Validated Healthcare Directory
0.2.0 - CI Build

Validated Healthcare Directory, published by HL7 International - Patient Administration Work Group. This is not an authorized publication; it is the continuous build for version 0.2.0). This version is based on the current content of https://github.com/HL7/VhDir/ and changes regularly. See the Directory of published versions

Example InsurancePlan: insuranceplan1

Generated Narrative

Resource "insuranceplan1"

identifier: HIOS product ID: 1234567891 (OFFICIAL)

status: active

type: Bronze (VhDir Payer Characteristics Code System#bronze)

name: Patriot PPO Standard

alias: Patriot Plus

period: 2018-06-06 --> 2019-01-01

ownedBy: Organization/homeland: Homeland Health Insurance "Homeland Health Insurance"

administeredBy: Organization/homeland: Homeland Health Insurance "Homeland Health Insurance"

coverageArea: Location/wash-dc-metro: Washington, DC metro area "Washington, DC metro area"

Contacts

-PurposeTelecom
*General information (Contact entity type#PATINF "Patient")ph: 202-123-5555, info@homelandinc.org

endpoint: : patriot plan endpoint hub

network:

coverage

type: Coverage related to medical inpatient, outpatient, diagnostic, and preventive care (coverage-type#medical "Medical")

network: Organization/patriotppo: Patriot Preferred Provider Network "Patriot Preferred Provider Network"

benefit

type: Primary care visit to treat an injury or illness (benefit-type#001)

requirement: N/A

Limits

-Code
*unlimited ()

coverage

type: Coverage related to dental care (coverage-type#dental "Dental")

network: Organization/patriotdental: Patriot Dental Provider Network "Patriot Dental Provider Network"

benefit

type: Periodic oral checkup (benefit-type#052 "Basic Dental Care – Adult")

requirement: N/A

Limits

-ValueCode
*2 visit/yr (Details: UCUM code {visit}/a = '{visit}/a')biannual oral checkup ()

plan

identifier: HIOS plan ID: 123456789101112 (OFFICIAL)

type: Bronze (planlevel#bronze)

coverageArea: Location/wash-dc-metro: Washington, DC metro area "Washington, DC metro area"

network: Organization/patriotdental: Patriot Dental Provider Network "Patriot Dental Provider Network"

generalCost

type: Deductible (cost-type#deductible)

groupSize: 1

comment: Includes all prescription and medical costs for in-network providers

specificCost

category: Medical (cost-category#medical)

benefit

type: Primary care visit to treat an injury or illness (benefit-type#001)

Costs

-TypeApplicabilityQualifiersValue
*Copay (cost-type#copay)In Network (Benefit cost applicability#in-network)in-network preferred provider ()50 dollars (Details: urn:iso:std:iso:4217 code USD = 'United States dollar')

specificCost

category: Dental (cost-category#dental)

benefit

type: Basic Dental Care – Adult (cost-type#052)

Costs

-TypeApplicabilityQualifiersValue
*Coinsurance (costing#coinsurance)In Network (Benefit cost applicability#in-network)in-network provider ()10 percent