Implementation Guide
23.0.0 - R4 APIs

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: General Coverage Example - 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 "Example1"] ; # 
  fhir:meta [
fhir:lastUpdated [ fhir:v "2024-12-20T10:40:07.000+00:00"^^xsd:dateTime ] ;
    ( fhir:profile [
fhir:v "https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-coverage-profile"^^xsd:anyURI ;
fhir:link <https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-coverage-profile>     ] ) ;
    ( fhir:security [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-Confidentiality"^^xsd:anyURI ] ;
fhir:code [ fhir:v "N" ] ;
fhir:display [ fhir:v "Normal" ]     ] )
  ] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Coverage Example1</b></p><a name=\"Example1\"> </a><a name=\"hcExample1\"> </a><a name=\"Example1-en-US\"> </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\">Last updated: 2024-12-20 10:40:07+0000</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-athena-coverage-profile.html\">ATHENACoverage</a></p><p style=\"margin-bottom: 0px\">Security Label: Normal (Details: Confidentiality code N  = ' normal ', stated as ' Normal ')</p></div><p><b>identifier</b>: Member Number/89438</p><p><b>status</b>: Active</p><p><b>type</b>: <span title=\"Codes:{https://docs.mydata.athenahealth.com/fhir-r4/athenaFlex/namingsystem/InsuranceCarrierType/BLRT-345 1}\">MEDICARE</span></p><p><b>policyHolder</b>: <a href=\"Patient-Example1.html\">Robert S Benson (official) Male, DoB: 1974-05-21 ( Medical record number)</a></p><p><b>subscriber</b>: <a href=\"Patient-Example1.html\">Robert S Benson (official) Male, DoB: 1974-05-21 ( Medical record number)</a></p><p><b>subscriberId</b>: 89438</p><p><b>beneficiary</b>: <a href=\"Patient-Example1.html\">Robert S Benson (official) Male, DoB: 1974-05-21 ( Medical record number)</a></p><p><b>relationship</b>: <span title=\"Codes:{https://hl7.org/fhir/R4/valueset-subscriber-relationship common}\">Common Law Spouse</span></p><p><b>period</b>: 2024-12-11 00:00:00+0000 --&gt; 2024-12-26 00:00:00+0000</p><p><b>payor</b>: <a href=\"Organization-Example1.html\">(D000)</a></p><blockquote><p><b>class</b></p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/coverage-class group}\">coverage-class group</span></p><p><b>value</b>: 3433</p><p><b>name</b>: Star Group</p></blockquote><blockquote><p><b>class</b></p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/coverage-class plan}\">plan</span></p><p><b>value</b>: 1532879610244880</p><p><b>name</b>: Test Plan</p></blockquote></div>"
  ] ; # 
  fhir:extension ( [
fhir:url [ fhir:v "https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-coverage-extension-coverage-type"^^xsd:anyURI ] ;
fhir:value [ fhir:v "Primary" ]
  ] [
fhir:url [ fhir:v "https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-coverage-extension-subscriber-name"^^xsd:anyURI ] ;
fhir:value [
a fhir:HumanName ;
fhir:family [ fhir:v "Abbey" ] ;
      ( fhir:given [ fhir:v "Jeff" ] )     ]
  ] ) ; # 
  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:display [ fhir:v "Member Number" ]       ] ) ;
fhir:text [ fhir:v "Member Number" ]     ] ;
fhir:value [ fhir:v "89438" ]
  ] ) ; # 
  fhir:status [ fhir:v "active"] ; # 
  fhir:type [
    ( fhir:coding [
fhir:system [ fhir:v "https://docs.mydata.athenahealth.com/fhir-r4/athenaFlex/namingsystem/InsuranceCarrierType/BLRT-345"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1" ] ;
fhir:display [ fhir:v "MEDICARE" ]     ] ) ;
fhir:text [ fhir:v "MEDICARE" ]
  ] ; # 
  fhir:policyHolder [
fhir:reference [ fhir:v "Patient/Example1" ]
  ] ; # 
  fhir:subscriber [
fhir:reference [ fhir:v "Patient/Example1" ]
  ] ; # 
  fhir:subscriberId [ fhir:v "89438"] ; # 
  fhir:beneficiary [
fhir:reference [ fhir:v "Patient/Example1" ]
  ] ; # 
  fhir:relationship [
    ( fhir:coding [
fhir:system [ fhir:v "https://hl7.org/fhir/R4/valueset-subscriber-relationship"^^xsd:anyURI ] ;
fhir:code [ fhir:v "common" ] ;
fhir:display [ fhir:v "Common Law Spouse" ]     ] ) ;
fhir:text [ fhir:v "Common Law Spouse" ]
  ] ; # 
  fhir:period [
fhir:start [ fhir:v "2024-12-11T00:00:00+00:00"^^xsd:dateTime ] ;
fhir:end [ fhir:v "2024-12-26T00:00:00+00:00"^^xsd:dateTime ]
  ] ; # 
  fhir:payor ( [
fhir:reference [ fhir:v "Organization/Example1" ] ;
fhir:display [ fhir:v "(D000)" ]
  ] ) ; # 
  fhir:class ( [
fhir:type [
      ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/coverage-class"^^xsd:anyURI ] ;
fhir:code [ fhir:v "group" ]       ] ) ;
fhir:text [ fhir:v "coverage-class group" ]     ] ;
fhir:value [ fhir:v "3433" ] ;
fhir:name [ fhir:v "Star Group" ]
  ] [
fhir:type [
      ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/coverage-class"^^xsd:anyURI ] ;
fhir:code [ fhir:v "plan" ] ;
fhir:display [ fhir:v "plan" ]       ] ) ;
fhir:text [ fhir:v "plan" ]     ] ;
fhir:value [ fhir:v "1532879610244880" ] ;
fhir:name [ fhir:v "Test Plan" ]
  ] ) . #