Union of http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-PayerInsurancePlan and http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-PayerInsurancePlan

This is the set of resources that conform to either of the profiles Payer Insurance Plan (http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-PayerInsurancePlan) and Payer Insurance Plan (http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-PayerInsurancePlan). E.g. what you have to deal with if you get resources conforming to one of them

Structure

Name	Flags	Card.	Type	Description & Constraints
InsurancePlan	C	0..*		Details of a Health Insurance product/plan provided by an organization dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management ipn-1: The organization SHALL at least have a name or an idendtifier, and possibly more than one
meta	Σ	0..1	Meta	Metadata about the resource ele-1: All FHIR elements must have a @value or children
extension		0..*	Extension	Additional content defined by implementations ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
versionId	Σ	0..1	id	Version specific identifier ele-1: All FHIR elements must have a @value or children
lastUpdated	SΣ	1..1	instant	When the resource version last changed ele-1: All FHIR elements must have a @value or children
source	Σ	0..1	uri	Identifies where the resource comes from ele-1: All FHIR elements must have a @value or children
profile	Σ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to ele-1: All FHIR elements must have a @value or children
security	Σ	0..*	Coding	Security Labels applied to this resource Binding: ?? (extensible): Security Labels from the Healthcare Privacy and Security Classification System. ele-1: All FHIR elements must have a @value or children
tag	Σ	0..*	Coding	Tags applied to this resource Binding: ?? (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones". ele-1: All FHIR elements must have a @value or children
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
language		0..1	code	Language of the resource content Binding: ?? (preferred): A human language. ele-1: All FHIR elements must have a @value or children
text		0..1	Narrative	Text summary of the resource, for human interpretation ele-1: All FHIR elements must have a @value or children
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
identifier	SΣ	1..*	Identifier	left: Business Identifier for Product; right: The business identifier for the plan. The same InsurancePlan may be present in multiple directories and if they have the same identifier they are assumed to be the same plan. ele-1: All FHIR elements must have a @value or children
status	?!SΣ	1..1	code	draft | active | retired | unknown Binding: ?? (required): The lifecycle status of an artifact. ele-1: All FHIR elements must have a @value or children
type	SΣ	1..1	CodeableConcept	Product type Binding: ?? (extensible) ele-1: All FHIR elements must have a @value or children
name	SΣ	0..1	string	Official name ele-1: All FHIR elements must have a @value or children
alias		0..*	string	Alternate names ele-1: All FHIR elements must have a @value or children
period	S	0..1	Period	When the product is available ele-1: All FHIR elements must have a @value or children
ownedBy	Σ	0..1	Reference(Organization)	Plan issuer ele-1: All FHIR elements must have a @value or children
administeredBy	Σ	0..1	Reference(Organization)	Product administrator ele-1: All FHIR elements must have a @value or children
coverageArea	SΣ	0..*	Reference(Insurance Plan Location | #sd-usdf-InsurancePlanLocation-usdf-InsurancePlanLocation)	Where product applies ele-1: All FHIR elements must have a @value or children
contact		0..*	BackboneElement	Contact information for the Insurance Plan including URLs for brochure and formulary information ele-1: All FHIR elements must have a @value or children
extension		0..*	Extension	Additional content defined by implementations ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
purpose		0..1	CodeableConcept	The type of contact Binding: ?? (extensible) ele-1: All FHIR elements must have a @value or children
name	S	0..1	HumanName	A name associated with the contact ele-1: All FHIR elements must have a @value or children
extension		0..*	Extension	Additional content defined by implementations ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
use	?!Σ	0..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: ?? (required): The use of a human name. ele-1: All FHIR elements must have a @value or children
text	SΣ	0..1	string	Text representation of the full name ele-1: All FHIR elements must have a @value or children
family	Σ	0..1	string	Family name (often called 'Surname') ele-1: All FHIR elements must have a @value or children
given	Σ	0..*	string	Given names (not always 'first'). Includes middle names ele-1: All FHIR elements must have a @value or children
prefix	Σ	0..*	string	Parts that come before the name ele-1: All FHIR elements must have a @value or children
suffix	Σ	0..*	string	Parts that come after the name ele-1: All FHIR elements must have a @value or children
period	Σ	0..1	Period	Time period when name was/is in use ele-1: All FHIR elements must have a @value or children
telecom	S	0..*	ContactPoint	Contact details (telephone, email, etc.) for a contact ele-1: All FHIR elements must have a @value or children
