Universal API Implementation Guide - Local Development build (v1.1.20) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
: External - UAPI Copay Explanation of Benefit in copay enrollment response - TTL Representation
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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .
# - resource -------------------------------------------------------------------
a fhir:ExplanationOfBenefit ;
fhir:nodeRole fhir:treeRoot ;
fhir:id [ fhir:v "d9acfd1d-addc-4e0d-b7a6-ff921bde9236"] ; #
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: ExplanationOfBenefit d9acfd1d-addc-4e0d-b7a6-ff921bde9236</b></p><a name=\"d9acfd1d-addc-4e0d-b7a6-ff921bde9236\"> </a><a name=\"hcd9acfd1d-addc-4e0d-b7a6-ff921bde9236\"> </a><p><b>identifier</b>: <code>http://connectiverx.com/enrollmentId</code>/ad44f19a-42b6-ed11-827c-9e11af077484 (use: usual, )</p><p><b>status</b>: Active</p><p><b>type</b>: <span title=\"Codes:\">institutional</span></p><p><b>use</b>: Predetermination</p><p><b>patient</b>: <a href=\"Bundle-uapi-copay-request-response-with-error.html#urn-uuid-2c5aa62c-b6cd-49d2-ad9f-3128a69a32a9\">Bundle: identifier = http://connectiverx.com/requestId#86a42a99-663b-48b8-8fd9-c1afdbca5b98 (use: usual, ); type = message; timestamp = 2023-01-11 08:10:17-0500</a></p><p><b>created</b>: 2023-02-26 21:01:11+0000</p><p><b>insurer</b>: <a href=\"Bundle-uapi-copay-request-response-enrollment.html#urn-uuid-d02db104-a75c-433f-8764-9778c2e20626\">Bundle: identifier = http://risrx.com/requestId#42c481a9-7e7e-4d14-ab37-f648e376802d (use: usual, ); type = message; timestamp = 2024-04-19 08:10:17-0500</a></p><p><b>provider</b>: <a href=\"Bundle-13778a5c-73de-46e4-bb5a-3781a5c93b5e.html#urn-uuid-695d0991-5e03-46df-934a-85a28acd95c1\">Bundle: identifier = Resource identifier: da5e1572-cc88-4e4d-9899-e3553f680d87; type = message; timestamp = 2020-03-11 08:10:13-0500</a></p><p><b>outcome</b>: Complete</p><h3>Insurances</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Focal</b></td><td><b>Coverage</b></td></tr><tr><td style=\"display: none\">*</td><td>true</td><td><a href=\"Bundle-uapi-copay-request-response-enrollment.html#urn-uuid-5c2e19ac-8227-4de5-a893-069dec07448e\">Bundle: identifier = http://risrx.com/requestId#42c481a9-7e7e-4d14-ab37-f648e376802d (use: usual, ); type = message; timestamp = 2024-04-19 08:10:17-0500</a></td></tr></table></div>"^^rdf:XMLLiteral
] ; #
fhir:identifier ( [
fhir:use [ fhir:v "usual" ] ;
fhir:system [ fhir:v "http://connectiverx.com/enrollmentId"^^xsd:anyURI ] ;
fhir:value [ fhir:v "ad44f19a-42b6-ed11-827c-9e11af077484" ]
] ) ; #
fhir:status [ fhir:v "active"] ; #
fhir:type [
( fhir:coding [
fhir:code [ fhir:v "institutional" ] ] )
] ; #
fhir:use [ fhir:v "predetermination"] ; #
fhir:patient [
fhir:reference [ fhir:v "urn:uuid:2c5aa62c-b6cd-49d2-ad9f-3128a69a32a9" ]
] ; #
fhir:created [ fhir:v "2023-02-26T21:01:11.230Z"^^xsd:dateTime] ; #
fhir:insurer [
fhir:reference [ fhir:v "urn:uuid:d02db104-a75c-433f-8764-9778c2e20626" ]
] ; #
fhir:provider [
fhir:reference [ fhir:v "urn:uuid:695d0991-5e03-46df-934a-85a28acd95c1" ]
] ; #
fhir:outcome [ fhir:v "complete"] ; #
fhir:insurance ( [
fhir:focal [ fhir:v true ] ;
fhir:coverage [
fhir:reference [ fhir:v "urn:uuid:5c2e19ac-8227-4de5-a893-069dec07448e" ] ]
] ) . #