@prefix fhir: . @prefix owl: . @prefix rdfs: . @prefix xsd: . # - resource ------------------------------------------------------------------- a fhir:CodeSystem; fhir:nodeRole fhir:treeRoot; fhir:Resource.id [ fhir:value "applicability"]; fhir:Resource.meta [ fhir:Meta.lastUpdated [ fhir:value "2020-04-09T21:10:28.568+00:00"^^xsd:dateTime ]; fhir:Meta.profile [ fhir:value "http://hl7.org/fhir/StructureDefinition/shareablecodesystem"; fhir:index 0; fhir:link ] ]; fhir:DomainResource.text [ fhir:Narrative.status [ fhir:value "generated" ]; fhir:Narrative.div "
\n \n \n

Benefit cost applicability

\n \n \n
\n \n \n

Whether the cost applies to in-network or out-of-network providers.

\n\n \n \n
\n \n \n

This code system http://terminology.hl7.org/CodeSystem/applicability defines the following codes:

\n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n
\n \n \n Code\n \n \n \n \n \n Display\n \n \n \n \n \n Definition\n \n \n
in-network\n \n \n \n \n \n In NetworkProvider is contracted with the health insurance company to provide services to plan members for specific pre-negotiated rates
out-of-network\n \n \n \n \n \n Out of NetworkProvider is not contracted with the health insurance company to provide services to plan members for specific pre-negotiated rates
other\n \n \n \n \n \n OtherOther applicability
\n \n \n
" ]; fhir:DomainResource.extension [ fhir:index 0; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg" ]; fhir:Extension.valueCode [ fhir:value "pa" ] ], [ fhir:index 1; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status" ]; fhir:Extension.valueCode [ fhir:value "trial-use" ] ], [ fhir:index 2; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm" ]; fhir:Extension.valueInteger [ fhir:value "0"^^xsd:integer ] ]; fhir:CodeSystem.url [ fhir:value "http://terminology.hl7.org/CodeSystem/applicability"]; fhir:CodeSystem.identifier [ fhir:index 0; fhir:Identifier.system [ fhir:value "urn:ietf:rfc:3986" ]; fhir:Identifier.value [ fhir:value "urn:oid:2.16.840.1.113883.4.642.1.0" ] ]; fhir:CodeSystem.version [ fhir:value "4.2.0"]; fhir:CodeSystem.name [ fhir:value "BenefitCostApplicability"]; fhir:CodeSystem.title [ fhir:value "Benefit cost applicability"]; fhir:CodeSystem.status [ fhir:value "draft"]; fhir:CodeSystem.experimental [ fhir:value "false"^^xsd:boolean]; fhir:CodeSystem.date [ fhir:value "2018-06-05T14:06:02+00:00"^^xsd:dateTime]; fhir:CodeSystem.publisher [ fhir:value "HL7 (FHIR Project)"]; fhir:CodeSystem.contact [ fhir:index 0; fhir:ContactDetail.telecom [ fhir:index 0; fhir:ContactPoint.system [ fhir:value "url" ]; fhir:ContactPoint.value [ fhir:value "http://hl7.org/fhir" ] ], [ fhir:index 1; fhir:ContactPoint.system [ fhir:value "email" ]; fhir:ContactPoint.value [ fhir:value "fhir@lists.hl7.org" ] ] ], [ fhir:index 1; fhir:ContactDetail.telecom [ fhir:index 0; fhir:ContactPoint.system [ fhir:value "url" ]; fhir:ContactPoint.value [ fhir:value "http://hl7.org/fhir" ] ], [ fhir:index 1; fhir:ContactPoint.system [ fhir:value "email" ]; fhir:ContactPoint.value [ fhir:value "fhir@lists.hl7.org" ] ] ]; fhir:CodeSystem.description [ fhir:value "Whether the cost applies to in-network or out-of-network providers."]; fhir:CodeSystem.caseSensitive [ fhir:value "true"^^xsd:boolean]; fhir:CodeSystem.valueSet [ fhir:value "http://terminology.hl7.org/ValueSet/insuranceplan-applicability"; fhir:link ]; fhir:CodeSystem.content [ fhir:value "complete"]; fhir:CodeSystem.concept [ fhir:index 0; fhir:CodeSystem.concept.code [ fhir:value "in-network" ]; fhir:CodeSystem.concept.display [ fhir:value "In Network" ]; fhir:CodeSystem.concept.definition [ fhir:value "Provider is contracted with the health insurance company to provide services to plan members for specific pre-negotiated rates" ] ], [ fhir:index 1; fhir:CodeSystem.concept.code [ fhir:value "out-of-network" ]; fhir:CodeSystem.concept.display [ fhir:value "Out of Network" ]; fhir:CodeSystem.concept.definition [ fhir:value "Provider is not contracted with the health insurance company to provide services to plan members for specific pre-negotiated rates" ] ], [ fhir:index 2; fhir:CodeSystem.concept.code [ fhir:value "other" ]; fhir:CodeSystem.concept.display [ fhir:value "Other" ]; fhir:CodeSystem.concept.definition [ fhir:value "Other applicability" ] ] . # - ontology header ------------------------------------------------------------ a owl:Ontology; owl:imports fhir:fhir.ttl . # -------------------------------------------------------------------------------------