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

: JoeDoeEnquiringResponse - 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:CoverageEligibilityResponse;
  fhir:nodeRole fhir:treeRoot;
  fhir:Resource.id [ fhir:value "JoeDoeEnquiringResponse"];
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "https://openimis.github.io/openimis_fhir_r4_ig/StructureDefinition/openimis-coverage-eligibility-response";
       fhir:index 0;
       fhir:link <https://openimis.github.io/openimis_fhir_r4_ig/StructureDefinition/openimis-coverage-eligibility-response>     ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></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 \"JoeDoeEnquiringResponse\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-openimis-coverage-eligibility-response.html\">openIMIS CoverageEligibilityResponse</a></p></div><p><b>identifier</b>: UUID unique identifier: D30F70DF-D10B-43D4-9578-5137C118AD84</p><p><b>status</b>: active</p><p><b>purpose</b>: benefits</p><p><b>patient</b>: <a href=\"joe-doe\">joe-doe</a></p><p><b>created</b>: 2021-09-17</p><p><b>request</b>: <a href=\"CoverageEligibilityRequest-JoeDoeEnquiring.html\">CoverageEligibilityRequest/JoeDoeEnquiring</a></p><p><b>outcome</b>: complete</p><p><b>insurer</b>: <a href=\"Organization-openIMIS-Implementation.html\">Organization/openIMIS-Implementation</a> \"openIMIS Implementation\"</p><blockquote><p><b>insurance</b></p><p><b>coverage</b>: <a href=\"Coverage-JoeDoeCoverage.html\">Coverage/JoeDoeCoverage</a></p><p><b>benefitPeriod</b>: 2021-07-01 --&gt; 2022-06-30</p><blockquote><p><b>item</b></p><p><b>category</b>: Benefit Package <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-coverage-item-category.html\">Category of the item (Coverage)</a>#benefit)</span></p><p><b>name</b>: RX01</p><p><b>description</b>: Regional fixed enrolment</p><blockquote><p><b>benefit</b></p><p><b>type</b>: total_admissions <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-coverage-item-benefit-type.html\">Type of benefit (Coverage)</a>#admissions_left)</span></p><p><b>allowed</b>: 2</p></blockquote><blockquote><p><b>benefit</b></p><p><b>type</b>: total_consultations <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-coverage-item-benefit-type.html\">Type of benefit (Coverage)</a>#consultations_left)</span></p><p><b>allowed</b>: 4</p></blockquote><blockquote><p><b>benefit</b></p><p><b>type</b>: total_surgeries <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-coverage-item-benefit-type.html\">Type of benefit (Coverage)</a>#surgeries_left)</span></p><p><b>allowed</b>: 1</p></blockquote><blockquote><p><b>benefit</b></p><p><b>type</b>: total_deliveries <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-coverage-item-benefit-type.html\">Type of benefit (Coverage)</a>#deliveries_left)</span></p><p><b>allowed</b>: 1</p></blockquote><blockquote><p><b>benefit</b></p><p><b>type</b>: hospitalization_amount <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-coverage-item-benefit-type.html\">Type of benefit (Coverage)</a>#hospitalization_amount)</span></p><p><b>allowed</b>: </p></blockquote></blockquote></blockquote><p><b style=\"color: maroon\">Exception generating Narrative: null</b></p></div>"
  ];
  fhir:CoverageEligibilityResponse.identifier [
     fhir:index 0;
     fhir:Identifier.type [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "https://openimis.github.io/openimis_fhir_r4_ig/CodeSystem/openimis-identifiers" ];
         fhir:Coding.code [ fhir:value "UUID" ]       ]     ];
     fhir:Identifier.value [ fhir:value "D30F70DF-D10B-43D4-9578-5137C118AD84" ]
  ];
  fhir:CoverageEligibilityResponse.status [ fhir:value "active"];
