Da Vinci Payer Data Exchange
2.2.0 - STU 2.2 United States of America flag

Da Vinci Payer Data Exchange, published by HL7 International / Financial Management. This guide is not an authorized publication; it is the continuous build for version 2.2.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/davinci-epdx/ and changes regularly. See the Directory of published versions

: Coverage to Match Example 2 - 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 -------------------------------------------------------------------

<http://hl7.org/fhir/Coverage/CoverageMatchExample2> a fhir:Coverage ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:Resource.id [ fhir:value "CoverageMatchExample2"] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ] ;
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Coverage for Sarah Williams - Subscriber ID: 87654321, Another Health Plan, HMO-BASIC</p></div>"
  ] ;
  fhir:Coverage.status [ fhir:value "draft"] ;
  fhir:Coverage.type [
     fhir:CodeableConcept.coding [
       fhir:index 0 ;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ActCode" ] ;
       fhir:Coding.code [ fhir:value "HIP" ] ;
       fhir:Coding.display [ fhir:value "health insurance plan policy" ]
     ]
  ] ;
  fhir:Coverage.subscriber [
     fhir:link <http://hl7.org/fhir/Patient/patient-prov-002> ;
     fhir:Reference.reference [ fhir:value "Patient/patient-prov-002" ]
  ] ;
  fhir:Coverage.subscriberId [ fhir:value "87654321"] ;
  fhir:Coverage.beneficiary [
     fhir:link <http://hl7.org/fhir/Patient/patient-prov-002> ;
     fhir:Reference.reference [ fhir:value "Patient/patient-prov-002" ]
  ] ;
  fhir:Coverage.relationship [
     fhir:CodeableConcept.coding [
       fhir:index 0 ;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/subscriber-relationship" ] ;
       fhir:Coding.code [ fhir:value "self" ]
     ]
  ] ;
  fhir:Coverage.period [
     fhir:Period.start [ fhir:value "2023-06-01"^^xsd:date ] ;
     fhir:Period.end [ fhir:value "2024-05-31"^^xsd:date ]
  ] ;
  fhir:Coverage.payor [
     fhir:index 0 ;
     fhir:Reference.identifier [
       fhir:Identifier.system [ fhir:value "http://hl7.org/fhir/sid/us-npi" ] ;
       fhir:Identifier.value [ fhir:value "1111111111" ]
     ] ;
     fhir:Reference.display [ fhir:value "Another Health Plan" ]
  ] ;
  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 "EMPLOY-67890" ]
  ], [
     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 "HMO-BASIC" ]
  ] .

<http://hl7.org/fhir/Patient/patient-prov-002> a fhir:Patient .

# - ontology header ------------------------------------------------------------

<http://hl7.org/fhir/Coverage/CoverageMatchExample2.ttl> a owl:Ontology ;
  owl:imports fhir:fhir.ttl ;
  owl:versionIRI <http://build.fhir.org/Coverage/CoverageMatchExample2.ttl> .