openIMIS FHIR R4 Implementation Guide
1.0.0 - ci-build

openIMIS FHIR R4 Implementation Guide - Local Development build (v1.0.0). See the Directory of published versions

: Rejection Reasons (Claim) - TTL Representation

Active as of 2022-05-31

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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:CodeSystem;
  fhir:nodeRole fhir:treeRoot;
  fhir:Resource.id [ fhir:value "claim-rejection-reasons"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>This code system https://openimis.github.io/openimis_fhir_r4_ig/CodeSystem/claim-rejection-reasons defines the following codes:</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td></tr><tr><td style=\"white-space:nowrap\">-1<a name=\"claim-rejection-reasons--1\"> </a></td><td>REJECTED BY MEDICAL OFFICER</td></tr><tr><td style=\"white-space:nowrap\">0<a name=\"claim-rejection-reasons-0\"> </a></td><td>ACCEPTED</td></tr><tr><td style=\"white-space:nowrap\">1<a name=\"claim-rejection-reasons-1\"> </a></td><td>INVALID ITEM OR SERVICE</td></tr><tr><td style=\"white-space:nowrap\">2<a name=\"claim-rejection-reasons-2\"> </a></td><td>NOT IN PRICE LIST</td></tr><tr><td style=\"white-space:nowrap\">3<a name=\"claim-rejection-reasons-3\"> </a></td><td>NO PRODUCT FOUND</td></tr><tr><td style=\"white-space:nowrap\">4<a name=\"claim-rejection-reasons-4\"> </a></td><td>CATEGORY LIMITATION</td></tr><tr><td style=\"white-space:nowrap\">5<a name=\"claim-rejection-reasons-5\"> </a></td><td>FREQUENCY FAILURE</td></tr><tr><td style=\"white-space:nowrap\">6<a name=\"claim-rejection-reasons-6\"> </a></td><td>DUPLICATED</td></tr><tr><td style=\"white-space:nowrap\">7<a name=\"claim-rejection-reasons-7\"> </a></td><td>FAMILY</td></tr><tr><td style=\"white-space:nowrap\">8<a name=\"claim-rejection-reasons-8\"> </a></td><td>DIAGNOSIS NOT IN LIST</td></tr><tr><td style=\"white-space:nowrap\">9<a name=\"claim-rejection-reasons-9\"> </a></td><td>TARGET DATE</td></tr><tr><td style=\"white-space:nowrap\">10<a name=\"claim-rejection-reasons-10\"> </a></td><td>CARE TYPE</td></tr><tr><td style=\"white-space:nowrap\">11<a name=\"claim-rejection-reasons-11\"> </a></td><td>MAX HOSPITAL ADMISSIONS</td></tr><tr><td style=\"white-space:nowrap\">12<a name=\"claim-rejection-reasons-12\"> </a></td><td>MAX VISITS</td></tr><tr><td style=\"white-space:nowrap\">13<a name=\"claim-rejection-reasons-13\"> </a></td><td>MAX CONSULTATIONS</td></tr><tr><td style=\"white-space:nowrap\">14<a name=\"claim-rejection-reasons-14\"> </a></td><td>MAX SURGERIES</td></tr><tr><td style=\"white-space:nowrap\">15<a name=\"claim-rejection-reasons-15\"> </a></td><td>MAX DELIVERIES</td></tr><tr><td style=\"white-space:nowrap\">16<a name=\"claim-rejection-reasons-16\"> </a></td><td>QTY OVER LIMIT</td></tr><tr><td style=\"white-space:nowrap\">17<a name=\"claim-rejection-reasons-17\"> </a></td><td>WAITING PERIOD FAIL</td></tr><tr><td style=\"white-space:nowrap\">19<a name=\"claim-rejection-reasons-19\"> </a></td><td>MAX ANTENATAL</td></tr></table></div>"
  ];
  fhir:CodeSystem.url [ fhir:value "https://openimis.github.io/openimis_fhir_r4_ig/CodeSystem/claim-rejection-reasons"];
  fhir:CodeSystem.version [ fhir:value "1.0.0"];
  fhir:CodeSystem.name [ fhir:value "ClaimRejectionReasonsCS"];
  fhir:CodeSystem.title [ fhir:value "Rejection Reasons (Claim)"];
  fhir:CodeSystem.status [ fhir:value "active"];
  fhir:CodeSystem.date [ fhir:value "2022-05-31T10:56:28+00:00"^^xsd:dateTime];
  fhir:CodeSystem.publisher [ fhir:value "openIMIS Initiative"];
  fhir:CodeSystem.contact [
     fhir:index 0;
     fhir:ContactDetail.name [ fhir:value "openIMIS Initiative" ];
     fhir:ContactDetail.telecom [
       fhir:index 0;
       fhir:ContactPoint.system [ fhir:value "url" ];
