@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 -------------------------------------------------------------------

<https://haau3.com/fhir/CodeSystem/plan-benefits-cost-scope> a fhir:CodeSystem ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:Resource.id [ fhir:value "plan-benefits-cost-scope"] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ] ;
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CodeSystem plan-benefits-cost-scope</b></p><a name=\"plan-benefits-cost-scope\"> </a><a name=\"hcplan-benefits-cost-scope\"> </a><p>This case-sensitive code system <code>https://haau3.com/fhir/CodeSystem/plan-benefits-cost-scope</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\">tier-2<a name=\"plan-benefits-cost-scope-tier-2\"> </a></td><td>In network, tier 2</td><td>The plan's second in-network tier.</td></tr><tr><td style=\"white-space:nowrap\">point-of-service<a name=\"plan-benefits-cost-scope-point-of-service\"> </a></td><td>Point of service</td><td>Care outside an HMO's network under the plan's point-of-service option.</td></tr><tr><td style=\"white-space:nowrap\">combined<a name=\"plan-benefits-cost-scope-combined\"> </a></td><td>In and out of network combined</td><td>One amount that counts what the member pays in and out of network together.</td></tr><tr><td style=\"white-space:nowrap\">in-and-out<a name=\"plan-benefits-cost-scope-in-and-out\"> </a></td><td>In and out of network</td><td>An amount that applies to services both in and out of network.</td></tr><tr><td style=\"white-space:nowrap\">unstated<a name=\"plan-benefits-cost-scope-unstated\"> </a></td><td>Network not stated</td><td>The plan's filing does not say which network the amount applies to.</td></tr><tr><td style=\"white-space:nowrap\">family-per-person<a name=\"plan-benefits-cost-scope-family-per-person\"> </a></td><td>Family, per person</td><td>The amount for each person in a family.</td></tr><tr><td style=\"white-space:nowrap\">medical-and-drug<a name=\"plan-benefits-cost-scope-medical-and-drug\"> </a></td><td>Medical and drugs</td><td>One amount for medical care and prescription drugs together.</td></tr><tr><td style=\"white-space:nowrap\">medical<a name=\"plan-benefits-cost-scope-medical\"> </a></td><td>Medical</td><td>Medical care only.</td></tr><tr><td style=\"white-space:nowrap\">drug<a name=\"plan-benefits-cost-scope-drug\"> </a></td><td>Drugs</td><td>Prescription drugs only.</td></tr></table></div>"
  ] ;
  fhir:CodeSystem.url [ fhir:value "https://haau3.com/fhir/CodeSystem/plan-benefits-cost-scope"] ;
  fhir:CodeSystem.version [ fhir:value "1.0.0"] ;
  fhir:CodeSystem.name [ fhir:value "PlanBenefitsCostScopeCS"] ;
  fhir:CodeSystem.title [ fhir:value "Plan Benefits Cost Scope"] ;
  fhir:CodeSystem.status [ fhir:value "active"] ;
  fhir:CodeSystem.experimental [ fhir:value "false"^^xsd:boolean] ;
  fhir:CodeSystem.date [ fhir:value "2026-10-14T18:01:46+00:00"^^xsd:dateTime] ;
  fhir:CodeSystem.publisher [ fhir:value "haau3"] ;
  fhir:CodeSystem.contact [
     fhir:index 0 ;
     fhir:ContactDetail.name [ fhir:value "haau3" ] ;
     fhir:ContactDetail.telecom [
       fhir:index 0 ;
       fhir:ContactPoint.system [ fhir:value "url" ] ;
       fhir:ContactPoint.value [ fhir:value "https://haau3.com" ]
     ], [
       fhir:index 1 ;
       fhir:ContactPoint.system [ fhir:value "email" ] ;
       fhir:ContactPoint.value [ fhir:value "hello@haau3.com" ]
     ]
  ] ;
  fhir:CodeSystem.description [ fhir:value "The parts of a deductible's or out-of-pocket maximum's scope HL7's benefit-network and benefit-unit have no code for: the networks other than in and out, each person in a family, and what the amount applies to. haau3 publishes these until the SBC guide codes them."] ;
  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:Coding.display [ fhir:value "United States of America" ]
     ]
  ] ;
  fhir:CodeSystem.caseSensitive [ fhir:value "true"^^xsd:boolean] ;
  fhir:CodeSystem.content [ fhir:value "complete"] ;
  fhir:CodeSystem.count [ fhir:value "9"^^xsd:nonNegativeInteger] ;
  fhir:CodeSystem.concept [
     fhir:index 0 ;
     fhir:CodeSystem.concept.code [ fhir:value "tier-2" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "In network, tier 2" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "The plan's second in-network tier." ]
  ], [
     fhir:index 1 ;
     fhir:CodeSystem.concept.code [ fhir:value "point-of-service" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Point of service" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Care outside an HMO's network under the plan's point-of-service option." ]
  ], [
     fhir:index 2 ;
     fhir:CodeSystem.concept.code [ fhir:value "combined" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "In and out of network combined" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "One amount that counts what the member pays in and out of network together." ]
  ], [
     fhir:index 3 ;
     fhir:CodeSystem.concept.code [ fhir:value "in-and-out" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "In and out of network" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "An amount that applies to services both in and out of network." ]
  ], [
     fhir:index 4 ;
     fhir:CodeSystem.concept.code [ fhir:value "unstated" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Network not stated" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "The plan's filing does not say which network the amount applies to." ]
  ], [
     fhir:index 5 ;
     fhir:CodeSystem.concept.code [ fhir:value "family-per-person" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Family, per person" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "The amount for each person in a family." ]
  ], [
     fhir:index 6 ;
     fhir:CodeSystem.concept.code [ fhir:value "medical-and-drug" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Medical and drugs" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "One amount for medical care and prescription drugs together." ]
  ], [
     fhir:index 7 ;
     fhir:CodeSystem.concept.code [ fhir:value "medical" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Medical" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Medical care only." ]
  ], [
     fhir:index 8 ;
     fhir:CodeSystem.concept.code [ fhir:value "drug" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Drugs" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Prescription drugs only." ]
  ] .

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

<https://haau3.com/fhir/CodeSystem/plan-benefits-cost-scope.ttl> a owl:Ontology ;
  owl:imports fhir:fhir.ttl .

# -------------------------------------------------------------------------------------