  fhir:CoverageEligibilityResponse.purpose [
     fhir:value "benefits";
     fhir:index 0
  ];
  fhir:CoverageEligibilityResponse.patient [
     fhir:Reference.reference [ fhir:value "joe-doe" ]
  ];
  fhir:CoverageEligibilityResponse.created [ fhir:value "2021-09-17"^^xsd:date];
  fhir:CoverageEligibilityResponse.request [
     fhir:Reference.reference [ fhir:value "CoverageEligibilityRequest/JoeDoeEnquiring" ]
  ];
  fhir:CoverageEligibilityResponse.outcome [ fhir:value "complete"];
  fhir:CoverageEligibilityResponse.insurer [
     fhir:Reference.reference [ fhir:value "Organization/openIMIS-Implementation" ]
  ];
  fhir:CoverageEligibilityResponse.insurance [
     fhir:index 0;
     fhir:CoverageEligibilityResponse.insurance.coverage [
       fhir:Reference.reference [ fhir:value "Coverage/JoeDoeCoverage" ]     ];
     fhir:CoverageEligibilityResponse.insurance.benefitPeriod [
       fhir:Period.start [ fhir:value "2021-07-01"^^xsd:date ];
       fhir:Period.end [ fhir:value "2022-06-30"^^xsd:date ]     ];
     fhir:CoverageEligibilityResponse.insurance.item [
       fhir:index 0;
       fhir:CoverageEligibilityResponse.insurance.item.category [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "https://openimis.github.io/openimis_fhir_r4_ig/CodeSystem/coverage-item-category" ];
           fhir:Coding.code [ fhir:value "benefit" ];
           fhir:Coding.display [ fhir:value "Benefit Package" ]         ]       ];
       fhir:CoverageEligibilityResponse.insurance.item.name [ fhir:value "RX01" ];
       fhir:CoverageEligibilityResponse.insurance.item.description [ fhir:value "Regional fixed enrolment" ];
       fhir:CoverageEligibilityResponse.insurance.item.benefit [
         fhir:index 0;
         fhir:CoverageEligibilityResponse.insurance.item.benefit.type [
           fhir:CodeableConcept.coding [
             fhir:index 0;
             fhir:Coding.system [ fhir:value "https://openimis.github.io/openimis_fhir_r4_ig/CodeSystem/coverage-item-benefit-type" ];
             fhir:Coding.code [ fhir:value "admissions_left" ];
             fhir:Coding.display [ fhir:value "total_admissions" ]           ]         ];
         fhir:CoverageEligibilityResponse.insurance.item.benefit.allowedUnsignedInt [ fhir:value "2"^^xsd:nonNegativeInteger ]       ], [
         fhir:index 1;
         fhir:CoverageEligibilityResponse.insurance.item.benefit.type [
           fhir:CodeableConcept.coding [
             fhir:index 0;
             fhir:Coding.system [ fhir:value "https://openimis.github.io/openimis_fhir_r4_ig/CodeSystem/coverage-item-benefit-type" ];
             fhir:Coding.code [ fhir:value "consultations_left" ];
             fhir:Coding.display [ fhir:value "total_consultations" ]           ]         ];
         fhir:CoverageEligibilityResponse.insurance.item.benefit.allowedUnsignedInt [ fhir:value "4"^^xsd:nonNegativeInteger ]       ], [
         fhir:index 2;
         fhir:CoverageEligibilityResponse.insurance.item.benefit.type [
           fhir:CodeableConcept.coding [
             fhir:index 0;
             fhir:Coding.system [ fhir:value "https://openimis.github.io/openimis_fhir_r4_ig/CodeSystem/coverage-item-benefit-type" ];
             fhir:Coding.code [ fhir:value "surgeries_left" ];
             fhir:Coding.display [ fhir:value "total_surgeries" ]           ]         ];
         fhir:CoverageEligibilityResponse.insurance.item.benefit.allowedUnsignedInt [ fhir:value "1"^^xsd:nonNegativeInteger ]       ], [
         fhir:index 3;
         fhir:CoverageEligibilityResponse.insurance.item.benefit.type [
           fhir:CodeableConcept.coding [
