Union of https://profiles.ihe.net/ITI/FAIS/StructureDefinition/IHE.FAIS.InsurancePlan and https://profiles.ihe.net/ITI/FAIS/StructureDefinition/IHE.FAIS.InsurancePlan

This is the set of resources that conform to either of the profiles 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). 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
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