Contract-example-ins-policy.ttl

Health Insurance Policy

@prefix fhir: <http://hl7.org/fhir/> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .

# - resource -------------------------------------------------------------------

[] a fhir:Contract;
  fhir:Resource.id [ fhir:value "INS-101"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ]
  ];
  fhir:Contract.identifier [
     fhir:index 0;
     fhir:Identifier.system [ fhir:value "http://xyz-insurance.com/forms" ];
     fhir:Identifier.value [ fhir:value "YCSCWLN(01-2017)" ]
  ];
  fhir:Contract.applies [
     fhir:Period.start [ fhir:value "2017-01-01" ]
  ];
  fhir:Contract.subject [
     fhir:index 0;
     fhir:Reference.reference [ fhir:value "Patient/1" ]
  ];
  fhir:Contract.type [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/contract-type" ];
       fhir:Coding.code [ fhir:value "healthinsurance" ];
       fhir:Coding.display [ fhir:value "Health Insurance" ]
     ]
  ];
  fhir:Contract.term [
     fhir:index 0;
     fhir:Contract.offer [
       fhir:Contract.text [ fhir:value "The benefits, limitations, exclusions and other coverage provisions in this booklet are subject to the terms of our contract with the Group. This booklet is a part of that contract, which is on file in the Group's office." ]
     ];
     fhir:Contract.asset [
       fhir:index 0;
       fhir:Contract.type [
         fhir:index 0;
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://something/something" ];
           fhir:Coding.code [ fhir:value "RicardianContract" ]
         ]
       ];
       fhir:Contract.subtype [
         fhir:index 0;
         fhir:CodeableConcept.text [ fhir:value "sample" ]
       ];
       fhir:Contract.period [
         fhir:index 0;
         fhir:Period.start [ fhir:value "2017-06-01" ]
       ];
       fhir:Contract.valuedItem [
         fhir:index 0;
         fhir:Contract.entity [
           fhir:CodeableConcept.text [ fhir:value "Ford Bobcat" ]
         ];
         fhir:Contract.identifier [
           fhir:Identifier.system [ fhir:value "http://somewhere.motor-vehicle.com/vin" ];
           fhir:Identifier.value [ fhir:value "XXSVT34-7665t952236" ]
         ];
         fhir:Contract.effectiveTime [ fhir:value "1995" ];
         fhir:Contract.quantity [
           fhir:Quantity.value [ fhir:value "1" ]
         ];
         fhir:Contract.unitPrice [
           fhir:Money.value [ fhir:value "200.00" ];
           fhir:Money.currency [ fhir:value "CAD" ]
         ];
         fhir:Contract.factor [ fhir:value "1.0" ];
         fhir:Contract.points [ fhir:value "1.0" ];
         fhir:Contract.net [
           fhir:Money.value [ fhir:value "200.00" ];
           fhir:Money.currency [ fhir:value "CAD" ]
         ]
       ]
     ];
     fhir:Contract.group [
       fhir:index 0;
       fhir:Contract.offer [
         fhir:Contract.text [ fhir:value "Eligible Providers" ]
       ]
     ], [
       fhir:index 1;
       fhir:Contract.offer [
         fhir:Contract.text [ fhir:value "Responsibility for Payment" ]
       ]
     ], [
       fhir:index 2;
       fhir:Contract.offer [
         fhir:Contract.text [ fhir:value "List of Benefits" ]
       ];
       fhir:Contract.group [
         fhir:index 0;
         fhir:Contract.offer [
           fhir:Contract.text [ fhir:value "Copays" ]
         ];
         fhir:Contract.group [
           fhir:index 0;
           fhir:Contract.offer [
             fhir:Contract.text [ fhir:value "Emergency Room Copay" ]
           ]
         ], [
           fhir:index 1;
           fhir:Contract.offer [
             fhir:Contract.text [ fhir:value "Professional Visit Copay" ]
           ]
         ]
       ], [
         fhir:index 1;
         fhir:Contract.offer [
           fhir:Contract.text [ fhir:value "Calendar Year Deductible" ]
         ]
       ], [
         fhir:index 2;
         fhir:Contract.offer [
           fhir:Contract.text [ fhir:value "Out-Of-Pocket Maximum" ]
         ]
       ], [
         fhir:index 3;
         fhir:Contract.offer [
           fhir:Contract.text [ fhir:value "Medical Services" ]
         ];
         fhir:Contract.group [
           fhir:index 0;
           fhir:Contract.offer [
             fhir:Contract.text [ fhir:value "Ambulance Services" ]
           ]
         ], [
           fhir:index 1;
           fhir:Contract.offer [
             fhir:Contract.text [ fhir:value "Dental Services" ]
           ]
         ], [
           fhir:index 2;
           fhir:Contract.offer [
             fhir:Contract.text [ fhir:value "Diagnostic Services" ]
           ]
         ], [
           fhir:index 3;
           fhir:Contract.offer [
             fhir:Contract.text [ fhir:value "Emergency Room Services" ]
           ]
         ], [
           fhir:index 4;
           fhir:Contract.offer [
             fhir:Contract.text [ fhir:value "Hospital Inpatient Care" ]
           ]
         ]
       ]
     ]
  ] .

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