Validated Healthcare Directory, published by HL7 International / Patient Administration. This guide is not an authorized publication; it is the continuous build for version 1.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/VhDir/ and changes regularly. See the Directory of published versions

• Narrative Content
• XML
• JSON
• TTL

: VhDir Insurance Plan Code System - TTL Representation

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@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:CodeSystem ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "insuranceplan"] ; # 
  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: CodeSystem insuranceplan</b></p><a name=\"insuranceplan\"> </a><a name=\"hcinsuranceplan\"> </a><a name=\"insuranceplan-en-US\"> </a><p>This case-sensitive code system <code>http://hl7.org/fhir/uv/vhdir/CodeSystem/insuranceplan</code> defines the following codes:</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td style=\"white-space:nowrap\">premium<a name=\"insuranceplan-premium\"> </a></td><td>Premium</td><td>Premium</td></tr><tr><td style=\"white-space:nowrap\">deductible<a name=\"insuranceplan-deductible\"> </a></td><td>Deductible</td><td>Deductible</td></tr><tr><td style=\"white-space:nowrap\">cap<a name=\"insuranceplan-cap\"> </a></td><td>Cap</td><td>Cap</td></tr><tr><td style=\"white-space:nowrap\">self<a name=\"insuranceplan-self\"> </a></td><td>Self</td><td>Self</td></tr><tr><td style=\"white-space:nowrap\">selfplusone<a name=\"insuranceplan-selfplusone\"> </a></td><td>Self plus one</td><td>Self plus one</td></tr><tr><td style=\"white-space:nowrap\">selfandfamily<a name=\"insuranceplan-selfandfamily\"> </a></td><td>Self and family</td><td>Self and family</td></tr><tr><td style=\"white-space:nowrap\">medical<a name=\"insuranceplan-medical\"> </a></td><td>Medical</td><td>Nedical</td></tr><tr><td style=\"white-space:nowrap\">dental<a name=\"insuranceplan-dental\"> </a></td><td>Dental</td><td>Dental</td></tr><tr><td style=\"white-space:nowrap\">vision<a name=\"insuranceplan-vision\"> </a></td><td>Vision</td><td>Vision</td></tr><tr><td style=\"white-space:nowrap\">drug<a name=\"insuranceplan-drug\"> </a></td><td>Drug</td><td>Drug</td></tr><tr><td style=\"white-space:nowrap\">mentalhealth<a name=\"insuranceplan-mentalhealth\"> </a></td><td>Mental health</td><td>Mental health</td></tr><tr><td style=\"white-space:nowrap\">substanceabuse<a name=\"insuranceplan-substanceabuse\"> </a></td><td>Substance abuse</td><td>Substance abuse</td></tr><tr><td style=\"white-space:nowrap\">hospicehomehealth<a name=\"insuranceplan-hospicehomehealth\"> </a></td><td>Hospice and home health</td><td>Hospice and home health</td></tr><tr><td style=\"white-space:nowrap\">preventative<a name=\"insuranceplan-preventative\"> </a></td><td>Preventative</td><td>Preventative</td></tr><tr><td style=\"white-space:nowrap\">primarycareov<a name=\"insuranceplan-primarycareov\"> </a></td><td>Primary care office visit</td><td>Primary care office visit</td></tr><tr><td style=\"white-space:nowrap\">specialityov<a name=\"insuranceplan-specialityov\"> </a></td><td>Speciality care office visit</td><td>Speciality care office visit</td></tr><tr><td