@prefix fhir: . @prefix owl: . @prefix rdfs: . @prefix xsd: . # - resource ------------------------------------------------------------------- a fhir:CodeSystem ; fhir:nodeRole fhir:treeRoot ; fhir:id [ fhir:v "applicability"] ; # fhir:meta [ fhir:lastUpdated [ fhir:v "2024-04-24T00:00:00+00:00"^^xsd:dateTime ] ; fhir:profile ( [ fhir:v "http://hl7.org/fhir/StructureDefinition/shareablecodesystem"^^xsd:anyURI ; fhir:link ] ) ] ; # fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "

Generated Narrative: CodeSystem applicability

Last updated: 2024-04-24 00:00:00+0000

Profile: Shareable CodeSystem

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

CodeDisplayDefinition
in-network In NetworkProvider is contracted with the health insurance company to provide services to plan members for specific pre-negotiated rates
out-of-network Out of NetworkProvider is not contracted with the health insurance company to provide services to plan members for specific pre-negotiated rates
other OtherOther applicability
" ] ; # 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 "1.0.1"] ; # fhir:name [ fhir:v "BenefitCostApplicability"] ; # fhir:title [ fhir:v "Benefit cost applicability"] ; # fhir:status [ fhir:v "active"] ; # fhir:experimental [ fhir:v "false"^^xsd:boolean] ; # fhir:date [ fhir:v "2018-06-05T14:06:02+00:00"^^xsd:dateTime] ; # fhir:publisher [ fhir:v "Health Level Seven International"] ; # fhir:contact ( [ fhir:telecom ( [ fhir:system [ fhir:v "url" ] ; fhir:value [ fhir:v "http://hl7.org" ] ] [ fhir:system [ fhir:v "email" ] ; fhir:value [ fhir:v "hq@HL7.org" ] ] ) ] ) ; # fhir:description [ fhir:v "Whether the cost applies to in-network or out-of-network providers."] ; # fhir:copyright [ fhir:v "This material derives from the HL7 Terminology (THO). THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license"] ; # fhir:caseSensitive [ fhir:v "true"^^xsd:boolean] ; # fhir:valueSet [ fhir:v "http://terminology.hl7.org/ValueSet/insuranceplan-applicability"^^xsd:anyURI ; fhir:link ] ; # 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" ] ] ) . # # -------------------------------------------------------------------------------------