Validated Healthcare Directory
1.0.0 - STU1 International flag

Validated Healthcare Directory, published by HL7 International / Patient Administration. This guide is not an authorized publication; it is the continuous build for version 1.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/VhDir/ and changes regularly. See the Directory of published versions

Example InsurancePlan: InsurancePlan/insuranceplan1

Generated Narrative: InsurancePlan insuranceplan1

identifier: HIOS product ID/1234567891 (use: official, )

status: Active

type: Bronze

name: Patriot PPO Standard

alias: Patriot Plus

period: 2018-06-06 --> 2019-01-01

ownedBy: Homeland Health Insurance

administeredBy: Homeland Health Insurance

coverageArea: Washington, DC metro area

contact

purpose: General information

telecom: ph: 202-123-5555, info@homelandinc.org

endpoint: patriot plan endpoint hub

network:

coverage

type: Coverage related to medical inpatient, outpatient, diagnostic, and preventive care

network: Patriot Preferred Provider Network

benefit

type: Primary care visit to treat an injury or illness

requirement: N/A

Limits

-Code
*unlimited

coverage

type: Coverage related to dental care

network: Patriot Dental Provider Network

benefit

type: Periodic oral checkup

requirement: N/A

Limits

-ValueCode
*2 visit/yrbiannual oral checkup

plan

identifier: HIOS plan ID/123456789101112 (use: official, )

type: Bronze

coverageArea: Washington, DC metro area

network: Patriot Dental Provider Network

generalCost

type: Deductible

groupSize: 1

Costs

-ValueCurrency
*6200United States dollar

comment: Includes all prescription and medical costs for in-network providers

specificCost

category: Medical

benefit

type: Primary care visit to treat an injury or illness

Costs

-TypeApplicabilityQualifiersValue
*CopayIn Networkin-network preferred provider50 dollars (Details: unknown codeUSD = 'United States dollar')

specificCost

category: Dental

benefit

type: Basic Dental Care – Adult

Costs

-TypeApplicabilityQualifiersValue
*CoinsuranceIn Networkin-network provider10 percent