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 -------------------------------------------------------------------

[a fhir:CoverageEligibilityResponse ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "E2501"] ; # 
  fhir:text [
     fhir:status [ fhir:v "generated" ] ;
     fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">A human-readable rendering of the CoverageEligibilityResponse.</div>"
  ] ; # 
  fhir:identifier ( [
     fhir:system [ fhir:v "http://www.BenefitsInc.com/fhir/coverageeligibilityresponse"^^xsd:anyURI ] ;
     fhir:value [ fhir:v "881234" ]
  ] ) ; # 
  fhir:status [ fhir:v "active"] ; # 
  fhir:purpose ( [ fhir:v "validation"] [ fhir:v "benefits"] ) ; # 
  fhir:patient [
     fhir:reference [ fhir:v "Patient/pat1" ]
  ] ; # 
  fhir:serviced [ fhir:v "2014-09-17"^^xsd:date] ; # 
  fhir:created [ fhir:v "2014-08-16"^^xsd:date] ; #   Anticipated service date  
  fhir:request [
     fhir:link <http://www.BenefitsInc.com/fhir/coverageeligibilityresponse/225476332402> ;
     fhir:reference [ fhir:v "http://www.BenefitsInc.com/fhir/coverageeligibilityresponse/225476332402" ]
  ] ; # 
  fhir:outcome [ fhir:v "complete"] ; # 
  fhir:disposition [ fhir:v "Policy is currently in-force."] ; # 
  fhir:insurer [
     fhir:reference [ fhir:v "Organization/2" ]
  ] ; # 
  fhir:insurance ( [
     fhir:coverage [
       fhir:reference [ fhir:v "Coverage/9876B1" ]
     ] ;
     fhir:inforce [ fhir:v "true"^^xsd:boolean ] ;
     fhir:item ( [
       fhir:category [
         fhir:coding ( [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/ex-benefitcategory"^^xsd:anyURI ] ;
           fhir:code [ fhir:v "30" ] ;
           fhir:display [ fhir:v "Health Benefit Plan Coverage" ]
         ] )
       ] ;
       fhir:network [
         fhir:coding ( [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/benefit-network"^^xsd:anyURI ] ;
           fhir:code [ fhir:v "in" ]
         ] )
       ] ;
       fhir:unit [
         fhir:coding ( [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/benefit-unit"^^xsd:anyURI ] ;
           fhir:code [ fhir:v "individual" ]
         ] )
       ] ;
       fhir:term [
         fhir:coding ( [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/benefit-term"^^xsd:anyURI ] ;
           fhir:code [ fhir:v "annual" ]
         ] )
       ] ;
       fhir:benefit ( [
         fhir:type [
           fhir:coding ( [
             fhir:code [ fhir:v "benefit" ]
           ] )
         ] ;
         fhir:allowed [
           a fhir:Money ;
           fhir:value [ fhir:v "500000"^^xsd:decimal ] ;
           fhir:currency [ fhir:v "SAR" ]
         ]
       ] [
         fhir:type [
           fhir:coding ( [
             fhir:code [ fhir:v "copay-maximum" ]
           ] )
         ] ;
         fhir:allowed [
           a fhir:Money ;
           fhir:value [ fhir:v "100"^^xsd:decimal ] ;
           fhir:currency [ fhir:v "SAR" ]
         ]
       ] [
         fhir:type [
           fhir:coding ( [
             fhir:code [ fhir:v "copay-percent" ]
           ] )
         ] ;
         fhir:allowed [ fhir:v "20"^^xsd:nonNegativeInteger ]
       ] )
     ] [
       fhir:category [
         fhir:coding ( [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/ex-benefitcategory"^^xsd:anyURI ] ;
           fhir:code [ fhir:v "69" ] ;
           fhir:display [ fhir:v "Maternity" ]
         ] )
       ] ;
       fhir:network [
         fhir:coding ( [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/benefit-network"^^xsd:anyURI ] ;
           fhir:code [ fhir:v "in" ]
         ] )
       ] ;
       fhir:unit [
         fhir:coding ( [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/benefit-unit"^^xsd:anyURI ] ;
           fhir:code [ fhir:v "individual" ]
         ] )
       ] ;
       fhir:term [
         fhir:coding ( [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/benefit-term"^^xsd:anyURI ] ;
           fhir:code [ fhir:v "annual" ]
         ] )
       ] ;
       fhir:benefit ( [
