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

This is the set of resources that conform to both Formulary (http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-Formulary) and Formulary (http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-Formulary).

Structure

NameFlagsCard.TypeDescription & Constraints    Filter: doco
InsurancePlan C0..*Details of a Health Insurance product/plan provided by an organization
Constraints: ipn-1
InsurancePlan.meta This element is included in summaries. 0..1MetaMetadata about the resource
InsurancePlan.meta.extension 0..*ExtensionAdditional content defined by implementations
InsurancePlan.meta.versionId This element is included in summaries. 0..1idVersion specific identifier
InsurancePlan.meta.lastUpdated This element must be supported. This element is included in summaries. 1..1instantWhen the resource version last changed
InsurancePlan.meta.source This element is included in summaries. 0..1uriIdentifies where the resource comes from
InsurancePlan.meta.profile This element is included in summaries. 0..*canonical(StructureDefinition)Profiles this resource claims to conform to
InsurancePlan.meta.security This element is included in summaries. 0..*CodingSecurity Labels applied to this resource
Binding: ?? (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
InsurancePlan.meta.tag This element is included in summaries. 0..*CodingTags applied to this resource
Binding: ?? (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
InsurancePlan.implicitRules This element is a modifier element. This element is included in summaries. 0..1uriA set of rules under which this content was created
InsurancePlan.language 0..1codeLanguage of the resource content
Binding: ?? (preferred): A human language.
Additional BindingsPurpose
??Max Binding
InsurancePlan.text 0..1NarrativeText summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
InsurancePlan.contained 0..*ResourceContained, inline Resources
InsurancePlan.extension 0..*ExtensionAdditional content defined by implementations
InsurancePlan.modifierExtension This element is a modifier element. 0..*ExtensionExtensions that cannot be ignored
InsurancePlan.identifier This element must be supported. This element is included in summaries. 1..*IdentifierBusiness Identifier for Product
InsurancePlan.status This element is a modifier element. This element must be supported. This element is included in summaries. 1..1codedraft | active | retired | unknown
Binding: ?? (required): The lifecycle status of an artifact.
InsurancePlan.type This element must be supported. This element is included in summaries. 1..1CodeableConceptPlan type
Binding: ?? (example): Used to categorize the product/plan.
InsurancePlan.name This element must be supported. This element is included in summaries. 0..1stringOfficial name
InsurancePlan.alias 0..*stringAlternate names
InsurancePlan.period This element must be supported. 0..1PeriodWhen the product is available
InsurancePlan.ownedBy This element is included in summaries. 0..1Reference(Organization)Plan issuer
InsurancePlan.administeredBy This element is included in summaries. 0..1Reference(Organization)Product administrator
InsurancePlan.coverageArea This element is included in summaries. 0..*Reference(Location)Where product applies
InsurancePlan.contact 0..*BackboneElementContact for the product
InsurancePlan.contact.extension 0..*ExtensionAdditional content defined by implementations
InsurancePlan.contact.modifierExtension This element is a modifier element. This element is included in summaries. 0..*ExtensionExtensions that cannot be ignored even if unrecognized
InsurancePlan.contact.purpose 0..1CodeableConceptThe type of contact
Binding: ?? (extensible): The purpose for which you would contact a contact party.
InsurancePlan.contact.name 0..1HumanNameA name associated with the contact
InsurancePlan.contact.telecom 0..*ContactPointContact details (telephone, email, etc.) for a contact
InsurancePlan.contact.address 0..1AddressVisiting or postal addresses for the contact
InsurancePlan.endpoint 0..*Reference(Endpoint)Technical endpoint
InsurancePlan.network 0..*Reference(Organization)What networks are Included
InsurancePlan.coverage 0..*BackboneElementCoverage details
InsurancePlan.coverage.extension 0..*ExtensionAdditional content defined by implementations
InsurancePlan.coverage.modifierExtension This element is a modifier element. This element is included in summaries. 0..*ExtensionExtensions that cannot be ignored even if unrecognized
