Administrative Incubator, published by HL7 International / Patient Administration. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/admin-incubator/ 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 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:InsurancePlan ;
fhir:resourceDefinition http://hl7.org/fhir/StructureDefinition/InsurancePlan|0.1.0 ;
fhir:nodeRole fhir:treeRoot ;
fhir:id [ fhir:v "example-onc"] ; #
fhir:language [ fhir:v "en"] ; #
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"en\" lang=\"en\"><p class=\"res-header-id\"><b>Generated Narrative: InsurancePlan example-onc</b></p><a name=\"example-onc\"> </a><a name=\"hcexample-onc\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Language: en</p></div><p><b>type</b>: <span title=\"Codes:\">Standard</span></p><blockquote><p><b>generalCost</b></p><h3>Costs</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style=\"display: none\">*</td><td>2000</td><td>United States dollar</td></tr></table></blockquote><blockquote><p><b>specificCost</b></p><p><b>category</b>: <span title=\"Codes:\">Medical</span></p><blockquote><p><b>benefit</b></p><p><b>type</b>: <span title=\"Codes:\">primary care office visit</span></p><blockquote><p><b>cost</b></p><p><b>type</b>: <span title=\"Codes:\">copay</span></p><p><b>applicability</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/applicability in-network}\">preferred</span></p><p><b>value</b>: 25 USD</p></blockquote><blockquote><p><b>cost</b></p><p><b>type</b>: <span title=\"Codes:\">coinsurance</span></p><p><b>applicability</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/applicability in-network}\">participating</span></p><p><b>value</b>: 35 %</p></blockquote><blockquote><p><b>cost</b></p><p><b>type</b>: <span title=\"Codes:\">coinsurance</span></p><p><b>applicability</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/applicability out-of-network}\">non-participating</span></p><p><b>value</b>: 35 %</p></blockquote></blockquote><blockquote><p><b>benefit</b></p><p><b>type</b>: <span title=\"Codes:\">specialty care office visit</span></p><blockquote><p><b>cost</b></p><p><b>type</b>: <span title=\"Codes:\">copay</span></p><p><b>applicability</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/applicability in-network}\">preferred</span></p><p><b>value</b>: 35 USD</p></blockquote><blockquote><p><b>cost</b></p><p><b>type</b>: <span title=\"Codes:\">coinsurance</span></p><p><b>applicability</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/applicability in-network}\">participating</span></p><p><b>value</b>: 35 %</p></blockquote><blockquote><p><b>cost</b></p><p><b>type</b>: <span title=\"Codes:\">coinsurance</span></p><p><b>applicability</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/applicability out-of-network}\">non-participating</span></p><p><b>value</b>: 35 %</p></blockquote></blockquote></blockquote></div>"^^rdf:XMLLiteral ]
] ; #
fhir:type [
fhir:text [ fhir:v "Standard" ]
] ; #
fhir:generalCost ( [
fhir:cost [
fhir:value [ fhir:v "2000"^^xsd:decimal ] ;
fhir:currency [ fhir:v "USD" ] ]
] ) ; #
fhir:specificCost ( [
fhir:category [
fhir:text [ fhir:v "Medical" ] ] ;
( fhir:benefit [
fhir:type [
fhir:text [ fhir:v "primary care office visit" ] ] ;
( fhir:cost [
fhir:type [
fhir:text [ fhir:v "copay" ] ] ;
fhir:applicability [
( fhir:coding [
fhir:system [
fhir:v "http://terminology.hl7.org/CodeSystem/applicability"^^xsd:anyURI ;
fhir:l <http://terminology.hl7.org/CodeSystem/applicability> ] ;
fhir:code [ fhir:v "in-network" ] ] ) ;
fhir:text [ fhir:v "preferred" ] ] ;
fhir:value [
fhir:value [ fhir:v "25"^^xsd:decimal ] ;
fhir:unit [ fhir:v "USD" ] ] ] [
fhir:type [
fhir:text [ fhir:v "coinsurance" ] ] ;
fhir:applicability [
( fhir:coding [
fhir:system [
fhir:v "http://terminology.hl7.org/CodeSystem/applicability"^^xsd:anyURI ;
fhir:l <http://terminology.hl7.org/CodeSystem/applicability> ] ;
fhir:code [ fhir:v "in-network" ] ] ) ;
fhir:text [ fhir:v "participating" ] ] ;
fhir:value [
fhir:value [ fhir:v "35"^^xsd:decimal ] ;
fhir:unit [ fhir:v "%" ] ] ] [
fhir:type [
fhir:text [ fhir:v "coinsurance" ] ] ;
fhir:applicability [
( fhir:coding [
fhir:system [
fhir:v "http://terminology.hl7.org/CodeSystem/applicability"^^xsd:anyURI ;
fhir:l <http://terminology.hl7.org/CodeSystem/applicability> ] ;
fhir:code [ fhir:v "out-of-network" ] ] ) ;
fhir:text [ fhir:v "non-participating" ] ] ;
fhir:value [
fhir:value [ fhir:v "35"^^xsd:decimal ] ;
fhir:unit [ fhir:v "%" ] ] ] ) ] [
fhir:type [
fhir:text [ fhir:v "specialty care office visit" ] ] ;
( fhir:cost [
fhir:type [
fhir:text [ fhir:v "copay" ] ] ;
fhir:applicability [
( fhir:coding [
fhir:system [
fhir:v "http://terminology.hl7.org/CodeSystem/applicability"^^xsd:anyURI ;
fhir:l <http://terminology.hl7.org/CodeSystem/applicability> ] ;
fhir:code [ fhir:v "in-network" ] ] ) ;
fhir:text [ fhir:v "preferred" ] ] ;
fhir:value [
fhir:value [ fhir:v "35"^^xsd:decimal ] ;
fhir:unit [ fhir:v "USD" ] ] ] [
fhir:type [
fhir:text [ fhir:v "coinsurance" ] ] ;
fhir:applicability [
( fhir:coding [
fhir:system [
fhir:v "http://terminology.hl7.org/CodeSystem/applicability"^^xsd:anyURI ;
fhir:l <http://terminology.hl7.org/CodeSystem/applicability> ] ;
fhir:code [ fhir:v "in-network" ] ] ) ;
fhir:text [ fhir:v "participating" ] ] ;
fhir:value [
fhir:value [ fhir:v "35"^^xsd:decimal ] ;
fhir:unit [ fhir:v "%" ] ] ] [
fhir:type [
fhir:text [ fhir:v "coinsurance" ] ] ;
fhir:applicability [
( fhir:coding [
fhir:system [
fhir:v "http://terminology.hl7.org/CodeSystem/applicability"^^xsd:anyURI ;
fhir:l <http://terminology.hl7.org/CodeSystem/applicability> ] ;
fhir:code [ fhir:v "out-of-network" ] ] ) ;
fhir:text [ fhir:v "non-participating" ] ] ;
fhir:value [
fhir:value [ fhir:v "35"^^xsd:decimal ] ;
fhir:unit [ fhir:v "%" ] ] ] ) ] )
] ) . #
IG © 2022+ HL7 International / Patient Administration.
Package hl7.fhir.uv.admin-incubator#0.1.0 based on FHIR 6.0.0-ballot3.
Generated 2025-11-08
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