This page is part of the Bidirectional Services eReferrals (BSeR) (v1.0.0: STU 1) based on FHIR R4. This is the current published version. For a full list of available versions, see the Directory of published versions
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@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 "coverage-BSeR-Coverage-eve-everywoman"]; fhir:Resource.meta [ fhir:Meta.versionId [ fhir:value "3" ]; fhir:Meta.lastUpdated [ fhir:value "2020-01-18T00:10:51.000-05:00"^^xsd:dateTime ]; fhir:Meta.profile [ fhir:value "http://hl7.org/fhir/us/bser/StructureDefinition/BSeR-Coverage"; fhir:index 0; fhir:link <http://hl7.org/fhir/us/bser/StructureDefinition/BSeR-Coverage> ] ]; fhir:DomainResource.text [ fhir:Narrative.status [ fhir:value "generated" ]; fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <table xmlns:xsl=\"http://www.w3.org/1999/XSL/Transform\">\n <tr>\n <td style=\"font-weight: bold\">id</td>\n <td>\n <div title=\"id\">coverage-BSeR-Coverage-eve-everywoman</div>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">meta</td>\n <td>\n <table>\n <tr>\n <td style=\"font-weight: bold\">profile</td>\n <td>\n <div title=\"profile\">http://hl7.org/fhir/us/bser/StructureDefinition/BSeR-Coverage</div>\n </td>\n </tr>\n </table>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">identifier</td>\n <td>\n <ul style=\"list-style:none; padding-left:0; margin:0 0;\">\n <li>\n <div title=\"system\">\n <a href=\"http://benefitsinc.com/certificate\">http://benefitsinc.com/certificate</a>\n </div>\n </li>\n <li>\n <div title=\"value\">12345</div>\n </li>\n </ul>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">status</td>\n <td>\n <div title=\"status\">active</div>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">type</td>\n <td>\n <ul style=\"list-style:none; padding-left:0; margin:0 0;\">\n <li>\n <ul style=\"list-style:none; padding-left:0; margin:0 0;\">\n <li>\n <div title=\"display\">extended healthcare</div> (\n \n \n <div title=\"code\">EHCPOL</div> )\n \n \n \n </li>\n <li>\n <div title=\"system\">\n <a href=\"http://terminology.hl7.org/CodeSystem/v3-ActCode\">http://terminology.hl7.org/CodeSystem/v3-ActCode</a>\n </div>\n </li>\n </ul>\n </li>\n </ul>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">subscriber</td>\n <td>\n <ul style=\"list-style:none; padding-left:0; margin:0 0;\">\n <li/>\n <li>\n <a href=\"RelatedPerson-relatedperson-self-eve-everywoman.html\">Eve Everywoman</a>\n </li>\n </ul>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">beneficiary</td>\n <td>\n <ul style=\"list-style:none; padding-left:0; margin:0 0;\">\n <li/>\n <li>\n <a href=\"Patient-patient-us-core-patient-eve-everywoman.html\">Eve Everywoman</a>\n </li>\n </ul>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">relationship</td>\n <td>\n <ul style=\"list-style:none; padding-left:0; margin:0 0;\">\n <li>\n <ul style=\"list-style:none; padding-left:0; margin:0 0;\">\n <li> (\n \n \n <div title=\"code\">self</div> )\n \n \n \n </li>\n </ul>\n </li>\n </ul>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">period</td>\n <td>\n <table>\n <tr>\n <td style=\"font-weight: bold\">start</td>\n <td>\n <div title=\"start\">2019-05-23</div>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">end</td>\n <td>\n <div title=\"end\">2020-05-23</div>\n </td>\n </tr>\n </table>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">payor</td>\n <td>\n <ul style=\"list-style:none; padding-left:0; margin:0 0;\">\n <li>\n <a href=\"Organization-organization-bser-organization-saint-luke.html\">Organization/organization-bser-organization-saint-luke</a>\n </li>\n </ul>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">class</td>\n <td>\n <ul style=\"list-style:none; padding-left:0; margin:0 