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

NameFlagsCard.TypeDescription & Constraintsdoco
.. InsurancePlan C0..*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 Σ0..1MetaMetadata about the resource
ele-1: All FHIR elements must have a @value or children
.... extension 0..*ExtensionAdditional 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 Σ0..1idVersion specific identifier
ele-1: All FHIR elements must have a @value or children
.... lastUpdated SΣ1..1instantWhen the resource version last changed
ele-1: All FHIR elements must have a @value or children
.... source Σ0..1uriIdentifies where the resource comes from
ele-1: All FHIR elements must have a @value or children
.... profile Σ0..*canonical(StructureDefinition)Profiles this resource claims to conform to
ele-1: All FHIR elements must have a @value or children
.... security Σ0..*CodingSecurity 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 Σ0..*CodingTags 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 ?!Σ0..1uriA set of rules under which this content was created
ele-1: All FHIR elements must have a @value or children
... language 0..1codeLanguage of the resource content
Binding: ?? (preferred): A human language.


ele-1: All FHIR elements must have a @value or children
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional 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..*ExtensionExtensions 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 SΣ1..*IdentifierBusiness Identifier for Product
ele-1: All FHIR elements must have a @value or children
... status ?!SΣ1..1codedraft | active | retired | unknown
Binding: ?? (required): The lifecycle status of an artifact.


ele-1: All FHIR elements must have a @value or children
... type SΣ1..1CodeableConceptProduct type
Binding: ?? (extensible)
ele-1: All FHIR elements must have a @value or children
... name SΣ0..1stringOfficial name
ele-1: All FHIR elements must have a @value or children
... alias 0..*stringAlternate names
ele-1: All FHIR elements must have a @value or children
... period S0..1PeriodWhen the product is available
ele-1: All FHIR elements must have a @value or children
... ownedBy Σ0..1Reference(Organization)Plan issuer
ele-1: All FHIR elements must have a @value or children
... administeredBy Σ0..1Reference(Organization)Product administrator
ele-1: All FHIR elements must have a @value or children
... coverageArea SΣ0..*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..*BackboneElementContact 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..*ExtensionAdditional 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 ?!Σ0..*ExtensionExtensions 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..1CodeableConceptThe type of contact
Binding: ?? (extensible)
ele-1: All FHIR elements must have a @value or children
.... name S0..1HumanNameA name associated with the contact
ele-1: All FHIR elements must have a @value or children
..... extension 0..*ExtensionAdditional 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 ?!Σ0..1codeusual | 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 SΣ0..1stringText representation of the full name
ele-1: All FHIR elements must have a @value or children
..... family Σ0..1stringFamily name (often called 'Surname')
ele-1: All FHIR elements must have a @value or children
..... given Σ0..*stringGiven names (not always 'first'). Includes middle names
ele-1: All FHIR elements must have a @value or children
..... prefix Σ0..*stringParts that come before the name
ele-1: All FHIR elements must have a @value or children
..... suffix Σ0..*stringParts that come after the name
ele-1: All FHIR elements must have a @value or children
..... period Σ0..1PeriodTime period when name was/is in use
ele-1: All FHIR elements must have a @value or children
.... telecom S0..*ContactPointContact details (telephone, email, etc.) for a contact
ele-1: All FHIR elements must have a @value or children
..... extension 0..*ExtensionAdditional 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 SΣ0..1codephone | 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 SΣ0..1stringThe actual contact point details
ele-1: All FHIR elements must have a @value or children
..... use ?!Σ0..1codehome | 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 Σ0..1positiveIntSpecify preferred order of use (1 = highest)
ele-1: All FHIR elements must have a @value or children
..... period Σ0..1PeriodTime period when the contact point was/is in use
ele-1: All FHIR elements must have a @value or children
.... address 0..1AddressVisiting 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 S1..*BackboneElementCoverage details
ele-1: All FHIR elements must have a @value or children
.... extension 0..*ExtensionAdditional 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 ?!Σ0..*ExtensionExtensions 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 S1..1CodeableConceptType 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..*BackboneElementList of benefits
ele-1: All FHIR elements must have a @value or children
..... extension 0..*ExtensionAdditional 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 ?!Σ0..*ExtensionExtensions 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..1CodeableConceptType of benefit
ele-1: All FHIR elements must have a @value or children
..... requirement 0..1stringReferral requirements
ele-1: All FHIR elements must have a @value or children
..... limit 0..*BackboneElementBenefit limits
ele-1: All FHIR elements must have a @value or children
...... extension 0..*ExtensionAdditional 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 ?!Σ0..*ExtensionExtensions 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..1QuantityMaximum value allowed
ele-1: All FHIR elements must have a @value or children
...... code 0..1CodeableConceptBenefit limit details
ele-1: All FHIR elements must have a @value or children
... plan S1..*BackboneElementPlan details
ele-1: All FHIR elements must have a @value or children
.... extension 0..*ExtensionAdditional 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 ?!Σ0..*ExtensionExtensions 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 Σ0..*IdentifierBusiness Identifier for Product
ele-1: All FHIR elements must have a @value or children
.... type 0..1CodeableConceptType of plan
Binding: ?? (extensible)
ele-1: All FHIR elements must have a @value or children
.... coverageArea Σ0..*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..*BackboneElementOverall costs
ele-1: All FHIR elements must have a @value or children
..... extension 0..*ExtensionAdditional 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 ?!Σ0..*ExtensionExtensions 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..1CodeableConceptType of cost
ele-1: All FHIR elements must have a @value or children
..... groupSize 0..1positiveIntNumber of enrollees
ele-1: All FHIR elements must have a @value or children
..... cost 0..1MoneyCost value
ele-1: All FHIR elements must have a @value or children
..... comment 0..1stringAdditional cost information
ele-1: All FHIR elements must have a @value or children
.... specificCost 0..*BackboneElementSpecific costs
ele-1: All FHIR elements must have a @value or children
..... extension 0..*ExtensionAdditional 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 ?!Σ0..*ExtensionExtensions 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..1CodeableConceptGeneral category of benefit
ele-1: All FHIR elements must have a @value or children
..... benefit 0..*BackboneElementBenefits list
ele-1: All FHIR elements must have a @value or children
...... extension 0..*ExtensionAdditional 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 ?!Σ0..*ExtensionExtensions 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..1CodeableConceptType of specific benefit
ele-1: All FHIR elements must have a @value or children
...... cost 0..*BackboneElementList of the costs
ele-1: All FHIR elements must have a @value or children
....... extension 0..*ExtensionAdditional 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 ?!Σ0..*ExtensionExtensions 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..1CodeableConceptType of cost
ele-1: All FHIR elements must have a @value or children
....... applicability 0..1CodeableConceptin-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..*CodeableConceptAdditional information about the cost
ele-1: All FHIR elements must have a @value or children
....... value 0..1QuantityThe actual cost value
ele-1: All FHIR elements must have a @value or children

doco Documentation for this format