This is the set of resources that conform to both FAIS InsurancePlan Profile (https://profiles.ihe.net/ITI/FAIS/StructureDefinition/IHE.FAIS.InsurancePlan) and FAIS InsurancePlan Profile (https://profiles.ihe.net/ITI/FAIS/StructureDefinition/IHE.FAIS.InsurancePlan).
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 | ||||
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 | |||||
identifier | Σ | 0..* | Identifier | Business Identifier for Product ele-1: All FHIR elements must have a @value or children | ||||
status | ?!Σ | 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 | Σ | 1..1 | CodeableConcept | Kind of product Binding: ?? (example): Used to categorize the product/plan. ele-1: All FHIR elements must have a @value or children | ||||
name | Σ | 1..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 | 0..1 | Period | When the product is available ele-1: All FHIR elements must have a @value or children | |||||
ownedBy | Σ | 1..1 | Reference(Organization) | Plan issuer ele-1: All FHIR elements must have a @value or children | ||||
administeredBy | Σ | 1..1 | Reference(Organization) | Product administrator 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 | ||||
contact | 0..* | BackboneElement | Contact for the product 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): The purpose for which you would contact a contact party. ele-1: All FHIR elements must have a @value or children | |||||
name | 0..1 | HumanName | A name associated with the contact ele-1: All FHIR elements must have a @value or children | |||||
telecom | 0..* | ContactPoint | Contact details (telephone, email, etc.) for a contact 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 | 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 | 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 | 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 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 |