@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://fhir.hl7.org.vn/core/CoverageEligibilityResponse/ExampleCoverageEligibilityResponseBenefits> a fhir:CoverageEligibilityResponse ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:Resource.id [ fhir:value "ExampleCoverageEligibilityResponseBenefits"] ;
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-coverage-eligibility-response" ;
       fhir:index -1 ;
       fhir:link <http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-coverage-eligibility-response>
     ]
  ] ;
  fhir:Resource.language [ fhir:value "vi"] ;
  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: CoverageEligibilityResponse ExampleCoverageEligibilityResponseBenefits</b></p><a name=\"ExampleCoverageEligibilityResponseBenefits\"> </a><a name=\"hcExampleCoverageEligibilityResponseBenefits\"> </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-vn-core-coverage-eligibility-response.html\">Kết quả tra cứu quyền lợi BHYT VN Core — VN Core Coverage Eligibility Response Profile</a></p></div><p><b>status</b>: Active</p><p><b>purpose</b>: Coverage Validation, Coverage benefits</p><p><b>patient</b>: <a href=\"Patient-ExamplePatientNguyenVanAn.html\">Nguyễn Văn An Male, DoB: 1985-03-15 ( Căn cước công dân: VNCCCD#001085012345)</a></p><p><b>serviced</b>: 2026-01-01 --&gt; 2026-12-31</p><p><b>created</b>: 2026-08-03 07:50:05+0700</p><p><b>request</b>: <a href=\"CoverageEligibilityRequest-ExampleCoverageEligibilityRequestBenefits.html\">CoverageEligibilityRequest: identifier = http://fhir.hl7.org.vn/core/sid/document-number#VNDocumentNumber#ELG-2026-0007102; status = active; purpose = validation,benefits; serviced[x] = 2026-08-03; created = 2026-08-03 07:50:00+0700</a></p><p><b>outcome</b>: Processing Complete</p><p><b>insurer</b>: <a href=\"Organization-ExampleOrganizationBHXH.html\">Organization Bảo hiểm xã hội Việt Nam</a></p><blockquote><p><b>insurance</b></p><p><b>coverage</b>: <a href=\"Coverage-ExampleCoverageBHYTNew.html\">Coverage: extension = Người lao động trong doanh nghiệp nhà nước,-&gt;Bệnh viện Chợ Rẫy; identifier = http://fhir.hl7.org.vn/core/sid/bhyt#VNBHYT#0791234567; status = active; type = Medical; relationship = Self; period = 2025-08-01 --&gt; 2026-07-31</a></p><p><b>inforce</b>: true</p><blockquote><p><b>item</b></p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/ex-benefitcategory 1}\">Medical Care</span></p><h3>Benefits</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Type</b></td><td><b>Allowed[x]</b></td><td><b>Used[x]</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://fhir.hl7.org.vn/core/CodeSystem/vn-benefit-type-cs annual-copay-accumulator}\">Luỹ kế cùng chi trả trong năm tài chính</span></td><td><span title=\"Vietnamese Dong\">₫15.180.000</span> (VND)</td><td><span title=\"Vietnamese Dong\">₫4.350.000</span> (VND)</td></tr></table></blockquote></blockquote></div>"
  ] ;
  fhir:CoverageEligibilityResponse.status [ fhir:value "active"] ;
  fhir:CoverageEligibilityResponse.purpose [
     fhir:value "validation" ;
     fhir:index -1
  ], [
     fhir:value "benefits" ;
     fhir:index -1
  ] ;
  fhir:CoverageEligibilityResponse.patient [
     fhir:link <http://fhir.hl7.org.vn/core/Patient/ExamplePatientNguyenVanAn> ;
     fhir:Reference.reference [ fhir:value "Patient/ExamplePatientNguyenVanAn" ]
  ] ;
  fhir:CoverageEligibilityResponse.servicedPeriod [
     fhir:Period.start [ fhir:value "2026-01-01"^^xsd:date ] ;
     fhir:Period.end [ fhir:value "2026-12-31"^^xsd:date ]
  ] ;
  fhir:CoverageEligibilityResponse.created [ fhir:value "2026-08-03T07:50:05+07:00"^^xsd:dateTime] ;
  fhir:CoverageEligibilityResponse.request [
     fhir:link <http://fhir.hl7.org.vn/core/CoverageEligibilityRequest/ExampleCoverageEligibilityRequestBenefits> ;
     fhir:Reference.reference [ fhir:value "CoverageEligibilityRequest/ExampleCoverageEligibilityRequestBenefits" ]
  ] ;
  fhir:CoverageEligibilityResponse.outcome [ fhir:value "complete"] ;
  fhir:CoverageEligibilityResponse.insurer [
     fhir:link <http://fhir.hl7.org.vn/core/Organization/ExampleOrganizationBHXH> ;
     fhir:Reference.reference [ fhir:value "Organization/ExampleOrganizationBHXH" ]
  ] ;
  fhir:CoverageEligibilityResponse.insurance [
     fhir:index -1 ;
     fhir:CoverageEligibilityResponse.insurance.coverage [
       fhir:link <http://fhir.hl7.org.vn/core/Coverage/ExampleCoverageBHYTNew> ;
       fhir:Reference.reference [ fhir:value "Coverage/ExampleCoverageBHYTNew" ]
     ] ;
     fhir:CoverageEligibilityResponse.insurance.inforce [ fhir:value "true"^^xsd:boolean ] ;
     fhir:CoverageEligibilityResponse.insurance.item [
       fhir:index -1 ;
       fhir:CoverageEligibilityResponse.insurance.item.category [
         fhir:CodeableConcept.coding [
           fhir:index -1 ;
           fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/ex-benefitcategory" ] ;
           fhir:Coding.code [ fhir:value "1" ] ;
           fhir:Coding.display [ fhir:value "Medical Care" ]
         ]
       ] ;
       fhir:CoverageEligibilityResponse.insurance.item.benefit [
         fhir:index -1 ;
         fhir:CoverageEligibilityResponse.insurance.item.benefit.type [
           fhir:CodeableConcept.coding [
             fhir:index -1 ;
             fhir:Coding.system [ fhir:value "http://fhir.hl7.org.vn/core/CodeSystem/vn-benefit-type-cs" ] ;
             fhir:Coding.code [ fhir:value "annual-copay-accumulator" ] ;
             fhir:Coding.display [ fhir:value "Luỹ kế cùng chi trả trong năm tài chính" ]
           ]
         ] ;
         fhir:CoverageEligibilityResponse.insurance.item.benefit.allowedMoney [
           fhir:Money.value [ fhir:value "15180000"^^xsd:decimal ] ;
           fhir:Money.currency [ fhir:value "VND" ]
         ] ;
         fhir:CoverageEligibilityResponse.insurance.item.benefit.usedMoney [
           fhir:Money.value [ fhir:value "4350000"^^xsd:decimal ] ;
           fhir:Money.currency [ fhir:value "VND" ]
         ]
       ]
     ]
  ] .

# - ontology header ------------------------------------------------------------

<http://fhir.hl7.org.vn/core/CoverageEligibilityResponse/ExampleCoverageEligibilityResponseBenefits.ttl> a owl:Ontology ;
  owl:imports fhir:fhir.ttl .

# -------------------------------------------------------------------------------------

