This page is part of the IHE ITI Finance and Insurance Services (v1.0.0: Publication) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions
: Example Enrollment Request Bundle - 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:Bundle ;
fhir:nodeRole fhir:treeRoot ;
fhir:id [ fhir:v "ex-enreq-bundle"] ; #
fhir:meta [
( fhir:profile [
fhir:v "https://profiles.ihe.net/ITI/FAIS/StructureDefinition/IHE.FAIS.EnrollmentRequest.Bundle"^^xsd:anyURI ;
fhir:link <https://profiles.ihe.net/ITI/FAIS/StructureDefinition/IHE.FAIS.EnrollmentRequest.Bundle> ] )
] ; #
fhir:type [ fhir:v "collection"] ; #
fhir:entry ( [
fhir:fullUrl [ fhir:v "https://profiles.ihe.net/ITI/FAIS/EnrollmentRequest/ex-enrollment-req"^^xsd:anyURI ] ;
( fhir:resource <https://profiles.ihe.net/ITI/FAIS/EnrollmentRequest/ex-enrollment-req> )
] [
fhir:fullUrl [ fhir:v "https://profiles.ihe.net/ITI/FAIS/Organization/ex-insurer"^^xsd:anyURI ] ;
( fhir:resource <https://profiles.ihe.net/ITI/FAIS/Organization/ex-insurer> )
] [
fhir:fullUrl [ fhir:v "https://profiles.ihe.net/ITI/FAIS/Patient/ex-beneficiary"^^xsd:anyURI ] ;
( fhir:resource <https://profiles.ihe.net/ITI/FAIS/Patient/ex-beneficiary> )
] [
fhir:fullUrl [ fhir:v "https://profiles.ihe.net/ITI/FAIS/Coverage/ex-coverage"^^xsd:anyURI ] ;
( fhir:resource <https://profiles.ihe.net/ITI/FAIS/Coverage/ex-coverage> )
] ) . #
<https://profiles.ihe.net/ITI/FAIS/EnrollmentRequest/ex-enrollment-req> a fhir:EnrollmentRequest ;
fhir:id [ fhir:v "ex-enrollment-req"] ; #
fhir:meta [
( fhir:profile [
fhir:v "https://profiles.ihe.net/ITI/FAIS/StructureDefinition/IHE.FAIS.EnrollmentRequest"^^xsd:anyURI ;
fhir:link <https://profiles.ihe.net/ITI/FAIS/StructureDefinition/IHE.FAIS.EnrollmentRequest> ] )
] ; #
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"EnrollmentRequest_ex-enrollment-req\"> </a><p class=\"res-header-id\"><b>Generated Narrative: EnrollmentRequest ex-enrollment-req</b></p><a name=\"ex-enrollment-req\"> </a><a name=\"hcex-enrollment-req\"> </a><a name=\"ex-enrollment-req-en-US\"> </a><p><b>status</b>: Active</p><p><b>created</b>: 2023-12-15</p><p><b>insurer</b>: <a href=\"Organization-ex-insurer.html\">Organization Example Public Insurance</a></p><p><b>candidate</b>: <a href=\"Patient-ex-beneficiary.html\">Jane Doe Female, DoB: 2000-05-04</a></p><p><b>coverage</b>: <a href=\"Coverage-ex-coverage.html\">Coverage: status = active; type = public healthcare; subscriberId = a8978d4a-0c9f-11ef-9633-cb733e9641ef; relationship = Self; period = 2024-01-01 --> 2024-12-31</a></p></div>"
] ; #
fhir:status [ fhir:v "active"] ; #
fhir:created [ fhir:v "2023-12-15"^^xsd:date] ; #
fhir:insurer [
fhir:reference [ fhir:v "Organization/ex-insurer" ]
] ; #
fhir:candidate [
fhir:reference [ fhir:v "Patient/ex-beneficiary" ]
] ; #
fhir:coverage [
fhir:reference [ fhir:v "Coverage/ex-coverage" ]
] . #
<https://profiles.ihe.net/ITI/FAIS/Organization/ex-insurer> a fhir:Organization ;
fhir:id [ fhir:v "ex-insurer"] ; #
