@prefix fhir: .
@prefix rdfs: .
# - resource -------------------------------------------------------------------
[] a fhir:Contract;
fhir:Resource.id [ fhir:value "INS-101"];
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "generated" ]
];
fhir:Contract.identifier [
fhir:index 0;
fhir:Identifier.system [ fhir:value "http://xyz-insurance.com/forms" ];
fhir:Identifier.value [ fhir:value "YCSCWLN(01-2017)" ]
];
fhir:Contract.applies [
fhir:Period.start [ fhir:value "2017-01-01" ]
];
fhir:Contract.subject [
fhir:index 0;
fhir:Reference.reference [ fhir:value "Patient/1" ]
];
fhir:Contract.type [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/contract-type" ];
fhir:Coding.code [ fhir:value "healthinsurance" ];
fhir:Coding.display [ fhir:value "Health Insurance" ]
]
];
fhir:Contract.term [
fhir:index 0;
fhir:Contract.offer [
fhir:Contract.text [ fhir:value "The benefits, limitations, exclusions and other coverage provisions in this booklet are subject to the terms of our contract with the Group. This booklet is a part of that contract, which is on file in the Group's office." ]
];
fhir:Contract.asset [
fhir:index 0;
fhir:Contract.type [
fhir:index 0;
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://something/something" ];
fhir:Coding.code [ fhir:value "RicardianContract" ]
]
];
fhir:Contract.subtype [
fhir:index 0;
fhir:CodeableConcept.text [ fhir:value "sample" ]
];
fhir:Contract.period [
fhir:index 0;
fhir:Period.start [ fhir:value "2017-06-01" ]
];
fhir:Contract.valuedItem [
fhir:index 0;
fhir:Contract.entity [
fhir:CodeableConcept.text [ fhir:value "Ford Bobcat" ]
];
fhir:Contract.identifier [
fhir:Identifier.system [ fhir:value "http://somewhere.motor-vehicle.com/vin" ];
fhir:Identifier.value [ fhir:value "XXSVT34-7665t952236" ]
];
fhir:Contract.effectiveTime [ fhir:value "1995" ];
fhir:Contract.quantity [
fhir:Quantity.value [ fhir:value "1" ]
];
fhir:Contract.unitPrice [
fhir:Money.value [ fhir:value "200.00" ];
fhir:Money.currency [ fhir:value "CAD" ]
];
fhir:Contract.factor [ fhir:value "1.0" ];
fhir:Contract.points [ fhir:value "1.0" ];
fhir:Contract.net [
fhir:Money.value [ fhir:value "200.00" ];
fhir:Money.currency [ fhir:value "CAD" ]
]
]
];
fhir:Contract.group [
fhir:index 0;
fhir:Contract.offer [
fhir:Contract.text [ fhir:value "Eligible Providers" ]
]
], [
fhir:index 1;
fhir:Contract.offer [
fhir:Contract.text [ fhir:value "Responsibility for Payment" ]
]
], [
fhir:index 2;
fhir:Contract.offer [
fhir:Contract.text [ fhir:value "List of Benefits" ]
];
fhir:Contract.group [
fhir:index 0;
fhir:Contract.offer [
fhir:Contract.text [ fhir:value "Copays" ]
];
fhir:Contract.group [
fhir:index 0;
fhir:Contract.offer [
fhir:Contract.text [ fhir:value "Emergency Room Copay" ]
]
], [
fhir:index 1;
fhir:Contract.offer [
fhir:Contract.text [ fhir:value "Professional Visit Copay" ]
]
]
], [
fhir:index 1;
fhir:Contract.offer [
fhir:Contract.text [ fhir:value "Calendar Year Deductible" ]
]
], [
fhir:index 2;
fhir:Contract.offer [
fhir:Contract.text [ fhir:value "Out-Of-Pocket Maximum" ]
]
], [
fhir:index 3;
fhir:Contract.offer [
fhir:Contract.text [ fhir:value "Medical Services" ]
];
fhir:Contract.group [
fhir:index 0;
fhir:Contract.offer [
fhir:Contract.text [ fhir:value "Ambulance Services" ]
]
], [
fhir:index 1;
fhir:Contract.offer [
fhir:Contract.text [ fhir:value "Dental Services" ]
]
], [
fhir:index 2;
fhir:Contract.offer [
fhir:Contract.text [ fhir:value "Diagnostic Services" ]
]
], [
fhir:index 3;
fhir:Contract.offer [
fhir:Contract.text [ fhir:value "Emergency Room Services" ]
]
], [
fhir:index 4;
fhir:Contract.offer [
fhir:Contract.text [ fhir:value "Hospital Inpatient Care" ]
]
]
]
]
] .
# -------------------------------------------------------------------------------------