       fhir:ContactPoint.value [ fhir:value "https://www.openimis.org" ]     ]
  ], [
     fhir:index 1;
     fhir:ContactDetail.name [ fhir:value "Dragos Dobre" ];
     fhir:ContactDetail.telecom [
       fhir:index 0;
       fhir:ContactPoint.system [ fhir:value "email" ];
       fhir:ContactPoint.value [ fhir:value "[email protected]" ];
       fhir:ContactPoint.use [ fhir:value "work" ]     ]
  ];
  fhir:CodeSystem.description [ fhir:value "Indicates the rejection reason of an item from a Claim. \nValues limited by openIMIS."];
  fhir:CodeSystem.content [ fhir:value "complete"];
  fhir:CodeSystem.count [ fhir:value "20"^^xsd:nonNegativeInteger];
  fhir:CodeSystem.concept [
     fhir:index 0;
     fhir:CodeSystem.concept.code [ fhir:value "-1" ];
     fhir:CodeSystem.concept.display [ fhir:value "REJECTED BY MEDICAL OFFICER" ]
  ], [
     fhir:index 1;
     fhir:CodeSystem.concept.code [ fhir:value "0" ];
     fhir:CodeSystem.concept.display [ fhir:value "ACCEPTED" ]
  ], [
     fhir:index 2;
     fhir:CodeSystem.concept.code [ fhir:value "1" ];
     fhir:CodeSystem.concept.display [ fhir:value "INVALID ITEM OR SERVICE" ]
  ], [
     fhir:index 3;
     fhir:CodeSystem.concept.code [ fhir:value "2" ];
     fhir:CodeSystem.concept.display [ fhir:value "NOT IN PRICE LIST" ]
  ], [
     fhir:index 4;
     fhir:CodeSystem.concept.code [ fhir:value "3" ];
     fhir:CodeSystem.concept.display [ fhir:value "NO PRODUCT FOUND" ]
  ], [
     fhir:index 5;
     fhir:CodeSystem.concept.code [ fhir:value "4" ];
     fhir:CodeSystem.concept.display [ fhir:value "CATEGORY LIMITATION" ]
  ], [
     fhir:index 6;
     fhir:CodeSystem.concept.code [ fhir:value "5" ];
     fhir:CodeSystem.concept.display [ fhir:value "FREQUENCY FAILURE" ]
  ], [
     fhir:index 7;
     fhir:CodeSystem.concept.code [ fhir:value "6" ];
     fhir:CodeSystem.concept.display [ fhir:value "DUPLICATED" ]
  ], [
     fhir:index 8;
     fhir:CodeSystem.concept.code [ fhir:value "7" ];
     fhir:CodeSystem.concept.display [ fhir:value "FAMILY" ]
  ], [
     fhir:index 9;
     fhir:CodeSystem.concept.code [ fhir:value "8" ];
     fhir:CodeSystem.concept.display [ fhir:value "DIAGNOSIS NOT IN LIST" ]
  ], [
     fhir:index 10;
     fhir:CodeSystem.concept.code [ fhir:value "9" ];
     fhir:CodeSystem.concept.display [ fhir:value "TARGET DATE" ]
  ], [
     fhir:index 11;
     fhir:CodeSystem.concept.code [ fhir:value "10" ];
     fhir:CodeSystem.concept.display [ fhir:value "CARE TYPE" ]
  ], [
     fhir:index 12;
     fhir:CodeSystem.concept.code [ fhir:value "11" ];
     fhir:CodeSystem.concept.display [ fhir:value "MAX HOSPITAL ADMISSIONS" ]
  ], [
     fhir:index 13;
     fhir:CodeSystem.concept.code [ fhir:value "12" ];
     fhir:CodeSystem.concept.display [ fhir:value "MAX VISITS" ]
  ], [
     fhir:index 14;
     fhir:CodeSystem.concept.code [ fhir:value "13" ];
     fhir:CodeSystem.concept.display [ fhir:value "MAX CONSULTATIONS" ]
  ], [
     fhir:index 15;
     fhir:CodeSystem.concept.code [ fhir:value "14" ];
     fhir:CodeSystem.concept.display [ fhir:value "MAX SURGERIES" ]
  ], [
     fhir:index 16;
     fhir:CodeSystem.concept.code [ fhir:value "15" ];
     fhir:CodeSystem.concept.display [ fhir:value "MAX DELIVERIES" ]
  ], [
     fhir:index 17;
     fhir:CodeSystem.concept.code [ fhir:value "16" ];
     fhir:CodeSystem.concept.display [ fhir:value "QTY OVER LIMIT" ]
  ], [
     fhir:index 18;
     fhir:CodeSystem.concept.code [ fhir:value "17" ];
     fhir:CodeSystem.concept.display [ fhir:value "WAITING PERIOD FAIL" ]
  ], [
     fhir:index 19;
     fhir:CodeSystem.concept.code [ fhir:value "19" ];
     fhir:CodeSystem.concept.display [ fhir:value "MAX ANTENATAL" ]
  ].

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

 a owl:Ontology;
  owl:imports fhir:fhir.ttl.