@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-no-network-data-reason> a fhir:CodeSystem ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:Resource.id [ fhir:value "plan-benefits-no-network-data-reason"] ;
  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-no-network-data-reason</b></p><a name=\"plan-benefits-no-network-data-reason\"> </a><a name=\"hcplan-benefits-no-network-data-reason\"> </a><p>This case-sensitive code system <code>https://haau3.com/fhir/CodeSystem/plan-benefits-no-network-data-reason</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\">marketplace<a name=\"plan-benefits-no-network-data-reason-marketplace\"> </a></td><td>Marketplace plan</td><td>An ACA Marketplace plan. Its insurer publishes its provider directory itself, outside the CMS National Provider Directory, which holds no network data for Marketplace plans.</td></tr><tr><td style=\"white-space:nowrap\">plan-not-in-directory<a name=\"plan-benefits-no-network-data-reason-plan-not-in-directory\"> </a></td><td>Plan not in the directory</td><td>The directory holds no plan with this plan's CMS plan id, or holds it for the plan's year without naming a network.</td></tr><tr><td style=\"white-space:nowrap\">other-plan-year<a name=\"plan-benefits-no-network-data-reason-other-plan-year\"> </a></td><td>Another plan year</td><td>The directory holds a plan with this plan's CMS plan id only for another plan year. A plan's network can change between years, so another year's listings are not used.</td></tr></table></div>"
  ] ;
  fhir:CodeSystem.url [ fhir:value "https://haau3.com/fhir/CodeSystem/plan-benefits-no-network-data-reason"] ;
  fhir:CodeSystem.version [ fhir:value "1.0.0"] ;
  fhir:CodeSystem.name [ fhir:value "PlanBenefitsNoNetworkDataReasonCS"] ;
  fhir:CodeSystem.title [ fhir:value "Plan Benefits No Network Data Reason"] ;
  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 "Why the CMS National Provider Directory holds no network data for a plan in the plan's year: the reason codes of the $in-network operation on InsurancePlan."] ;
  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 "3"^^xsd:nonNegativeInteger] ;
  fhir:CodeSystem.concept [
     fhir:index 0 ;
     fhir:CodeSystem.concept.code [ fhir:value "marketplace" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Marketplace plan" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "An ACA Marketplace plan. Its insurer publishes its provider directory itself, outside the CMS National Provider Directory, which holds no network data for Marketplace plans." ]
  ], [
     fhir:index 1 ;
     fhir:CodeSystem.concept.code [ fhir:value "plan-not-in-directory" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Plan not in the directory" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "The directory holds no plan with this plan's CMS plan id, or holds it for the plan's year without naming a network." ]
  ], [
     fhir:index 2 ;
     fhir:CodeSystem.concept.code [ fhir:value "other-plan-year" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Another plan year" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "The directory holds a plan with this plan's CMS plan id only for another plan year. A plan's network can change between years, so another year's listings are not used." ]
  ] .

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

<https://haau3.com/fhir/CodeSystem/plan-benefits-no-network-data-reason.ttl> a owl:Ontology ;
  owl:imports fhir:fhir.ttl .

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