InsuranceProduct
type: StructureDefinition
node role: treeRoot
id:
  v: InsuranceProduct
meta:
  last updated:
    v: 2021-01-02T08:58:31.578+11:00
language:
  v: en
text:
  status:
    v: extensions
  div:
    v: Generated Narrative: StructureDefinition InsuranceProduct Last updated: 2021-01-02 08:58:31+1100 Name Flags Card. Type Description & Constraints<img src="[binary]" alt="doco" style="background-color: inherit"/> InsuranceProduct C 0..* DomainResource Details of a Health Insurance product provided by an organization Elements defined in Ancestors:id, meta, implicitRules, language, <a href="http://hl7.org/fhir/R5/domainresource.html" title="A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.">text, contained, <a href="http://hl7.org/fhir/R5/domainresource.html" title="May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.">extension, <a href="http://hl7.org/fhir/R5/domainresource.html" title="May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a…
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-category
    l: structuredefinition-category
  value: String
    v: Financial.General
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status
    l: structuredefinition-standards-status
  value: Code
    v: trial-use
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm
    l: structuredefinition-fmm
  value: Integer
    v: 1
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category
    l: structuredefinition-security-category
  value: Code
    v: business
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-wg
    l: structuredefinition-wg
  value: Code
    v: pa
extension:
  url:
    v: http://hl7.org/fhir/build/StructureDefinition/entered-in-error-status
    l: entered-in-error-status
  value: Code
    v: .status = retired
extension:
  url:
    v: http://hl7.org/fhir/tools/StructureDefinition/additional-resource
    l: additional-resource
  value: Boolean
    v: true
url:
  v: http://hl7.org/fhir/StructureDefinition/InsuranceProduct
  l: InsuranceProduct
identifier:
  system:
    v: urn:ietf:rfc:3986
    l: 3986
  value:
    v: urn:oid:2.16.840.1.113883.4.642.5.1354
version:
  v: 0.1.0
name:
  v: InsuranceProduct
title:
  v: Insurance Product
status:
  v: draft
date:
  v: 2021-01-02T08:58:31+11:00
publisher:
  v: HL7 International / Patient Administration
contact:
  name:
    v: HL7 International / Patient Administration
  telecom:
    system:
      v: url
    value:
      v: http://www.hl7.org/Special/committees/pa
contact:
  telecom:
    system:
      v: url
    value:
      v: http://www.hl7.org/Special/committees/pa
description:
  v: Details of a Health Insurance product provided by an organization.
jurisdiction:
  coding:
    system:
      v: http://unstats.un.org/unsd/methods/m49/m49.htm
      l: m49.htm
    code:
      v: 001
    display:
      v: World
fhir version:
  v: 6.0.0-ballot3
mapping:
  identity:
    v: w5
  uri:
    v: http://hl7.org/fhir/fivews
    l: fivews
  name:
    v: FiveWs Pattern Mapping
mapping:
  identity:
    v: rim
  uri:
    v: http://hl7.org/v3
    l: v3
  name:
    v: RIM Mapping
kind:
  v: resource
abstract:
  v: false
type:
  v: InsuranceProduct
  l: InsuranceProduct
base definition:
  v: http://hl7.org/fhir/StructureDefinition/DomainResource
  l: DomainResource
derivation:
  v: specialization
snapshot:
  extension:
    url:
      v: http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version
      l: snapshot-base-version
    value: String
      v: 6.0.0-ballot3
  element:
    id:
      v: InsuranceProduct
    path:
      v: InsuranceProduct
    short:
      v: Details of a Health Insurance product provided by an organization
    definition:
      v: A product is a discrete package of health insurance coverage benefits that are offered under a particular network, by an organization (payer) and additional information about the offering, such as who it is owned and administered by, a coverage area, contact information, etc.
    min:
      v: 0
    max:
      v: *
    base:
      path:
        v: DomainResource
      min:
        v: 0
      max:
        v: *
    constraint:
      key:
        v: dom-2
      severity:
        v: error
      human:
        v: If the resource is contained in another resource, it SHALL NOT contain nested Resources
      expression:
        v: contained.contained.empty()
      source:
        v: http://hl7.org/fhir/StructureDefinition/DomainResource
        l: DomainResource
    constraint:
      key:
        v: dom-3
      severity:
        v: error
      human:
        v: 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
      expression:
        v: contained.where((('#'+id.trace('id') in %resource.descendants().select(reference | as(uri))) or descendants().where(reference='#' | as(uri)='#').exists()).not()).trace('unmatched', id).empty()
      source:
        v: http://hl7.org/fhir/StructureDefinition/DomainResource
        l: DomainResource
    constraint:
      key:
        v: dom-4
      severity:
        v: error
      human:
        v: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
      expression:
        v: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
      source:
        v: http://hl7.org/fhir/StructureDefinition/DomainResource
        l: DomainResource
    constraint:
      key:
        v: dom-5
      severity:
        v: error
      human:
        v: If a resource is contained in another resource, it SHALL NOT have a security label
      expression:
        v: contained.meta.security.empty()

extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice
    l: elementdefinition-bestpractice
  value: Boolean
    v: true
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation
    l: elementdefinition-bestpractice-explanation
  value: Markdown
    v: When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time.
key:
  v: dom-6
severity:
  v: warning
human:
  v: A resource should have narrative for robust management
expression:
  v: text.`div`.exists()
source:
  v: http://hl7.org/fhir/StructureDefinition/DomainResource
  l: DomainResource

key:
  v: ipn-1
severity:
  v: error
human:
  v: The organization SHALL at least have a name or an identifier, and possibly more than one
expression:
  v: (identifier.count() + name.count()) > 0
source:
  v: http://hl7.org/fhir/StructureDefinition/InsuranceProduct
  l: InsuranceProduct

v: false

v: false

v: false

identity:
  v: w5
map:
  v: administrative.entity

identity:
  v: rim
map:
  v: Entity. Role, or Act,Entity, Role, or Act

id:
  v: InsuranceProduct.id
path:
  v: InsuranceProduct.id
short:
  v: Logical id of this artifact
definition:
  v: The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
comment:
  v: Within the context of the FHIR RESTful interactions, the resource has an id except for cases like the create and conditional update. Otherwise, the use of the resouce id depends on the given use case.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Resource.id
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
      l: structuredefinition-fhir-type
    value: Url
      v: id
      l: id
  code:
    v: http://hl7.org/fhirpath/System.String
    l: System.String
must support:
  v: false
is modifier:
  v: false
is summary:
  v: true

id:
  v: InsuranceProduct.meta
path:
  v: InsuranceProduct.meta
short:
  v: Metadata about the resource
definition:
  v: The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Resource.meta
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Meta
    l: Meta
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: true

id:
  v: InsuranceProduct.implicitRules
path:
  v: InsuranceProduct.implicitRules
short:
  v: A set of rules under which this content was created
definition:
  v: A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.
comment:
  v: Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of its narrative along with other profiles, value sets, etc.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Resource.implicitRules
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: uri
    l: uri
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: false
is modifier:
  v: true
is modifier reason:
  v: This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies its meaning or interpretation
is summary:
  v: true

id:
  v: InsuranceProduct.language
path:
  v: InsuranceProduct.language
short:
  v: Language of the resource content
definition:
  v: The base language in which the resource is written.
comment:
  v: Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Resource.language
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: code
    l: code
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: false
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: Language
  strength:
    v: required
  description:
    v: IETF language tag for a human language
  value set:
    v: http://hl7.org/fhir/ValueSet/all-languages|6.0.0-ballot3
    l: http://hl7.org/fhir/ValueSet/all-languages
  additional:
    purpose:
      v: starter
    value set:
      v: http://hl7.org/fhir/ValueSet/languages|6.0.0-ballot3
      l: http://hl7.org/fhir/ValueSet/languages

id:
  v: InsuranceProduct.text
path:
  v: InsuranceProduct.text
short:
  v: Text summary of the resource, for human interpretation
definition:
  v: A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.
comment:
  v: Contained resources do not have a narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.
alias:
  v: narrative
alias:
  v: html
alias:
  v: xhtml
alias:
  v: display
min:
  v: 0
max:
  v: 1
base:
  path:
    v: DomainResource.text
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Narrative
    l: Narrative
condition:
  v: dom-6
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: Act.text?

