This page is part of the FHIR Specification (v3.2.0: R4 Ballot 1). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions 
| Financial Management Work Group | Maturity Level: N/A | Ballot Status: Informative | Compartments: Patient, Practitioner |
Primary Coverage specifying Benefit Example
@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/EligibilityRequest/52346> a fhir:EligibilityRequest;
fhir:nodeRole fhir:treeRoot;
fhir:Resource.id [ fhir:value "52346"];
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 EligibilityRequest</div>"
];
fhir:EligibilityRequest.identifier [
fhir:index 0;
fhir:Identifier.system [ fhir:value "http://happyvalley.com/elegibilityrequest" ];
fhir:Identifier.value [ fhir:value "52346" ]
];
fhir:EligibilityRequest.status [ fhir:value "active"];
fhir:EligibilityRequest.priority [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.code [ fhir:value "normal" ]
]
];
fhir:EligibilityRequest.patient [
fhir:link <http://hl7.org/fhir/Patient/pat1>;
fhir:Reference.reference [ fhir:value "Patient/pat1" ]
];
fhir:EligibilityRequest.servicedDate [ fhir:value "2014-09-17"^^xsd:date];
fhir:EligibilityRequest.created [ fhir:value "2014-08-16"^^xsd:date];
fhir:EligibilityRequest.enterer [
fhir:Reference.identifier [
fhir:Identifier.system [ fhir:value "http://happyvalleyclinic.com/staff" ];
fhir:Identifier.value [ fhir:value "14" ]
]
];
fhir:EligibilityRequest.provider [
fhir:Reference.identifier [
fhir:Identifier.system [ fhir:value "http://happyvalleyclinic.com/staff" ];
fhir:Identifier.value [ fhir:value "18" ]
]
];
fhir:EligibilityRequest.organization [
fhir:link <http://hl7.org/fhir/Organization/1>;
fhir:Reference.reference [ fhir:value "Organization/1" ]
];
fhir:EligibilityRequest.insurer [
fhir:link <http://hl7.org/fhir/Organization/2>;
fhir:Reference.reference [ fhir:value "Organization/2" ]
];
fhir:EligibilityRequest.facility [
fhir:Reference.identifier [
fhir:Identifier.system [ fhir:value "http://statecliniclicensor.com/clinicid" ];
fhir:Identifier.value [ fhir:value "G35B9" ]
]
];
fhir:EligibilityRequest.coverage [
fhir:link <http://hl7.org/fhir/Coverage/9876B1>;
fhir:Reference.reference [ fhir:value "Coverage/9876B1" ]
];
fhir:EligibilityRequest.businessArrangement [ fhir:value "NB8742"];
fhir:EligibilityRequest.benefitCategory [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/benefit-category" ];
fhir:Coding.code [ fhir:value "medical" ]
]
];
fhir:EligibilityRequest.benefitSubCategory [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/benefit-subcategory" ];
fhir:Coding.code [ fhir:value "69" ];
fhir:Coding.display [ fhir:value "Maternity" ]
]
] .
<http://hl7.org/fhir/Patient/pat1> a fhir:Patient .
<http://hl7.org/fhir/Organization/1> a fhir:Organization .
<http://hl7.org/fhir/Organization/2> a fhir:Organization .
<http://hl7.org/fhir/Coverage/9876B1> a fhir:Coverage .
# - ontology header ------------------------------------------------------------
<http://hl7.org/fhir/EligibilityRequest/52346.ttl> a owl:Ontology;
owl:imports fhir:fhir.ttl;
owl:versionIRI <http://build.fhir.org/EligibilityRequest/52346.ttl> .
# -------------------------------------------------------------------------------------
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.