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Eligibilityresponse-example-benefits.ttl

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General Person Primary Coverage with Benefit Details
@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/EligibilityResponse/E2500> a fhir:EligibilityResponse;
  fhir:nodeRole fhir:treeRoot;
  fhir:Resource.id [ fhir:value "E2500"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">A human-readable rendering of the EligibilityResponse.</div>"
  ];
  fhir:EligibilityResponse.identifier [
     fhir:index 0;
     fhir:Identifier.system [ fhir:value "http://www.BenefitsInc.com/fhir/eligibilityresponse" ];
     fhir:Identifier.value [ fhir:value "881234" ]
  ];
  fhir:EligibilityResponse.status [ fhir:value "active"];
  fhir:EligibilityResponse.requestReference [
     fhir:link <http://www.BenefitsInc.com/fhir/eligibility/225476332402>;
     fhir:Reference.reference [ fhir:value "http://www.BenefitsInc.com/fhir/eligibility/225476332402" ]
  ];
  fhir:EligibilityResponse.outcome [ fhir:value "complete"];
  fhir:EligibilityResponse.disposition [ fhir:value "Policy is currently in-force."];
  fhir:EligibilityResponse.created [ fhir:value "2014-08-16"^^xsd:date];
  fhir:EligibilityResponse.organizationReference [
     fhir:link <http://hl7.org/fhir/Organization/2>;
     fhir:Reference.reference [ fhir:value "Organization/2" ]
  ];
  fhir:EligibilityResponse.inforce [ fhir:value "true"^^xsd:boolean];
  fhir:EligibilityResponse.benefitBalance [
     fhir:index 0;
     fhir:EligibilityResponse.benefitBalance.category [
       fhir:Coding.system [ fhir:value "http://hl7.org/fhir/benefit-category" ];
       fhir:Coding.code [ fhir:value "medical" ]
     ];
     fhir:EligibilityResponse.benefitBalance.subCategory [
       fhir:Coding.system [ fhir:value "http://hl7.org/fhir/benefit-subcategory" ];
       fhir:Coding.code [ fhir:value "30" ];
       fhir:Coding.display [ fhir:value "Health Benefit Plan Coverage" ]
     ];
     fhir:EligibilityResponse.benefitBalance.network [
       fhir:Coding.system [ fhir:value "http://hl7.org/fhir/benefit-network" ];
       fhir:Coding.code [ fhir:value "in" ]
     ];
     fhir:EligibilityResponse.benefitBalance.unit [
       fhir:Coding.system [ fhir:value "http://hl7.org/fhir/benefit-unit" ];
       fhir:Coding.code [ fhir:value "individual" ]
     ];
     fhir:EligibilityResponse.benefitBalance.term [
       fhir:Coding.system [ fhir:value "http://hl7.org/fhir/benefit-term" ];
       fhir:Coding.code [ fhir:value "annual" ]
     ];
     fhir:EligibilityResponse.benefitBalance.financial [
       fhir:index 0;
       fhir:EligibilityResponse.benefitBalance.financial.type [
         fhir:Coding.code [ fhir:value "benefit" ]
       ];
       fhir:EligibilityResponse.benefitBalance.financial.benefitMoney [
         fhir:Quantity.value [ fhir:value "500000"^^xsd:decimal ];
         fhir:Quantity.system [ fhir:value "urn:iso:std:iso:4217" ];
         fhir:Quantity.code [ fhir:value "SAR" ]
       ]
     ], [
       fhir:index 1;
       fhir:EligibilityResponse.benefitBalance.financial.type [
         fhir:Coding.code [ fhir:value "copay-maximum" ]
       ];
       fhir:EligibilityResponse.benefitBalance.financial.benefitMoney [
         fhir:Quantity.value [ fhir:value "100"^^xsd:decimal ];
         fhir:Quantity.system [ fhir:value "urn:iso:std:iso:4217" ];
