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Patient Administration Work Group | Maturity Level: N/A | Standards Status: Informative | Compartments: No defined compartments |
ShEx statement for insuranceproduct
PREFIX fhir: <http://hl7.org/fhir/> PREFIX fhirvs: <http://hl7.org/fhir/ValueSet/> PREFIX xsd: <http://www.w3.org/2001/XMLSchema#> PREFIX rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> IMPORT <code.shex> IMPORT <string.shex> IMPORT <Period.shex> IMPORT <Quantity.shex> IMPORT <Location.shex> IMPORT <Endpoint.shex> IMPORT <Reference.shex> IMPORT <Identifier.shex> IMPORT <Organization.shex> IMPORT <DomainResource.shex> IMPORT <CodeableConcept.shex> IMPORT <BackboneElement.shex> IMPORT <ExtendedContactDetail.shex> start=@<InsuranceProduct> AND {fhir:nodeRole [fhir:treeRoot]} # Details of a Health Insurance product provided by an organization <InsuranceProduct> EXTENDS @<DomainResource> CLOSED { a [fhir:InsuranceProduct]?;fhir:nodeRole [fhir:treeRoot]?; fhir:identifier @<OneOrMore_Identifier>?; # Business Identifier for Product fhir:status @<code> AND {fhir:v @fhirvs:publication-status}?; # draft | active | retired | unknown fhir:type @<OneOrMore_CodeableConcept>?; # Kind of product fhir:name @<string>?; # Official name fhir:alias @<OneOrMore_string>?; # Alternate names fhir:period @<Period>?; # When the product is available fhir:ownedBy @<Reference> AND {fhir:link @<Organization> ? }?; # Product issuer fhir:administeredBy @<Reference> AND {fhir:link @<Organization> ? }?; # Product administrator fhir:coverageArea @<OneOrMore_Reference_Location>?; # Where product applies fhir:contact @<OneOrMore_ExtendedContactDetail>?; # Official contact details relevant # to the health insurance product fhir:endpoint @<OneOrMore_Reference_Endpoint>?; # Technical endpoint fhir:network @<OneOrMore_Reference_Organization>?; # What networks are Included fhir:coverage @<OneOrMore_InsuranceProduct.coverage>?; # Coverage details fhir:related @<OneOrMore_InsuranceProduct.related>?; # Associated insurance product } # Coverage details <InsuranceProduct.coverage> EXTENDS @<BackboneElement> CLOSED { fhir:type @<CodeableConcept>; # Classification of Coverage fhir:network @<OneOrMore_Reference_Organization>?; # What networks provide coverage fhir:benefit @<OneOrMore_InsuranceProduct.coverage.benefit>; # List of benefits } # Limits on the provided benefits <InsuranceProduct.coverage.benefit.limit> EXTENDS @<BackboneElement> CLOSED { fhir:value @<Quantity>?; # Maximum value allowed fhir:code @<CodeableConcept>?; # Benefit limit details } # Associated insurance product <InsuranceProduct.related> EXTENDS @<BackboneElement> CLOSED { fhir:product @<Reference> AND {fhir:link @<InsuranceProduct> ? }?; # Related Product reference fhir:relationship @<CodeableConcept>?; # Relationship of this product to # the related product fhir:period @<Period>?; # Period that this Relationship is # valid } # List of benefits <InsuranceProduct.coverage.benefit> EXTENDS @<BackboneElement> CLOSED { fhir:type @<CodeableConcept>; # Classification of benefit provided fhir:requirement @<string>?; # Referral requirements fhir:limit @<OneOrMore_InsuranceProduct.coverage.benefit.limit>?; # Limits on the provided benefits } #---------------------- Cardinality Types (OneOrMore) ------------------- <OneOrMore_Identifier> CLOSED { rdf:first @<Identifier> ; rdf:rest [rdf:nil] OR @<OneOrMore_Identifier> } <OneOrMore_CodeableConcept> CLOSED { rdf:first @<CodeableConcept> ; rdf:rest [rdf:nil] OR @<OneOrMore_CodeableConcept> } <OneOrMore_string> CLOSED { rdf:first @<string> ; rdf:rest [rdf:nil] OR @<OneOrMore_string> } <OneOrMore_Reference_Location> CLOSED { rdf:first @<Reference> AND {fhir:link @<Location> } ; rdf:rest [rdf:nil] OR @<OneOrMore_Reference_Location> } <OneOrMore_ExtendedContactDetail> CLOSED { rdf:first @<ExtendedContactDetail> ; rdf:rest [rdf:nil] OR @<OneOrMore_ExtendedContactDetail> } <OneOrMore_Reference_Endpoint> CLOSED { rdf:first @<Reference> AND {fhir:link @<Endpoint> } ; rdf:rest [rdf:nil] OR @<OneOrMore_Reference_Endpoint> } <OneOrMore_Reference_Organization> CLOSED { rdf:first @<Reference> AND {fhir:link @<Organization> } ; rdf:rest [rdf:nil] OR @<OneOrMore_Reference_Organization> } <OneOrMore_InsuranceProduct.coverage> CLOSED { rdf:first @<InsuranceProduct.coverage> ; rdf:rest [rdf:nil] OR @<OneOrMore_InsuranceProduct.coverage> } <OneOrMore_InsuranceProduct.related> CLOSED { rdf:first @<InsuranceProduct.related> ; rdf:rest [rdf:nil] OR @<OneOrMore_InsuranceProduct.related> } <OneOrMore_InsuranceProduct.coverage.benefit> CLOSED { rdf:first @<InsuranceProduct.coverage.benefit> ; rdf:rest [rdf:nil] OR @<OneOrMore_InsuranceProduct.coverage.benefit> } <OneOrMore_InsuranceProduct.coverage.benefit.limit> CLOSED { rdf:first @<InsuranceProduct.coverage.benefit.limit> ; rdf:rest [rdf:nil] OR @<OneOrMore_InsuranceProduct.coverage.benefit.limit> } #---------------------- Value Sets ------------------------ # The lifecycle status of an artifact. fhirvs:publication-status ["draft" "active" "retired" "unknown"]
Usage note: every effort has been made to ensure that the ShEx files are correct and useful, but they are not a normative part of the specification.
FHIR ®© HL7.org 2011+. FHIR R6 hl7.fhir.core#6.0.0-ballot2 generated on Fri, Dec 6, 2024 22:32+0000.
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