         fhir:type [
           fhir:coding ( [
             fhir:code [ fhir:v "benefit" ]
           ] )
         ] ;
         fhir:allowed [
           a fhir:Money ;
           fhir:value [ fhir:v "15000"^^xsd:decimal ] ;
           fhir:currency [ fhir:v "SAR" ]
         ]
       ] )
     ] [
       fhir:category [
         fhir:coding ( [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/ex-benefitcategory"^^xsd:anyURI ] ;
           fhir:code [ fhir:v "F3" ] ;
           fhir:display [ fhir:v "Dental Coverage" ]
         ] )
       ] ;
       fhir:network [
         fhir:coding ( [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/benefit-network"^^xsd:anyURI ] ;
           fhir:code [ fhir:v "in" ]
         ] )
       ] ;
       fhir:unit [
         fhir:coding ( [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/benefit-unit"^^xsd:anyURI ] ;
           fhir:code [ fhir:v "individual" ]
         ] )
       ] ;
       fhir:term [
         fhir:coding ( [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/benefit-term"^^xsd:anyURI ] ;
           fhir:code [ fhir:v "annual" ]
         ] )
       ] ;
       fhir:benefit ( [
         fhir:type [
           fhir:coding ( [
             fhir:code [ fhir:v "benefit" ]
           ] )
         ] ;
         fhir:allowed [
           a fhir:Money ;
           fhir:value [ fhir:v "2000"^^xsd:decimal ] ;
           fhir:currency [ fhir:v "SAR" ]
         ]
       ] )
     ] [
       fhir:category [
         fhir:coding ( [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/ex-benefitcategory"^^xsd:anyURI ] ;
           fhir:code [ fhir:v "F6" ] ;
           fhir:display [ fhir:v "Vision Coverage" ]
         ] )
       ] ;
       fhir:network [
         fhir:coding ( [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/benefit-network"^^xsd:anyURI ] ;
           fhir:code [ fhir:v "in" ]
         ] )
       ] ;
       fhir:unit [
         fhir:coding ( [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/benefit-unit"^^xsd:anyURI ] ;
           fhir:code [ fhir:v "individual" ]
         ] )
       ] ;
       fhir:term [
         fhir:coding ( [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/benefit-term"^^xsd:anyURI ] ;
           fhir:code [ fhir:v "annual" ]
         ] )
       ] ;
       fhir:benefit ( [
         fhir:type [
           fhir:coding ( [
             fhir:code [ fhir:v "benefit" ]
           ] )
         ] ;
         fhir:allowed [
           a fhir:Money ;
           fhir:value [ fhir:v "400"^^xsd:decimal ] ;
           fhir:currency [ fhir:v "SAR" ]
         ]
       ] )
     ] [
       fhir:category [
         fhir:coding ( [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/ex-benefitcategory"^^xsd:anyURI ] ;
           fhir:code [ fhir:v "49" ] ;
           fhir:display [ fhir:v "Hospital Room and Board" ]
         ] )
       ] ;
       fhir:network [
         fhir:coding ( [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/benefit-network"^^xsd:anyURI ] ;
           fhir:code [ fhir:v "in" ]
         ] )
       ] ;
       fhir:unit [
         fhir:coding ( [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/benefit-unit"^^xsd:anyURI ] ;
           fhir:code [ fhir:v "individual" ]
         ] )
       ] ;
       fhir:term [
         fhir:coding ( [
           fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/benefit-term"^^xsd:anyURI ] ;
           fhir:code [ fhir:v "day" ]
         ] )
       ] ;
       fhir:benefit ( [
         fhir:type [
           fhir:coding ( [
             fhir:code [ fhir:v "room" ]
           ] )
         ] ;
         fhir:allowed [ fhir:v "shared" ]
       ] [
         fhir:type [
           fhir:coding ( [
             fhir:code [ fhir:v "benefit" ]
           ] )
         ] ;
         fhir:allowed [
           a fhir:Money ;
           fhir:value [ fhir:v "600"^^xsd:decimal ] ;
           fhir:currency [ fhir:v "SAR" ]
         ]
       ] )
     ] )
  ] )] . # 

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