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page
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of
the
FHIR
Specification
(v5.0.0:
R5
-
STU
).
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is
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Publish-box
(todo)
Example
Coverage/9876B1
(Turtle)
Raw
Turtle
(+
also
see
Turtle/RDF
Format
Specification
)
General
Person
Primary
Coverage
Example
@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 ;
<http://hl7.org/fhir/Coverage/9876B1> a fhir:Coverage ;
fhir:nodeRole fhir:treeRoot ;
fhir:id [ fhir:v "9876B1"] ; #
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">A human-readable rendering of the coverage</div>"
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">A human-readable rendering of the coverage</div>"^^rdf:XMLLiteral
] ; #
fhir:identifier ( [
fhir:system [ fhir:v "http://benefitsinc.com/certificate"^^xsd:anyURI ] ;
fhir:value [ fhir:v "12345" ]
] ) ; #
fhir:status [ fhir:v "active"] ; #
fhir:kind [ fhir:v "insurance"] ; #
fhir:type [
fhir:coding ( [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ActCode"^^xsd:anyURI ] ;
fhir:code [ fhir:v "EHCPOL" ] ;
fhir:display [ fhir:v "extended healthcare" ]
] )
] ; #
fhir:policyHolder [
fhir:link <http://benefitsinc.com/FHIR/Organization/CBI35> ;
fhir:reference [ fhir:v "http://benefitsinc.com/FHIR/Organization/CBI35" ]
fhir:link <http://benefits.example.org/FHIR/Organization/CBI35> ;
fhir:reference [ fhir:v "http://benefits.example.org/FHIR/Organization/CBI35" ]
] ; #
fhir:subscriber [
fhir:link <http://hl7.org/fhir/Patient/4> ;
fhir:reference [ fhir:v "Patient/4" ]
] ; #
fhir:beneficiary [
fhir:link <http://hl7.org/fhir/Patient/4> ;
fhir:reference [ fhir:v "Patient/4" ]
] ; #
fhir:dependent [ fhir:v "0"] ; #
fhir:relationship [
fhir:coding ( [
fhir:code [ fhir:v "self" ]
] )
] ; #
fhir:period [
fhir:start [ fhir:v "2011-05-23"^^xsd:date ] ;
fhir:end [ fhir:v "2012-05-23"^^xsd:date ]
] ; #
fhir:insurer [
fhir:link <http://hl7.org/fhir/Organization/2> ;
fhir:reference [ fhir:v "Organization/2" ]
] ; #
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:value [
fhir:value [ fhir:v "CB135" ]
] ;
fhir:name [ fhir:v "Corporate Baker's Inc. Local #35" ]
] [
fhir:type [
fhir:coding ( [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/coverage-class"^^xsd:anyURI ] ;
fhir:code [ fhir:v "subgroup" ]
] )
] ;
fhir:value [
fhir:value [ fhir:v "123" ]
] ;
fhir:name [ fhir:v "Trainee Part-time Benefits" ]
] [
fhir:type [
fhir:coding ( [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/coverage-class"^^xsd:anyURI ] ;
fhir:code [ fhir:v "plan" ]
] )
] ;
fhir:value [
fhir:value [ fhir:v "B37FC" ]
] ;
fhir:name [ fhir:v "Full Coverage: Medical, Dental, Pharmacy, Vision, EHC" ]
] [
fhir:type [
fhir:coding ( [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/coverage-class"^^xsd:anyURI ] ;
fhir:code [ fhir:v "subplan" ]
] )
] ;
fhir:value [
fhir:value [ fhir:v "P7" ]
] ;
fhir:name [ fhir:v "Includes afterlife benefits" ]
] [
fhir:type [
fhir:coding ( [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/coverage-class"^^xsd:anyURI ] ;
fhir:code [ fhir:v "class" ]
] )
] ;
fhir:value [
fhir:value [ fhir:v "SILVER" ]
] ;
fhir:name [ fhir:v "Silver: Family Plan spouse only" ]
] [
fhir:type [
fhir:coding ( [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/coverage-class"^^xsd:anyURI ] ;
fhir:code [ fhir:v "subclass" ]
] )
] ;
fhir:value [
fhir:value [ fhir:v "Tier2" ]
] ;
fhir:name [ fhir:v "Low deductable, max $20 copay" ]
] [
fhir:type [
fhir:coding ( [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/coverage-class"^^xsd:anyURI ] ;
fhir:code [ fhir:v "sequence" ]
] )
] ;
fhir:value [
fhir:value [ fhir:v "9" ]
]
] [
fhir:type [
fhir:coding ( [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/coverage-class"^^xsd:anyURI ] ;
fhir:code [ fhir:v "rxid" ]
] )
] ;
fhir:value [
fhir:value [ fhir:v "MDF12345" ]
] # member id used when submitting pharmacy claims
] [
fhir:type [
fhir:coding ( [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/coverage-class"^^xsd:anyURI ] ;
fhir:code [ fhir:v "rxbin" ]
] )
] ;
fhir:value [
fhir:value [ fhir:v "987654" ]
] # the pharmacy processor BIN number used when submitting pharmacy claims
] [
fhir:type [
fhir:coding ( [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/coverage-class"^^xsd:anyURI ] ;
fhir:code [ fhir:v "rxgroup" ]
] )
] ;
fhir:value [
fhir:value [ fhir:v "M35PT" ]
] # group used when submitting pharmacy claims
] [
fhir:type [
fhir:coding ( [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/coverage-class"^^xsd:anyURI ] ;
fhir:code [ fhir:v "rxpcn" ]
] )
] ;
fhir:value [
fhir:value [ fhir:v "234516" ]
] # the PCN number used when submitting pharmacy claims
] [
fhir:type [
fhir:coding ( [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/coverage-class"^^xsd:anyURI ] ;
fhir:code [ fhir:v "sequence" ]
] )
] ;
fhir:value [
fhir:value [ fhir:v "9" ]
] # the sequence number for a short-term continuance of the coverage
] )] . # The repeating 'class' element is proposed to replace the 'grouping' element
] ) . # The repeating 'class' element is proposed to replace the 'grouping' element
<http://hl7.org/fhir/Patient/4> a fhir:Patient .
<http://hl7.org/fhir/Organization/2> a fhir:Organization .
# -------------------------------------------------------------------------------------
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.
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