This page is part of the Quality Improvement Core Framework (v5.0.0: STU5 (v5.0.0)) based on FHIR R4. The current version which supercedes this version is 4.1.1. For a full list of available versions, see the Directory of published versions

• Narrative Content
• XML
• JSON
• TTL

: Coverage example - Subscriber ID - 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:id [ fhir:v "example-new"] ; # 
  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-new\"> </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 &quot;example-new&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-qicore-coverage.html\">QICore Coverage</a></p></div><p><b>identifier</b>: id: 12345</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/3.1.0/CodeSystem-SOPT.html\">Source of Payment Typology</a>#59)</span></p><p><b>policyHolder</b>: <a href=\"Patient-example.html\">Patient/example</a> &quot; CHALMERS&quot;</p><p><b>subscriber</b>: <a href=\"Patient-example.html\">Patient/example</a> &quot; CHALMERS&quot;</p><p><b>subscriberId</b>: 12191</p><p><b>beneficiary</b>: <a href=\"Patient-example.html\">Patient/example</a> &quot; CHALMERS&quot;</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/3.1.0/CodeSystem-subscriber-relationship.html\">SubscriberPolicyholder Relationship Codes</a>#self)</span></p><p><b>period</b>: 2011-05-23 --&gt; 2012-05-23</p><p><b>payor</b>: <a href=\"Organization-example.html\">Organization/example</a> &quot;Health Level Seven International&quot;</p><p><b>order</b>: 9</p></div>"
  ] ; # 
  fhir:identifier ( [
fhir:system [ fhir:v "http://benefitsinc.com/certificate"^^xsd:anyURI ] ;
fhir:value [ fhir:v "12345" ]
  ] ) ; # 
  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:subscriberId [ fhir:v "12191"] ; # 
  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