@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 -------------------------------------------------------------------

<https://nshr-uat.sha.go.ke/fhir/Coverage/ECLM-COV-001> a fhir:Coverage ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "ECLM-COV-001"] ; # 
  fhir:meta [
     fhir:profile ( [
       fhir:v "https://nshr-uat.sha.go.ke/fhir/StructureDefinition/ke-eclaims-coverage"^^xsd:anyURI ;
       fhir:l <https://nshr-uat.sha.go.ke/fhir/StructureDefinition/ke-eclaims-coverage>
     ] ) ;
     fhir:tag ( [
       fhir:system [
         fhir:v "http://terminology.hl7.org/CodeSystem/common-tags"^^xsd:anyURI ;
         fhir:l <http://terminology.hl7.org/CodeSystem/common-tags>
       ] ;
       fhir:code [ fhir:v "actionable" ] ;
       fhir:display [ fhir:v "Actionable" ]
     ] )
  ] ; # 
  fhir:text [
     fhir:status [ fhir:v "extensions" ] ;
     fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Coverage ECLM-COV-001</b></p><a name=\"ECLM-COV-001\"> </a><a name=\"hcECLM-COV-001\"> </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=\"StructureDefinition-ke-eclaims-coverage.html\">Coverage Profile</a></p><p style=\"margin-bottom: 0px\">Tag: <a href=\"http://hl7.org/fhir/R4/codesystem-common-tags.html\">Actionable (Details: Common Tags code actionable = 'Actionable')</a></p></div><p><b>Paymen tMethod Extension</b>: <span title=\"Codes:{https://nshr-uat.sha.go.ke/fhir/CodeSystem/payment-method-cs MOBILE-MONEY}\">Mobile Money</span></p><p><b>Current member status Extension</b>: <span title=\"Codes:{https://nshr-uat.sha.go.ke/fhir/CodeSystem/coverage-member-status-cs ACTIVE}\">Active</span></p><p><b>Annual Limits Category Extension</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/service-category 17}\">General Practice</span></p><p><b>identifier</b>: <code>https://nshr-uat.sha.go.ke/fhir/Identifier/coverage-number</code>/COV-SHA-2024-001234</p><p><b>status</b>: Active</p><p><b>type</b>: <span title=\"Codes:{https://nshr-uat.sha.go.ke/fhir/CodeSystem/coverage-type-cs MEDICAL}\">Medical</span></p><p><b>subscriber</b>: <a href=\"Patient-ECLM-PT-001.html\">John Mwangi Kamau (official) Male, DoB: 1985-06-15 ( National ID: 12345678 (use: official, ))</a></p><p><b>beneficiary</b>: <a href=\"Patient-ECLM-PT-001.html\">John Mwangi Kamau (official) Male, DoB: 1985-06-15 ( National ID: 12345678 (use: official, ))</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>: <a href=\"Organization-ECLM-INS-001.html\">Organization Social Health Authority</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:{https://nshr-uat.sha.go.ke/fhir/CodeSystem/coverage-class-cs GROUP}\">Group</span></td><td>SHA-SOCIAL-001</td><td>SHA Social Health Scheme</td></tr></table></div>"^^rdf:XMLLiteral ]
  ] ; # 
  fhir:extension ( [
     fhir:url [
       fhir:v "https://nshr-uat.sha.go.ke/fhir/StructureDefinition/eclaims-payment-method-extension"^^xsd:anyURI ;
       fhir:l <https://nshr-uat.sha.go.ke/fhir/StructureDefinition/eclaims-payment-method-extension>
     ] ;
     fhir:value [
       a fhir:CodeableConcept ;
       fhir:coding ( [
         fhir:system [
           fhir:v "https://nshr-uat.sha.go.ke/fhir/CodeSystem/payment-method-cs"^^xsd:anyURI ;
           fhir:l <https://nshr-uat.sha.go.ke/fhir/CodeSystem/payment-method-cs>
