This page is part of the Quality Improvement Core Framework (v6.0.0: STU6 (v6.0.0)) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. 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:Coverage ;
fhir:nodeRole fhir:treeRoot ;
fhir:id [ fhir:v "example"] ; #
fhir:meta [
( fhir:profile [
fhir:v "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-coverage"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-coverage> ] )
] ; #
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Coverage</b><a name=\"example\"> </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 Coverage "example" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-qicore-coverage.html\">QICore Coverage</a></p></div><p><b>identifier</b>: Member Number/?ngen-9?</p><p><b>status</b>: active</p><p><b>type</b>: Other Private Insurance <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.4.0/CodeSystem-SOPT.html\">Source of Payment Typology</a>#59)</span></p><p><b>policyHolder</b>: <a href=\"Patient-example.html\">Patient/example</a> " CHALMERS"</p><p><b>subscriber</b>: <a href=\"Patient-example.html\">Patient/example</a> " CHALMERS"</p><p><b>beneficiary</b>: <a href=\"Patient-example.html\">Patient/example</a> " CHALMERS"</p><p><b>dependent</b>: 0</p><p><b>relationship</b>: Self <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.4.0/CodeSystem-subscriber-relationship.html\">SubscriberPolicyholder Relationship Codes</a>#self)</span></p><p><b>period</b>: 2011-05-23 --> 2012-05-23</p><p><b>payor</b>: <a href=\"Organization-example.html\">Organization/example</a> "Health Level Seven International"</p><p><b>order</b>: 9</p></div>"
] ; #
fhir:identifier ( [
fhir:type [
( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ] ;
fhir:code [ fhir:v "MB" ] ] ) ]
] ) ; #
fhir:status [ fhir:v "active"] ; #
fhir:type [
( fhir:coding [
fhir:system [ fhir:v "https://nahdo.org/sopt"^^xsd:anyURI ] ;
fhir:code [ fhir:v "59" ] ;
fhir:display [ fhir:v "Other Private Insurance" ] ] )
] ; #
fhir:policyHolder [
fhir:reference [ fhir:v "Patient/example" ]
] ; #
fhir:subscriber [
fhir:reference [ fhir:v "Patient/example" ]
] ; #
fhir:beneficiary [
fhir:reference [ fhir:v "Patient/example" ]
] ; #
fhir:dependent [ fhir:v "0"] ; #
fhir:relationship [
( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/subscriber-relationship"^^xsd:anyURI ] ;
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:payor ( [
fhir:reference [ fhir:v "Organization/example" ]
] ) ; #
fhir:order [ fhir:v "9"^^xsd:positiveInteger] . # No longer part of the Coverage resource in R4, not clear how to represent this in the R4 resource , grouping>
# <group value="CBI35"/>
# <groupDisplay value="Corporate Baker's Inc. Local #35"/>
# <subGroup value="123"/>
# <subGroupDisplay value="Trainee Part-time Benefits"/>
# <plan value="B37FC"/>
# <planDisplay value="Full Coverage: Medical, Dental, Pharmacy, Vision, EHC"/>
# <subPlan value="P7"/>
# <subPlanDisplay value="Includes afterlife benefits"/>
# <class value="SILVER"/>
# <classDisplay value="Silver: Family Plan spouse only"/>
# <subClass value="Tier2"/>
# <subClassDisplay value="Low deductable, max $20 copay"/>
# </grouping
IG © 2019+ HL7 International / Clinical Quality Information. Package hl7.fhir.us.qicore#6.0.0 based on FHIR 4.0.1. Generated 2024-03-01
Links: Table of Contents |
QA Report
| Version History |
|
Propose a change