id:
  v: InsuranceProduct.contained
path:
  v: InsuranceProduct.contained
short:
  v: Contained, inline Resources
definition:
  v: These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, nor can they have their own independent transaction scope. This is allowed to be a Parameters resource if and only if it is referenced by a resource that provides context/meaning.
comment:
  v: This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags in their meta elements, but SHALL NOT have security labels. Contained resources may be a resource type defined in the FHIR specification, or an [additional resource](http://build.fhir.org/resource.html#additional).
alias:
  v: inline resources
alias:
  v: anonymous resources
alias:
  v: contained resources
min:
  v: 0
max:
  v: *
base:
  path:
    v: DomainResource.contained
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Resource
    l: Resource
condition:
  v: dom-2
condition:
  v: dom-4
condition:
  v: dom-3
condition:
  v: dom-5
must support:
  v: false
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: InsuranceProduct.extension
path:
  v: InsuranceProduct.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  rules:
    v: open
short:
  v: Additional content defined by implementations
definition:
  v: May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: DomainResource.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: InsuranceProduct.modifierExtension
path:
  v: InsuranceProduct.modifierExtension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  rules:
    v: open
short:
  v: Extensions that cannot be ignored
definition:
  v: May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
requirements:
  v: Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://build.fhir.org/extensibility.html#modifierExtension).
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: DomainResource.modifierExtension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: false
is modifier:
  v: true
is modifier reason:
  v: Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: InsuranceProduct.identifier
path:
  v: InsuranceProduct.identifier
short:
  v: Business Identifier for Product
definition:
  v: Business identifiers assigned to this health insurance product which remain constant as the resource is updated and propagates from server to server.
min:
  v: 0
max:
  v: *
base:
  path:
    v: InsuranceProduct.identifier
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Identifier
    l: Identifier
condition:
  v: ipn-1
is summary:
  v: true
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.identifier
mapping:
  identity:
    v: rim
  map:
    v: .scopes[Role](classCode=IDENT)

id:
  v: InsuranceProduct.status
path:
  v: InsuranceProduct.status
short:
  v: draft | active | retired | unknown
definition:
  v: The current state of the health insurance product.
requirements:
  v: Need a flag to indicate a record is no longer to be used and should generally be hidden for the user in the UI.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: InsuranceProduct.status
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: code
    l: code
meaning when missing:
  v: Default interpretation is active.
is modifier:
  v: true
is modifier reason:
  v: This element is labeled as a modifier because it is a status element that contains codes which means that the resource should not be treated as valid
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: PublicationStatus
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding
      l: elementdefinition-isCommonBinding
    value: Boolean
      v: true
  strength:
    v: required
  description:
    v: The lifecycle status of an artifact.
  value set:
    v: http://hl7.org/fhir/ValueSet/publication-status
    l: publication-status
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.status
mapping:
  identity:
    v: rim
  map:
    v: .status

id:
  v: InsuranceProduct.type
path:
  v: InsuranceProduct.type
short:
  v: Kind of product
definition:
  v: The kind of health insurance product.
min:
  v: 0
max:
  v: *
base:
  path:
    v: InsuranceProduct.type
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: InsuranceProductType
  strength:
    v: example
  description:
    v: Used to categorize the product.
  value set:
    v: http://hl7.org/fhir/ValueSet/insuranceproduct-type
    l: insuranceproduct-type
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.class
mapping:
  identity:
    v: rim
  map:
    v: .code

id:
  v: InsuranceProduct.name
path:
  v: InsuranceProduct.name
short:
  v: Official name
definition:
  v: Official name of the health insurance product as designated by the owner.
comment:
  v: If the name of the product changes, consider putting the old name in the alias column so that it can still be located through searches.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: InsuranceProduct.name
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
condition:
  v: ipn-1
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: .name

id:
  v: InsuranceProduct.alias
extension:
  url:
    v: http://hl7.org/fhir/build/StructureDefinition/committee-notes
    l: committee-notes
  value: String
    v: This is used in many registries, and is often very important in searching.
path:
  v: InsuranceProduct.alias
short:
  v: Alternate names
definition:
  v: A list of alternate names that the product is known as, or was known as in the past.
comment:
  v: There are no dates associated with the alias/historic names, as this is not intended to track when names were used, but to assist in searching so that older names can still result in identifying the product.
requirements:
  v: Over time products go through many changes and can be known by different names. For searching knowing previous names that the product was known by can be very useful.
min:
  v: 0
max:
  v: *
base:
  path:
    v: InsuranceProduct.alias
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: string
    l: string
mapping:
  identity:
    v: rim
  map:
    v: .name

id:
  v: InsuranceProduct.period
path:
  v: InsuranceProduct.period
short:
  v: When the product is available
definition:
  v: The period of time that the health insurance product is available.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: InsuranceProduct.period
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Period
    l: Period

