Da Vinci - Coverage Requirements Discovery
2.1.0 - STU 2.1 United States of America flag

Da Vinci - Coverage Requirements Discovery, published by HL7 International / Financial Management. This guide is not an authorized publication; it is the continuous build for version 2.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/davinci-crd/ and changes regularly. See the Directory of published versions

: Coverage example - TTL Representation

Page standards status: Informative

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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:Coverage ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "example"] ; # 
  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 example</b></p><a name=\"example\"> </a><a name=\"hcexample\"> </a><a name=\"example-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>policyHolder</b>: <a href=\"https://simplifier.net/resolve?scope=hl7.fhir.us.core.v610@6.1.0&amp;canonical=http://example.org/FHIR/Organization/CBI35\">??</a></p><p><b>subscriber</b>: <a href=\"Patient-example.html\">Amy V. Shaw  Female, DoB: 1987-02-20 ( Medical Record Number: 1032702 (use: usual, ))</a></p><p><b>beneficiary</b>: <a href=\"Patient-example.html\">Amy V. Shaw  Female, DoB: 1987-02-20 ( Medical Record Number: 1032702 (use: usual, ))</a></p><p><b>dependent</b>: 0</p><p><b>relationship</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/subscriber-relationship self}\">Self</span></p><p><b>period</b>: 2011-05-23 --&gt; 2012-05-23</p><p><b>payor</b>: <a href=\"https://simplifier.net/resolve?scope=hl7.fhir.us.core.v610@6.1.0&amp;canonical=http://example.org/fhir/Organization/example-payer\">Payer XYZ</a></p><h3>Classes</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Type</b></td><td><b>Value</b></td><td><b>Name</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/coverage-class group}\">Group</span></td><td>CB135</td><td>Corporate Baker's Inc. Local #35</td></tr></table></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:system [ fhir:v "http://example.com/fhir/NampingSystem/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:policyHolder [
fhir:link <http://example.org/FHIR/Organization/CBI35> ;
fhir:reference [ fhir:v "http://example.org/FHIR/Organization/CBI35" ]
  ] ; # 
  fhir:subscriber [
fhir:reference [ fhir:v "Patient/example" ]
  ] ; # 
  fhir:beneficiary [
fhir:reference [ fhir:v "Patient/example" ]
  ] ; # 
  fhir:dependent [ fhir:v "0"] ; # 
  fhir:relationship [
    ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/subscriber-relationship"^^xsd:anyURI ] ;
fhir:code [ fhir:v "self" ]     ] )
  ] ; # 
  fhir:period [
fhir:start [ fhir:v "2011-05-23"^^xsd:date ] ;
fhir:end [ fhir:v "2012-05-23"^^xsd:date ]
  ] ; # 
  fhir:payor ( [
fhir:link <http://example.org/fhir/Organization/example-payer> ;
fhir:reference [ fhir:v "http://example.org/fhir/Organization/example-payer" ] ;
fhir:display [ fhir:v "Payer XYZ" ]
  ] ) ; # 
  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:v "CB135" ] ;
fhir:name [ fhir:v "Corporate Baker's Inc. Local #35" ]
  ] ) . #