Bidirectional Services eReferral (BSeR), published by HL7 Public Health Working Group. This guide is not an authorized publication; it is the continuous build for version 2.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/bser/ and changes regularly. See the Directory of published versions
@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:Coverage ;
fhir:nodeRole fhir:treeRoot ;
fhir:id [ fhir:v "coverage-bser-coverage-baby-everybaby"] ; #
fhir:meta [
( fhir:profile [
fhir:v "http://hl7.org/fhir/us/bser/StructureDefinition/BSeR-Coverage"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/bser/StructureDefinition/BSeR-Coverage> ] )
] ; #
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 coverage-bser-coverage-baby-everybaby</b></p><a name=\"coverage-bser-coverage-baby-everybaby\"> </a><a name=\"hccoverage-bser-coverage-baby-everybaby\"> </a><a name=\"coverage-bser-coverage-baby-everybaby-en-US\"> </a><p><b>identifier</b>: Member Number/12345</p><p><b>status</b>: Active</p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ActCode EHCPOL}\">extended healthcare</span></p><p><b>subscriber</b>: <a href=\"RelatedPerson-relatedperson-us-core-relatedperson-mom-everymom.html\">Mom Everymom</a></p><p><b>beneficiary</b>: <a href=\"Patient-patient-us-core-patient-baby-everybaby.html\">Baby Everybaby</a></p><p><b>relationship</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-RoleCode GESTM}\">gestational mother</span></p><p><b>period</b>: 2019-05-23 --> 2020-05-23</p><p><b>payor</b>: <a href=\"Organization-organization-us-core-organization-saint-luke.html\">Organization Saint Luke's Hospital of Kansas City</a></p><blockquote><p><b>class</b></p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/coverage-class group}, {http://terminology.hl7.org/CodeSystem/coverage-class subgroup}\">Group</span></p><p><b>value</b>: 123</p><p><b>name</b>: Trainee Part-time Benefits</p></blockquote><blockquote><p><b>class</b></p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/coverage-class plan}, {http://terminology.hl7.org/CodeSystem/coverage-class subplan}\">Plan</span></p><p><b>value</b>: P7</p><p><b>name</b>: Includes afterlife benefits</p></blockquote><blockquote><p><b>class</b></p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/coverage-class class}\">Class</span></p><p><b>value</b>: SILVER</p><p><b>name</b>: Silver: Family Plan spouse only</p></blockquote><blockquote><p><b>class</b></p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/coverage-class subclass}\">SubClass</span></p><p><b>value</b>: Tier2</p><p><b>name</b>: Low deductible, max $20 copay</p></blockquote><blockquote><p><b>class</b></p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/coverage-class sequence}\">Sequence</span></p><p><b>value</b>: 9</p></blockquote><blockquote><p><b>class</b></p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/coverage-class rxid}\">RX Id</span></p><p><b>value</b>: MDF12345</p></blockquote><blockquote><p><b>class</b></p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/coverage-class rxbin}\">RX BIN</span></p><p><b>value</b>: 987654</p></blockquote><blockquote><p><b>class</b></p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/coverage-class rxgroup}\">RX Group</span></p><p><b>value</b>: M35PT</p></blockquote><blockquote><p><b>class</b></p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/coverage-class rxpcn}\">RX PCN</span></p><p><b>value</b>: 234516</p></blockquote><blockquote><p><b>class</b></p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/coverage-class sequence}\">Sequence</span></p><p><b>value</b>: 9</p></blockquote></div>"
] ; #
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://benefitsinc.com/certificate"^^xsd:anyURI ] ;
fhir:value [ fhir:v "12345" ]
] ) ; #
fhir:status [ fhir:v "active"] ; #
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 "RelatedPerson/relatedperson-us-core-relatedperson-mom-everymom" ] ;
fhir:display [ fhir:v "Mom Everymom" ]
] ; #
fhir:beneficiary [
fhir:reference [ fhir:v "Patient/patient-us-core-patient-baby-everybaby" ] ;
fhir:display [ fhir:v "Baby Everybaby" ]
] ; #
fhir:relationship [
( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-RoleCode"^^xsd:anyURI ] ;
fhir:code [ fhir:v "GESTM" ] ;
fhir:display [ fhir:v "gestational mother" ] ] ) ;
fhir:text [ fhir:v "gestational mother" ]
] ; #
fhir:period [
fhir:start [ fhir:v "2019-05-23"^^xsd:date ] ;
fhir:end [ fhir:v "2020-05-23"^^xsd:date ]
] ; #
fhir:payor ( [
fhir:reference [ fhir:v "Organization/organization-us-core-organization-saint-luke" ]
] ) ; #
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:system [ fhir:v "http://terminology.hl7.org/CodeSystem/coverage-class"^^xsd:anyURI ] ;
fhir:code [ fhir:v "subgroup" ] ] ) ] ;
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:system [ fhir:v "http://terminology.hl7.org/CodeSystem/coverage-class"^^xsd:anyURI ] ;
fhir:code [ fhir:v "subplan" ] ] ) ] ;
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: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:v "Tier2" ] ;
fhir:name [ fhir:v "Low deductible, 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: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:v "MDF12345" ]
] [
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:v "987654" ]
] [
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:v "M35PT" ]
] [
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:v "234516" ]
] [
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:v "9" ]
] ) . #
IG © 2022+ HL7 Public Health Working Group. Package hl7.fhir.us.bser#2.0.0-ballot based on FHIR 4.0.1. Generated 2024-12-02
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