Da Vinci Payer Data Exchange
2.1.1 - STU 2.1

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 2.1.1 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 Link Example 1 - 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 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:Coverage ;
      fhir:nodeRole fhir:treeRoot ;
      fhir:id [ fhir:v "CoverageLinkExample1"] ; #
      fhir:meta [
        ( fhir:profile [
    fhir:v "http://hl7.org/fhir/us/davinci-hrex/StructureDefinition/hrex-coverage"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/davinci-hrex/StructureDefinition/hrex-coverage>     ] )
      ] ; #
      fhir:text [
    fhir:status [ fhir:v "generated" ] ;
    fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Coverage CoverageLinkExample1</b></p><a name=\"CoverageLinkExample1\"> </a><a name=\"hcCoverageLinkExample1\"> </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\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/davinci-hrex/STU1.1/StructureDefinition-hrex-coverage.html\">HRex Member Match Coverage Profile</a></p></div><p><b>status</b>: Draft</p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ActCode EHPLANS}\">EHPLANS</span></p><p><b>subscriber</b>: <a href=\"https://simplifier.net/resolve?scope=hl7.fhir.us.core.3.1.1@3.1.1&amp;canonical=http://hl7.org/fhir/us/core/Patient/patient-prov-001\">Patient/patient-prov-001</a></p><p><b>subscriberId</b>: NEW-12345678</p><p><b>beneficiary</b>: <a href=\"https://simplifier.net/resolve?scope=hl7.fhir.us.core.3.1.1@3.1.1&amp;canonical=http://hl7.org/fhir/us/core/Patient/patient-prov-001\">Patient/patient-prov-001</a></p><p><b>relationship</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/subscriber-relationship self}\">Self</span></p><p><b>period</b>: 2024-01-01 --&gt; 2024-12-31</p><p><b>payor</b>: Current Payer (Identifier: <a href=\"http://terminology.hl7.org/3.1.0/NamingSystem-npi.html\" title=\"National Provider Identifier\">NPI</a>/5555555555)</p><blockquote><p><b>class</b></p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/coverage-class group}\">Group</span></p><p><b>value</b>: EMPLOY-NEW</p></blockquote><blockquote><p><b>class</b></p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/coverage-class plan}\">Plan</span></p><p><b>value</b>: PPO-PREMIUM</p></blockquote></div>"^^rdf:XMLLiteral ]
      ] ; #
      fhir:status [ fhir:v "draft"] ; #
      fhir:type [
        ( fhir:coding [
    fhir:system [
    fhir:v "http://terminology.hl7.org/CodeSystem/v3-ActCode"^^xsd:anyURI ;
    fhir:l <http://terminology.hl7.org/CodeSystem/v3-ActCode>       ] ;
    fhir:code [ fhir:v "EHPLANS" ]     ] )
      ] ; #
      fhir:subscriber [
    fhir:l fhir:Patient/patient-prov-001 ;
    fhir:reference [ fhir:v "Patient/patient-prov-001" ]
      ] ; #
      fhir:subscriberId [ fhir:v "NEW-12345678"] ; #
      fhir:beneficiary [
    fhir:l fhir:Patient/patient-prov-001 ;
    fhir:reference [ fhir:v "Patient/patient-prov-001" ]
      ] ; #
      fhir:relationship [
        ( fhir:coding [
    fhir:system [
    fhir:v "http://terminology.hl7.org/CodeSystem/subscriber-relationship"^^xsd:anyURI ;
    fhir:l <http://terminology.hl7.org/CodeSystem/subscriber-relationship>       ] ;
    fhir:code [ fhir:v "self" ]     ] )
      ] ; #
      fhir:period [
    fhir:start [ fhir:v "2024-01-01"^^xsd:date ] ;
    fhir:end [ fhir:v "2024-12-31"^^xsd:date ]
      ] ; #
      fhir:payor ( [
    fhir:identifier [
    fhir:system [
    fhir:v "http://hl7.org/fhir/sid/us-npi"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/sid/us-npi>       ] ;
    fhir:value [ fhir:v "5555555555" ]     ] ;
    fhir:display [ fhir:v "Current Payer" ]
      ] ) ; #
      fhir:class ( [
    fhir:type [
          ( fhir:coding [
    fhir:system [
    fhir:v "http://terminology.hl7.org/CodeSystem/coverage-class"^^xsd:anyURI ;
    fhir:l <http://terminology.hl7.org/CodeSystem/coverage-class>         ] ;
    fhir:code [ fhir:v "group" ]       ] )     ] ;
    fhir:value [ fhir:v "EMPLOY-NEW" ]
      ] [
    fhir:type [
          ( fhir:coding [
    fhir:system [
    fhir:v "http://terminology.hl7.org/CodeSystem/coverage-class"^^xsd:anyURI ;
    fhir:l <http://terminology.hl7.org/CodeSystem/coverage-class>         ] ;
    fhir:code [ fhir:v "plan" ]       ] )     ] ;
    fhir:value [ fhir:v "PPO-PREMIUM" ]
      ] ) . #