<?xml version="1.0" encoding="UTF-8"?><Claim xmlns="http://hl7.org/fhir">
	<id value="760151"/>

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

	<identifier>
		<system value="http://happypharma.com/claim"/>
		<value value="7612345"/>
	</identifier>

	<status value="active"/>

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

	<use value="claim"/>

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

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

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

	<provider>
		<reference value="Organization/1"/>
	</provider>

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

	<prescription>
		<reference value="http://pharmacy.org/MedicationRequest/AB1234G"/>
	</prescription>

	<originalPrescription>
		<reference value="http://pharmacy.org/MedicationRequest/AB1202B"/>
	</originalPrescription>

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

	<careTeam>
		<sequence value="1"/>
		<provider>
			<reference value="Practitioner/example"/>
		</provider>
	</careTeam>

	<supportingInfo>
		<sequence value="1"/>
		<category>
			<coding>
				<code value="pharmacyrefill"/>
			</coding>
		</category>
		<code>
			<coding>
				<system value="http://example.org/fhir/CodeSystem/pharmacy-refill"/>
				<code value="new"/>
			</coding>
		</code>	
	</supportingInfo>

	<supportingInfo>
		<sequence value="2"/>
		<category>
			<coding>
				<code value="pharmacyinformation"/>
			</coding>
		</category>
		<code>
			<coding>
				<system value="http://example.org/fhir/CodeSystem/pharmacy-information"/>
				<code value="refillsremaining"/>
			</coding>
		</code>	
		<valueQuantity>
			<value value="2"/>
		</valueQuantity>
	</supportingInfo>

	<supportingInfo>
		<sequence value="3"/>
		<category>
			<coding>
				<code value="pharmacyinformation"/>
			</coding>
		</category>
		<code>
			<coding>
				<system value="http://example.org/fhir/CodeSystem/pharmacy-information"/>
				<code value="dayssupply"/>
			</coding>
		</code>	
		<valueQuantity>
			<value value="90"/>
		</valueQuantity>
	</supportingInfo>

	<diagnosis>
		<sequence value="1"/>
		<diagnosisCodeableConcept>
			<coding>
				<code value="654456"/>
			</coding>
		</diagnosisCodeableConcept>
	</diagnosis>

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

	<item>
		<sequence value="1"/>
		<careTeamSequence value="1"/>
		<informationSequence value="1"/>
		<informationSequence value="2"/>
		<informationSequence value="3"/>
		  <!--  type=packagemedication  -->
		<productOrService>
			<coding>
				<system value="http://www.nlm.nih.gov/research/umls/rxnorm"/>
				<code value="562721"/> 
				<display value="Alprazolam 0.25mg (Xanax)"/>
			</coding> 
		</productOrService>
		<servicedDate value="2014-08-16"/>
		<quantity>
			<value value="90"/>
			<unit value="TAB"/>
			<system value="http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm"/> 
			<code value="TAB"/>
		</quantity>
		<net>
			<value value="90.00"/>
			<currency value="USD"/> 
		</net> 
		<detail>
			<sequence value="1"/>
			  <!--  type=costitem  -->
			<productOrService>
				<coding>
					<system value="http://hl7.org/fhir/ex-pharmaservice"/>
					<code value="drugcost"/> 
				</coding> 
			</productOrService>
			<net>
				<value value="45.00"/>
				<currency value="USD"/> 
			</net> 
		</detail>
		<detail>
			<sequence value="2"/>
			  <!--  type=costitem  -->
			<productOrService>
				<coding>
					<system value="http://hl7.org/fhir/ex-pharmaservice"/>
					<code value="markup"/> 
				</coding> 
			</productOrService>
			<net>
				<value value="9.00"/>
				<currency value="USD"/> 
			</net> 
		</detail>
		<detail>
			<sequence value="3"/>
			  <!--  type=costitem  -->
			<productOrService>
				<coding>
					<system value="http://hl7.org/fhir/ex-pharmaservice"/>
					<code value="dispensefee"/> 
				</coding> 
			</productOrService>
			<net>
				<value value="36.00"/>
				<currency value="USD"/> 
			</net> 
		</detail>
	</item>
	<total>
		<value value="90.00"/>
		<currency value="USD"/> 
	</total>
</Claim>