Release 4B Snapshot 3: Connectathon 32 Base

This page is part of the Snapshot #3 for FHIR Specification (v4.3.0: R4B - STU ). The current version which supercedes this version is 5.0.0 R5 , released to support Connectathon 32 . For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4

Contract-example-ins-policy.ttl

Example Contract/INS-101 (Turtle)

Financial Management Work Group Maturity Level : N/A Standards Status : Informative Compartments : Not linked to any defined compartments

Raw Turtle (+ also see Turtle/RDF Format Specification )

Health Insurance Policy 

@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .

@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .


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

[] a fhir:Contract;
  fhir:Resource.id [ fhir:value "INS-101"];

[a fhir:Contract;
  fhir:nodeRole fhir:treeRoot;
  fhir:Resource.id [ fhir:value "INS-101"]; # 

  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ]
  ];

     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n         <p>Plan: Your Choice Split Copay (Non-Grandfathered)</p>\n         <p>Certificate Form Number: YCSCWLN (01-2017)</p>\n      </div>"
  ]; # 

  fhir:Contract.identifier [
     fhir:index 0;
     fhir:Identifier.system [ fhir:value "http://xyz-insurance.com/forms" ];
     fhir:Identifier.value [ fhir:value "YCSCWLN(01-2017)" ]
  ];

  ]; # 

  fhir:Contract.applies [
     fhir:Period.start [ fhir:value "2017-01-01" ]
  ];

     fhir:Period.start [ fhir:value "2017-01-01"^^xsd:date ]
  ]; # 

  fhir:Contract.subject [
     fhir:index 0;
     fhir:Reference.reference [ fhir:value "Patient/1" ]
  ];

  ]; # 

  fhir:Contract.type [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/contract-type" ];
       fhir:Coding.code [ fhir:value "healthinsurance" ];
       fhir:Coding.display [ fhir:value "Health Insurance" ]
     ]
  ];

  ]; # 

  fhir:Contract.term [
     fhir:index 0;
     fhir:Contract.offer [
       fhir:Contract.text [ fhir:value "The benefits, limitations, exclusions and other coverage provisions in this booklet are subject to the terms of our contract with the Group. This booklet is a part of that contract, which is on file in the Group's office." ]

     fhir:Contract.term.offer [
       fhir:Contract.term.offer.text [ fhir:value "The benefits, limitations, exclusions and other coverage provisions in this booklet are subject to the terms of our contract with the Group. This booklet is a part of that contract, which is on file in the Group's office." ]

     ];
     fhir:Contract.asset [

     fhir:Contract.term.asset [

       fhir:index 0;
       fhir:Contract.type [

       fhir:Contract.term.asset.type [

         fhir:index 0;
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://something/something" ];
           fhir:Coding.code [ fhir:value "RicardianContract" ]

           fhir:Coding.system [ fhir:value "urn:ietf:rfc:3986" ];
           fhir:Coding.code [ fhir:value "urn:uuid:3a48c68c-318d-4c68-8471-4a3c10fcb41b" ];
           fhir:Coding.display [ fhir:value "RicardianContract" ]

         ]
       ];
       fhir:Contract.subtype [

       fhir:Contract.term.asset.subtype [

         fhir:index 0;
         fhir:CodeableConcept.text [ fhir:value "sample" ]
       ];
       fhir:Contract.period [

       fhir:Contract.term.asset.period [

         fhir:index 0;
         fhir:Period.start [ fhir:value "2017-06-01" ]

         fhir:Period.start [ fhir:value "2017-06-01"^^xsd:date ]

       ];
       fhir:Contract.valuedItem [

       fhir:Contract.term.asset.valuedItem [

         fhir:index 0;
         fhir:Contract.entity [

         fhir:Contract.term.asset.valuedItem.entityCodeableConcept [

           fhir:CodeableConcept.text [ fhir:value "Ford Bobcat" ]
         ];
         fhir:Contract.identifier [

         fhir:Contract.term.asset.valuedItem.identifier [

           fhir:Identifier.system [ fhir:value "http://somewhere.motor-vehicle.com/vin" ];
           fhir:Identifier.value [ fhir:value "XXSVT34-7665t952236" ]
         ];
         fhir:Contract.effectiveTime [ fhir:value "1995" ];
         fhir:Contract.quantity [
           fhir:Quantity.value [ fhir:value "1" ]

         fhir:Contract.term.asset.valuedItem.effectiveTime [ fhir:value "1995"^^xsd:gYear ];
         fhir:Contract.term.asset.valuedItem.quantity [
           fhir:Quantity.value [ fhir:value "1"^^xsd:decimal ]