style=\"white-space:nowrap\">hospitalization<a name=\"insuranceplan-hospitalization\"> </a></td><td>Hospitalization</td><td>Hospitalization</td></tr><tr><td style=\"white-space:nowrap\">emergencyroom<a name=\"insuranceplan-emergencyroom\"> </a></td><td>Emergency room</td><td>Emergency room</td></tr><tr><td style=\"white-space:nowrap\">urgentcare<a name=\"insuranceplan-urgentcare\"> </a></td><td>Urgent care</td><td>Urgent care</td></tr><tr><td style=\"white-space:nowrap\">copay<a name=\"insuranceplan-copay\"> </a></td><td>Copay</td><td>Copay</td></tr><tr><td style=\"white-space:nowrap\">individualcap<a name=\"insuranceplan-individualcap\"> </a></td><td>Individual cap</td><td>Individual cap</td></tr><tr><td style=\"white-space:nowrap\">familycap<a name=\"insuranceplan-familycap\"> </a></td><td>Family cap</td><td>Family cap</td></tr><tr><td style=\"white-space:nowrap\">coinsurance<a name=\"insuranceplan-coinsurance\"> </a></td><td>Coinsurance</td><td>Coinsurance</td></tr><tr><td style=\"white-space:nowrap\">in-network<a name=\"insuranceplan-in-network\"> </a></td><td>In-network</td><td>In-network</td></tr><tr><td style=\"white-space:nowrap\">out-of-network<a name=\"insuranceplan-out-of-network\"> </a></td><td>Out-of-network</td><td>Out-of-network</td></tr><tr><td style=\"white-space:nowrap\">other<a name=\"insuranceplan-other\"> </a></td><td>Other</td><td>Other</td></tr><tr><td style=\"white-space:nowrap\">q1<a name=\"insuranceplan-q1\"> </a></td><td>Cost Qualification</td><td>This is a sample cost qualification.</td></tr></table></div>"
  ] ; # 
  fhir:extension ( [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg"^^xsd:anyURI ] ;
fhir:value [ fhir:v "pa" ]
  ] ) ; # 
  fhir:url [ fhir:v "http://hl7.org/fhir/uv/vhdir/CodeSystem/insuranceplan"^^xsd:anyURI] ; # 
  fhir:version [ fhir:v "1.0.0"] ; # 
  fhir:name [ fhir:v "VhDirinsuranceplan"] ; # 
  fhir:title [ fhir:v "VhDir Insurance Plan Code System"] ; # 
  fhir:status [ fhir:v "active"] ; # 
  fhir:experimental [ fhir:v "false"^^xsd:boolean] ; # 
  fhir:date [ fhir:v "2018-02-21"^^xsd:date] ; # 
  fhir:publisher [ fhir:v "HL7 International / Patient Administration"] ; # 
  fhir:contact ( [
fhir:name [ fhir:v "HL7 International / Patient Administration" ] ;
    ( fhir:telecom [
fhir:system [ fhir:v "url" ] ;
fhir:value [ fhir:v "http://www.hl7.org/Special/committees/pafm" ]     ] [
fhir:system [ fhir:v "email" ] ;
fhir:value [ fhir:v "pafm@lists.HL7.org" ]     ] )
  ] ) ; # 
  fhir:description [ fhir:v "This code system contains codes for documenting the various attributes of an Insurance Plan"] ; # 
  fhir:jurisdiction ( [
    ( fhir:coding [
fhir:system [ fhir:v "http://unstats.un.org/unsd/methods/m49/m49.htm"^^xsd:anyURI ] ;
fhir:code [ fhir:v "001" ] ;
fhir:display [ fhir:v "World" ]     ] )
  ] ) ; # 
  fhir:copyright [ fhir:v "Used by permission of HL7 International all rights reserved Creative Commons License"] ; # 
  fhir:caseSensitive [ fhir:v "true"^^xsd:boolean] ; # 
  fhir:content [ fhir:v "complete"] ; # 
  fhir:concept ( [
fhir:code [ fhir:v "premium" ] ;
fhir:display [ fhir:v "Premium" ] ;
fhir:definition [ fhir:v "Premium" ]
  ] [
fhir:code [ fhir:v "deductible" ] ;
