QI-Core Implementation Guide
7.0.2 - STU 7

QI-Core Implementation Guide - Downloaded Version 7.0.2 See the Directory of published versions

## : Coverage example - Subscriber ID - TTL Representation

Page standards status: Informative

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    @prefix fhir: <http://hl7.org/fhir/> .
    @prefix owl: <http://www.w3.org/2002/07/owl#> .
    @prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
    @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:l <http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-coverage>     ] )
      ] ; #
      fhir:text [
    fhir:status [ fhir:v "generated" ] ;
    fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Coverage example-new</b></p><a name=\"example-new\"> </a><a name=\"hcexample-new\"> </a><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\"/><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>: <span title=\"Codes:{https://nahdo.org/sopt 59}\">Other Private Insurance</span></p><p><b>policyHolder</b>: <a href=\"Patient-example.html\">Jim Chalmers  Male, DoB: 1974-12-25 ( Medical record number (use: usual, period: 2001-05-06 --&gt; (ongoing)))</a></p><p><b>subscriber</b>: <a href=\"Patient-example.html\">Jim Chalmers  Male, DoB: 1974-12-25 ( Medical record number (use: usual, period: 2001-05-06 --&gt; (ongoing)))</a></p><p><b>subscriberId</b>: 12191</p><p><b>beneficiary</b>: <a href=\"Patient-example.html\">Jim Chalmers  Male, DoB: 1974-12-25 ( Medical record number (use: usual, period: 2001-05-06 --&gt; (ongoing)))</a></p><p><b>dependent</b>: 0</p><p><b>relationship</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/subscriber-relationship self}\">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 Health Level Seven International</a></p><p><b>order</b>: 9</p></div>"^^rdf:XMLLiteral ]
      ] ; #
      fhir:identifier ( [
    fhir:type [
          ( fhir:coding [
    fhir:system [
    fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ;
    fhir:l <http://terminology.hl7.org/CodeSystem/v2-0203>         ] ;
    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:l <https://nahdo.org/sopt>       ] ;
    fhir:code [ fhir:v "59" ] ;
    fhir:display [ fhir:v "Other Private Insurance" ]     ] )
      ] ; #
      fhir:policyHolder [
    fhir:l fhir:Patient/example ;
    fhir:reference [ fhir:v "Patient/example" ]
      ] ; #
      fhir:subscriber [
    fhir:l fhir:Patient/example ;
    fhir:reference [ fhir:v "Patient/example" ]
      ] ; #
      fhir:subscriberId [ fhir:v "12191"] ; #
      fhir:beneficiary [
    fhir:l fhir:Patient/example ;
    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:l <http://terminology.hl7.org/CodeSystem/subscriber-relationship>       ] ;
    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:l fhir:Organization/example ;
    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