R4 Draft for Comment

This page is part of the FHIR Specification (v3.2.0: R4 Ballot 1). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions

Productplan-example-onc.ttl

Patient Administration Work GroupMaturity Level: N/ABallot Status: InformativeCompartments: Not linked to any defined compartments

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A general product plan example with benefit detail

@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 -------------------------------------------------------------------

<http://hl7.org/fhir/ProductPlan/example-onc> a fhir:ProductPlan;
  fhir:nodeRole fhir:treeRoot;
  fhir:Resource.id [ fhir:value "example-onc"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n			Sample Plan\n		</div>"
  ];
  fhir:ProductPlan.status [ fhir:value "active"];
  fhir:ProductPlan.name [ fhir:value "Sample Plan"];
  fhir:ProductPlan.alias [
     fhir:value "PPO Sample Plan";
     fhir:index 0
  ];
  fhir:ProductPlan.period [
     fhir:Period.start [ fhir:value "2017-01-01"^^xsd:date ]
  ];
  fhir:ProductPlan.ownedBy [
     fhir:link <http://hl7.org/fhir/Organization/Test>;
     fhir:Reference.reference [ fhir:value "Organization/Test" ];
     fhir:Reference.display [ fhir:value "Test" ]
  ];
  fhir:ProductPlan.administeredBy [
     fhir:link <http://hl7.org/fhir/Organization/Test>;
     fhir:Reference.reference [ fhir:value "Organization/Test" ];
     fhir:Reference.display [ fhir:value "Test" ]
  ];
  fhir:ProductPlan.address [
     fhir:index 0;
     fhir:Address.line [
       fhir:value "123 Fake Street";
       fhir:index 0
     ];
     fhir:Address.city [ fhir:value "Washington" ];
     fhir:Address.state [ fhir:value "DC" ];
     fhir:Address.postalCode [ fhir:value "20005" ];
     fhir:Address.country [ fhir:value "USA" ]
  ];
  fhir:ProductPlan.coverageArea [
     fhir:link <http://hl7.org/fhir/Location/2>;
     fhir:Reference.reference [ fhir:value "Location/2" ];
     fhir:Reference.display [ fhir:value "National" ]
  ];
  fhir:ProductPlan.coverage [
     fhir:index 0;
     fhir:ProductPlan.coverage.type [
       fhir:CodeableConcept.text [ fhir:value "Medical" ]
     ];
     fhir:ProductPlan.coverage.benefit [
       fhir:index 0;
       fhir:ProductPlan.coverage.benefit.type [
         fhir:CodeableConcept.text [ fhir:value "Diagnostic and treatment services" ]
       ];
       fhir:ProductPlan.coverage.benefit.item [
         fhir:index 0;
         fhir:ProductPlan.coverage.benefit.item.code [
           fhir:CodeableConcept.text [ fhir:value "primary care visit" ]
         ]
       ], [
         fhir:index 1;
         fhir:ProductPlan.coverage.benefit.item.code [
           fhir:CodeableConcept.text [ fhir:value "specialty care visit" ]
         ]
       ]
     ]
  ];
  fhir:ProductPlan.plan [
     fhir:index 0;
     fhir:ProductPlan.plan.type [
       fhir:CodeableConcept.text [ fhir:value "Standard" ]
     ];
     fhir:ProductPlan.plan.premium [
       fhir:Quantity.value [ fhir:value "2000"^^xsd:decimal ];
       fhir:Quantity.system [ fhir:value "urn:iso:std:iso:4217" ];
       fhir:Quantity.code [ fhir:value "USD" ]
     ];
     fhir:ProductPlan.plan.category [
       fhir:index 0;
       fhir:ProductPlan.plan.category.code [
         fhir:CodeableConcept.text [ fhir:value "Medical" ]
       ];
       fhir:ProductPlan.plan.category.benefit [
         fhir:index 0;
         fhir:ProductPlan.plan.category.benefit.type [
           fhir:CodeableConcept.text [ fhir:value "primary care office visit" ]
         ];
         fhir:ProductPlan.plan.category.benefit.cost [
           fhir:index 0;
           fhir:ProductPlan.plan.category.benefit.cost.type [
             fhir:CodeableConcept.text [ fhir:value "copay" ]
           ];
           fhir:ProductPlan.plan.category.benefit.cost.applicability [
             fhir:index 0;
             fhir:Coding.code [ fhir:value "preferred" ]
           ];
           fhir:ProductPlan.plan.category.benefit.cost.value [