id:
  v: InsuranceProduct.ownedBy
path:
  v: InsuranceProduct.ownedBy
short:
  v: Product issuer
definition:
  v: The entity that is providing the health insurance product and underwriting the risk. This is typically an insurance carriers, other third-party payers, or health plan sponsors comonly referred to as 'payers'.
alias:
  v: Payer
min:
  v: 0
max:
  v: 1
base:
  path:
    v: InsuranceProduct.ownedBy
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Organization
    l: Organization
is summary:
  v: true

id:
  v: InsuranceProduct.administeredBy
path:
  v: InsuranceProduct.administeredBy
short:
  v: Product administrator
definition:
  v: An organization which administer other services such as underwriting, customer service and/or claims processing on behalf of the health insurance product owner.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: InsuranceProduct.administeredBy
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Organization
    l: Organization
is summary:
  v: true

id:
  v: InsuranceProduct.coverageArea
path:
  v: InsuranceProduct.coverageArea
short:
  v: Where product applies
definition:
  v: The geographic region in which a health insurance product's benefits apply.
min:
  v: 0
max:
  v: *
base:
  path:
    v: InsuranceProduct.coverageArea
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Location
    l: Location
is summary:
  v: true

id:
  v: InsuranceProduct.contact
path:
  v: InsuranceProduct.contact
short:
  v: Official contact details relevant to the health insurance product
definition:
  v: The contact details of communication devices available relevant to the specific Insurance Product. This can include addresses, phone numbers, fax numbers, mobile numbers, email addresses and web sites.
comment:
  v: The address/telecom use code 'home' are not to be used.
requirements:
  v: Need to keep track of both simple contact details and also assigned contacts within larger organizations.
min:
  v: 0
max:
  v: *
base:
  path:
    v: InsuranceProduct.contact
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: ExtendedContactDetail
    l: ExtendedContactDetail
mapping:
  identity:
    v: rim
  map:
    v: .contactParty

id:
  v: InsuranceProduct.endpoint
path:
  v: InsuranceProduct.endpoint
short:
  v: Technical endpoint
definition:
  v: The technical endpoints providing access to services operated for the health insurance product.
requirements:
  v: Organizations have multiple systems that provide various services and need to be able to define the technical connection details for how to connect to them, and for what purpose.
min:
  v: 0
max:
  v: *
base:
  path:
    v: InsuranceProduct.endpoint
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Endpoint
    l: Endpoint
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: InsuranceProduct.network
path:
  v: InsuranceProduct.network
short:
  v: What networks are Included
definition:
  v: Reference to the network included in the health insurance product.
comment:
  v: Networks are represented as a hierarchy of organization resources.
min:
  v: 0
max:
  v: *
base:
  path:
    v: InsuranceProduct.network
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Organization
    l: Organization

id:
  v: InsuranceProduct.coverage
path:
  v: InsuranceProduct.coverage
short:
  v: Coverage details
definition:
  v: Details about the coverage offered by the insurance product.
min:
  v: 0
max:
  v: *
base:
  path:
    v: InsuranceProduct.coverage
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: BackboneElement
    l: BackboneElement
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children or both
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element

id:
  v: InsuranceProduct.coverage.id
path:
  v: InsuranceProduct.coverage.id
representation:
  v: xmlAttr
short:
  v: Unique id for inter-element referencing
definition:
  v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
      l: structuredefinition-fhir-type
    value: Url
      v: id
      l: id
  code:
    v: http://hl7.org/fhirpath/System.String
    l: System.String
condition:
  v: ele-1
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: InsuranceProduct.coverage.extension
path:
  v: InsuranceProduct.coverage.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  rules:
    v: open
short:
  v: Additional content defined by implementations
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: InsuranceProduct.coverage.modifierExtension
path:
  v: InsuranceProduct.coverage.modifierExtension
short:
  v: Extensions that cannot be ignored even if unrecognized
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
requirements:
  v: Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://build.fhir.org/extensibility.html#modifierExtension).
alias:
  v: extensions
alias:
  v: user content
alias:
  v: modifiers
min:
  v: 0
max:
  v: *
base:
  path:
    v: BackboneElement.modifierExtension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: true
is modifier reason:
  v: Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: InsuranceProduct.coverage.type
path:
  v: InsuranceProduct.coverage.type
short:
  v: Classification of Coverage
definition:
  v: Type of coverage (Medical; Dental; Mental Health; Substance Abuse; Vision; Drug; Short Term; Long Term Care; Hospice; Home Health).
min:
  v: 1
max:
  v: 1
base:
  path:
    v: InsuranceProduct.coverage.type
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: CodeableConcept
    l: CodeableConcept

