LinuxForHealth FHIR Implementation Guide - Local Development build (v8.0.0). See the Directory of published versions

• Narrative Content
• XML
• JSON
• TTL

: Insurance Plan Benefit Type Codes - TTL Representation

Active as of 2022-11-10

Raw ttl | Download

@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 "insurance-plan-benefit-type"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>This code system <code>http://linuxforhealth.org/fhir/cdm/CodeSystem/insurance-plan-benefit-type</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\">administrative-fee<a name=\"insurance-plan-benefit-type-administrative-fee\"> </a></td><td>Administrative Fee</td><td>Indicates the administrative fee for the component on the eligibility data</td></tr><tr><td style=\"white-space:nowrap\">capitation-amount<a name=\"insurance-plan-benefit-type-capitation-amount\"> </a></td><td>Capitation Amount</td><td>Indicates the pre-paid amount, on the eligibility data, paid to plans or providers under risk-based managed care contracts</td></tr><tr><td style=\"white-space:nowrap\">employee-contribution<a name=\"insurance-plan-benefit-type-employee-contribution\"> </a></td><td>Employee Contribution</td><td>Indicates the employee premium contribution for the component on the eligibility data</td></tr><tr><td style=\"white-space:nowrap\">non-claim-payment<a name=\"insurance-plan-benefit-type-non-claim-payment\"> </a></td><td>Non Claim Payment</td><td>Indicates the miscellaneous other non-claim payments on the eligibility data, not included in Administrative Fee, Capitation Amount, HMO Premium or Employee Contribution Amount</td></tr><tr><td style=\"white-space:nowrap\">monthly-premium-billed<a name=\"insurance-plan-benefit-type-monthly-premium-billed\"> </a></td><td>Monthly Premium Billed</td><td>Indicates the monthly premium billed for the component on the eligibility data</td></tr><tr><td style=\"white-space:nowrap\">monthly-premium-paid<a name=\"insurance-plan-benefit-type-monthly-premium-paid\"> </a></td><td>Monthly Premium Paid</td><td>Indicates the monthly premium paid for the component on the eligibility data</td></tr></table></div>"
  ];
  fhir:CodeSystem.url [ fhir:value "http://linuxforhealth.org/fhir/cdm/CodeSystem/insurance-plan-benefit-type"];
  fhir:CodeSystem.version [ fhir:value "8.0.0"];
  fhir:CodeSystem.name [ fhir:value "InsurancePlanBenefitTypeCodeSystem"];
  fhir:CodeSystem.title [ fhir:value "Insurance Plan Benefit Type Codes"];
  fhir:CodeSystem.status [ fhir:value "active"];
  fhir:CodeSystem.date [ fhir:value "2022-11-10T16:00:46+00:00"^^xsd:dateTime];
  fhir:CodeSystem.publisher [ fhir:value "LinuxForHealth Team"];
  fhir:CodeSystem.description [ fhir:value "The codes that indicates the specific types of costs (admin fees, premiums, etc.) that may be tied to a member based on their Insurance plan cost category"];
  fhir:CodeSystem.jurisdiction [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "urn:iso:std:iso:3166" ];
       fhir:Coding.code [ fhir:value "US" ]     ]
  ];
  fhir:CodeSystem.caseSensitive [ fhir:value "true"^^xsd:boolean];
  fhir:CodeSystem.content [ fhir:value "complete"];
  fhir:CodeSystem.count [ fhir:value "6"^^xsd:nonNegativeInteger];
  fhir:CodeSystem.concept [
     fhir:index 0;
     fhir:CodeSystem.concept.code [ fhir:value "administrative-fee" ];
     fhir:CodeSystem.concept.display [ fhir:value "Administrative Fee" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Indicates the administrative fee for the component on the eligibility data" ]
  ], [
     fhir:index 1;
     fhir:CodeSystem.concept.code [ fhir:value "capitation-amount" ];
     fhir:CodeSystem.concept.display [ fhir:value "Capitation Amount" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Indicates the pre-paid amount, on the eligibility data, paid to plans or providers under risk-based managed care contracts" ]
  ], [
     fhir:index 2;
     fhir:CodeSystem.concept.code [ fhir:value "employee-contribution" ];
     fhir:CodeSystem.concept.display [ fhir:value "Employee Contribution" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Indicates the employee premium contribution for the component on the eligibility data" ]
  ], [
     fhir:index 3;
     fhir:CodeSystem.concept.code [ fhir:value "non-claim-payment" ];
     fhir:CodeSystem.concept.display [ fhir:value "Non Claim Payment" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Indicates the miscellaneous other non-claim payments on the eligibility data, not included in Administrative Fee, Capitation Amount, HMO Premium or Employee Contribution Amount" ]
  ], [
     fhir:index 4;
     fhir:CodeSystem.concept.code [ fhir:value "monthly-premium-billed" ];
     fhir:CodeSystem.concept.display [ fhir:value "Monthly Premium Billed" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Indicates the monthly premium billed for the component on the eligibility data" ]
  ], [
     fhir:index 5;
     fhir:CodeSystem.concept.code [ fhir:value "monthly-premium-paid" ];
     fhir:CodeSystem.concept.display [ fhir:value "Monthly Premium Paid" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Indicates the monthly premium paid for the component on the eligibility data" ]
  ].

# - ontology header ------------------------------------------------------------

 a owl:Ontology;
  owl:imports fhir:fhir.ttl.