         ];
         fhir:Contract.unitPrice [
           fhir:Money.value [ fhir:value "200.00" ];

         fhir:Contract.term.asset.valuedItem.unitPrice [
           fhir:Money.value [ fhir:value "200.00"^^xsd:decimal ];

           fhir:Money.currency [ fhir:value "CAD" ]
         ];
         fhir:Contract.factor [ fhir:value "1.0" ];
         fhir:Contract.points [ fhir:value "1.0" ];
         fhir:Contract.net [
           fhir:Money.value [ fhir:value "200.00" ];

         fhir:Contract.term.asset.valuedItem.factor [ fhir:value "1.0"^^xsd:decimal ];
         fhir:Contract.term.asset.valuedItem.points [ fhir:value "1.0"^^xsd:decimal ];
         fhir:Contract.term.asset.valuedItem.net [
           fhir:Money.value [ fhir:value "200.00"^^xsd:decimal ];

           fhir:Money.currency [ fhir:value "CAD" ]
         ]
       ]
     ];
     fhir:Contract.group [

     fhir:Contract.term.group [

       fhir:index 0;
       fhir:Contract.offer [
         fhir:Contract.text [ fhir:value "Eligible Providers" ]

       fhir:Contract.term.offer [
         fhir:Contract.term.offer.text [ fhir:value "Eligible Providers" ]

       ]
     ], [
       fhir:index 1;
       fhir:Contract.offer [
         fhir:Contract.text [ fhir:value "Responsibility for Payment" ]

       fhir:Contract.term.offer [
         fhir:Contract.term.offer.text [ fhir:value "Responsibility for Payment" ]

       ]
     ], [
       fhir:index 2;
       fhir:Contract.offer [
         fhir:Contract.text [ fhir:value "List of Benefits" ]

       fhir:Contract.term.offer [
         fhir:Contract.term.offer.text [ fhir:value "List of Benefits" ]

       ];
       fhir:Contract.group [

       fhir:Contract.term.group [

         fhir:index 0;
         fhir:Contract.offer [
           fhir:Contract.text [ fhir:value "Copays" ]

         fhir:Contract.term.offer [
           fhir:Contract.term.offer.text [ fhir:value "Copays" ]

         ];
         fhir:Contract.group [

         fhir:Contract.term.group [

           fhir:index 0;
           fhir:Contract.offer [
             fhir:Contract.text [ fhir:value "Emergency Room Copay" ]

           fhir:Contract.term.offer [
             fhir:Contract.term.offer.text [ fhir:value "Emergency Room Copay" ]

           ]
         ], [
           fhir:index 1;
           fhir:Contract.offer [
             fhir:Contract.text [ fhir:value "Professional Visit Copay" ]

           fhir:Contract.term.offer [
             fhir:Contract.term.offer.text [ fhir:value "Professional Visit Copay" ]

           ]
         ]
       ], [
         fhir:index 1;
         fhir:Contract.offer [
           fhir:Contract.text [ fhir:value "Calendar Year Deductible" ]

         fhir:Contract.term.offer [
           fhir:Contract.term.offer.text [ fhir:value "Calendar Year Deductible" ]

         ]
       ], [
         fhir:index 2;
         fhir:Contract.offer [
           fhir:Contract.text [ fhir:value "Out-Of-Pocket Maximum" ]

         fhir:Contract.term.offer [
           fhir:Contract.term.offer.text [ fhir:value "Out-Of-Pocket Maximum" ]

         ]
       ], [
         fhir:index 3;
         fhir:Contract.offer [
           fhir:Contract.text [ fhir:value "Medical Services" ]

         fhir:Contract.term.offer [
           fhir:Contract.term.offer.text [ fhir:value "Medical Services" ]

         ];
         fhir:Contract.group [

         fhir:Contract.term.group [

           fhir:index 0;
           fhir:Contract.offer [
             fhir:Contract.text [ fhir:value "Ambulance Services" ]

           fhir:Contract.term.offer [
             fhir:Contract.term.offer.text [ fhir:value "Ambulance Services" ]

           ]
         ], [
           fhir:index 1;
           fhir:Contract.offer [
             fhir:Contract.text [ fhir:value "Dental Services" ]

           fhir:Contract.term.offer [
             fhir:Contract.term.offer.text [ fhir:value "Dental Services" ]

           ]
         ], [
           fhir:index 2;
           fhir:Contract.offer [
             fhir:Contract.text [ fhir:value "Diagnostic Services" ]

           fhir:Contract.term.offer [
             fhir:Contract.term.offer.text [ fhir:value "Diagnostic Services" ]

           ]
         ], [
           fhir:index 3;
           fhir:Contract.offer [
             fhir:Contract.text [ fhir:value "Emergency Room Services" ]

           fhir:Contract.term.offer [
             fhir:Contract.term.offer.text [ fhir:value "Emergency Room Services" ]

           ]
         ], [
           fhir:index 4;
           fhir:Contract.offer [
             fhir:Contract.text [ fhir:value "Hospital Inpatient Care" ]

           fhir:Contract.term.offer [
             fhir:Contract.term.offer.text [ fhir:value "Hospital Inpatient Care" ]

           ]
         ]
       ]
     ]
  ] .

  ]] . # 

# - ontology header ------------------------------------------------------------

[a owl:Ontology;
  owl:imports fhir:fhir.ttl] .


# -------------------------------------------------------------------------------------

Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.