This page is part of the FHIR Specification (v4.0.1: R4 - Mixed Normative and STU) in it's permanent home (it will always be available at this URL). 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 R3
Financial Management Work Group | Maturity Level: N/A | Standards Status: Informative | Compartments: Patient, RelatedPerson |
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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 ------------------------------------------------------------------- <http://hl7.org/fhir/Coverage/9876B1> 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.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:link <http://hl7.org/fhir/Patient/4>; fhir:Reference.reference [ fhir:value "Patient/4" ] ]; fhir:Coverage.beneficiary [ fhir:link <http://hl7.org/fhir/Patient/4>; 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.payor [ fhir:index 0; fhir:link <http://hl7.org/fhir/Organization/2>; 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: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: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: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: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: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: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: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:value "MDF12345" ] ], [ 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:value "987654" ] ], [ 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:value "M35PT" ] ], [ 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:value "234516" ] ], [ 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:value "9" ] ] . <http://hl7.org/fhir/Patient/4> a fhir:Patient . <http://hl7.org/fhir/Organization/2> a fhir:Organization . # - ontology header ------------------------------------------------------------ <http://hl7.org/fhir/Coverage/9876B1.ttl> a owl:Ontology; owl:imports fhir:fhir.ttl; owl:versionIRI <http://build.fhir.org/Coverage/9876B1.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.