This page is part of the CARIN Digital Insurance Card (v1.1.0: STU1) based on FHIR (HL7® FHIR® Standard) 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
@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:Organization ;
fhir:nodeRole fhir:treeRoot ;
fhir:id [ fhir:v "Example-PayerOrganization1"] ; #
fhir:meta [
fhir:versionId [ fhir:v "4" ] ;
fhir:lastUpdated [ fhir:v "2021-08-16T14:08:24.329+00:00"^^xsd:dateTime ] ;
( fhir:profile [
fhir:v "http://hl7.org/fhir/us/insurance-card/StructureDefinition/C4DIC-Organization"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/insurance-card/StructureDefinition/C4DIC-Organization> ] )
] ; #
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Organization</b><a name=\"Example-PayerOrganization1\"> </a><a name=\"hcExample-PayerOrganization1\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Organization "Example-PayerOrganization1" Version "4" Updated "2021-08-16 14:08:24+0000" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-C4DIC-Organization.html\">C4DIC Organization</a></p></div><p><b>identifier</b>: Payer ID/45002</p><p><b>active</b>: true</p><p><b>name</b>: Acme Insurance Co</p><blockquote><p><b>contact</b></p><p><b>purpose</b>: Pharmacists <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-C4DICExtendedContactTypeCS.html\">C4DIC Extended Contact Type</a>#pharma)</span></p><p><b>telecom</b>: ph: 1-800-123-4988</p></blockquote><blockquote><p><b>contact</b></p><p><b>purpose</b>: Patient <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.3.0/CodeSystem-contactentity-type.html\">Contact entity type</a>#PATINF)</span></p><p><b>telecom</b>: ph: 1-800-465-2222, <a href=\"http://acmeinsurance.com\">http://acmeinsurance.com</a></p></blockquote><blockquote><p><b>contact</b></p><p><b>purpose</b>: Mail Order Pharmacy <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-C4DICExtendedContactTypeCS.html\">C4DIC Extended Contact Type</a>#rxmailorder)</span></p><p><b>telecom</b>: ph: 1-888-466-1234</p></blockquote><blockquote><p><b>contact</b></p><p><b>purpose</b>: Provider Service <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-C4DICExtendedContactTypeCS.html\">C4DIC Extended Contact Type</a>#provider)</span></p><p><b>telecom</b>: ph: 1-800-444-3333</p></blockquote><blockquote><p><b>contact</b></p><p><b>purpose</b>: Virtual Care Services <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-C4DICExtendedContactTypeCS.html\">C4DIC Extended Contact Type</a>#virtual)</span></p><p><b>telecom</b>: <a href=\"http://virtualdoctor.com\">http://virtualdoctor.com</a></p></blockquote><blockquote><p><b>contact</b></p><p><b>purpose</b>: Payor <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.3.0/CodeSystem-contactentity-type.html\">Contact entity type</a>#PAYOR)</span></p><p><b>address</b>: P.O. Box 1111 Miami, FL 20222-4021</p></blockquote></div>"
] ; #
fhir:identifier ( [
fhir:type [
( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/us/insurance-card/CodeSystem/C4DICIdentifierType"^^xsd:anyURI ] ;
fhir:code [ fhir:v "payerid" ] ] ) ] ;
fhir:value [ fhir:v "45002" ]
] ) ; #
fhir:active [ fhir:v "true"^^xsd:boolean] ; #
fhir:name [ fhir:v "Acme Insurance Co"] ; #
fhir:contact ( [
fhir:purpose [
( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/us/insurance-card/CodeSystem/C4DICExtendedContactTypeCS"^^xsd:anyURI ] ;
fhir:code [ fhir:v "pharma" ] ;
fhir:display [ fhir:v "Pharmacists" ] ] ) ] ;
( fhir:telecom [
fhir:system [ fhir:v "phone" ] ;
fhir:value [ fhir:v "1-800-123-4988" ] ] )
] [
fhir:purpose [
( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/contactentity-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "PATINF" ] ;
fhir:display [ fhir:v "Patient" ] ] ) ] ;
( fhir:telecom [
fhir:system [ fhir:v "phone" ] ;
fhir:value [ fhir:v "1-800-465-2222" ] ] [
fhir:system [ fhir:v "url" ] ;
fhir:value [ fhir:v "http://acmeinsurance.com" ] ] )
] [
fhir:purpose [
( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/us/insurance-card/CodeSystem/C4DICExtendedContactTypeCS"^^xsd:anyURI ] ;
fhir:code [ fhir:v "rxmailorder" ] ;
fhir:display [ fhir:v "Mail Order Pharmacy" ] ] ) ] ;
( fhir:telecom [
fhir:system [ fhir:v "phone" ] ;
fhir:value [ fhir:v "1-888-466-1234" ] ] )
] [
fhir:purpose [
( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/us/insurance-card/CodeSystem/C4DICExtendedContactTypeCS"^^xsd:anyURI ] ;
fhir:code [ fhir:v "provider" ] ;
fhir:display [ fhir:v "Provider Service" ] ] ) ] ;
( fhir:telecom [
fhir:system [ fhir:v "phone" ] ;
fhir:value [ fhir:v "1-800-444-3333" ] ] )
] [
fhir:purpose [
( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/us/insurance-card/CodeSystem/C4DICExtendedContactTypeCS"^^xsd:anyURI ] ;
fhir:code [ fhir:v "virtual" ] ;
fhir:display [ fhir:v "Virtual Care Services" ] ] ) ] ;
( fhir:telecom [
fhir:system [ fhir:v "url" ] ;
fhir:value [ fhir:v "http://virtualdoctor.com" ] ] )
] [
fhir:purpose [
( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/contactentity-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "PAYOR" ] ;
fhir:display [ fhir:v "Payor" ] ] ) ] ;
fhir:address [
fhir:type [ fhir:v "postal" ] ;
fhir:text [ fhir:v "P.O. Box 1111 Miami, FL 20222-4021" ] ;
( fhir:line [ fhir:v "P.O. Box 1111" ] ) ;
fhir:city [ fhir:v "Miami" ] ;
fhir:state [ fhir:v "FL" ] ;
fhir:postalCode [ fhir:v "20222-4021" ] ;
fhir:country [ fhir:v "US" ] ]
] ) . #
IG © 2022+ HL7 International / Payer/Provider Information Exchange Work Group. Package hl7.fhir.us.insurance-card#1.1.0 based on FHIR 4.0.1. Generated 2024-04-16
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