haau3 FHIR Implementation Guide (HFIG)
1.0.0 - ci-build
haau3 FHIR Implementation Guide (HFIG)
1.0.0 - ci-build
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
| Active as of 2026-10-14 |
@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/ValueSet/plan-benefits-cost-scope-network> a fhir:ValueSet ;
fhir:nodeRole fhir:treeRoot ;
fhir:Resource.id [ fhir:value "plan-benefits-cost-scope-network"] ;
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "extensions" ] ;
fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ValueSet plan-benefits-cost-scope-network</b></p><a name=\"plan-benefits-cost-scope-network\"> </a><a name=\"hcplan-benefits-cost-scope-network\"> </a><p>This value set includes codes based on the following rules:</p><ul><li>Include these codes as defined in <a href=\"http://terminology.hl7.org/7.4.0/CodeSystem-benefit-network.html\"><code>http://terminology.hl7.org/CodeSystem/benefit-network</code></a><span title=\"Version is explicitly stated to be 2.0.0\"> version ?2.0.0</span><table class=\"none\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td><a href=\"http://terminology.hl7.org/7.4.0/CodeSystem-benefit-network.html#benefit-network-in\">in</a></td><td style=\"color: #cccccc\">In Network</td><td>Services rendered by a Network provider</td></tr><tr><td><a href=\"http://terminology.hl7.org/7.4.0/CodeSystem-benefit-network.html#benefit-network-out\">out</a></td><td style=\"color: #cccccc\">Out of Network</td><td>Services rendered by a provider who is not in the Network</td></tr></table></li><li>Include these codes as defined in <a href=\"CodeSystem-plan-benefits-cost-scope.html\"><code>https://haau3.com/fhir/CodeSystem/plan-benefits-cost-scope</code></a><span title=\"Version is not explicitly stated, which means it is fixed to the version provided in this specification\"> version ?1.0.0</span><table class=\"none\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td><a href=\"CodeSystem-plan-benefits-cost-scope.html#plan-benefits-cost-scope-tier-2\">tier-2</a></td><td style=\"color: #cccccc\">In network, tier 2</td><td>The plan's second in-network tier.</td></tr><tr><td><a href=\"CodeSystem-plan-benefits-cost-scope.html#plan-benefits-cost-scope-point-of-service\">point-of-service</a></td><td style=\"color: #cccccc\">Point of service</td><td>Care outside an HMO's network under the plan's point-of-service option.</td></tr><tr><td><a href=\"CodeSystem-plan-benefits-cost-scope.html#plan-benefits-cost-scope-combined\">combined</a></td><td style=\"color: #cccccc\">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><a href=\"CodeSystem-plan-benefits-cost-scope.html#plan-benefits-cost-scope-in-and-out\">in-and-out</a></td><td style=\"color: #cccccc\">In and out of network</td><td>An amount that applies to services both in and out of network.</td></tr><tr><td><a href=\"CodeSystem-plan-benefits-cost-scope.html#plan-benefits-cost-scope-unstated\">unstated</a></td><td style=\"color: #cccccc\">Network not stated</td><td>The plan's filing does not say which network the amount applies to.</td></tr></table></li></ul></div>"
] ;
fhir:ValueSet.url [ fhir:value "https://haau3.com/fhir/ValueSet/plan-benefits-cost-scope-network"] ;
fhir:ValueSet.version [ fhir:value "1.0.0"] ;
fhir:ValueSet.name [ fhir:value "PlanBenefitsCostScopeNetworkVS"] ;
fhir:ValueSet.title [ fhir:value "Plan Benefits Cost Scope: Network"] ;
fhir:ValueSet.status [ fhir:value "active"] ;
fhir:ValueSet.experimental [ fhir:value "false"^^xsd:boolean] ;
fhir:ValueSet.date [ fhir:value "2026-10-14T18:01:46+00:00"^^xsd:dateTime] ;
fhir:ValueSet.publisher [ fhir:value "haau3"] ;
fhir:ValueSet.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:ValueSet.description [ fhir:value "Which network a deductible or out-of-pocket maximum belongs to: HL7's in and out (in is the first tier for a plan with two in-network tiers), and haau3's codes for the rest."] ;
fhir:ValueSet.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:ValueSet.compose [
fhir:ValueSet.compose.include [
fhir:index 0 ;
fhir:ValueSet.compose.include.system [ fhir:value "http://terminology.hl7.org/CodeSystem/benefit-network" ] ;
fhir:ValueSet.compose.include.version [ fhir:value "2.0.0" ] ;
fhir:ValueSet.compose.include.concept [
fhir:index 0 ;
fhir:ValueSet.compose.include.concept.code [ fhir:value "in" ]
], [
fhir:index 1 ;
fhir:ValueSet.compose.include.concept.code [ fhir:value "out" ]
]
], [
fhir:index 1 ;
fhir:ValueSet.compose.include.system [ fhir:value "https://haau3.com/fhir/CodeSystem/plan-benefits-cost-scope" ] ;
fhir:ValueSet.compose.include.concept [
fhir:index 0 ;
fhir:ValueSet.compose.include.concept.code [ fhir:value "tier-2" ]
], [
fhir:index 1 ;
fhir:ValueSet.compose.include.concept.code [ fhir:value "point-of-service" ]
], [
fhir:index 2 ;
fhir:ValueSet.compose.include.concept.code [ fhir:value "combined" ]
], [
fhir:index 3 ;
fhir:ValueSet.compose.include.concept.code [ fhir:value "in-and-out" ]
], [
fhir:index 4 ;
fhir:ValueSet.compose.include.concept.code [ fhir:value "unstated" ]
]
]
] .
# - ontology header ------------------------------------------------------------
<http://hl7.org/fhir/ValueSet/plan-benefits-cost-scope-network.ttl> a owl:Ontology ;
owl:imports fhir:fhir.ttl ;
owl:versionIRI <http://build.fhir.org/ValueSet/plan-benefits-cost-scope-network.ttl> .
IG © 2026+ haau3. Package haau3.fhir#1.0.0 based on FHIR 4.0.1. Generated 2026-10-14
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