Finance and Insurance Service (FAIS)
1.0.0 - trial-use International flag

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 Coverage Eligibility 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:CoverageEligibilityResponse ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "ex-check-coverage-resp"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "https://profiles.ihe.net/ITI/FAIS/StructureDefinition/IHE.FAIS.CoverageEligibilityResponse"^^xsd:anyURI ;
fhir:link <https://profiles.ihe.net/ITI/FAIS/StructureDefinition/IHE.FAIS.CoverageEligibilityResponse>     ] )
  ] ; # 
  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: CoverageEligibilityResponse ex-check-coverage-resp</b></p><a name=\"ex-check-coverage-resp\"> </a><a name=\"hcex-check-coverage-resp\"> </a><a name=\"ex-check-coverage-resp-en-US\"> </a><p><b>status</b>: Active</p><p><b>purpose</b>: Coverage Validation</p><p><b>patient</b>: <a href=\"Patient-ex-beneficiary.html\">Jane Doe  Female, DoB: 2000-05-04</a></p><p><b>created</b>: 2024-05-04</p><p><b>request</b>: <a href=\"CoverageEligibilityRequest-ex-check-coverage.html\">CoverageEligibilityRequest: status = active; purpose = validation; created = 2024-05-04</a></p><p><b>outcome</b>: Processing Complete</p><p><b>disposition</b>: Allowed</p><p><b>insurer</b>: <a href=\"Organization-ex-insurer.html\">Organization Example Public Insurance</a></p><h3>Insurances</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Coverage</b></td><td><b>Inforce</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"Coverage-ex-coverage.html\">Coverage: status = active; type = public healthcare; subscriberId = a8978d4a-0c9f-11ef-9633-cb733e9641ef; relationship = Self; period = 2024-01-01 --&gt; 2024-12-31</a></td><td>true</td></tr></table></div>"
  ] ; # 
  fhir:status [ fhir:v "active"] ; # 
  fhir:purpose ( [ fhir:v "validation"] ) ; # 
  fhir:patient [
fhir:reference [ fhir:v "Patient/ex-beneficiary" ]
  ] ; # 
  fhir:created [ fhir:v "2024-05-04"^^xsd:date] ; # 
  fhir:request [
fhir:reference [ fhir:v "CoverageEligibilityRequest/ex-check-coverage" ]
  ] ; # 
  fhir:outcome [ fhir:v "complete"] ; # 
  fhir:disposition [ fhir:v "Allowed"] ; # 
  fhir:insurer [
fhir:reference [ fhir:v "Organization/ex-insurer" ]
  ] ; # 
  fhir:insurance ( [
fhir:coverage [
fhir:reference [ fhir:v "Coverage/ex-coverage" ]     ] ;
fhir:inforce [ fhir:v "true"^^xsd:boolean ]
  ] ) . #