haau3 FHIR Implementation Guide (HFIG)
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: Plan Benefits Metal Level - TTL Representation

Active as of 2026-10-14

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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/ValueSet/plan-benefits-metal-level> a fhir:ValueSet ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:Resource.id [ fhir:value "plan-benefits-metal-level"] ;
  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-metal-level</b></p><a name=\"plan-benefits-metal-level\"> </a><a name=\"hcplan-benefits-metal-level\"> </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-insuranceplan-plan-type.html\"><code>http://terminology.hl7.org/CodeSystem/insuranceplan-plan-type</code></a><span title=\"Version is not explicitly stated, which means it is fixed to 1.0.0, the version found through the package references\"> 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=\"http://terminology.hl7.org/7.4.0/CodeSystem-insuranceplan-plan-type.html#insuranceplan-plan-type-platinum\">platinum</a></td><td style=\"color: #cccccc\">Platinum-QHP</td><td>Plan with highest monthly premium and lowest costs when you need care. A Qualified Health Plan with the highest monthly premiums and smallest out-of-pocket costs for the member in comparison to other metal-category plans.</td></tr><tr><td><a href=\"http://terminology.hl7.org/7.4.0/CodeSystem-insuranceplan-plan-type.html#insuranceplan-plan-type-gold\">gold</a></td><td style=\"color: #cccccc\">Gold-QHP</td><td>Plan with high monthly premium and low costs when you need care. A Qualified Health Plan with the higher monthly premiums and smaller out-of-pocket costs for the member in comparison to other metal-category plans.</td></tr><tr><td><a href=\"http://terminology.hl7.org/7.4.0/CodeSystem-insuranceplan-plan-type.html#insuranceplan-plan-type-silver\">silver</a></td><td style=\"color: #cccccc\">Silver-QHP</td><td>Plan with moderate monthly premium and moderate costs when you need care. A Qualified Health Plan with the lower monthly premiums and larger out-of-pocket costs for the member in comparison to other metal-category plans.</td></tr><tr><td><a href=\"http://terminology.hl7.org/7.4.0/CodeSystem-insuranceplan-plan-type.html#insuranceplan-plan-type-bronze\">bronze</a></td><td style=\"color: #cccccc\">Bronze-QHP</td><td>Plan with lowest monthly premium and highest costs when you need care. A Qualified Health Plan with the lowest monthly premiums and largest out-of-pocket costs for the member in comparison to other metal-category plans.</td></tr><tr><td><a href=\"http://terminology.hl7.org/7.4.0/CodeSystem-insuranceplan-plan-type.html#insuranceplan-plan-type-catastrophic\">catastrophic</a></td><td style=\"color: #cccccc\">Catastrophic-QHP</td><td>A plan with low monthly premiums and very high deductibles and are available only to those under 30 or with certain special exemptions.</td></tr></table></li><li>Include all codes defined in <a href=\"CodeSystem-plan-benefits-metal-level.html\"><code>https://haau3.com/fhir/CodeSystem/plan-benefits-metal-level</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></li></ul></div>"
  ] ;
  fhir:ValueSet.url [ fhir:value "https://haau3.com/fhir/ValueSet/plan-benefits-metal-level"] ;
  fhir:ValueSet.version [ fhir:value "1.0.0"] ;
  fhir:ValueSet.name [ fhir:value "PlanBenefitsMetalLevelVS"] ;
  fhir:ValueSet.title [ fhir:value "Plan Benefits Metal Level"] ;
  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 "The Marketplace metal levels: HL7's platinum, gold, silver, bronze and catastrophic, and haau3's expanded-bronze."] ;
  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/insuranceplan-plan-type" ] ;
       fhir:ValueSet.compose.include.concept [
         fhir:index 0 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "platinum" ]
       ], [
         fhir:index 1 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "gold" ]
       ], [
         fhir:index 2 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "silver" ]
       ], [
         fhir:index 3 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "bronze" ]
       ], [
         fhir:index 4 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "catastrophic" ]
       ]
     ], [
       fhir:index 1 ;
       fhir:ValueSet.compose.include.system [ fhir:value "https://haau3.com/fhir/CodeSystem/plan-benefits-metal-level" ]
     ]
  ] .

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

<http://hl7.org/fhir/ValueSet/plan-benefits-metal-level.ttl> a owl:Ontology ;
  owl:imports fhir:fhir.ttl ;
  owl:versionIRI <http://build.fhir.org/ValueSet/plan-benefits-metal-level.ttl> .