German Practice Management FHIR Profiles (R4)
0.90.0 - STU1 Germany

German Practice Management FHIR Profiles (R4) - Local Development build (v0.90.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

: Debeka — PKV Tarif mit GOÄ-Faktor 2.3 - 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/InsurancePlan/example-debeka-plus> a fhir:InsurancePlan ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:Resource.id [ fhir:value "example-debeka-plus"] ;
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "https://fhir.cognovis.de/praxis/StructureDefinition/insurance-plan-de" ;
       fhir:index 0 ;
       fhir:link <https://fhir.cognovis.de/praxis/StructureDefinition/insurance-plan-de>
     ]
  ] ;
  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: InsurancePlan example-debeka-plus</b></p><a name=\"example-debeka-plus\"> </a><a name=\"hcexample-debeka-plus\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-insurance-plan-de.html\">InsurancePlan DE</a></p></div><p><b>identifier</b>: <a href=\"NamingSystem-insurance-plan-id.html\" title=\"PVS-interner Identifier fuer InsurancePlan-Ressourcen (Kassentarife, PKV-Tarife)\">InsurancePlanId</a>/debeka-plus</p><p><b>status</b>: Active</p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ActCode EHCPOL}\">extended healthcare</span></p><p><b>name</b>: Debeka Premium Plus</p><blockquote><p><b>coverage</b></p><p><b>type</b>: <span title=\"Codes:\">Aerztliche Leistungen</span></p><h3>Benefits</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Type</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:\">GOÄ-Positionen bis Faktor 2.3</span></td></tr></table></blockquote><blockquote><p><b>plan</b></p><p><b>type</b>: <span title=\"Codes:{https://fhir.cognovis.de/praxis/CodeSystem/insurance-plan-type pkv}\">PKV</span></p><blockquote><p><b>specificCost</b></p><p><b>category</b>: <span title=\"Codes:\">GOÄ-Faktor-Limit</span></p><blockquote><p><b>benefit</b></p><p><b>type</b>: <span title=\"Codes:\">GOÄ-Faktor 2.3</span></p><h3>Costs</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Type</b></td><td><b>Value</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:\">Maximaler GOÄ-Faktor</span></td><td>2.3 1<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code1 = '1*')</span></td></tr></table></blockquote></blockquote><blockquote><p><b>specificCost</b></p><p><b>category</b>: <span title=\"Codes:\">Implantate</span></p><blockquote><p><b>benefit</b></p><p><b>type</b>: <span title=\"Codes:\">Implantatversorgung</span></p><h3>Costs</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Type</b></td><td><b>Value</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:\">Erstattung</span></td><td>100 %<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code% = 'percent')</span></td></tr></table></blockquote></blockquote></blockquote></div>"
  ] ;
  fhir:InsurancePlan.identifier [
     fhir:index 0 ;
     fhir:Identifier.system [ fhir:value "https://fhir.cognovis.de/praxis/sid/insurance-plan-id" ] ;
     fhir:Identifier.value [ fhir:value "debeka-plus" ]
  ] ;
  fhir:InsurancePlan.status [ fhir:value "active"] ;
  fhir:InsurancePlan.type [
     fhir:index 0 ;
     fhir:CodeableConcept.coding [
       fhir:index 0 ;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ActCode" ] ;
       fhir:Coding.code [ fhir:value "EHCPOL" ] ;
       fhir:Coding.display [ fhir:value "extended healthcare" ]
     ]
  ] ;
  fhir:InsurancePlan.name [ fhir:value "Debeka Premium Plus"] ;
  fhir:InsurancePlan.coverage [
     fhir:index 0 ;
     fhir:InsurancePlan.coverage.type [
       fhir:CodeableConcept.text [ fhir:value "Aerztliche Leistungen" ]
     ] ;
     fhir:InsurancePlan.coverage.benefit [
       fhir:index 0 ;
       fhir:InsurancePlan.coverage.benefit.type [
         fhir:CodeableConcept.text [ fhir:value "GOÄ-Positionen bis Faktor 2.3" ]
       ]
     ]
  ] ;
  fhir:InsurancePlan.plan [
     fhir:index 0 ;
     fhir:InsurancePlan.plan.type [
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         fhir:Coding.system [ fhir:value "https://fhir.cognovis.de/praxis/CodeSystem/insurance-plan-type" ] ;
         fhir:Coding.code [ fhir:value "pkv" ] ;
         fhir:Coding.display [ fhir:value "PKV" ]
       ]
     ] ;
     fhir:InsurancePlan.plan.specificCost [
       fhir:index 0 ;
       fhir:InsurancePlan.plan.specificCost.category [
         fhir:CodeableConcept.text [ fhir:value "GOÄ-Faktor-Limit" ]
       ] ;
       fhir:InsurancePlan.plan.specificCost.benefit [
         fhir:index 0 ;
         fhir:InsurancePlan.plan.specificCost.benefit.type [
           fhir:CodeableConcept.text [ fhir:value "GOÄ-Faktor 2.3" ]
         ] ;
         fhir:InsurancePlan.plan.specificCost.benefit.cost [
           fhir:index 0 ;
           fhir:InsurancePlan.plan.specificCost.benefit.cost.type [
             fhir:CodeableConcept.text [ fhir:value "Maximaler GOÄ-Faktor" ]
           ] ;
           fhir:InsurancePlan.plan.specificCost.benefit.cost.value [
             fhir:Quantity.value [ fhir:value "2.3"^^xsd:decimal ] ;
             fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ] ;
             fhir:Quantity.code [ fhir:value "1" ]
           ]
         ]
       ]
     ], [
       fhir:index 1 ;
       fhir:InsurancePlan.plan.specificCost.category [
         fhir:CodeableConcept.text [ fhir:value "Implantate" ]
       ] ;
       fhir:InsurancePlan.plan.specificCost.benefit [
         fhir:index 0 ;
         fhir:InsurancePlan.plan.specificCost.benefit.type [
           fhir:CodeableConcept.text [ fhir:value "Implantatversorgung" ]
         ] ;
         fhir:InsurancePlan.plan.specificCost.benefit.cost [
           fhir:index 0 ;
           fhir:InsurancePlan.plan.specificCost.benefit.cost.type [
             fhir:CodeableConcept.text [ fhir:value "Erstattung" ]
           ] ;
           fhir:InsurancePlan.plan.specificCost.benefit.cost.value [
             fhir:Quantity.value [ fhir:value "100"^^xsd:decimal ] ;
             fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ] ;
             fhir:Quantity.code [ fhir:value "%" ]
           ]
         ]
       ]
     ]
  ] .

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

<http://hl7.org/fhir/InsurancePlan/example-debeka-plus.ttl> a owl:Ontology ;
  owl:imports fhir:fhir.ttl ;
  owl:versionIRI <http://build.fhir.org/InsurancePlan/example-debeka-plus.ttl> .