Release 4B 5

This page is part of the FHIR Specification (v4.3.0: R4B (v5.0.0: R5 - STU ). The This is the current published version which supercedes in it's permanent home (it will always be available at this version is 5.0.0 . URL). For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R5 R4B R4 R3

Coverage-example-2.ttl

Example Coverage/7546D (Turtle)

Financial Management Work Group Maturity Level : N/A Standards Status : Informative Compartments : Patient , RelatedPerson

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

General Person Secondary Coverage Example 

@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 -------------------------------------------------------------------

<http://hl7.org/fhir/Coverage/7546D> a fhir:Coverage;
  fhir:nodeRole fhir:treeRoot;
  fhir:Resource.id [ fhir:value "7546D"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">A human-readable rendering of the coverage</div>"
  ];
  fhir:Coverage.identifier [
     fhir:index 0;
     fhir:Identifier.system [ fhir:value "http://xyz.com/codes/identifier" ];
     fhir:Identifier.value [ fhir:value "AB98761" ]
  ];
  fhir:Coverage.status [ fhir:value "active"];
  fhir:Coverage.type [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ActCode" ];
       fhir:Coding.code [ fhir:value "EHCPOL" ];
       fhir:Coding.display [ fhir:value "extended healthcare" ]
     ]
  ];
  fhir:Coverage.subscriber [
     fhir:link <http://hl7.org/fhir/Patient/5>;
     fhir:Reference.reference [ fhir:value "Patient/5" ]
  ];
  fhir:Coverage.subscriberId [ fhir:value "AB9876"];
  fhir:Coverage.beneficiary [
     fhir:link <http://hl7.org/fhir/Patient/5>;
     fhir:Reference.reference [ fhir:value "Patient/5" ]
  ];
  fhir:Coverage.dependent [ fhir:value "1"];
  fhir:Coverage.relationship [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.code [ fhir:value "self" ]
     ]
  ];
  fhir:Coverage.period [
     fhir:Period.start [ fhir:value "2011-03-17"^^xsd:date ];
     fhir:Period.end [ fhir:value "2012-03-17"^^xsd:date ]
  ];
  fhir:Coverage.payor [
     fhir:index 0;
     fhir:link <http://hl7.org/fhir/Organization/2>;
     fhir:Reference.reference [ fhir:value "Organization/2" ]
  ];
  fhir:Coverage.class [
     fhir:index 0;
     fhir:Coverage.class.type [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/coverage-class" ];
         fhir:Coding.code [ fhir:value "group" ]
       ]
     ];
     fhir:Coverage.class.value [ fhir:value "WESTAIR" ];
     fhir:Coverage.class.name [ fhir:value "Western Airlines" ]
  ], [
     fhir:index 1;
     fhir:Coverage.class.type [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/coverage-class" ];
         fhir:Coding.code [ fhir:value "plan" ]
       ]
     ];
     fhir:Coverage.class.value [ fhir:value "BG4352" ];
     fhir:Coverage.class.name [ fhir:value "Full Coverage: Medical, Dental, Pharmacy, Vision, EHC" ]
  ], [
     fhir:index 2;
     fhir:Coverage.class.type [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/coverage-class" ];
         fhir:Coding.code [ fhir:value "subplan" ]
       ]
     ];
     fhir:Coverage.class.value [ fhir:value "D15C9" ];
     fhir:Coverage.class.name [ fhir:value "Platinum" ]
  ];
  fhir:Coverage.order [ fhir:value "2"^^xsd:positiveInteger];
  fhir:Coverage.network [ fhir:value "5"];
  fhir:Coverage.costToBeneficiary [
     fhir:index 0;
     fhir:Coverage.costToBeneficiary.type [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/coverage-copay-type" ];
         fhir:Coding.code [ fhir:value "gpvisit" ]
       ]
     ];
     fhir:Coverage.costToBeneficiary.valueMoney [
       fhir:Money.value [ fhir:value "20.00"^^xsd:decimal ];
       fhir:Money.currency [ fhir:value "USD" ]
     ];
     fhir:Coverage.costToBeneficiary.exception [
       fhir:index 0;
       fhir:Coverage.costToBeneficiary.exception.type [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/ex-coverage-financial-exception" ];
           fhir:Coding.code [ fhir:value "retired" ]
         ]
       ];
       fhir:Coverage.costToBeneficiary.exception.period [
         fhir:Period.start [ fhir:value "2018-01-01"^^xsd:date ];
         fhir:Period.end [ fhir:value "2018-12-31"^^xsd:date ]

[a fhir:Coverage ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "7546D"] ; # 
  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:identifier ( [
     fhir:system [ fhir:v "http://xyz.com/codes/identifier"^^xsd:anyURI ] ;
     fhir:value [ fhir:v "AB98761" ]
  ] ) ; # 
  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:subscriber [
     fhir:reference [ fhir:v "Patient/5" ]
  ] ; # 
  fhir:subscriberId ( [
     fhir:value [ fhir:v "AB9876" ]
  ] ) ; # 
  fhir:beneficiary [
     fhir:reference [ fhir:v "Patient/5" ]
  ] ; # 
  fhir:dependent [ fhir:v "1"] ; # 
  fhir:relationship [
     fhir:coding ( [
       fhir:code [ fhir:v "self" ]
     ] )
  ] ; # 
  fhir:period [
     fhir:start [ fhir:v "2011-03-17"^^xsd:date ] ;
     fhir:end [ fhir:v "2012-03-17"^^xsd:date ]
  ] ; # 
  fhir:insurer [
     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 "WESTAIR" ]
     ] ;
     fhir:name [ fhir:v "Western Airlines" ]
  ] [
     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 "BG4352" ]
     ] ;
     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 "D15C9" ]
     ] ;
     fhir:name [ fhir:v "Platinum" ]
  ] ) ; # 
  fhir:order [ fhir:v "2"^^xsd:positiveInteger] ; # 
  fhir:network [ fhir:v "5"] ; #   Second after the national medical coverage  
  fhir:costToBeneficiary ( [
     fhir:type [
       fhir:coding ( [
         fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/coverage-copay-type"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "gpvisit" ]
       ] ) #   normally $40.00  
     ] ;
     fhir:value [
       a fhir:Money ;
       fhir:value [ fhir:v "20.00"^^xsd:decimal ] ;
       fhir:currency [ fhir:v "USD" ]
     ] ;
     fhir:exception ( [
       fhir:type [
         fhir:coding ( [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/ex-coverage-financial-exception"^^xsd:anyURI ] ;
           fhir:code [ fhir:v "retired" ]
         ] )
       ] ;
       fhir:period [
         fhir:start [ fhir:v "2018-01-01"^^xsd:date ] ;
         fhir:end [ fhir:v "2018-12-31"^^xsd:date ]

       ]
     ]
  ];
  fhir:Coverage.contract [
     fhir:index 0;
     fhir:link <http://hl7.org/fhir/Contract/INS-101>;
     fhir:Reference.reference [ fhir:value "Contract/INS-101" ]
  ] .

<http://hl7.org/fhir/Patient/5> a fhir:Patient .

<http://hl7.org/fhir/Organization/2> a fhir:Organization .

<http://hl7.org/fhir/Contract/INS-101> a fhir:Contract .

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

<http://hl7.org/fhir/Coverage/7546D.ttl> a owl:Ontology;
  owl:imports fhir:fhir.ttl;
  owl:versionIRI <http://build.fhir.org/Coverage/7546D.ttl> .

     ] )
  ] ) ; # 
  fhir:contract ( [
     fhir:reference [ fhir:v "Contract/INS-101" ]
  ] )] . # 


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

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.