This page is part of the FHIR Specification (v3.5.0: R4 Ballot #2). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4
Financial Management Work Group | Maturity Level: N/A | Ballot Status: Informative | Compartments: Patient, Practitioner |
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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/CoverageEligibilityRequest/52346> a fhir:CoverageEligibilityRequest; 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 CoverageEligibilityRequest</div>" ]; fhir:CoverageEligibilityRequest.identifier [ fhir:index 0; fhir:Identifier.system [ fhir:value "http://happyvalley.com/coverageelegibilityrequest" ]; fhir:Identifier.value [ fhir:value "52346" ] ]; fhir:CoverageEligibilityRequest.status [ fhir:value "active"]; fhir:CoverageEligibilityRequest.priority [ fhir:CodeableConcept.coding [ fhir:index 0; fhir:Coding.code [ fhir:value "normal" ] ] ]; fhir:CoverageEligibilityRequest.purpose [ fhir:value "validation"; fhir:index 0 ], [ fhir:value "benefits"; fhir:index 1 ]; fhir:CoverageEligibilityRequest.patient [ fhir:link <http://hl7.org/fhir/Patient/pat1>; fhir:Reference.reference [ fhir:value "Patient/pat1" ] ]; fhir:CoverageEligibilityRequest.servicedDate [ fhir:value "2014-09-17"^^xsd:date]; fhir:CoverageEligibilityRequest.created [ fhir:value "2014-08-16"^^xsd:date]; fhir:CoverageEligibilityRequest.enterer [ fhir:Reference.identifier [ fhir:Identifier.system [ fhir:value "http://happyvalleyclinic.com/staff" ]; fhir:Identifier.value [ fhir:value "14" ] ] ]; fhir:CoverageEligibilityRequest.provider [ fhir:link <http://hl7.org/fhir/Organization/1>; fhir:Reference.reference [ fhir:value "Organization/1" ] ]; fhir:CoverageEligibilityRequest.insurer [ fhir:link <http://hl7.org/fhir/Organization/2>; fhir:Reference.reference [ fhir:value "Organization/2" ] ]; fhir:CoverageEligibilityRequest.facility [ fhir:Reference.identifier [ fhir:Identifier.system [ fhir:value "http://statecliniclicensor.com/clinicid" ]; fhir:Identifier.value [ fhir:value "G35B9" ] ] ]; fhir:CoverageEligibilityRequest.insurance [ fhir:index 0; fhir:CoverageEligibilityRequest.insurance.coverage [ fhir:link <http://hl7.org/fhir/Coverage/9876B1>; fhir:Reference.reference [ fhir:value "Coverage/9876B1" ] ]; fhir:CoverageEligibilityRequest.insurance.businessArrangement [ fhir:value "NB8742" ] ]; fhir:CoverageEligibilityRequest.item [ fhir:index 0; fhir:CoverageEligibilityRequest.item.category [ fhir:CodeableConcept.coding [ fhir:index 0; fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/ex-benefitcategory" ]; 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/CoverageEligibilityRequest/52346.ttl> a owl:Ontology; owl:imports fhir:fhir.ttl; owl:versionIRI <http://build.fhir.org/CoverageEligibilityRequest/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.