@prefix fhir: . @prefix owl: . @prefix rdfs: . @prefix sct: . @prefix xsd: . # - resource ------------------------------------------------------------------- a fhir:Bundle; fhir:nodeRole fhir:treeRoot; fhir:Resource.id [ fhir:value "CoverageEligibilityResponseBundle-discovery-example-01"]; fhir:Resource.meta [ fhir:Meta.versionId [ fhir:value "2" ]; fhir:Meta.profile [ fhir:value "https://nrces.in/ndhm/fhir/r4/StructureDefinition/CoverageEligibilityResponseBundle"; fhir:index 0; fhir:link ] ]; fhir:Bundle.identifier [ fhir:Identifier.system [ fhir:value "http://hip.in" ]; fhir:Identifier.value [ fhir:value "bc3c6c57-2053-4d0e-ac40-139ccccff645" ] ]; fhir:Bundle.type [ fhir:value "collection"]; fhir:Bundle.timestamp [ fhir:value "2020-07-09T15:32:26.605+05:30"^^xsd:dateTime]; fhir:Bundle.entry [ fhir:index 0; fhir:Bundle.entry.fullUrl [ fhir:value "CoverageEligibilityResponse/discovery-example-01" ]; fhir:Bundle.entry.resource ], [ fhir:index 1; fhir:Bundle.entry.fullUrl [ fhir:value "Patient/example-01" ]; fhir:Bundle.entry.resource ], [ fhir:index 2; fhir:Bundle.entry.fullUrl [ fhir:value "Organization/example-01" ]; fhir:Bundle.entry.resource ], [ fhir:index 3; fhir:Bundle.entry.fullUrl [ fhir:value "CoverageEligibilityRequest/discovery-example-01" ]; fhir:Bundle.entry.resource ], [ fhir:index 4; fhir:Bundle.entry.fullUrl [ fhir:value "Organization/example-02" ]; fhir:Bundle.entry.resource ], [ fhir:index 5; fhir:Bundle.entry.fullUrl [ fhir:value "Coverage/example-01" ]; fhir:Bundle.entry.resource ] . a fhir:CoverageEligibilityResponse; fhir:Resource.id [ fhir:value "discovery-example-01"]; fhir:Resource.meta [ fhir:Meta.profile [ fhir:value "https://nrces.in/ndhm/fhir/r4/StructureDefinition/CoverageEligibilityResponse"; fhir:index 0; fhir:link ] ]; fhir:Resource.language [ fhir:value "en"]; fhir:DomainResource.text [ fhir:Narrative.status [ fhir:value "generated" ]; fhir:Narrative.div "

Generated Narrative: CoverageEligibilityResponse

Resource CoverageEligibilityResponse \"discovery-example-01\" (Language \"en\")

Profile: CoverageEligibilityResponse

status: active

purpose: discovery

patient: See above (Patient/example-01)

created: 2022-08-07

requestor: See above (Organization/example-01)

request: See above (CoverageEligibilityRequest/discovery-example-01)

outcome: complete

disposition: No policy is associated with current plan

insurer: See above (Organization/example-02)

Insurances

-CoverageInforceBenefitPeriod
*See above (Coverage/example-01)true2022-05-07 --> 2025-08-07
" ]; fhir:CoverageEligibilityResponse.status [ fhir:value "active"]; fhir:CoverageEligibilityResponse.purpose [ fhir:value "discovery"; fhir:index 0 ]; fhir:CoverageEligibilityResponse.patient [ fhir:link ; fhir:Reference.reference [ fhir:value "Patient/example-01" ] ]; fhir:CoverageEligibilityResponse.created [ fhir:value "2022-08-07"^^xsd:date]; fhir:CoverageEligibilityResponse.requestor [ fhir:link ; fhir:Reference.reference [ fhir:value "Organization/example-01" ] ]; fhir:CoverageEligibilityResponse.request [ fhir:link ; fhir:Reference.reference [ fhir:value "CoverageEligibilityRequest/discovery-example-01" ] ]; fhir:CoverageEligibilityResponse.outcome [ fhir:value "complete"]; fhir:CoverageEligibilityResponse.disposition [ fhir:value "No policy is associated with current plan"]; fhir:CoverageEligibilityResponse.insurer [ fhir:link ; fhir:Reference.reference [ fhir:value "Organization/example-02" ] ]; fhir:CoverageEligibilityResponse.insurance [ fhir:index 0; fhir:CoverageEligibilityResponse.insurance.coverage [ fhir:link ; fhir:Reference.reference [ fhir:value "Coverage/example-01" ] ]; fhir:CoverageEligibilityResponse.insurance.inforce [ fhir:value "true"^^xsd:boolean ]; fhir:CoverageEligibilityResponse.insurance.benefitPeriod [ fhir:Period.start [ fhir:value "2022-05-07"^^xsd:date ]; fhir:Period.end [ fhir:value "2025-08-07"^^xsd:date ] ] ] . a fhir:Patient; fhir:Resource.id [ fhir:value "example-01"]; fhir:Resource.meta [ fhir:Meta.versionId [ fhir:value "1" ]; fhir:Meta.lastUpdated [ fhir:value "2020-07-09T14:58:58.181+05:30"^^xsd:dateTime ]; fhir:Meta.profile [ fhir:value "https://nrces.in/ndhm/fhir/r4/StructureDefinition/Patient"; fhir:index 0; fhir:link ] ]; fhir:DomainResource.text [ fhir:Narrative.status [ fhir:value "generated" ]; fhir:Narrative.div "