id:
  v: InsuranceProduct.coverage.network
path:
  v: InsuranceProduct.coverage.network
short:
  v: What networks provide coverage
definition:
  v: Reference to the network that providing the type of coverage.
comment:
  v: Networks are represented as a hierarchy of organization resources.
min:
  v: 0
max:
  v: *
base:
  path:
    v: InsuranceProduct.coverage.network
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Organization
    l: Organization

id:
  v: InsuranceProduct.coverage.benefit
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name
    l: structuredefinition-explicit-type-name
  value: String
    v: CoverageBenefit
path:
  v: InsuranceProduct.coverage.benefit
short:
  v: List of benefits
definition:
  v: Specific benefits under this type of coverage.
min:
  v: 1
max:
  v: *
base:
  path:
    v: InsuranceProduct.coverage.benefit
  min:
    v: 1
  max:
    v: *
type:
  code:
    v: BackboneElement
    l: BackboneElement
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children or both
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element

id:
  v: InsuranceProduct.coverage.benefit.id
path:
  v: InsuranceProduct.coverage.benefit.id
representation:
  v: xmlAttr
short:
  v: Unique id for inter-element referencing
definition:
  v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
      l: structuredefinition-fhir-type
    value: Url
      v: id
      l: id
  code:
    v: http://hl7.org/fhirpath/System.String
    l: System.String
condition:
  v: ele-1
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: InsuranceProduct.coverage.benefit.extension
path:
  v: InsuranceProduct.coverage.benefit.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  rules:
    v: open
short:
  v: Additional content defined by implementations
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: InsuranceProduct.coverage.benefit.modifierExtension
path:
  v: InsuranceProduct.coverage.benefit.modifierExtension
short:
  v: Extensions that cannot be ignored even if unrecognized
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
requirements:
  v: Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://build.fhir.org/extensibility.html#modifierExtension).
alias:
  v: extensions
alias:
  v: user content
alias:
  v: modifiers
min:
  v: 0
max:
  v: *
base:
  path:
    v: BackboneElement.modifierExtension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: true
is modifier reason:
  v: Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: InsuranceProduct.coverage.benefit.type
path:
  v: InsuranceProduct.coverage.benefit.type
short:
  v: Classification of benefit provided
definition:
  v: Type of benefit (primary care; specialty care; inpatient; outpatient).
min:
  v: 1
max:
  v: 1
base:
  path:
    v: InsuranceProduct.coverage.benefit.type
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: CodeableConcept
    l: CodeableConcept

id:
  v: InsuranceProduct.coverage.benefit.requirement
path:
  v: InsuranceProduct.coverage.benefit.requirement
short:
  v: Referral requirements
definition:
  v: The referral requirements to have access/coverage for this benefit.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: InsuranceProduct.coverage.benefit.requirement
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string

id:
  v: InsuranceProduct.coverage.benefit.limit
path:
  v: InsuranceProduct.coverage.benefit.limit
short:
  v: Limits on the provided benefits
definition:
  v: The specific limits on the benefit.
min:
  v: 0
max:
  v: *
base:
  path:
    v: InsuranceProduct.coverage.benefit.limit
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: BackboneElement
    l: BackboneElement
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children or both
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element

id:
  v: InsuranceProduct.coverage.benefit.limit.id
path:
  v: InsuranceProduct.coverage.benefit.limit.id
representation:
  v: xmlAttr
short:
  v: Unique id for inter-element referencing
definition:
  v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
      l: structuredefinition-fhir-type
    value: Url
      v: id
      l: id
  code:
    v: http://hl7.org/fhirpath/System.String
    l: System.String
condition:
  v: ele-1
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: InsuranceProduct.coverage.benefit.limit.extension
path:
  v: InsuranceProduct.coverage.benefit.limit.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  rules:
    v: open
short:
  v: Additional content defined by implementations
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: InsuranceProduct.coverage.benefit.limit.modifierExtension
path:
  v: InsuranceProduct.coverage.benefit.limit.modifierExtension
short:
  v: Extensions that cannot be ignored even if unrecognized
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
requirements:
  v: Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://build.fhir.org/extensibility.html#modifierExtension).
alias:
  v: extensions
alias:
  v: user content
alias:
  v: modifiers
min:
  v: 0
max:
  v: *
base:
  path:
    v: BackboneElement.modifierExtension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: true
is modifier reason:
  v: Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: InsuranceProduct.coverage.benefit.limit.value
path:
  v: InsuranceProduct.coverage.benefit.limit.value
short:
  v: Maximum value allowed
definition:
  v: The maximum amount of a service item a plan will pay for a covered benefit. For examples. wellness visits, or eyeglasses.
comment:
  v: May also be called “eligible expense,” “payment allowance,” or “negotiated rate.”.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: InsuranceProduct.coverage.benefit.limit.value
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Quantity
    l: Quantity

