This page is part of the HL7 Terminology (v1.0.0: Release) based on FHIR R4. The current version which supercedes this version is 5.2.0. For a full list of available versions, see the Directory of published versions

Benefit cost applicability - TTL Representation

(back to description)

Raw ttl

Source view

@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: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 <http://hl7.org/fhir/StructureDefinition/shareablecodesystem>     ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n            \n      \n      <h2>Benefit cost applicability</h2>\n            \n      \n      <div>\n              \n        \n        <p>Whether the cost applies to in-network or out-of-network providers.</p>\n\n            \n      \n      </div>\n            \n      \n      <p>This code system http://terminology.hl7.org/CodeSystem/applicability defines the following codes:</p>\n            \n      \n      <table class=\"codes\">\n              \n        \n        <tr>\n                \n          \n          <td style=\"white-space:nowrap\">\n                  \n            \n            <b>Code</b>\n                \n          \n          </td>\n                \n          \n          <td>\n                  \n            \n            <b>Display</b>\n                \n          \n          </td>\n                \n          \n          <td>\n                  \n            \n            <b>Definition</b>\n                \n          \n          </td>\n              \n        \n        </tr>\n              \n        \n        <tr>\n                \n          \n          <td style=\"white-space:nowrap\">in-network\n                  \n            \n            <a name=\"insuranceplan-applicability-in-network\"> </a>\n                \n          \n          </td>\n                \n          \n          <td>In Network</td>\n                \n          \n          <td>Provider is contracted with the health insurance company to provide services to plan members for specific pre-negotiated rates</td>\n              \n        \n        </tr>\n              \n        \n        <tr>\n                \n          \n          <td style=\"white-space:nowrap\">out-of-network\n                  \n            \n            <a name=\"insuranceplan-applicability-out-of-network\"> </a>\n                \n          \n          </td>\n                \n          \n          <td>Out of Network</td>\n                \n          \n          <td>Provider is  not contracted with the health insurance company to provide services to plan members for specific pre-negotiated rates</td>\n              \n        \n        </tr>\n              \n        \n        <tr>\n                \n          \n          <td style=\"white-space:nowrap\">other\n                  \n            \n            <a name=\"insuranceplan-applicability-other\"> </a>\n                \n          \n          </td>\n                \n          \n          <td>Other</td>\n                \n          \n          <td>Other applicability</td>\n              \n        \n        </tr>\n            \n      \n      </table>\n          \n    \n    </div>"
  ];
  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 <http://terminology.hl7.org/ValueSet/insuranceplan-applicability>
  ];
  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.