This page is part of the US Behavioral Health Profiles (v0.1.0: Release) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions
: medicaid-coverage-example - 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:Coverage ;
fhir:nodeRole fhir:treeRoot ;
fhir:id [ fhir:v "medicaid-coverage-example-1"] ; #
fhir:meta [
( fhir:profile [
fhir:v "http://hl7.org/fhir/us/core/StructureDefinition/us-core-coverage|6.1.0"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-coverage|6.1.0> ] )
] ; #
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Coverage medicaid-coverage-example-1</b></p><a name=\"medicaid-coverage-example-1\"> </a><a name=\"hcmedicaid-coverage-example-1\"> </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=\"http://hl7.org/fhir/us/core/STU6.1/StructureDefinition-us-core-coverage.html\">US Core Coverage Profileversion: null6.1.0)</a></p></div><p><b>identifier</b>: Member Number/88800933501</p><p><b>status</b>: Active</p><p><b>type</b>: <span title=\"Codes:{https://nahdo.org/sopt 2}\">Medicaid</span></p><p><b>subscriberId</b>: 888009335</p><p><b>beneficiary</b>: <a href=\"Patient-bh-patient-example.html\">James Wolff Male, DoB: 1961-07-16 ( Medical Record Number: 1032702 (use: usual, ))</a></p><p><b>relationship</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/subscriber-relationship self}\">Self</span></p><p><b>period</b>: 2024-01-01 --> (ongoing)</p><p><b>payor</b>: <a href=\"Organization-fl-medicaid-example-1.html\">MyACCESS - Florida Medicaid</a></p><h3>Classes</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Type</b></td><td><b>Value</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/coverage-class group}\">Group</span></td><td>Union Group Plan</td></tr></table></div>"^^rdf:XMLLiteral
] ; #
fhir:identifier ( [
fhir:type [
( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ] ;
fhir:code [ fhir:v "MB" ] ;
fhir:display [ fhir:v "Member Number" ] ] ) ] ;
fhir:system [ fhir:v "http://example.org/fhir/memberidentifier"^^xsd:anyURI ] ;
fhir:value [ fhir:v "88800933501" ]
] ) ; #
fhir:status [ fhir:v "active"] ; #
fhir:type [
( fhir:coding [
fhir:system [ fhir:v "https://nahdo.org/sopt"^^xsd:anyURI ] ;
fhir:code [ fhir:v "2" ] ;
fhir:display [ fhir:v "Medicaid" ] ] ) ;
fhir:text [ fhir:v "Medicaid" ]
] ; #
fhir:subscriberId [ fhir:v "888009335"] ; #
fhir:beneficiary [
fhir:reference [ fhir:v "Patient/bh-patient-example" ]
] ; #
fhir:relationship [
( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/subscriber-relationship"^^xsd:anyURI ] ;
fhir:code [ fhir:v "self" ] ] ) ;
fhir:text [ fhir:v "Self" ]
] ; #
fhir:period [
fhir:start [ fhir:v "2024-01-01"^^xsd:date ]
] ; #
fhir:payor ( [
fhir:reference [ fhir:v "Organization/fl-medicaid-example-1" ] ;
fhir:display [ fhir:v "MyACCESS - Florida Medicaid" ]
] ) ; #
fhir:class ( [
fhir:type [
( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/coverage-class"^^xsd:anyURI ] ;
fhir:code [ fhir:v "group" ] ;
fhir:display [ fhir:v "Group" ] ] ) ;
fhir:text [ fhir:v "Group" ] ] ;
fhir:value [ fhir:v "Union Group Plan" ]
] ) . #
