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Example Coverage/9876B1 (Turtle)
Raw Turtle (+ also see Turtle/RDF Format Specification)
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:id [ fhir:v "9876B1"] ; #
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">A human-readable rendering of the coverage</div>"
] ; #
fhir:identifier ( [
fhir:system [ fhir:v "http://benefitsinc.com/certificate"^^xsd:anyURI ] ;
fhir:value [ fhir:v "12345" ]
] ) ; #
fhir:status [ fhir:v "active"] ; #
fhir:kind [ fhir:v "insurance"] ; #
fhir:type [
fhir:coding ( [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ActCode"^^xsd:anyURI ] ;
fhir:code [ fhir:v "EHCPOL" ] ;
fhir:display [ fhir:v "extended healthcare" ]
] )
] ; #
fhir:policyHolder [
fhir:link <http://benefitsinc.com/FHIR/Organization/CBI35> ;
fhir:reference [ fhir:v "http://benefitsinc.com/FHIR/Organization/CBI35" ]
] ; #
fhir:subscriber [
fhir:reference [ fhir:v "Patient/4" ]
] ; #
fhir:beneficiary [
fhir:reference [ fhir:v "Patient/4" ]
] ; #
fhir:dependent [ fhir:v "0"] ; #
fhir:relationship [
fhir:coding ( [
fhir:code [ fhir:v "self" ]
] )
] ; #
fhir:period [
fhir:start [ fhir:v "2011-05-23"^^xsd:date ] ;
fhir:end [ fhir:v "2012-05-23"^^xsd:date ]
] ; #
fhir:insurer [
fhir:reference [ fhir:v "Organization/2" ]
] ; #
fhir:class ( [
fhir:type [
fhir:coding ( [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/coverage-class"^^xsd:anyURI ] ;
fhir:code [ fhir:v "group" ]
] )
] ;
fhir:value [
fhir:value [ fhir:v "CB135" ]
] ;
fhir:name [ fhir:v "Corporate Baker's Inc. Local #35" ]
] [
fhir:type [
fhir:coding ( [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/coverage-class"^^xsd:anyURI ] ;
fhir:code [ fhir:v "subgroup" ]
] )
] ;
fhir:value [
fhir:value [ fhir:v "123" ]
] ;
fhir:name [ fhir:v "Trainee Part-time Benefits" ]
] [
fhir:type [
fhir:coding ( [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/coverage-class"^^xsd:anyURI ] ;
fhir:code [ fhir:v "plan" ]
] )
] ;
fhir:value [
fhir:value [ fhir:v "B37FC" ]
] ;
fhir:name [ fhir:v "Full Coverage: Medical, Dental, Pharmacy, Vision, EHC" ]
] [
fhir:type [
fhir:coding ( [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/coverage-class"^^xsd:anyURI ] ;
fhir:code [ fhir:v "subplan" ]
] )
] ;
fhir:value [
fhir:value [ fhir:v "P7" ]
] ;
fhir:name [ fhir:v "Includes afterlife benefits" ]
] [
fhir:type [
fhir:coding ( [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/coverage-class"^^xsd:anyURI ] ;
fhir:code [ fhir:v "class" ]
] )
] ;
fhir:value [
fhir:value [ fhir:v "SILVER" ]
] ;
fhir:name [ fhir:v "Silver: Family Plan spouse only" ]
] [
fhir:type [
fhir:coding ( [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/coverage-class"^^xsd:anyURI ] ;
fhir:code [ fhir:v "subclass" ]
] )
] ;
fhir:value [
fhir:value [ fhir:v "Tier2" ]
] ;
fhir:name [ fhir:v "Low deductable, max $20 copay" ]
] [
fhir:type [
fhir:coding ( [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/coverage-class"^^xsd:anyURI ] ;
fhir:code [ fhir:v "sequence" ]
] )
] ;
fhir:value [
fhir:value [ fhir:v "9" ]
]
] [
fhir:type [
fhir:coding ( [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/coverage-class"^^xsd:anyURI ] ;
fhir:code [ fhir:v "rxid" ]
] )
] ;
fhir:value [
fhir:value [ fhir:v "MDF12345" ]
] # member id used when submitting pharmacy claims
] [
fhir:type [
fhir:coding ( [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/coverage-class"^^xsd:anyURI ] ;
fhir:code [ fhir:v "rxbin" ]
] )
] ;
fhir:value [
fhir:value [ fhir:v "987654" ]
] # the pharmacy processor BIN number used when submitting pharmacy claims
] [
fhir:type [
fhir:coding ( [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/coverage-class"^^xsd:anyURI ] ;
fhir:code [ fhir:v "rxgroup" ]
] )
] ;
fhir:value [
fhir:value [ fhir:v "M35PT" ]
] # group used when submitting pharmacy claims
] [
fhir:type [
fhir:coding ( [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/coverage-class"^^xsd:anyURI ] ;
fhir:code [ fhir:v "rxpcn" ]
] )
] ;
fhir:value [
fhir:value [ fhir:v "234516" ]
] # the PCN number used when submitting pharmacy claims
] [
fhir:type [
fhir:coding ( [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/coverage-class"^^xsd:anyURI ] ;
fhir:code [ fhir:v "sequence" ]
] )
] ;
fhir:value [
fhir:value [ fhir:v "9" ]
] # the sequence number for a short-term continuance of the coverage
] )] . # The repeating 'class' element is proposed to replace the 'grouping' element
# -------------------------------------------------------------------------------------
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.
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