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Organization_ex-insurer\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Organization ex-insurer</b></p><a name=\"ex-insurer\"> </a><a name=\"hcex-insurer\"> </a><a name=\"ex-insurer-en-US\"> </a><p><b>name</b>: Example Public Insurance</p></div>"
] ; #
fhir:name [ fhir:v "Example Public Insurance"] . #
<https://profiles.ihe.net/ITI/FAIS/Patient/ex-beneficiary> a fhir:Patient ;
fhir:id [ fhir:v "ex-beneficiary"] ; #
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_ex-beneficiary\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient ex-beneficiary</b></p><a name=\"ex-beneficiary\"> </a><a name=\"hcex-beneficiary\"> </a><a name=\"ex-beneficiary-en-US\"> </a><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Jane Doe Female, DoB: 2000-05-04</p><hr/></div>"
] ; #
fhir:name ( [
fhir:family [ fhir:v "Doe" ] ;
( fhir:given [ fhir:v "Jane" ] )
] ) ; #
fhir:gender [ fhir:v "female"] ; #
fhir:birthDate [ fhir:v "2000-05-04"^^xsd:date] . #
<https://profiles.ihe.net/ITI/FAIS/Coverage/ex-coverage> a fhir:Coverage ;
fhir:id [ fhir:v "ex-coverage"] ; #
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Coverage_ex-coverage\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Coverage ex-coverage</b></p><a name=\"ex-coverage\"> </a><a name=\"hcex-coverage\"> </a><a name=\"ex-coverage-en-US\"> </a><p><b>status</b>: Active</p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ActCode PUBLICPOL}\">public healthcare</span></p><p><b>policyHolder</b>: <a href=\"Patient-ex-beneficiary.html\">Jane Doe Female, DoB: 2000-05-04</a></p><p><b>subscriber</b>: <a href=\"Patient-ex-beneficiary.html\">Jane Doe Female, DoB: 2000-05-04</a></p><p><b>subscriberId</b>: a8978d4a-0c9f-11ef-9633-cb733e9641ef</p><p><b>beneficiary</b>: <a href=\"Patient-ex-beneficiary.html\">Jane Doe Female, DoB: 2000-05-04</a></p><p><b>relationship</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/subscriber-relationship self}\">Self</span></p><p><b>period</b>: 2024-01-01 --> 2024-12-31</p><p><b>payor</b>: <a href=\"Organization-ex-insurer.html\">Organization Example Public Insurance</a></p></div>"
] ; #
fhir:status [ fhir:v "active"] ; #
fhir:type [
( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ActCode"^^xsd:anyURI ] ;
fhir:code [ fhir:v "PUBLICPOL" ] ;
fhir:display [ fhir:v "public healthcare" ] ] )
] ; #
fhir:policyHolder [
fhir:reference [ fhir:v "Patient/ex-beneficiary" ]
] ; #
fhir:subscriber [
fhir:reference [ fhir:v "Patient/ex-beneficiary" ]
] ; #
fhir:subscriberId [ fhir:v "a8978d4a-0c9f-11ef-9633-cb733e9641ef"] ; #
fhir:beneficiary [
fhir:reference [ fhir:v "Patient/ex-beneficiary" ]
] ; #
fhir:relationship [
( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/subscriber-relationship"^^xsd:anyURI ] ;
fhir:code [ fhir:v "self" ] ;
fhir:display [ fhir:v "Self" ] ] )
] ; #
fhir:period [
fhir:start [ fhir:v "2024-01-01"^^xsd:date ] ;
fhir:end [ fhir:v "2024-12-31"^^xsd:date ]
] ; #
fhir:payor ( [
fhir:reference [ fhir:v "Organization/ex-insurer" ]
] ) . #
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