Finance and Insurance Service (FAIS)
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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

: Use Case 2 - Example Coverage Eligibility Request - TTL Representation

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix loinc: <https://loinc.org/rdf/> .
@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:CoverageEligibilityRequest ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "ex-check-coverage-2"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "https://profiles.ihe.net/ITI/FAIS/StructureDefinition/IHE.FAIS.CoverageEligibilityRequest"^^xsd:anyURI ;
fhir:link <https://profiles.ihe.net/ITI/FAIS/StructureDefinition/IHE.FAIS.CoverageEligibilityRequest>     ] )
  ] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CoverageEligibilityRequest ex-check-coverage-2</b></p><a name=\"ex-check-coverage-2\"> </a><a name=\"hcex-check-coverage-2\"> </a><a name=\"ex-check-coverage-2-en-US\"> </a><p><b>status</b>: Active</p><p><b>purpose</b>: Coverage benefits</p><p><b>patient</b>: <a href=\"Patient-ex-beneficiary-1.html\">Purity Atieno  Female, DoB: 2000-05-04</a></p><p><b>serviced</b>: 2024-07-01 --&gt; 2024-12-31</p><p><b>created</b>: 2024-06-01 15:00:00+0000</p><p><b>enterer</b>: <a href=\"Practitioner-ex-doctor-2.html\">Practitioner Kalu Kalu </a></p><p><b>provider</b>: <a href=\"Practitioner-ex-doctor-2.html\">Practitioner Kalu Kalu </a></p><p><b>insurer</b>: <a href=\"Organization-ex-insurer-1.html\">Organization National Health Insurance Scheme</a></p><p><b>facility</b>: <a href=\"Location-ex-hospital-2.html\">Location Local Hospital</a></p><blockquote><p><b>item</b></p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/ex-benefitcategory 1}\">Medical Care</span></p><p><b>productOrService</b>: <span title=\"Codes:{http://loinc.org 21946-9}\">Chemotherapy treatment Cancer</span></p><p><b>provider</b>: <a href=\"Practitioner-ex-doctor-2.html\">Practitioner Kalu Kalu </a></p><p><b>facility</b>: <a href=\"Location-ex-hospital-2.html\">Location Local Hospital</a></p><h3>Diagnoses</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Diagnosis[x]</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://id.who.int/icd/release/11/mms XH1VB1}\">Hybrid oncocytic chromophobe tumour</span></td></tr></table></blockquote></div>"
  ] ; # 
  fhir:status [ fhir:v "active"] ; # 
  fhir:purpose ( [ fhir:v "benefits"] ) ; # 
  fhir:patient [
fhir:reference [ fhir:v "Patient/ex-beneficiary-1" ]
  ] ; # 
  fhir:serviced [
a fhir:Period ;
fhir:start [ fhir:v "2024-07-01"^^xsd:date ] ;
fhir:end [ fhir:v "2024-12-31"^^xsd:date ]
  ] ; # 
  fhir:created [ fhir:v "2024-06-01T15:00:00Z"^^xsd:dateTime] ; # 
  fhir:enterer [
fhir:reference [ fhir:v "Practitioner/ex-doctor-2" ]
  ] ; # 
  fhir:provider [
fhir:reference [ fhir:v "Practitioner/ex-doctor-2" ]
  ] ; # 
  fhir:insurer [
fhir:reference [ fhir:v "Organization/ex-insurer-1" ]
  ] ; # 
  fhir:facility [
fhir:reference [ fhir:v "Location/ex-hospital-2" ]
  ] ; # 
  fhir:item ( [
fhir:category [
      ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/ex-benefitcategory"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1" ]       ] )     ] ;
fhir:productOrService [
      ( fhir:coding [
a loinc:21946-9 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "21946-9" ] ;
fhir:display [ fhir:v "Chemotherapy treatment Cancer" ]       ] )     ] ;
fhir:provider [
fhir:reference [ fhir:v "Practitioner/ex-doctor-2" ]     ] ;
fhir:facility [
fhir:reference [ fhir:v "Location/ex-hospital-2" ]     ] ;
    ( fhir:diagnosis [
fhir:diagnosis [
a fhir:CodeableConcept ;
        ( fhir:coding [
fhir:system [ fhir:v "http://id.who.int/icd/release/11/mms"^^xsd:anyURI ] ;
fhir:code [ fhir:v "XH1VB1" ] ;
fhir:display [ fhir:v "Hybrid oncocytic chromophobe tumour" ]         ] )       ]     ] )
  ] ) . #