         ] ;
         fhir:code [ fhir:v "MOBILE-MONEY" ] ;
         fhir:display [ fhir:v "Mobile Money" ]
       ] )
     ]
  ] [
     fhir:url [
       fhir:v "https://nshr-uat.sha.go.ke/fhir/StructureDefinition/eclaims-member-status-extension"^^xsd:anyURI ;
       fhir:l <https://nshr-uat.sha.go.ke/fhir/StructureDefinition/eclaims-member-status-extension>
     ] ;
     fhir:value [
       a fhir:CodeableConcept ;
       fhir:coding ( [
         fhir:system [
           fhir:v "https://nshr-uat.sha.go.ke/fhir/CodeSystem/coverage-member-status-cs"^^xsd:anyURI ;
           fhir:l <https://nshr-uat.sha.go.ke/fhir/CodeSystem/coverage-member-status-cs>
         ] ;
         fhir:code [ fhir:v "ACTIVE" ] ;
         fhir:display [ fhir:v "Active" ]
       ] )
     ]
  ] [
     fhir:url [
       fhir:v "https://nshr-uat.sha.go.ke/fhir/StructureDefinition/eclaims-annual-limit-category-extension"^^xsd:anyURI ;
       fhir:l <https://nshr-uat.sha.go.ke/fhir/StructureDefinition/eclaims-annual-limit-category-extension>
     ] ;
     fhir:value [
       a fhir:CodeableConcept ;
       fhir:coding ( [
         fhir:system [
           fhir:v "http://terminology.hl7.org/CodeSystem/service-category"^^xsd:anyURI ;
           fhir:l <http://terminology.hl7.org/CodeSystem/service-category>
         ] ;
         fhir:code [ fhir:v "17" ] ;
         fhir:display [ fhir:v "General Practice" ]
       ] )
     ]
  ] ) ; # 
  fhir:identifier ( [
     fhir:system [
       fhir:v "https://nshr-uat.sha.go.ke/fhir/Identifier/coverage-number"^^xsd:anyURI ;
       fhir:l <https://nshr-uat.sha.go.ke/fhir/Identifier/coverage-number>
     ] ;
     fhir:value [ fhir:v "COV-SHA-2024-001234" ]
  ] ) ; # 
  fhir:status [ fhir:v "active"] ; # 
  fhir:type [
     fhir:coding ( [
       fhir:system [
         fhir:v "https://nshr-uat.sha.go.ke/fhir/CodeSystem/coverage-type-cs"^^xsd:anyURI ;
         fhir:l <https://nshr-uat.sha.go.ke/fhir/CodeSystem/coverage-type-cs>
       ] ;
       fhir:code [ fhir:v "MEDICAL" ] ;
       fhir:display [ fhir:v "Medical" ]
     ] )
  ] ; # 
  fhir:subscriber [
     fhir:l <https://nshr-uat.sha.go.ke/fhir/Patient/ECLM-PT-001> ;
     fhir:reference [ fhir:v "Patient/ECLM-PT-001" ]
  ] ; # 
  fhir:beneficiary [
     fhir:l <https://nshr-uat.sha.go.ke/fhir/Patient/ECLM-PT-001> ;
     fhir:reference [ fhir:v "Patient/ECLM-PT-001" ] ;
     fhir:type [
       fhir:v "Patient"^^xsd:anyURI ;
       fhir:l fhir:Patient
     ]
  ] ; # 
  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:display [ 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:l <https://nshr-uat.sha.go.ke/fhir/Organization/ECLM-INS-001> ;
     fhir:reference [ fhir:v "Organization/ECLM-INS-001" ]
  ] ) ; # 
  fhir:class ( [
     fhir:type [
       fhir:coding ( [
         fhir:system [
           fhir:v "https://nshr-uat.sha.go.ke/fhir/CodeSystem/coverage-class-cs"^^xsd:anyURI ;
           fhir:l <https://nshr-uat.sha.go.ke/fhir/CodeSystem/coverage-class-cs>
         ] ;
         fhir:code [ fhir:v "GROUP" ] ;
         fhir:display [ fhir:v "Group" ]
       ] )
     ] ;
     fhir:value [ fhir:v "SHA-SOCIAL-001" ] ;
     fhir:name [ fhir:v "SHA Social Health Scheme" ]
  ] ) . # 

# -------------------------------------------------------------------------------------

