haau3 FHIR Implementation Guide (HFIG) - Local Development build (v1.0.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

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: $in-network: a Marketplace plan - TTL Representation

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

<http://hl7.org/fhir/Parameters/in-network-19898fl0340001-01> a fhir:Parameters ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:Resource.id [ fhir:value "in-network-19898fl0340001-01"] ;
  fhir:Parameters.parameter [
     fhir:index 0 ;
     fhir:Parameters.parameter.name [ fhir:value "plan" ] ;
     fhir:Parameters.parameter.valueReference [
       fhir:link <http://hl7.org/fhir/InsurancePlan/19898FL0340001-01> ;
       fhir:Reference.reference [ fhir:value "InsurancePlan/19898FL0340001-01" ]
     ]
  ], [
     fhir:index 1 ;
     fhir:Parameters.parameter.name [ fhir:value "reason" ] ;
     fhir:Parameters.parameter.valueCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         fhir:Coding.system [ fhir:value "https://haau3.com/fhir/CodeSystem/plan-benefits-no-network-data-reason" ] ;
         fhir:Coding.code [ fhir:value "marketplace" ] ;
         fhir:Coding.display [ fhir:value "Marketplace plan" ]
       ] ;
       fhir:CodeableConcept.text [ fhir:value "A Marketplace plan's insurer publishes its provider directory itself, outside the CMS National Provider Directory, so the directory holds no network data for it. The plan's own directory is given beside this answer." ]
     ]
  ], [
     fhir:index 2 ;
     fhir:Parameters.parameter.name [ fhir:value "directory" ] ;
     fhir:Parameters.parameter.valueUrl [ fhir:value "https://avmed.healthsparq.com/healthsparq/public/#/one/insurerCode=AVMED_I&brandCode=AVMED" ]
  ], [
     fhir:index 3 ;
     fhir:Parameters.parameter.name [ fhir:value "provider" ] ;
     fhir:Parameters.parameter.part [
       fhir:index 0 ;
       fhir:Parameters.parameter.name [ fhir:value "npi" ] ;
       fhir:Parameters.parameter.valueIdentifier [
         fhir:Identifier.system [ fhir:value "http://hl7.org/fhir/sid/us-npi" ] ;
         fhir:Identifier.value [ fhir:value "1992700001" ]
       ]
     ], [
       fhir:index 1 ;
       fhir:Parameters.parameter.name [ fhir:value "status" ] ;
       fhir:Parameters.parameter.valueCoding [
         fhir:Coding.system [ fhir:value "https://haau3.com/fhir/CodeSystem/plan-benefits-network-status" ] ;
         fhir:Coding.code [ fhir:value "no-network-data" ] ;
         fhir:Coding.display [ fhir:value "No network data" ]
       ]
     ]
  ] .

<http://hl7.org/fhir/InsurancePlan/19898FL0340001-01> a fhir:InsurancePlan .

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

<http://hl7.org/fhir/Parameters/in-network-19898fl0340001-01.ttl> a owl:Ontology ;
  owl:imports fhir:fhir.ttl ;
  owl:versionIRI <http://build.fhir.org/Parameters/in-network-19898fl0340001-01.ttl> .