HL7 Terminology (THO)
5.2.0 - Publication International flag

This page is part of the HL7 Terminology (v5.2.0: Release) based on FHIR R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

: Benefit cost applicability - TTL Representation

Draft as of 2018-06-05 Maturity Level: 0

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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:CodeSystem ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "applicability"] ; # 
  fhir:meta [
fhir:lastUpdated [ fhir:v "2020-04-09T21:10:28.568+00:00"^^xsd:dateTime ] ;
    ( fhir:profile [
fhir:v "http://hl7.org/fhir/StructureDefinition/shareablecodesystem"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/StructureDefinition/shareablecodesystem>     ] )
  ] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>This code system <code>http://terminology.hl7.org/CodeSystem/applicability</code> defines the following codes:</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td style=\"white-space:nowrap\">in-network<a name=\"applicability-in-network\"> </a></td><td>In Network</td><td>Provider is contracted with the health insurance company to provide services to plan members for specific pre-negotiated rates</td></tr><tr><td style=\"white-space:nowrap\">out-of-network<a name=\"applicability-out-of-network\"> </a></td><td>Out of Network</td><td>Provider is  not contracted with the health insurance company to provide services to plan members for specific pre-negotiated rates</td></tr><tr><td style=\"white-space:nowrap\">other<a name=\"applicability-other\"> </a></td><td>Other</td><td>Other applicability</td></tr></table></div>"
  ] ; # 
  fhir:extension ( [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg"^^xsd:anyURI ] ;
fhir:value [ fhir:v "pa" ]
  ] [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm"^^xsd:anyURI ] ;
fhir:value [ fhir:v "0"^^xsd:integer ]
  ] ) ; # 
  fhir:url [ fhir:v "http://terminology.hl7.org/CodeSystem/applicability"^^xsd:anyURI] ; # 
  fhir:identifier ( [
fhir:system [ fhir:v "urn:ietf:rfc:3986"^^xsd:anyURI ] ;
fhir:value [ fhir:v "urn:oid:2.16.840.1.113883.4.642.1.0" ]
  ] ) ; # 
  fhir:version [ fhir:v "0.1.0"] ; # 
  fhir:name [ fhir:v "BenefitCostApplicability"] ; # 
  fhir:title [ fhir:v "Benefit cost applicability"] ; # 
  fhir:status [ fhir:v "draft"] ; # 
  fhir:experimental [ fhir:v "false"^^xsd:boolean] ; # 
  fhir:date [ fhir:v "2018-06-05T14:06:02+00:00"^^xsd:dateTime] ; # 
  fhir:publisher [ fhir:v "HL7 (FHIR Project)"] ; # 
  fhir:contact ( [
    ( fhir:telecom [
fhir:system [ fhir:v "url" ] ;
fhir:value [ fhir:v "http://hl7.org/fhir" ]     ] [
fhir:system [ fhir:v "email" ] ;
fhir:value [ fhir:v "fhir@lists.hl7.org" ]     ] )
  ] [
    ( fhir:telecom [
fhir:system [ fhir:v "url" ] ;
fhir:value [ fhir:v "http://hl7.org/fhir" ]     ] [
fhir:system [ fhir:v "email" ] ;
fhir:value [ fhir:v "fhir@lists.hl7.org" ]     ] )
  ] ) ; # 
  fhir:description [ fhir:v "Whether the cost applies to in-network or out-of-network providers."] ; # 
  fhir:caseSensitive [ fhir:v "true"^^xsd:boolean] ; # 
  fhir:valueSet [
fhir:v "http://terminology.hl7.org/ValueSet/insuranceplan-applicability"^^xsd:anyURI ;
fhir:link <http://terminology.hl7.org/ValueSet/insuranceplan-applicability>
  ] ; # 
  fhir:content [ fhir:v "complete"] ; # 
  fhir:concept ( [
fhir:code [ fhir:v "in-network" ] ;
fhir:display [ fhir:v "In Network" ] ;
fhir:definition [ fhir:v "Provider is contracted with the health insurance company to provide services to plan members for specific pre-negotiated rates" ]
  ] [
fhir:code [ fhir:v "out-of-network" ] ;
fhir:display [ fhir:v "Out of Network" ] ;
fhir:definition [ fhir:v "Provider is  not contracted with the health insurance company to provide services to plan members for specific pre-negotiated rates" ]
  ] [
fhir:code [ fhir:v "other" ] ;
fhir:display [ fhir:v "Other" ] ;
fhir:definition [ fhir:v "Other applicability" ]
  ] ) . #