German Practice Management FHIR Profiles (R4)
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: 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 rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:InsurancePlan ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "example-debeka-plus"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "https://fhir.cognovis.de/praxis/StructureDefinition/insurance-plan-de"^^xsd:anyURI ;
fhir:l <https://fhir.cognovis.de/praxis/StructureDefinition/insurance-plan-de>     ] )
  ] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div [ fhir:v "<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% = '%')</span></td></tr></table></blockquote></blockquote></blockquote></div>"^^rdf:XMLLiteral ]
  ] ; # 
  fhir:identifier ( [
fhir:system [
fhir:v "https://fhir.cognovis.de/praxis/sid/insurance-plan-id"^^xsd:anyURI ;
fhir:l <https://fhir.cognovis.de/praxis/sid/insurance-plan-id>     ] ;
fhir:value [ fhir:v "debeka-plus" ]
  ] ) ; # 
  fhir:status [ fhir:v "active"] ; # 
  fhir:type ( [
    ( fhir:coding [
fhir:system [
fhir:v "http://terminology.hl7.org/CodeSystem/v3-ActCode"^^xsd:anyURI ;
fhir:l <http://terminology.hl7.org/CodeSystem/v3-ActCode>       ] ;
fhir:code [ fhir:v "EHCPOL" ] ;
fhir:display [ fhir:v "extended healthcare" ]     ] )
  ] ) ; # 
  fhir:name [ fhir:v "Debeka Premium Plus"] ; # 
  fhir:coverage ( [
fhir:type [
fhir:text [ fhir:v "Aerztliche Leistungen" ]     ] ;
    ( fhir:benefit [
fhir:type [
fhir:text [ fhir:v "GOÄ-Positionen bis Faktor 2.3" ]       ]     ] )
  ] ) ; # 
  fhir:plan ( [
fhir:type [
      ( fhir:coding [
fhir:system [
fhir:v "https://fhir.cognovis.de/praxis/CodeSystem/insurance-plan-type"^^xsd:anyURI ;
fhir:l <https://fhir.cognovis.de/praxis/CodeSystem/insurance-plan-type>         ] ;
fhir:code [ fhir:v "pkv" ] ;
fhir:display [ fhir:v "PKV" ]       ] )     ] ;
    ( fhir:specificCost [
fhir:category [
fhir:text [ fhir:v "GOÄ-Faktor-Limit" ]       ] ;
      ( fhir:benefit [
fhir:type [
fhir:text [ fhir:v "GOÄ-Faktor 2.3" ]         ] ;
        ( fhir:cost [
fhir:type [
fhir:text [ fhir:v "Maximaler GOÄ-Faktor" ]           ] ;
fhir:value [
fhir:value [ fhir:v 2.3 ] ;
fhir:system [
fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ;
fhir:l <http://unitsofmeasure.org>             ] ;
fhir:code [ fhir:v "1" ]           ]         ] )       ] )     ] [
fhir:category [
fhir:text [ fhir:v "Implantate" ]       ] ;
      ( fhir:benefit [
fhir:type [
fhir:text [ fhir:v "Implantatversorgung" ]         ] ;
        ( fhir:cost [
fhir:type [
fhir:text [ fhir:v "Erstattung" ]           ] ;
fhir:value [
fhir:value [ fhir:v "100"^^xsd:decimal ] ;
fhir:system [
fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ;
fhir:l <http://unitsofmeasure.org>             ] ;
fhir:code [ fhir:v "%" ]           ]         ] )       ] )     ] )
  ] ) . #