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

<https://docs.mydata.athenahealth.com/fhir-r4/Coverage/8> a fhir:Coverage ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "8"] ; # 
  fhir:meta [
     fhir:lastUpdated [ fhir:v "2026-01-07T01:21:11.866-06:00"^^xsd:dateTime ] ;
     fhir:profile ( [
       fhir:v "https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-pas-coverage-profile"^^xsd:anyURI ;
       fhir:link <https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-pas-coverage-profile>
     ] )
  ] ; # 
  fhir:text [
     fhir:status [ fhir:v "extensions" ] ;
     fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Coverage 8</b></p><a name=\"8\"> </a><a name=\"hc8\"> </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\">Last updated: 2026-01-07 01:21:11-0600</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-athena-pas-coverage-profile.html\">PAS Coverage</a></p></div><p><b>org/fhir/us/davinci-pas/StructureDefinition/extension-coverageKind</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ActCode HIP}\">health insurance plan policy</span></p><p><b>identifier</b>: Member Number/665993433, National Insurance Payor Identifier (Payor)/Unknown, National Insurance Payor Identifier (Payor)/12345678, National Insurance Payor Identifier (Payor)/1101</p><p><b>status</b>: Active</p><p><b>policyHolder</b>: <a href=\"Patient/1442678380400620\">Patient/1442678380400620</a></p><p><b>subscriber</b>: <a href=\"Patient/1442678380400620\">Patient/1442678380400620</a></p><p><b>subscriberId</b>: 665993433</p><p><b>beneficiary</b>: <a href=\"Patient/1442678380400620\">Patient/1442678380400620</a></p><p><b>relationship</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/subscriber-relationship other}, {https://valueset.x12.org/x217/005010/request/2000D/INS/1/02/00/1069 G8}\">other</span></p><p><b>period</b>: 2007-01-31 00:00:00-0600 --&gt; 2008-01-30 00:00:00-0600</p><p><b>payor</b>: <a href=\"Organization/IC-5\">Organization/IC-5</a></p></div>"^^rdf:XMLLiteral
  ] ; # 
  fhir:extension ( [
     fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-coverageKind"^^xsd:anyURI ] ;
     fhir:value [
       a fhir:CodeableConcept ;
       fhir:coding ( [
         fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ActCode"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "HIP" ] ;
         fhir:display [ fhir:v "health insurance plan policy" ]
       ] )
     ]
  ] ) ; # 
  fhir:identifier ( [
     fhir:type [
       fhir:coding ( [
         fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "MB" ] ;
         fhir:display [ fhir:v "Member Number" ]
       ] ) ;
       fhir:text [ fhir:v "Member Number" ]
     ] ;
     fhir:value [ fhir:v "665993433" ]
  ] [
     fhir:type [
       fhir:coding ( [
         fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "NIIP" ] ;
         fhir:display [ fhir:v "National Insurance Payor Identifier (Payor)" ]
       ] ) ;
       fhir:text [ fhir:v "National Insurance Payor Identifier (Payor)" ]
     ] ;
     fhir:value [ fhir:v "Unknown" ]
  ] [
     fhir:type [
       fhir:coding ( [
         fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "NIIP" ] ;
         fhir:display [ fhir:v "National Insurance Payor Identifier (Payor)" ]
       ] ) ;
       fhir:text [ fhir:v "National Insurance Payor Identifier (Payor)" ]
     ] ;
     fhir:value [ fhir:v "12345678" ]
  ] [
     fhir:type [
       fhir:coding ( [
         fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "NIIP" ] ;
         fhir:display [ fhir:v "National Insurance Payor Identifier (Payor)" ]
       ] ) ;
       fhir:text [ fhir:v "National Insurance Payor Identifier (Payor)" ]
     ] ;
     fhir:value [ fhir:v "1101" ]
  ] ) ; # 
  fhir:status [ fhir:v "active"] ; # 
  fhir:policyHolder [
     fhir:link <https://docs.mydata.athenahealth.com/fhir-r4/Patient/1442678380400620> ;
     fhir:reference [ fhir:v "Patient/1442678380400620" ]
  ] ; # 
  fhir:subscriber [
     fhir:link <https://docs.mydata.athenahealth.com/fhir-r4/Patient/1442678380400620> ;
     fhir:reference [ fhir:v "Patient/1442678380400620" ]
  ] ; # 
  fhir:subscriberId [ fhir:v "665993433"] ; # 
  fhir:beneficiary [
     fhir:link <https://docs.mydata.athenahealth.com/fhir-r4/Patient/1442678380400620> ;
     fhir:reference [ fhir:v "Patient/1442678380400620" ]
  ] ; # 
  fhir:relationship [
     fhir:coding ( [
       fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/subscriber-relationship"^^xsd:anyURI ] ;
       fhir:code [ fhir:v "other" ] ;
       fhir:display [ fhir:v "other" ]
     ] [
       fhir:system [ fhir:v "https://valueset.x12.org/x217/005010/request/2000D/INS/1/02/00/1069"^^xsd:anyURI ] ;
       fhir:code [ fhir:v "G8" ] ;
       fhir:display [ fhir:v "Other Relationship" ]
     ] ) ;
     fhir:text [ fhir:v "other" ]
  ] ; # 
  fhir:period [
     fhir:start [ fhir:v "2007-01-31T00:00:00-06:00"^^xsd:dateTime ] ;
     fhir:end [ fhir:v "2008-01-30T00:00:00-06:00"^^xsd:dateTime ]
  ] ; # 
  fhir:payor ( [
     fhir:link <https://docs.mydata.athenahealth.com/fhir-r4/Organization/IC-5> ;
     fhir:reference [ fhir:v "Organization/IC-5" ]
  ] ) . # 

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