             fhir:index 0;
             fhir:Coding.system [ fhir:value "https://openimis.github.io/openimis_fhir_r4_ig/CodeSystem/coverage-item-benefit-type" ];
             fhir:Coding.code [ fhir:value "deliveries_left" ];
             fhir:Coding.display [ fhir:value "total_deliveries" ]           ]         ];
         fhir:CoverageEligibilityResponse.insurance.item.benefit.allowedUnsignedInt [ fhir:value "1"^^xsd:nonNegativeInteger ]       ], [
         fhir:index 4;
         fhir:CoverageEligibilityResponse.insurance.item.benefit.type [
           fhir:CodeableConcept.coding [
             fhir:index 0;
             fhir:Coding.system [ fhir:value "https://openimis.github.io/openimis_fhir_r4_ig/CodeSystem/coverage-item-benefit-type" ];
             fhir:Coding.code [ fhir:value "hospitalization_amount" ];
             fhir:Coding.display [ fhir:value "hospitalization_amount" ]           ]         ];
         fhir:CoverageEligibilityResponse.insurance.item.benefit.allowedMoney [
           fhir:Money.value [ fhir:value "25000"^^xsd:decimal ]         ]       ], [
         fhir:index 5;
         fhir:CoverageEligibilityResponse.insurance.item.benefit.type [
           fhir:CodeableConcept.coding [
             fhir:index 0;
             fhir:Coding.system [ fhir:value "https://openimis.github.io/openimis_fhir_r4_ig/CodeSystem/coverage-item-benefit-type" ];
             fhir:Coding.code [ fhir:value "consultation_amount" ];
             fhir:Coding.display [ fhir:value "consultation_amount" ]           ]         ];
         fhir:CoverageEligibilityResponse.insurance.item.benefit.allowedMoney [
           fhir:Money.value [ fhir:value "15000"^^xsd:decimal ]         ]       ], [
         fhir:index 6;
         fhir:CoverageEligibilityResponse.insurance.item.benefit.type [
           fhir:CodeableConcept.coding [
             fhir:index 0;
             fhir:Coding.system [ fhir:value "https://openimis.github.io/openimis_fhir_r4_ig/CodeSystem/coverage-item-benefit-type" ];
             fhir:Coding.code [ fhir:value "surgery_amount" ];
             fhir:Coding.display [ fhir:value "surgery_amount" ]           ]         ];
         fhir:CoverageEligibilityResponse.insurance.item.benefit.allowedMoney [
           fhir:Money.value [ fhir:value "70000"^^xsd:decimal ]         ]       ], [
         fhir:index 7;
         fhir:CoverageEligibilityResponse.insurance.item.benefit.type [
           fhir:CodeableConcept.coding [
             fhir:index 0;
             fhir:Coding.system [ fhir:value "https://openimis.github.io/openimis_fhir_r4_ig/CodeSystem/coverage-item-benefit-type" ];
             fhir:Coding.code [ fhir:value "delivery_amount" ];
             fhir:Coding.display [ fhir:value "delivery_amount" ]           ]         ];
         fhir:CoverageEligibilityResponse.insurance.item.benefit.allowedMoney [
           fhir:Money.value [ fhir:value "15000"^^xsd:decimal ]         ]       ]     ], [
       fhir:index 1;
       fhir:CoverageEligibilityResponse.insurance.item.category [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "https://openimis.github.io/openimis_fhir_r4_ig/CodeSystem/coverage-item-category" ];
           fhir:Coding.code [ fhir:value "service" ];
           fhir:Coding.display [ fhir:value "Service" ]         ]       ];
       fhir:CoverageEligibilityResponse.insurance.item.productOrService [
         fhir:CodeableConcept.text [ fhir:value "A1" ]       ];
       fhir:CoverageEligibilityResponse.insurance.item.excluded [ fhir:value "false"^^xsd:boolean ]     ]
  ].

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

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