id:
  v: InsuranceProduct.coverage.benefit.limit.code
path:
  v: InsuranceProduct.coverage.benefit.limit.code
short:
  v: Benefit limit details
definition:
  v: The specific limit on the benefit.
comment:
  v: Use `CodeableConcept.text` element if the data is free (uncoded) text.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: InsuranceProduct.coverage.benefit.limit.code
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CodeableConcept
    l: CodeableConcept

id:
  v: InsuranceProduct.related
path:
  v: InsuranceProduct.related
short:
  v: Associated insurance product
definition:
  v: Another product that is related to this product. Often used to create relationships to parents or families of products.
min:
  v: 0
max:
  v: *
base:
  path:
    v: InsuranceProduct.related
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: BackboneElement
    l: BackboneElement
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children or both
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element

id:
  v: InsuranceProduct.related.id
path:
  v: InsuranceProduct.related.id
representation:
  v: xmlAttr
short:
  v: Unique id for inter-element referencing
definition:
  v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
      l: structuredefinition-fhir-type
    value: Url
      v: id
      l: id
  code:
    v: http://hl7.org/fhirpath/System.String
    l: System.String
condition:
  v: ele-1
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: InsuranceProduct.related.extension
path:
  v: InsuranceProduct.related.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  rules:
    v: open
short:
  v: Additional content defined by implementations
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: InsuranceProduct.related.modifierExtension
path:
  v: InsuranceProduct.related.modifierExtension
short:
  v: Extensions that cannot be ignored even if unrecognized
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
requirements:
  v: Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://build.fhir.org/extensibility.html#modifierExtension).
alias:
  v: extensions
alias:
  v: user content
alias:
  v: modifiers
min:
  v: 0
max:
  v: *
base:
  path:
    v: BackboneElement.modifierExtension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: true
is modifier reason:
  v: Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: InsuranceProduct.related.product
path:
  v: InsuranceProduct.related.product
short:
  v: Related Product reference
definition:
  v: The Related Product reference.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: InsuranceProduct.related.product
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/InsuranceProduct
    l: InsuranceProduct

id:
  v: InsuranceProduct.related.relationship
path:
  v: InsuranceProduct.related.relationship
short:
  v: Relationship of this product to the related product
definition:
  v: The relationship of this product to the related product. an example would be 'sub-plan' where this product is a sub-plan of the related.product.
comment:
  v: Use `CodeableConcept.text` element if the data is free (uncoded) text.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: InsuranceProduct.related.relationship
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CodeableConcept
    l: CodeableConcept

id:
  v: InsuranceProduct.related.period
path:
  v: InsuranceProduct.related.period
short:
  v: Period that this Relationship is valid
definition:
  v: Period of time that the product relationship is valid. The start and/or end dates can be empty if this is an open ended relationship.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: InsuranceProduct.related.period
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Period
    l: Period