Generated Narrative: Patient

Resource Patient \"example-01\" Version \"1\" Updated \"2020-07-09 02:58:58+0530\"

Profile: Patient

identifier: Adhaar number: 7225-4829-5255

name: Ayush Sharma

telecom: +919818512600

gender: male

birthDate: 1981-01-12

" ]; fhir:Patient.identifier [ fhir:index 0; fhir:Identifier.type [ fhir:CodeableConcept.coding [ fhir:index 0; fhir:Coding.system [ fhir:value "https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-identifier-type-code" ]; fhir:Coding.code [ fhir:value "ADN" ]; fhir:Coding.display [ fhir:value "Adhaar number" ] ] ]; fhir:Identifier.system [ fhir:value "https://uidai.gov.in/" ]; fhir:Identifier.value [ fhir:value "7225-4829-5255" ] ]; fhir:Patient.name [ fhir:index 0; fhir:HumanName.text [ fhir:value "Ayush Sharma" ] ]; fhir:Patient.telecom [ fhir:index 0; fhir:ContactPoint.system [ fhir:value "phone" ]; fhir:ContactPoint.value [ fhir:value "+919818512600" ]; fhir:ContactPoint.use [ fhir:value "home" ] ]; fhir:Patient.gender [ fhir:value "male"]; fhir:Patient.birthDate [ fhir:value "1981-01-12"^^xsd:date] . a fhir:Organization; fhir:Resource.id [ fhir:value "example-01"]; fhir:Resource.meta [ fhir:Meta.profile [ fhir:value "https://nrces.in/ndhm/fhir/r4/StructureDefinition/Organization"; fhir:index 0; fhir:link ] ]; fhir:DomainResource.text [ fhir:Narrative.status [ fhir:value "generated" ]; fhir:Narrative.div "

Generated Narrative: Organization

Resource Organization \"example-01\"

Profile: Organization

identifier: Provider number: 4567878

name: Apollo Hospital Pvt.Ltd.

telecom: +91 243 2634 1234, contact@xyz.org

" ]; fhir:Organization.identifier [ fhir:index 0; fhir:Identifier.type [ fhir:CodeableConcept.coding [ fhir:index 0; fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0203" ]; fhir:Coding.code [ fhir:value "PRN" ]; fhir:Coding.display [ fhir:value "Provider number" ] ] ]; fhir:Identifier.system [ fhir:value "https://facility.ndhm.gov.in" ]; fhir:Identifier.value [ fhir:value "4567878" ] ]; fhir:Organization.name [ fhir:value "Apollo Hospital Pvt.Ltd."]; fhir:Organization.telecom [ fhir:index 0; fhir:ContactPoint.system [ fhir:value "phone" ]; fhir:ContactPoint.value [ fhir:value "+91 243 2634 1234" ]; fhir:ContactPoint.use [ fhir:value "work" ] ], [ fhir:index 1; fhir:ContactPoint.system [ fhir:value "email" ]; fhir:ContactPoint.value [ fhir:value "contact@xyz.org" ]; fhir:ContactPoint.use [ fhir:value "work" ] ] . a fhir:CoverageEligibilityRequest; fhir:Resource.id [ fhir:value "discovery-example-01"]; fhir:Resource.meta [ fhir:Meta.profile [ fhir:value "https://nrces.in/ndhm/fhir/r4/StructureDefinition/CoverageEligibilityRequest"; fhir:index 0; fhir:link ] ]; fhir:Resource.language [ fhir:value "en"]; fhir:DomainResource.text [ fhir:Narrative.status [ fhir:value "generated" ]; fhir:Narrative.div "

