Da Vinci Health Record Exchange (HRex)
1.0.0 - STU R1 US

This page is part of the Da Vinci Health Record Exchange (v1.0.0: STU1) based on FHIR R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

: $member-match payer example request - 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:Parameters;
  fhir:nodeRole fhir:treeRoot;
  fhir:Resource.id [ fhir:value "member-match-in"];
  fhir:Parameters.parameter [
     fhir:index 0;
     fhir:Parameters.parameter.name [ fhir:value "MemberPatient" ];
     fhir:Parameters.parameter.resource [
       a fhir:Patient;
       fhir:Resource.id [ fhir:value "1" ];
       fhir:Patient.identifier [
         fhir:index 0;
         fhir:Identifier.type [
           fhir:CodeableConcept.coding [
             fhir:index 0;
             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0203" ];
             fhir:Coding.code [ fhir:value "MB" ]           ]         ];
         fhir:Identifier.system [ fhir:value "http://example.org/old-payer/identifiers/member" ];
         fhir:Identifier.value [ fhir:value "55678" ];
         fhir:Identifier.assigner [
           fhir:Reference.display [ fhir:value "Old Payer" ]         ]       ];
       fhir:Patient.name [
         fhir:index 0;
         fhir:HumanName.use [ fhir:value "official" ];
         fhir:HumanName.family [ fhir:value "Person" ];
         fhir:HumanName.given [
           fhir:value "Patricia";
           fhir:index 0         ], [
           fhir:value "Ann";
           fhir:index 1         ]       ];
       fhir:Patient.gender [ fhir:value "female" ];
       fhir:Patient.birthDate [ fhir:value "1974-12-25"^^xsd:date ]     ]
  ], [
     fhir:index 1;
     fhir:Parameters.parameter.name [ fhir:value "CoverageToMatch" ];
     fhir:Parameters.parameter.resource [
       a fhir:Coverage;
       fhir:Resource.id [ fhir:value "9876B1" ];
       fhir:Coverage.identifier [
         fhir:index 0;
         fhir:Identifier.system [ fhir:value "http://example.org/old-payer" ];
         fhir:Identifier.value [ fhir:value "DH10001235" ]       ];
       fhir:Coverage.status [ fhir:value "draft" ];
       fhir:Coverage.beneficiary [
         fhir:Reference.reference [ fhir:value "Patient/1" ]       ];
       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:Reference.identifier [
           fhir:Identifier.system [ fhir:value "http://hl7.org/fhir/sid/us-npi" ];
           fhir:Identifier.value [ fhir:value "9876543210" ]         ];
         fhir:Reference.display [ fhir:value "Old Health Plan" ]       ];
       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: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 "plan" ]           ]         ];
         fhir:Coverage.class.value [ fhir:value "B37FC" ]       ], [
         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 "subplan" ]           ]         ];
         fhir:Coverage.class.value [ fhir:value "P7" ]       ], [
         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 "class" ]           ]         ];
         fhir:Coverage.class.value [ fhir:value "SILVER" ]       ]     ]
  ], [
     fhir:index 2;
     fhir:Parameters.parameter.name [ fhir:value "CoverageToLink" ];
     fhir:Parameters.parameter.resource [
       a fhir:Coverage;
       fhir:Resource.id [ fhir:value "AA87654" ];
       fhir:Coverage.identifier [
         fhir:index 0;
         fhir:Identifier.system [ fhir:value "http://example.org/new-payer/identifiers/coverage" ];
         fhir:Identifier.value [ fhir:value "234567" ]       ];
       fhir:Coverage.status [ fhir:value "active" ];
       fhir:Coverage.beneficiary [
         fhir:Reference.reference [ fhir:value "Patient/1" ]       ];
       fhir:Coverage.payor [
         fhir:index 0;
         fhir:Reference.identifier [
           fhir:Identifier.system [ fhir:value "http://hl7.org/fhir/sid/us-npi" ];
           fhir:Identifier.value [ fhir:value "0123456789" ]         ];
         fhir:Reference.display [ fhir:value "New Health Plan" ]       ]     ]
  ], [
     fhir:index 3;
     fhir:Parameters.parameter.name [ fhir:value "Consent" ];
     fhir:Parameters.parameter.resource [
       a fhir:Consent;
       fhir:Consent.status [ fhir:value "active" ];
       fhir:Consent.scope [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/consentscope" ];
           fhir:Coding.code [ fhir:value "patient-privacy" ]         ]       ];
       fhir:Consent.category [
         fhir:index 0;
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ActCode" ];
           fhir:Coding.code [ fhir:value "IDSCL" ]         ]       ];
       fhir:Consent.patient [
         fhir:Reference.reference [ fhir:value "Patient/1" ]       ];
       fhir:Consent.performer [
         fhir:index 0;
         fhir:Reference.reference [ fhir:value "Patient/1" ]       ];
       fhir:Consent.sourceReference [
         fhir:link <http://example.org/DocumentReference/someconsent.pdf>;
         fhir:Reference.reference [ fhir:value "http://example.org/DocumentReference/someconsent.pdf" ]       ];
       fhir:Consent.policy [
         fhir:index 0;
         fhir:Consent.policy.uri [ fhir:value "http://hl7.org/fhir/us/davinci-hrex/StructureDefinition-hrex-consent.html#regular" ]       ];
       fhir:Consent.provision [
         fhir:Consent.provision.type [ fhir:value "permit" ];
         fhir:Consent.provision.period [
           fhir:Period.start [ fhir:value "2022-01-01"^^xsd:date ];
           fhir:Period.end [ fhir:value "2022-01-31"^^xsd:date ]         ];
         fhir:Consent.provision.actor [
           fhir:index 0;
           fhir:Consent.provision.actor.role [
             fhir:CodeableConcept.coding [
               fhir:index 0;
               fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/provenance-participant-type" ];
               fhir:Coding.code [ fhir:value "performer" ]             ]           ];
           fhir:Consent.provision.actor.reference [
             fhir:Reference.identifier [
               fhir:Identifier.system [ fhir:value "http://hl7.org/fhir/sid/us-npi" ];
               fhir:Identifier.value [ fhir:value "9876543210" ]             ];
             fhir:Reference.display [ fhir:value "Old Health Plan" ]           ]         ], [
           fhir:index 1;
           fhir:Consent.provision.actor.role [
             fhir:CodeableConcept.coding [
               fhir:index 0;
               fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ParticipationType" ];
               fhir:Coding.code [ fhir:value "IRCP" ]             ]           ];
           fhir:Consent.provision.actor.reference [
             fhir:Reference.identifier [
               fhir:Identifier.system [ fhir:value "http://hl7.org/fhir/sid/us-npi" ];
               fhir:Identifier.value [ fhir:value "0123456789" ]             ];
             fhir:Reference.display [ fhir:value "New Health Plan" ]           ]         ];
         fhir:Consent.provision.action [
           fhir:index 0;
           fhir:CodeableConcept.coding [
             fhir:index 0;
             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/consentaction" ];
             fhir:Coding.code [ fhir:value "disclose" ]           ]         ]       ]     ]
  ].

# - ontology header ------------------------------------------------------------

 a owl:Ontology;
  owl:imports fhir:fhir.ttl.