             fhir:Quantity.value [ fhir:value "25"^^xsd:decimal ];
             fhir:Quantity.system [ fhir:value "urn:iso:std:iso:4217" ];
             fhir:Quantity.code [ fhir:value "USD" ]
           ]
         ], [
           fhir:index 1;
           fhir:ProductPlan.plan.category.benefit.cost.type [
             fhir:CodeableConcept.text [ fhir:value "coinsurance" ]
           ];
           fhir:ProductPlan.plan.category.benefit.cost.applicability [
             fhir:index 0;
             fhir:Coding.code [ fhir:value "participating" ]
           ];
           fhir:ProductPlan.plan.category.benefit.cost.value [
             fhir:Quantity.value [ fhir:value "35"^^xsd:decimal ];
             fhir:Quantity.unit [ fhir:value "%" ]
           ]
         ], [
           fhir:index 2;
           fhir:ProductPlan.plan.category.benefit.cost.type [
             fhir:CodeableConcept.text [ fhir:value "coinsurance" ]
           ];
           fhir:ProductPlan.plan.category.benefit.cost.applicability [
             fhir:index 0;
             fhir:Coding.code [ fhir:value "non-participating" ]
           ];
           fhir:ProductPlan.plan.category.benefit.cost.value [
             fhir:Quantity.value [ fhir:value "35"^^xsd:decimal ];
             fhir:Quantity.unit [ fhir:value "%" ]
           ]
         ]
       ], [
         fhir:index 1;
         fhir:ProductPlan.plan.category.benefit.type [
           fhir:CodeableConcept.text [ fhir:value "specialty care office visit" ]
         ];
         fhir:ProductPlan.plan.category.benefit.cost [
           fhir:index 0;
           fhir:ProductPlan.plan.category.benefit.cost.type [
             fhir:CodeableConcept.text [ fhir:value "copay" ]
           ];
           fhir:ProductPlan.plan.category.benefit.cost.applicability [
             fhir:index 0;
             fhir:Coding.code [ fhir:value "preferred" ]
           ];
           fhir:ProductPlan.plan.category.benefit.cost.value [
             fhir:Quantity.value [ fhir:value "35"^^xsd:decimal ];
             fhir:Quantity.system [ fhir:value "urn:iso:std:iso:4217" ];
             fhir:Quantity.code [ fhir:value "USD" ]
           ]
         ], [
           fhir:index 1;
           fhir:ProductPlan.plan.category.benefit.cost.type [
             fhir:CodeableConcept.text [ fhir:value "coinsurance" ]
           ];
           fhir:ProductPlan.plan.category.benefit.cost.applicability [
             fhir:index 0;
             fhir:Coding.code [ fhir:value "participating" ]
           ];
           fhir:ProductPlan.plan.category.benefit.cost.value [
             fhir:Quantity.value [ fhir:value "35"^^xsd:decimal ];
             fhir:Quantity.unit [ fhir:value "%" ]
           ]
         ], [
           fhir:index 2;
           fhir:ProductPlan.plan.category.benefit.cost.type [
             fhir:CodeableConcept.text [ fhir:value "coinsurance" ]
           ];
           fhir:ProductPlan.plan.category.benefit.cost.applicability [
             fhir:index 0;
             fhir:Coding.code [ fhir:value "non-participating" ]
           ];
           fhir:ProductPlan.plan.category.benefit.cost.value [
             fhir:Quantity.value [ fhir:value "35"^^xsd:decimal ];
             fhir:Quantity.unit [ fhir:value "%" ]
           ]
         ]
       ]
     ]
  ];
  fhir:ProductPlan.endpoint [
     fhir:index 0;
     fhir:link <http://hl7.org/fhir/Endpoint/example>;
     fhir:Reference.reference [ fhir:value "Endpoint/example" ]
  ] .

<http://hl7.org/fhir/Organization/Test> a fhir:Organization .

<http://hl7.org/fhir/Location/2> a fhir:Location .

<http://hl7.org/fhir/Endpoint/example> a fhir:Endpoint .

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

<http://hl7.org/fhir/ProductPlan/example-onc.ttl> a owl:Ontology;
  owl:imports fhir:fhir.ttl;
  owl:versionIRI <http://build.fhir.org/ProductPlan/example-onc.ttl> .

# -------------------------------------------------------------------------------------


Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.