0;\">\n <li>\n <ul style=\"list-style:none; padding-left:0; margin:0 0;\">\n <li> (\n \n \n <div title=\"code\">group</div> )\n \n \n \n </li>\n <li>\n <div title=\"system\">\n <a href=\"http://terminology.hl7.org/CodeSystem/coverage-class\">http://terminology.hl7.org/CodeSystem/coverage-class</a>\n </div>\n </li>\n </ul>\n </li>\n <li>\n <div title=\"value\">CB135</div>\n </li>\n <li>\n <div title=\"name\">Corporate Baker's Inc. Local #35</div>\n </li>\n </ul>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">class</td>\n <td>\n <ul style=\"list-style:none; padding-left:0; margin:0 0;\">\n <li>\n <ul style=\"list-style:none; padding-left:0; margin:0 0;\">\n <li> (\n \n \n <div title=\"code\">subgroup</div> )\n \n \n \n </li>\n <li>\n <div title=\"system\">\n <a href=\"http://terminology.hl7.org/CodeSystem/coverage-class\">http://terminology.hl7.org/CodeSystem/coverage-class</a>\n </div>\n </li>\n </ul>\n </li>\n <li>\n <div title=\"value\">123</div>\n </li>\n <li>\n <div title=\"name\">Trainee Part-time Benefits</div>\n </li>\n </ul>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">class</td>\n <td>\n <ul style=\"list-style:none; padding-left:0; margin:0 0;\">\n <li>\n <ul style=\"list-style:none; padding-left:0; margin:0 0;\">\n <li> (\n \n \n <div title=\"code\">plan</div> )\n \n \n \n </li>\n <li>\n <div title=\"system\">\n <a href=\"http://terminology.hl7.org/CodeSystem/coverage-class\">http://terminology.hl7.org/CodeSystem/coverage-class</a>\n </div>\n </li>\n </ul>\n </li>\n <li>\n <div title=\"value\">B37FC</div>\n </li>\n <li>\n <div title=\"name\">Full Coverage: Medical, Dental, Pharmacy, Vision, EHC</div>\n </li>\n </ul>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">class</td>\n <td>\n <ul style=\"list-style:none; padding-left:0; margin:0 0;\">\n <li>\n <ul style=\"list-style:none; padding-left:0; margin:0 0;\">\n <li> (\n \n \n <div title=\"code\">subplan</div> )\n \n \n \n </li>\n <li>\n <div title=\"system\">\n <a href=\"http://terminology.hl7.org/CodeSystem/coverage-class\">http://terminology.hl7.org/CodeSystem/coverage-class</a>\n </div>\n </li>\n </ul>\n </li>\n <li>\n <div title=\"value\">P7</div>\n </li>\n <li>\n <div title=\"name\">Includes afterlife benefits</div>\n </li>\n </ul>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">class</td>\n <td>\n <ul style=\"list-style:none; padding-left:0; margin:0 0;\">\n <li>\n <ul style=\"list-style:none; padding-left:0; margin:0 0;\">\n <li> (\n \n \n <div title=\"code\">class</div> )\n \n \n \n </li>\n <li>\n <div title=\"system\">\n <a href=\"http://terminology.hl7.org/CodeSystem/coverage-class\">http://terminology.hl7.org/CodeSystem/coverage-class</a>\n </div>\n </li>\n </ul>\n </li>\n <li>\n <div title=\"value\">SILVER</div>\n </li>\n <li>\n <div title=\"name\">Silver: Family Plan spouse only</div>\n </li>\n </ul>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">class</td>\n <td>\n <ul style=\"list-style:none; padding-left:0; margin:0 0;\">\n <li>\n <ul style=\"list-style:none; padding-left:0; margin:0 0;\">\n <li> (\n \n \n <div title=\"code\">subclass</div> )\n \n \n \n </li>\n <li>\n <div title=\"system\">\n <a href=\"http://terminology.hl7.org/CodeSystem/coverage-class\">http://terminology.hl7.org/CodeSystem/coverage-class</a>\n </div>\n </li>\n </ul>\n </li>\n <li>\n <div title=\"value\">Tier2</div>\n </li>\n <li>\n <div title=\"name\">Low deductable, max $20 copay</div>\n </li>\n </ul>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">class</td>\n <td>\n <ul style=\"list-style:none; padding-left:0; margin:0 0;\">\n <li>\n <ul style=\"list-style:none; padding-left:0; margin:0 0;\">\n <li> (\n \n \n <div title=\"code\">sequence</div> )\n \n \n \n </li>\n <li>\n <div title=\"system\">\n <a