element:
  id:
    v: InsuranceProduct
  path:
    v: InsuranceProduct
  short:
    v: Details of a Health Insurance product provided by an organization
  definition:
    v: A product is a discrete package of health insurance coverage benefits that are offered under a particular network, by an organization (payer) and additional information about the offering, such as who it is owned and administered by, a coverage area, contact information, etc.
  min:
    v: 0
  max:
    v: *
  constraint:
    key:
      v: ipn-1
    severity:
      v: error
    human:
      v: The organization SHALL at least have a name or an identifier, and possibly more than one
    expression:
      v: (identifier.count() + name.count()) > 0
    source:
      v: http://hl7.org/fhir/StructureDefinition/InsuranceProduct
      l: InsuranceProduct
  mapping:
    identity:
      v: w5
    map:
      v: administrative.entity
element:
  id:
    v: InsuranceProduct.identifier
  path:
    v: InsuranceProduct.identifier
  short:
    v: Business Identifier for Product
  definition:
    v: Business identifiers assigned to this health insurance product which remain constant as the resource is updated and propagates from server to server.
  min:
    v: 0
  max:
    v: *
  type:
    code:
      v: Identifier
      l: Identifier
  condition:
    v: ipn-1
  is summary:
    v: true
  mapping:
    identity:
      v: w5
    map:
      v: FiveWs.identifier
  mapping:
    identity:
      v: rim
    map:
      v: .scopes[Role](classCode=IDENT)
element:
  id:
    v: InsuranceProduct.status
  path:
    v: InsuranceProduct.status
  short:
    v: draft | active | retired | unknown
  definition:
    v: The current state of the health insurance product.
  requirements:
    v: Need a flag to indicate a record is no longer to be used and should generally be hidden for the user in the UI.
  min:
    v: 0
  max:
    v: 1
  type:
    code:
      v: code
      l: code
  meaning when missing:
    v: Default interpretation is active.
  is modifier:
    v: true
  is modifier reason:
    v: This element is labeled as a modifier because it is a status element that contains codes which means that the resource should not be treated as valid
  is summary:
    v: true
  binding:
    extension:
      url:
        v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
        l: elementdefinition-bindingName
      value: String
        v: PublicationStatus
    extension:
      url:
        v: http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding
        l: elementdefinition-isCommonBinding
      value: Boolean
        v: true
    strength:
      v: required
    description:
      v: The lifecycle status of an artifact.
    value set:
      v: http://hl7.org/fhir/ValueSet/publication-status
      l: publication-status
  mapping:
    identity:
      v: w5
    map:
      v: FiveWs.status
  mapping:
    identity:
      v: rim
    map:
      v: .status
element:
  id:
    v: InsuranceProduct.type
  path:
    v: InsuranceProduct.type
  short:
    v: Kind of product
  definition:
    v: The kind of health insurance product.
  min:
    v: 0
  max:
    v: *
  type:
    code:
      v: CodeableConcept
      l: CodeableConcept
  is summary:
    v: true
  binding:
    extension:
      url:
        v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
        l: elementdefinition-bindingName
      value: String
        v: InsuranceProductType
    strength:
      v: example
    description:
      v: Used to categorize the product.
    value set:
      v: http://hl7.org/fhir/ValueSet/insuranceproduct-type
      l: insuranceproduct-type
  mapping:
    identity:
      v: w5
    map:
      v: FiveWs.class
  mapping:
    identity:
      v: rim
    map:
      v: .code
element:
  id:
    v: InsuranceProduct.name
  path:
    v: InsuranceProduct.name
  short:
    v: Official name
  definition:
    v: Official name of the health insurance product as designated by the owner.
  comment:
    v: If the name of the product changes, consider putting the old name in the alias column so that it can still be located through searches.
  min:
    v: 0
  max:
    v: 1
  type:
    code:
      v: string
      l: string
  condition:
    v: ipn-1
  is summary:
    v: true
  mapping:
    identity:
      v: rim
    map:
      v: .name
element:
  id:
    v: InsuranceProduct.alias
  extension:
    url:
      v: http://hl7.org/fhir/build/StructureDefinition/committee-notes
      l: committee-notes
    value: String
      v: This is used in many registries, and is often very important in searching.
  path:
    v: InsuranceProduct.alias
  short:
    v: Alternate names

v: A list of alternate names that the product is known as, or was known as in the past.

v: There are no dates associated with the alias/historic names, as this is not intended to track when names were used, but to assist in searching so that older names can still result in identifying the product.

v: Over time products go through many changes and can be known by different names. For searching knowing previous names that the product was known by can be very useful.

v: 0

v: *

code:
  v: string
  l: string

identity:
  v: rim
map:
  v: .name

id:
  v: InsuranceProduct.period
path:
  v: InsuranceProduct.period
short:
  v: When the product is available
definition:
  v: The period of time that the health insurance product is available.
min:
  v: 0
max:
  v: 1
type:
  code:
    v: Period
    l: Period

id:
  v: InsuranceProduct.ownedBy
path:
  v: InsuranceProduct.ownedBy
short:
  v: Product issuer
definition:
  v: The entity that is providing the health insurance product and underwriting the risk. This is typically an insurance carriers, other third-party payers, or health plan sponsors comonly referred to as 'payers'.
alias:
  v: Payer
min:
  v: 0
max:
  v: 1
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Organization
    l: Organization
is summary:
  v: true

id:
  v: InsuranceProduct.administeredBy
path:
  v: InsuranceProduct.administeredBy
short:
  v: Product administrator
definition:
  v: An organization which administer other services such as underwriting, customer service and/or claims processing on behalf of the health insurance product owner.
min:
  v: 0
max:
  v: 1
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Organization
    l: Organization
is summary:
  v: true

