FHIR Release 3 (STU) 5 Preview #3
This page is part of the FHIR Specification (v3.0.2: STU 3). The current version which supercedes this version is 4.0.1 . For a full list of available versions, see the Directory of published versions

Coverage-example-2.ttl

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

Raw Turtle , JSON-LD (+ also see Turtle/RDF Format Specification )

General Person Secondary Coverage Example

@prefix fhir: <http://hl7.org/fhir/> .
@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://hl7.org/fhir/v3/ActCode" ];

       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.subscriberId [
     fhir:Identifier.value [ 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.grouping [
     fhir:Coverage.grouping.group [ fhir:value "WESTAIR" ];
     fhir:Coverage.grouping.groupDisplay [ fhir:value "Western Airlines" ];
     fhir:Coverage.grouping.plan [ fhir:value "WESTAIR" ];
     fhir:Coverage.grouping.planDisplay [ fhir:value "Western Airlines" ];
     fhir:Coverage.grouping.subPlan [ fhir:value "D15C9" ];
     fhir:Coverage.grouping.subPlanDisplay [ fhir:value "Platinum" ]

  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.dependent [ fhir:value "1"];

  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 ]
       ]
     ]
  ];

  fhir:Coverage.contract [
     fhir:index 0;
     fhir:link <http://hl7.org/fhir/Contract/563818>;
     fhir:Reference.reference [ fhir:value "Contract/563818" ]

     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/563818> a fhir:Contract .

<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://hl7.org/fhir/STU3/Coverage/7546D.ttl> .

  owl:versionIRI <http://build.fhir.org/Coverage/7546D.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.