General Person Primary Coverage 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 -------------------------------------------------------------------

[a fhir:Coverage;
  fhir:nodeRole fhir:treeRoot;
  fhir:Resource.id [ fhir:value "9876B1"]; # 
  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 coverage</div>"
  ]; # 
  fhir:Coverage.identifier [
     fhir:index 0;
     fhir:Identifier.system [ fhir:value "http://benefitsinc.com/certificate" ];
     fhir:Identifier.value [ fhir:value "12345" ]
  ]; # 
  fhir:Coverage.status [ fhir:value "active"]; # 
  fhir:Coverage.kind [ fhir:value "insurance"]; # 
  fhir:Coverage.type [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ActCode" ];
       fhir:Coding.code [ fhir:value "EHCPOL" ];
       fhir:Coding.display [ fhir:value "extended healthcare" ]
     ]
  ]; # 
  fhir:Coverage.policyHolder [
     fhir:link <http://benefitsinc.com/FHIR/Organization/CBI35>;
     fhir:Reference.reference [ fhir:value "http://benefitsinc.com/FHIR/Organization/CBI35" ]
  ]; # 
  fhir:Coverage.subscriber [
     fhir:Reference.reference [ fhir:value "Patient/4" ]
  ]; # 
  fhir:Coverage.beneficiary [
     fhir:Reference.reference [ fhir:value "Patient/4" ]
  ]; # 
  fhir:Coverage.dependent [ fhir:value "0"]; # 
  fhir:Coverage.relationship [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.code [ fhir:value "self" ]
     ]
  ]; # 
  fhir:Coverage.period [
     fhir:Period.start [ fhir:value "2011-05-23"^^xsd:date ];
     fhir:Period.end [ fhir:value "2012-05-23"^^xsd:date ]
  ]; # 
  fhir:Coverage.insurer [
     fhir:Reference.reference [ fhir:value "Organization/2" ]
  ]; # 
  fhir:Coverage.class [
     fhir:index 0;
     fhir:Coverage.class.type [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/coverage-class" ];
         fhir:Coding.code [ fhir:value "group" ]
       ]
     ];
     fhir:Coverage.class.value [
       fhir:Identifier.value [ fhir:value "CB135" ]
     ];
     fhir:Coverage.class.name [ fhir:value "Corporate Baker's Inc. Local #35" ]
  ], [
     fhir:index 1;
     fhir:Coverage.class.type [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/coverage-class" ];
         fhir:Coding.code [ fhir:value "subgroup" ]
       ]
     ];
     fhir:Coverage.class.value [
       fhir:Identifier.value [ fhir:value "123" ]
     ];
     fhir:Coverage.class.name [ fhir:value "Trainee Part-time Benefits" ]
  ], [
     fhir:index 2;
     fhir:Coverage.class.type [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/coverage-class" ];
         fhir:Coding.code [ fhir:value "plan" ]
       ]
     ];
     fhir:Coverage.class.value [
       fhir:Identifier.value [ fhir:value "B37FC" ]
     ];
     fhir:Coverage.class.name [ fhir:value "Full Coverage: Medical, Dental, Pharmacy, Vision, EHC" ]
  ], [
     fhir:index 3;
     fhir:Coverage.class.type [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/coverage-class" ];
         fhir:Coding.code [ fhir:value "subplan" ]
       ]
     ];
     fhir:Coverage.class.value [
       fhir:Identifier.value [ fhir:value "P7" ]
     ];
     fhir:Coverage.class.name [ fhir:value "Includes afterlife benefits" ]
  ], [
     fhir:index 4;
     fhir:Coverage.class.type [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/coverage-class" ];
         fhir:Coding.code [ fhir:value "class" ]
       ]
     ];
     fhir:Coverage.class.value [
       fhir:Identifier.value [ fhir:value "SILVER" ]
     ];
     fhir:Coverage.class.name [ fhir:value "Silver: Family Plan spouse only" ]
  ], [
     fhir:index 5;
     fhir:Coverage.class.type [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/coverage-class" ];
         fhir:Coding.code [ fhir:value "subclass" ]
       ]
     ];
     fhir:Coverage.class.value [
       fhir:Identifier.value [ fhir:value "Tier2" ]
     ];
     fhir:Coverage.class.name [ fhir:value "Low deductable, max $20 copay" ]
  ], [
     fhir:index 6;
     fhir:Coverage.class.type [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/coverage-class" ];
         fhir:Coding.code [ fhir:value "sequence" ]
       ]
     ];
     fhir:Coverage.class.value [
       fhir:Identifier.value [ fhir:value "9" ]
     ]
  ], [
     fhir:index 7;
     fhir:Coverage.class.type [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/coverage-class" ];
         fhir:Coding.code [ fhir:value "rxid" ]
       ]
     ];
     fhir:Coverage.class.value [
       fhir:Identifier.value [ fhir:value "MDF12345" ]
     ] #   member id used when submitting pharmacy claims  
  ], [
     fhir:index 8;
     fhir:Coverage.class.type [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/coverage-class" ];
         fhir:Coding.code [ fhir:value "rxbin" ]
       ]
     ];
     fhir:Coverage.class.value [
       fhir:Identifier.value [ fhir:value "987654" ]
     ] #   the pharmacy processor BIN number used when submitting pharmacy claims  
  ], [
     fhir:index 9;
     fhir:Coverage.class.type [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/coverage-class" ];
         fhir:Coding.code [ fhir:value "rxgroup" ]
       ]
     ];
     fhir:Coverage.class.value [
       fhir:Identifier.value [ fhir:value "M35PT" ]
     ] #   group used when submitting pharmacy claims  
  ], [
     fhir:index 10;
     fhir:Coverage.class.type [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/coverage-class" ];
         fhir:Coding.code [ fhir:value "rxpcn" ]
       ]
     ];
     fhir:Coverage.class.value [
       fhir:Identifier.value [ fhir:value "234516" ]
     ] #   the PCN number used when submitting pharmacy claims  
  ], [
     fhir:index 11;
     fhir:Coverage.class.type [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/coverage-class" ];
         fhir:Coding.code [ fhir:value "sequence" ]
       ]
     ];
     fhir:Coverage.class.value [
       fhir:Identifier.value [ fhir:value "9" ]
     ] #   the sequence number for a short-term continuance of the coverage  
  ]] . #   The repeating 'class' element is proposed to replace the 'grouping' element  

# - ontology header ------------------------------------------------------------

[a owl:Ontology;
  owl:imports fhir:fhir.ttl] .

# -------------------------------------------------------------------------------------