Generated Narrative: CoverageEligibilityRequest

Resource CoverageEligibilityRequest \"discovery-example-01\" (Language \"en\")

Profile: CoverageEligibilityRequest

identifier: id: 7612345

status: active

priority: Normal (Process Priority Codes#normal)

purpose: discovery

patient: See above (Patient/example-01)

created: 2022-12-20 11:01:00+0500

enterer: Practitioner/example-01 \"\"

provider: See above (Organization/example-01)

insurer: See above (Organization/example-01)

facility: Location/example-01 \"South Wing, second floor\"

SupportingInfos

-SequenceInformationAppliesToAll
*1DocumentReference/example-01true

Insurances

-FocalCoverage
*trueSee above (Coverage/example-01)

item

supportingInfoSequence: 1

category: Dental care (SNOMED CT#225362009)

productOrService: Removal of foreign body (SNOMED CT#10849003)

Diagnoses

-Diagnosis[x]
*Condition/example-01
" ]; fhir:CoverageEligibilityRequest.identifier [ fhir:index 0; fhir:Identifier.system [ fhir:value "http://happypharma.com/claim" ]; fhir:Identifier.value [ fhir:value "7612345" ] ]; fhir:CoverageEligibilityRequest.status [ fhir:value "active"]; fhir:CoverageEligibilityRequest.priority [ fhir:CodeableConcept.coding [ fhir:index 0; fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/processpriority" ]; fhir:Coding.code [ fhir:value "normal" ]; fhir:Coding.display [ fhir:value "Normal" ] ] ]; fhir:CoverageEligibilityRequest.purpose [ fhir:value "discovery"; fhir:index 0 ]; fhir:CoverageEligibilityRequest.patient [ fhir:link ; fhir:Reference.reference [ fhir:value "Patient/example-01" ] ]; fhir:CoverageEligibilityRequest.created [ fhir:value "2022-12-20T11:01:00+05:00"^^xsd:dateTime]; fhir:CoverageEligibilityRequest.enterer [ fhir:link ; fhir:Reference.reference [ fhir:value "Practitioner/example-01" ] ]; fhir:CoverageEligibilityRequest.provider [ fhir:link ; fhir:Reference.reference [ fhir:value "Organization/example-01" ] ]; fhir:CoverageEligibilityRequest.insurer [ fhir:link ; fhir:Reference.reference [ fhir:value "Organization/example-01" ] ]; fhir:CoverageEligibilityRequest.facility [ fhir:link ; fhir:Reference.reference [ fhir:value "Location/example-01" ] ]; fhir:CoverageEligibilityRequest.supportingInfo [ fhir:index 0; fhir:CoverageEligibilityRequest.supportingInfo.sequence [ fhir:value "1"^^xsd:positiveInteger ]; fhir:CoverageEligibilityRequest.supportingInfo.information [ fhir:link ; fhir:Reference.reference [ fhir:value "DocumentReference/example-01" ] ]; fhir:CoverageEligibilityRequest.supportingInfo.appliesToAll [ fhir:value "true"^^xsd:boolean ] ]; fhir:CoverageEligibilityRequest.insurance [ fhir:index 0; fhir:CoverageEligibilityRequest.insurance.focal [ fhir:value "true"^^xsd:boolean ]; fhir:CoverageEligibilityRequest.insurance.coverage [ fhir:link ; fhir:Reference.reference [ fhir:value "Coverage/example-01" ] ] ]; fhir:CoverageEligibilityRequest.item [ fhir:index 0; fhir:CoverageEligibilityRequest.item.supportingInfoSequence [ fhir:value "1"^^xsd:positiveInteger; fhir:index 0 ]; fhir:CoverageEligibilityRequest.item.category [ fhir:CodeableConcept.coding [ fhir:index 0; a sct:225362009; fhir:Coding.system [ fhir:value "http://snomed.info/sct" ]; fhir:Coding.code [ fhir:value "225362009" ]; fhir:Coding.display [ fhir:value "Dental care" ] ] ]; fhir:CoverageEligibilityRequest.item.productOrService [ fhir:CodeableConcept.coding [ fhir:index 0; a sct:10849003; fhir:Coding.system [ fhir:value "http://snomed.info/sct" ]; fhir:Coding.code [ fhir:value "10849003" ]; fhir:Coding.display [ fhir:value "Removal of foreign body" ] ] ]; fhir:CoverageEligibilityRequest.item.diagnosis [ fhir:index 0; fhir:CoverageEligibilityRequest.item.diagnosis.diagnosisReference [ fhir:link ; fhir:Reference.reference [ fhir:value "Condition/example-01" ] ] ] ] . a fhir:Organization; fhir:Resource.id [ fhir:value "example-02"]; fhir:Resource.meta [ fhir:Meta.profile [ fhir:value "https://nrces.in/ndhm/fhir/r4/StructureDefinition/Organization"; fhir:index 0; fhir:link ] ]; fhir:DomainResource.text [ fhir:Narrative.status [ fhir:value "generated" ]; fhir:Narrative.div "