extension		0..*	Extension	Additional content defined by implementations ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
system	SΣ	0..1	code	phone | fax | email | pager | url | sms | other Binding: ?? (required): Telecommunications form for contact point. ele-1: All FHIR elements must have a @value or children
value	SΣ	0..1	string	The actual contact point details ele-1: All FHIR elements must have a @value or children
use	?!Σ	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ?? (required): Use of contact point. ele-1: All FHIR elements must have a @value or children
rank	Σ	0..1	positiveInt	Specify preferred order of use (1 = highest) ele-1: All FHIR elements must have a @value or children
period	Σ	0..1	Period	Time period when the contact point was/is in use ele-1: All FHIR elements must have a @value or children
address		0..1	Address	Visiting or postal addresses for the contact ele-1: All FHIR elements must have a @value or children
endpoint		0..*	Reference(Endpoint)	Technical endpoint ele-1: All FHIR elements must have a @value or children
network		0..*	Reference(Organization)	What networks are Included ele-1: All FHIR elements must have a @value or children
coverage	S	1..*	BackboneElement	Coverage details ele-1: All FHIR elements must have a @value or children
extension		0..*	Extension	Additional content defined by implementations ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
type	S	1..1	CodeableConcept	Type of coverage ele-1: All FHIR elements must have a @value or children
network		0..*	Reference(Organization)	What networks provide coverage ele-1: All FHIR elements must have a @value or children
benefit		1..*	BackboneElement	List of benefits ele-1: All FHIR elements must have a @value or children
extension		0..*	Extension	Additional content defined by implementations ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
type		1..1	CodeableConcept	Type of benefit ele-1: All FHIR elements must have a @value or children
requirement		0..1	string	Referral requirements ele-1: All FHIR elements must have a @value or children
limit		0..*	BackboneElement	Benefit limits ele-1: All FHIR elements must have a @value or children
extension		0..*	Extension	Additional content defined by implementations ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
value		0..1	Quantity	Maximum value allowed ele-1: All FHIR elements must have a @value or children
code		0..1	CodeableConcept	Benefit limit details ele-1: All FHIR elements must have a @value or children
plan	S	1..*	BackboneElement	Plan details ele-1: All FHIR elements must have a @value or children
extension		0..*	Extension	Additional content defined by implementations ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
identifier	Σ	0..*	Identifier	Business Identifier for Product ele-1: All FHIR elements must have a @value or children
type		0..1	CodeableConcept	Type of plan Binding: ?? (extensible) ele-1: All FHIR elements must have a @value or children
coverageArea	Σ	0..*	Reference(Location)	Where product applies ele-1: All FHIR elements must have a @value or children
network		0..*	Reference(Organization)	What networks provide coverage ele-1: All FHIR elements must have a @value or children
generalCost		0..*	BackboneElement	Overall costs ele-1: All FHIR elements must have a @value or children
extension		0..*	Extension	Additional content defined by implementations ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
type		0..1	CodeableConcept	Type of cost ele-1: All FHIR elements must have a @value or children
groupSize		0..1	positiveInt	Number of enrollees ele-1: All FHIR elements must have a @value or children
cost		0..1	Money	Cost value ele-1: All FHIR elements must have a @value or children
comment		0..1	string	Additional cost information ele-1: All FHIR elements must have a @value or children
specificCost		0..*	BackboneElement	Specific costs ele-1: All FHIR elements must have a @value or children
extension		0..*	Extension	Additional content defined by implementations ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
category		1..1	CodeableConcept	General category of benefit ele-1: All FHIR elements must have a @value or children
benefit		0..*	BackboneElement	Benefits list ele-1: All FHIR elements must have a @value or children
extension		0..*	Extension	Additional content defined by implementations ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
type		1..1	CodeableConcept	Type of specific benefit ele-1: All FHIR elements must have a @value or children
cost		0..*	BackboneElement	List of the costs ele-1: All FHIR elements must have a @value or children
extension		0..*	Extension	Additional content defined by implementations ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
type		1..1	CodeableConcept	Type of cost ele-1: All FHIR elements must have a @value or children
applicability		0..1	CodeableConcept	in-network | out-of-network | other Binding: ?? (required): Whether the cost applies to in-network or out-of-network providers. ele-1: All FHIR elements must have a @value or children
qualifiers		0..*	CodeableConcept	Additional information about the cost ele-1: All FHIR elements must have a @value or children
value		0..1	Quantity	The actual cost value ele-1: All FHIR elements must have a @value or children
Documentation for this format