         fhir:Quantity.code [ fhir:value "SAR" ]
       ]
     ], [
       fhir:index 2;
       fhir:EligibilityResponse.benefitBalance.financial.type [
         fhir:Coding.code [ fhir:value "copay-percent" ]
       ];
       fhir:EligibilityResponse.benefitBalance.financial.benefitUnsignedInt [ fhir:value "20"^^xsd:nonNegativeInteger ]
     ]
  ], [
     fhir:index 1;
     fhir:EligibilityResponse.benefitBalance.category [
       fhir:Coding.system [ fhir:value "http://hl7.org/fhir/benefit-category" ];
       fhir:Coding.code [ fhir:value "medical" ]
     ];
     fhir:EligibilityResponse.benefitBalance.subCategory [
       fhir:Coding.system [ fhir:value "http://hl7.org/fhir/benefit-subcategory" ];
       fhir:Coding.code [ fhir:value "69" ];
       fhir:Coding.display [ fhir:value "Maternity" ]
     ];
     fhir:EligibilityResponse.benefitBalance.network [
       fhir:Coding.system [ fhir:value "http://hl7.org/fhir/benefit-network" ];
       fhir:Coding.code [ fhir:value "in" ]
     ];
     fhir:EligibilityResponse.benefitBalance.unit [
       fhir:Coding.system [ fhir:value "http://hl7.org/fhir/benefit-unit" ];
       fhir:Coding.code [ fhir:value "individual" ]
     ];
     fhir:EligibilityResponse.benefitBalance.term [
       fhir:Coding.system [ fhir:value "http://hl7.org/fhir/benefit-term" ];
       fhir:Coding.code [ fhir:value "annual" ]
     ];
     fhir:EligibilityResponse.benefitBalance.financial [
       fhir:index 0;
       fhir:EligibilityResponse.benefitBalance.financial.type [
         fhir:Coding.code [ fhir:value "benefit" ]
       ];
       fhir:EligibilityResponse.benefitBalance.financial.benefitMoney [
         fhir:Quantity.value [ fhir:value "15000"^^xsd:decimal ];
         fhir:Quantity.system [ fhir:value "urn:iso:std:iso:4217" ];
         fhir:Quantity.code [ fhir:value "SAR" ]
       ]
     ]
  ], [
     fhir:index 2;
     fhir:EligibilityResponse.benefitBalance.category [
       fhir:Coding.system [ fhir:value "http://hl7.org/fhir/benefit-category" ];
       fhir:Coding.code [ fhir:value "oral" ]
     ];
     fhir:EligibilityResponse.benefitBalance.subCategory [
       fhir:Coding.system [ fhir:value "http://hl7.org/fhir/benefit-subcategory" ];
       fhir:Coding.code [ fhir:value "F3" ];
       fhir:Coding.display [ fhir:value "Dental Coverage" ]
     ];
     fhir:EligibilityResponse.benefitBalance.network [
       fhir:Coding.system [ fhir:value "http://hl7.org/fhir/benefit-network" ];
       fhir:Coding.code [ fhir:value "in" ]
     ];
     fhir:EligibilityResponse.benefitBalance.unit [
       fhir:Coding.system [ fhir:value "http://hl7.org/fhir/benefit-unit" ];
       fhir:Coding.code [ fhir:value "individual" ]
     ];
     fhir:EligibilityResponse.benefitBalance.term [
       fhir:Coding.system [ fhir:value "http://hl7.org/fhir/benefit-term" ];
       fhir:Coding.code [ fhir:value "annual" ]
     ];
     fhir:EligibilityResponse.benefitBalance.financial [
       fhir:index 0;
       fhir:EligibilityResponse.benefitBalance.financial.type [
         fhir:Coding.code [ fhir:value "benefit" ]
       ];
       fhir:EligibilityResponse.benefitBalance.financial.benefitMoney [
         fhir:Quantity.value [ fhir:value "2000"^^xsd:decimal ];
         fhir:Quantity.system [ fhir:value "urn:iso:std:iso:4217" ];
         fhir:Quantity.code [ fhir:value "SAR" ]
       ]
     ]
  ], [
     fhir:index 3;
     fhir:EligibilityResponse.benefitBalance.category [