Generated Narrative: Organization

Resource Organization \"example-02\"

Profile: Organization

identifier: Provider number: 4567878

name: Star Health Insurance Pvt.Ltd.

telecom: +91 243 2634 1234, contact@xyz.org

" ]; fhir:Organization.identifier [ fhir:index 0; fhir:Identifier.type [ fhir:CodeableConcept.coding [ fhir:index 0; fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0203" ]; fhir:Coding.code [ fhir:value "PRN" ]; fhir:Coding.display [ fhir:value "Provider number" ] ] ]; fhir:Identifier.system [ fhir:value "https://facility.ndhm.gov.in" ]; fhir:Identifier.value [ fhir:value "4567878" ] ]; fhir:Organization.name [ fhir:value "Star Health Insurance Pvt.Ltd."]; fhir:Organization.telecom [ fhir:index 0; fhir:ContactPoint.system [ fhir:value "phone" ]; fhir:ContactPoint.value [ fhir:value "+91 243 2634 1234" ]; fhir:ContactPoint.use [ fhir:value "work" ] ], [ fhir:index 1; fhir:ContactPoint.system [ fhir:value "email" ]; fhir:ContactPoint.value [ fhir:value "contact@xyz.org" ]; fhir:ContactPoint.use [ fhir:value "work" ] ] . a fhir:Coverage; fhir:Resource.id [ fhir:value "example-01"]; fhir:DomainResource.text [ fhir:Narrative.status [ fhir:value "generated" ]; fhir:Narrative.div "

Generated Narrative: Coverage

Resource Coverage \"example-01\"

identifier: id: SP12345678

status: active

type: PAY (Coverage SelfPay Codes#pay)

subscriber: See above (Patient/example-01)

beneficiary: See above (Patient/example-01)

relationship: Self (SubscriberPolicyholder Relationship Codes#self)

period: 2022-05-07 --> 2025-08-07

payor: See above (Patient/example-01)

" ]; fhir:Coverage.identifier [ fhir:index 0; fhir:Identifier.system [ fhir:value "http://hospitalx.com/selfpayagreement" ]; fhir:Identifier.value [ fhir:value "SP12345678" ] ]; fhir:Coverage.status [ fhir:value "active"]; fhir:Coverage.type [ fhir:CodeableConcept.coding [ fhir:index 0; fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/coverage-selfpay" ]; fhir:Coding.code [ fhir:value "pay" ]; fhir:Coding.display [ fhir:value "PAY" ] ] ]; fhir:Coverage.subscriber [ fhir:link ; fhir:Reference.reference [ fhir:value "Patient/example-01" ] ]; fhir:Coverage.beneficiary [ fhir:link ; fhir:Reference.reference [ fhir:value "Patient/example-01" ] ]; fhir:Coverage.relationship [ fhir:CodeableConcept.coding [ fhir:index 0; fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/subscriber-relationship" ]; fhir:Coding.code [ fhir:value "self" ] ] ]; fhir:Coverage.period [ fhir:Period.start [ fhir:value "2022-05-07"^^xsd:date ]; fhir:Period.end [ fhir:value "2025-08-07"^^xsd:date ] ]; fhir:Coverage.payor [ fhir:index 0; fhir:link ; fhir:Reference.reference [ fhir:value "Patient/example-01" ] ] . # - ontology header ------------------------------------------------------------ a owl:Ontology; owl:imports fhir:fhir.ttl . # -------------------------------------------------------------------------------------