BSeR: Bidirectional Services_eReferral

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

coverage-BSeR-Coverage-eve-everywoman - TTL Representation

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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.