       fhir:Coding.system [ fhir:value "http://hl7.org/fhir/benefit-category" ];
       fhir:Coding.code [ fhir:value "vision" ]
     ];
     fhir:EligibilityResponse.benefitBalance.subCategory [
       fhir:Coding.system [ fhir:value "http://hl7.org/fhir/benefit-subcategory" ];
       fhir:Coding.code [ fhir:value "F6" ];
       fhir:Coding.display [ fhir:value "Vision Coverage" ]
     ];
     fhir:EligibilityResponse.benefitBalance.network [
       fhir:Coding.system [ fhir:value "http://hl7.org/fhir/benefit-network" ];
       fhir:Coding.code [ fhir:value "in" ]
     ];
     fhir:EligibilityResponse.benefitBalance.unit [
       fhir:Coding.system [ fhir:value "http://hl7.org/fhir/benefit-unit" ];
       fhir:Coding.code [ fhir:value "individual" ]
     ];
     fhir:EligibilityResponse.benefitBalance.term [
       fhir:Coding.system [ fhir:value "http://hl7.org/fhir/benefit-term" ];
       fhir:Coding.code [ fhir:value "annual" ]
     ];
     fhir:EligibilityResponse.benefitBalance.financial [
       fhir:index 0;
       fhir:EligibilityResponse.benefitBalance.financial.type [
         fhir:Coding.code [ fhir:value "benefit" ]
       ];
       fhir:EligibilityResponse.benefitBalance.financial.benefitMoney [
         fhir:Quantity.value [ fhir:value "400"^^xsd:decimal ];
         fhir:Quantity.system [ fhir:value "urn:iso:std:iso:4217" ];
         fhir:Quantity.code [ fhir:value "SAR" ]
       ]
     ]
  ], [
     fhir:index 4;
     fhir:EligibilityResponse.benefitBalance.category [
       fhir:Coding.system [ fhir:value "http://hl7.org/fhir/benefit-category" ];
       fhir:Coding.code [ fhir:value "vision" ]
     ];
     fhir:EligibilityResponse.benefitBalance.subCategory [
       fhir:Coding.system [ fhir:value "http://hl7.org/fhir/benefit-subcategory" ];
       fhir:Coding.code [ fhir:value "49" ];
       fhir:Coding.display [ fhir:value "Hospital Room and Board" ]
     ];
     fhir:EligibilityResponse.benefitBalance.network [
       fhir:Coding.system [ fhir:value "http://hl7.org/fhir/benefit-network" ];
       fhir:Coding.code [ fhir:value "in" ]
     ];
     fhir:EligibilityResponse.benefitBalance.unit [
       fhir:Coding.system [ fhir:value "http://hl7.org/fhir/benefit-unit" ];
       fhir:Coding.code [ fhir:value "individual" ]
     ];
     fhir:EligibilityResponse.benefitBalance.term [
       fhir:Coding.system [ fhir:value "http://hl7.org/fhir/benefit-term" ];
       fhir:Coding.code [ fhir:value "day" ]
     ];
     fhir:EligibilityResponse.benefitBalance.financial [
       fhir:index 0;
       fhir:EligibilityResponse.benefitBalance.financial.type [
         fhir:Coding.code [ fhir:value "room" ]
       ];
       fhir:EligibilityResponse.benefitBalance.financial.benefitString [ fhir:value "shared" ]
     ], [
       fhir:index 1;
       fhir:EligibilityResponse.benefitBalance.financial.type [
         fhir:Coding.code [ fhir:value "benefit" ]
       ];
       fhir:EligibilityResponse.benefitBalance.financial.benefitMoney [
         fhir:Quantity.value [ fhir:value "600"^^xsd:decimal ];
         fhir:Quantity.system [ fhir:value "urn:iso:std:iso:4217" ];
         fhir:Quantity.code [ fhir:value "SAR" ]
       ]
     ]
  ] .

<http://hl7.org/fhir/Organization/2> a fhir:Organization .

# -------------------------------------------------------------------------------------
Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.