Universal API Implementation Guide
1.1.19 - ci-build

Universal API Implementation Guide - Local Development build (v1.1.19). See the Directory of published versions

: External - UAPI Copay Explanation of Benefit in copay enrollment response - 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:ExplanationOfBenefit;
  fhir:nodeRole fhir:treeRoot;
  fhir:Resource.id [ fhir:value "0d8ed4d1-26e8-4715-bf3d-34f368fe9585"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: ExplanationOfBenefit</b><a name=\"0d8ed4d1-26e8-4715-bf3d-34f368fe9585\"> </a></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 ExplanationOfBenefit \"0d8ed4d1-26e8-4715-bf3d-34f368fe9585\" </p></div><p><b>identifier</b>: id: 2747b8b5-97a7-ed11-827b-8ee762650010(use: USUAL)</p><p><b>status</b>: active</p><p><b>type</b>: pharmacy <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ([not stated]#pharmacy)</span></p><p><b>use</b>: predetermination</p><p><b>patient</b>: <a href=\"Bundle-uapi-copay-response-rejected-1.html#urn-uuid-2c5aa62c-b6cd-49d2-ad9f-3128a69a32a9\">urn:uuid:2c5aa62c-b6cd-49d2-ad9f-3128a69a32a9</a></p><p><b>created</b>: 2023-02-08 05:02:36+0000</p><p><b>insurer</b>: <a href=\"Bundle-18faf9d2-4553-4b8c-ac81-c9c845a72be6.html#urn-uuid-d02db104-a75c-433f-8764-9778c2e20626\">urn:uuid:d02db104-a75c-433f-8764-9778c2e20626</a></p><p><b>provider</b>: <a href=\"Bundle-caf568e0-21b6-40e4-b0b8-1fdddef30fd2.html#urn-uuid-695d0991-5e03-46df-934a-85a28acd95c1\">urn:uuid:695d0991-5e03-46df-934a-85a28acd95c1</a></p><p><b>outcome</b>: complete</p><h3>Insurances</h3><table class=\"grid\"><tr><td>-</td><td><b>Focal</b></td><td><b>Coverage</b></td></tr><tr><td>*</td><td>true</td><td><a href=\"Bundle-18faf9d2-4553-4b8c-ac81-c9c845a72be6.html#urn-uuid-597540c9-6248-466e-81e0-58e78f15454e\">urn:uuid:597540c9-6248-466e-81e0-58e78f15454e</a></td></tr></table></div>"
  ];
  fhir:ExplanationOfBenefit.identifier [
     fhir:index 0;
     fhir:Identifier.use [ fhir:value "usual" ];
     fhir:Identifier.system [ fhir:value "http://connectiverx.com/enrollmentId" ];
     fhir:Identifier.value [ fhir:value "2747b8b5-97a7-ed11-827b-8ee762650010" ]
  ];
  fhir:ExplanationOfBenefit.status [ fhir:value "active"];
  fhir:ExplanationOfBenefit.type [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.code [ fhir:value "pharmacy" ]     ]
  ];
  fhir:ExplanationOfBenefit.use [ fhir:value "predetermination"];
  fhir:ExplanationOfBenefit.patient [
     fhir:Reference.reference [ fhir:value "urn:uuid:2c5aa62c-b6cd-49d2-ad9f-3128a69a32a9" ]
  ];
  fhir:ExplanationOfBenefit.created [ fhir:value "2023-02-08T05:02:36.070Z"^^xsd:dateTime];
  fhir:ExplanationOfBenefit.insurer [
     fhir:Reference.reference [ fhir:value "urn:uuid:d02db104-a75c-433f-8764-9778c2e20626" ]
  ];
  fhir:ExplanationOfBenefit.provider [
     fhir:Reference.reference [ fhir:value "urn:uuid:695d0991-5e03-46df-934a-85a28acd95c1" ]
  ];
  fhir:ExplanationOfBenefit.outcome [ fhir:value "complete"];
  fhir:ExplanationOfBenefit.insurance [
     fhir:index 0;
     fhir:ExplanationOfBenefit.insurance.focal [ fhir:value "true"^^xsd:boolean ];
     fhir:ExplanationOfBenefit.insurance.coverage [
       fhir:Reference.reference [ fhir:value "urn:uuid:597540c9-6248-466e-81e0-58e78f15454e" ]     ]
  ].

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

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