hl7.org/CodeSystem/v3-ActIncidentCode"/>
				<code value="SPT"/>
				<display value="Sporting Accident"/>
			</coding>
		</type>
		<locationAddress>
			<text value="Grouse Mountain Ski Hill"/>
		</locationAddress>
	</accident>

	<item>
		<sequence value="1"/>
		<careTeamSequence value="1"/>
		<productOrService>
			<coding>
				<system value="http://hl7.org/fhir/ex-serviceproduct"/>
				<code value="exam"/> 
			</coding>
		</productOrService>
		<servicedDate value="2014-08-16"/>
		<unitPrice>
			<value value="125.00"/>
			<currency value="USD"/> 
		</unitPrice> 
		<net>
			<value value="125.00"/>
			<currency value="USD"/> 
		</net> 
	</item>

	<total>
		<value value="125.00"/>
		<currency value="USD"/>  
	</total>
</Claim>