<?xml version=“1.0” encoding=“UTF-8”?><Claim xmlns=“hl7.org/fhir”>

<id value="760150"/>

<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://hl7.org/fhir/ex-claimtype"/>
   <code value="pharmacy"/>
  </coding>    
 </type>

<use value="complete"/>

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

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

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

</insurer>

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

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

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

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

 <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"/>
  <careTeamLinkId value="1"/>
  <service>
   <coding>
    <system value="http://hl7.org/fhir/ex-pharmaservice"/>
    <code value="smokecess"/> <!--  smoking cessation consult  -->
       </coding> 
  </service>
  <servicedDate value="2014-08-16"/>
  <unitPrice>
     <value value="60.00"/>
         <system value="urn:iso:std:iso:4217"/>
     <code value="USD"/> 
  </unitPrice> 
  <net>
     <value value="60.00"/>
         <system value="urn:iso:std:iso:4217"/>
     <code value="USD"/> 
  </net> 
 </item>

</Claim>