fhir:display [ fhir:v "Deductible" ] ;
fhir:definition [ fhir:v "Deductible" ]
  ] [
fhir:code [ fhir:v "cap" ] ;
fhir:display [ fhir:v "Cap" ] ;
fhir:definition [ fhir:v "Cap" ]
  ] [
fhir:code [ fhir:v "self" ] ;
fhir:display [ fhir:v "Self" ] ;
fhir:definition [ fhir:v "Self" ]
  ] [
fhir:code [ fhir:v "selfplusone" ] ;
fhir:display [ fhir:v "Self plus one" ] ;
fhir:definition [ fhir:v "Self plus one" ]
  ] [
fhir:code [ fhir:v "selfandfamily" ] ;
fhir:display [ fhir:v "Self and family" ] ;
fhir:definition [ fhir:v "Self and family" ]
  ] [
fhir:code [ fhir:v "medical" ] ;
fhir:display [ fhir:v "Medical" ] ;
fhir:definition [ fhir:v "Nedical" ]
  ] [
fhir:code [ fhir:v "dental" ] ;
fhir:display [ fhir:v "Dental" ] ;
fhir:definition [ fhir:v "Dental" ]
  ] [
fhir:code [ fhir:v "vision" ] ;
fhir:display [ fhir:v "Vision" ] ;
fhir:definition [ fhir:v "Vision" ]
  ] [
fhir:code [ fhir:v "drug" ] ;
fhir:display [ fhir:v "Drug" ] ;
fhir:definition [ fhir:v "Drug" ]
  ] [
fhir:code [ fhir:v "mentalhealth" ] ;
fhir:display [ fhir:v "Mental health" ] ;
fhir:definition [ fhir:v "Mental health" ]
  ] [
fhir:code [ fhir:v "substanceabuse" ] ;
fhir:display [ fhir:v "Substance abuse" ] ;
fhir:definition [ fhir:v "Substance abuse" ]
  ] [
fhir:code [ fhir:v "hospicehomehealth" ] ;
fhir:display [ fhir:v "Hospice and home health" ] ;
fhir:definition [ fhir:v "Hospice and home health" ]
  ] [
fhir:code [ fhir:v "preventative" ] ;
fhir:display [ fhir:v "Preventative" ] ;
fhir:definition [ fhir:v "Preventative" ]
  ] [
fhir:code [ fhir:v "primarycareov" ] ;
fhir:display [ fhir:v "Primary care office visit" ] ;
fhir:definition [ fhir:v "Primary care office visit" ]
  ] [
fhir:code [ fhir:v "specialityov" ] ;
fhir:display [ fhir:v "Speciality care office visit" ] ;
fhir:definition [ fhir:v "Speciality care office visit" ]
  ] [
fhir:code [ fhir:v "hospitalization" ] ;
fhir:display [ fhir:v "Hospitalization" ] ;
fhir:definition [ fhir:v "Hospitalization" ]
  ] [
fhir:code [ fhir:v "emergencyroom" ] ;
fhir:display [ fhir:v "Emergency room" ] ;
fhir:definition [ fhir:v "Emergency room" ]
  ] [
fhir:code [ fhir:v "urgentcare" ] ;
fhir:display [ fhir:v "Urgent care" ] ;
fhir:definition [ fhir:v "Urgent care" ]
  ] [
fhir:code [ fhir:v "copay" ] ;
fhir:display [ fhir:v "Copay" ] ;
fhir:definition [ fhir:v "Copay" ]
  ] [
fhir:code [ fhir:v "individualcap" ] ;
fhir:display [ fhir:v "Individual cap" ] ;
fhir:definition [ fhir:v "Individual cap" ]
  ] [
fhir:code [ fhir:v "familycap" ] ;
fhir:display [ fhir:v "Family cap" ] ;
fhir:definition [ fhir:v "Family cap" ]
  ] [
fhir:code [ fhir:v "coinsurance" ] ;
fhir:display [ fhir:v "Coinsurance" ] ;
fhir:definition [ fhir:v "Coinsurance" ]
  ] [
fhir:code [ fhir:v "in-network" ] ;
fhir:display [ fhir:v "In-network" ] ;
fhir:definition [ fhir:v "In-network" ]
  ] [
fhir:code [ fhir:v "out-of-network" ] ;
fhir:display [ fhir:v "Out-of-network" ] ;
fhir:definition [ fhir:v "Out-of-network" ]
  ] [
fhir:code [ fhir:v "other" ] ;
fhir:display [ fhir:v "Other" ] ;
fhir:definition [ fhir:v "Other" ]
  ] [
fhir:code [ fhir:v "q1" ] ;
fhir:display [ fhir:v "Cost Qualification" ] ;
fhir:definition [ fhir:v "This is a sample cost qualification." ]
  ] ) . #