href=\"http://terminology.hl7.org/CodeSystem/coverage-class\">http://terminology.hl7.org/CodeSystem/coverage-class</a>\n </div>\n </li>\n </ul>\n </li>\n <li>\n <div title=\"value\">9</div>\n </li>\n </ul>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">class</td>\n <td>\n <ul style=\"list-style:none; padding-left:0; margin:0 0;\">\n <li>\n <ul style=\"list-style:none; padding-left:0; margin:0 0;\">\n <li> (\n \n \n <div title=\"code\">rxid</div> )\n \n \n \n </li>\n <li>\n <div title=\"system\">\n <a href=\"http://terminology.hl7.org/CodeSystem/coverage-class\">http://terminology.hl7.org/CodeSystem/coverage-class</a>\n </div>\n </li>\n </ul>\n </li>\n <li>\n <div title=\"value\">MDF12345</div>\n </li>\n </ul>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">class</td>\n <td>\n <ul style=\"list-style:none; padding-left:0; margin:0 0;\">\n <li>\n <ul style=\"list-style:none; padding-left:0; margin:0 0;\">\n <li> (\n \n \n <div title=\"code\">rxbin</div> )\n \n \n \n </li>\n <li>\n <div title=\"system\">\n <a href=\"http://terminology.hl7.org/CodeSystem/coverage-class\">http://terminology.hl7.org/CodeSystem/coverage-class</a>\n </div>\n </li>\n </ul>\n </li>\n <li>\n <div title=\"value\">987654</div>\n </li>\n </ul>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">class</td>\n <td>\n <ul style=\"list-style:none; padding-left:0; margin:0 0;\">\n <li>\n <ul style=\"list-style:none; padding-left:0; margin:0 0;\">\n <li> (\n \n \n <div title=\"code\">rxgroup</div> )\n \n \n \n </li>\n <li>\n <div title=\"system\">\n <a href=\"http://terminology.hl7.org/CodeSystem/coverage-class\">http://terminology.hl7.org/CodeSystem/coverage-class</a>\n </div>\n </li>\n </ul>\n </li>\n <li>\n <div title=\"value\">M35PT</div>\n </li>\n </ul>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">class</td>\n <td>\n <ul style=\"list-style:none; padding-left:0; margin:0 0;\">\n <li>\n <ul style=\"list-style:none; padding-left:0; margin:0 0;\">\n <li> (\n \n \n <div title=\"code\">rxpcn</div> )\n \n \n \n </li>\n <li>\n <div title=\"system\">\n <a href=\"http://terminology.hl7.org/CodeSystem/coverage-class\">http://terminology.hl7.org/CodeSystem/coverage-class</a>\n </div>\n </li>\n </ul>\n </li>\n <li>\n <div title=\"value\">234516</div>\n </li>\n </ul>\n </td>\n </tr>\n <tr>\n <td style=\"font-weight: bold\">class</td>\n <td>\n <ul style=\"list-style:none; padding-left:0; margin:0 0;\">\n <li>\n <ul style=\"list-style:none; padding-left:0; margin:0 0;\">\n <li> (\n \n \n <div title=\"code\">sequence</div> )\n \n \n \n </li>\n <li>\n <div title=\"system\">\n <a href=\"http://terminology.hl7.org/CodeSystem/coverage-class\">http://terminology.hl7.org/CodeSystem/coverage-class</a>\n </div>\n </li>\n </ul>\n </li>\n <li>\n <div title=\"value\">9</div>\n </li>\n </ul>\n </td>\n </tr>\n </table>\n </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.subscriber [ fhir:Reference.reference [ fhir:value "RelatedPerson/relatedperson-self-eve-everywoman" ]; fhir:Reference.display [ fhir:value "Eve Everywoman" ] ]; fhir:Coverage.beneficiary [ fhir:Reference.reference [ fhir:value "Patient/patient-us-core-patient-eve-everywoman" ]; fhir:Reference.display [ fhir:value "Eve Everywoman" ] ]; fhir:Coverage.relationship [ fhir:CodeableConcept.coding [ fhir:index 0; fhir:Coding.code [ fhir:value "self" ] ] ]; fhir:Coverage.period [ fhir:Period.start [ fhir:value "2019-05-23"^^xsd:date ]; fhir:Period.end [ fhir:value "2020-05-23"^^xsd:date ] ]; fhir:Coverage.payor [ fhir:index 0; fhir:Reference.reference [ fhir:value "Organization/organization-bser-organization-saint-luke" ] ]; 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" ] ]. # - ontology header ------------------------------------------------------------ a owl:Ontology; owl:imports fhir:fhir.ttl.