InsurancePlan.coverage.type 1..1CodeableConceptType of coverage
InsurancePlan.coverage.network 0..*Reference(Organization)What networks provide coverage
InsurancePlan.coverage.benefit 1..*BackboneElementList of benefits
InsurancePlan.coverage.benefit.extension 0..*ExtensionAdditional content defined by implementations
InsurancePlan.coverage.benefit.modifierExtension This element is a modifier element. This element is included in summaries. 0..*ExtensionExtensions that cannot be ignored even if unrecognized
InsurancePlan.coverage.benefit.type 1..1CodeableConceptType of benefit
InsurancePlan.coverage.benefit.requirement 0..1stringReferral requirements
InsurancePlan.coverage.benefit.limit 0..*BackboneElementBenefit limits
InsurancePlan.coverage.benefit.limit.extension 0..*ExtensionAdditional content defined by implementations
InsurancePlan.coverage.benefit.limit.modifierExtension This element is a modifier element. This element is included in summaries. 0..*ExtensionExtensions that cannot be ignored even if unrecognized
InsurancePlan.coverage.benefit.limit.value 0..1QuantityMaximum value allowed
InsurancePlan.coverage.benefit.limit.code 0..1CodeableConceptBenefit limit details
InsurancePlan.plan 0..1BackboneElementOptional non-cost related plan information indicating pharmacy benefit types and drug tiers available in the formulary
InsurancePlan.plan.extension 0..*ExtensionAdditional content defined by implementations
InsurancePlan.plan.modifierExtension This element is a modifier element. This element is included in summaries. 0..*ExtensionExtensions that cannot be ignored even if unrecognized
InsurancePlan.plan.identifier This element is included in summaries. 0..*IdentifierBusiness Identifier for Product
InsurancePlan.plan.type 1..1CodeableConceptType of plan
InsurancePlan.plan.coverageArea This element is included in summaries. 0..*Reference(Location)Where product applies
InsurancePlan.plan.network 0..*Reference(Organization)What networks provide coverage
InsurancePlan.plan.generalCost 0..*BackboneElementOverall costs
InsurancePlan.plan.generalCost.extension 0..*ExtensionAdditional content defined by implementations
InsurancePlan.plan.generalCost.modifierExtension This element is a modifier element. This element is included in summaries. 0..*ExtensionExtensions that cannot be ignored even if unrecognized
InsurancePlan.plan.generalCost.type 0..1CodeableConceptType of cost
InsurancePlan.plan.generalCost.groupSize 0..1positiveIntNumber of enrollees
InsurancePlan.plan.generalCost.cost 0..1MoneyCost value
InsurancePlan.plan.generalCost.comment 0..1stringAdditional cost information
InsurancePlan.plan.specificCost 0..*BackboneElementPharmacy benefit type specific cost
InsurancePlan.plan.specificCost.extension 0..*ExtensionAdditional content defined by implementations
InsurancePlan.plan.specificCost.modifierExtension This element is a modifier element. This element is included in summaries. 0..*ExtensionExtensions that cannot be ignored even if unrecognized
InsurancePlan.plan.specificCost.category 1..1CodeableConceptGeneral category of benefit
Binding: ?? (extensible)
InsurancePlan.plan.specificCost.benefit 0..*BackboneElementDrug tier benefit
InsurancePlan.plan.specificCost.benefit.extension 0..*ExtensionAdditional content defined by implementations
InsurancePlan.plan.specificCost.benefit.modifierExtension This element is a modifier element. This element is included in summaries. 0..*ExtensionExtensions that cannot be ignored even if unrecognized
InsurancePlan.plan.specificCost.benefit.type 1..1CodeableConceptType of specific benefit
Binding: ?? (extensible)
InsurancePlan.plan.specificCost.benefit.cost 0..*BackboneElementList of the costs
InsurancePlan.plan.specificCost.benefit.cost.extension 0..*ExtensionAdditional content defined by implementations
InsurancePlan.plan.specificCost.benefit.cost.modifierExtension This element is a modifier element. This element is included in summaries. 0..*ExtensionExtensions that cannot be ignored even if unrecognized
InsurancePlan.plan.specificCost.benefit.cost.type 1..1CodeableConceptType of cost
InsurancePlan.plan.specificCost.benefit.cost.applicability 0..1CodeableConceptin-network | out-of-network | other
Binding: ?? (required): Whether the cost applies to in-network or out-of-network providers.
InsurancePlan.plan.specificCost.benefit.cost.qualifiers 0..*CodeableConceptAdditional information about the cost
InsurancePlan.plan.specificCost.benefit.cost.value 0..1QuantityThe actual cost value

doco Documentation for this format