id:
  v: InsuranceProduct.coverageArea
path:
  v: InsuranceProduct.coverageArea
short:
  v: Where product applies
definition:
  v: The geographic region in which a health insurance product's benefits apply.
min:
  v: 0
max:
  v: *
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Location
    l: Location
is summary:
  v: true

id:
  v: InsuranceProduct.contact
path:
  v: InsuranceProduct.contact
short:
  v: Official contact details relevant to the health insurance product
definition:
  v: The contact details of communication devices available relevant to the specific Insurance Product. This can include addresses, phone numbers, fax numbers, mobile numbers, email addresses and web sites.
comment:
  v: The address/telecom use code 'home' are not to be used.
requirements:
  v: Need to keep track of both simple contact details and also assigned contacts within larger organizations.
min:
  v: 0
max:
  v: *
type:
  code:
    v: ExtendedContactDetail
    l: ExtendedContactDetail
mapping:
  identity:
    v: rim
  map:
    v: .contactParty

id:
  v: InsuranceProduct.endpoint
path:
  v: InsuranceProduct.endpoint
short:
  v: Technical endpoint
definition:
  v: The technical endpoints providing access to services operated for the health insurance product.
requirements:
  v: Organizations have multiple systems that provide various services and need to be able to define the technical connection details for how to connect to them, and for what purpose.
min:
  v: 0
max:
  v: *
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Endpoint
    l: Endpoint
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: InsuranceProduct.network
path:
  v: InsuranceProduct.network
short:
  v: What networks are Included
definition:
  v: Reference to the network included in the health insurance product.
comment:
  v: Networks are represented as a hierarchy of organization resources.
min:
  v: 0
max:
  v: *
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Organization
    l: Organization

id:
  v: InsuranceProduct.coverage
path:
  v: InsuranceProduct.coverage
short:
  v: Coverage details
definition:
  v: Details about the coverage offered by the insurance product.
min:
  v: 0
max:
  v: *
type:
  code:
    v: BackboneElement
    l: BackboneElement

id:
  v: InsuranceProduct.coverage.type
path:
  v: InsuranceProduct.coverage.type
short:
  v: Classification of Coverage
definition:
  v: Type of coverage (Medical; Dental; Mental Health; Substance Abuse; Vision; Drug; Short Term; Long Term Care; Hospice; Home Health).
min:
  v: 1
max:
  v: 1
type:
  code:
    v: CodeableConcept
    l: CodeableConcept

id:
  v: InsuranceProduct.coverage.network
path:
  v: InsuranceProduct.coverage.network
short:
  v: What networks provide coverage
definition:
  v: Reference to the network that providing the type of coverage.
comment:
  v: Networks are represented as a hierarchy of organization resources.
min:
  v: 0
max:
  v: *
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Organization
    l: Organization

id:
  v: InsuranceProduct.coverage.benefit
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name
    l: structuredefinition-explicit-type-name
  value: String
    v: CoverageBenefit
path:
  v: InsuranceProduct.coverage.benefit
short:
  v: List of benefits
definition:
  v: Specific benefits under this type of coverage.
min:
  v: 1
max:
  v: *
type:
  code:
    v: BackboneElement
    l: BackboneElement

id:
  v: InsuranceProduct.coverage.benefit.type
path:
  v: InsuranceProduct.coverage.benefit.type
short:
  v: Classification of benefit provided
definition:
  v: Type of benefit (primary care; specialty care; inpatient; outpatient).
min:
  v: 1
max:
  v: 1
type:
  code:
    v: CodeableConcept
    l: CodeableConcept

id:
  v: InsuranceProduct.coverage.benefit.requirement
path:
  v: InsuranceProduct.coverage.benefit.requirement
short:
  v: Referral requirements
definition:
  v: The referral requirements to have access/coverage for this benefit.
min:
  v: 0
max:
  v: 1
type:
  code:
    v: string
    l: string

id:
  v: InsuranceProduct.coverage.benefit.limit
path:
  v: InsuranceProduct.coverage.benefit.limit
short:
  v: Limits on the provided benefits
definition:
  v: The specific limits on the benefit.
min:
  v: 0
max:
  v: *
type:
  code:
    v: BackboneElement
    l: BackboneElement

id:
  v: InsuranceProduct.coverage.benefit.limit.value
path:
  v: InsuranceProduct.coverage.benefit.limit.value
short:
  v: Maximum value allowed
definition:
  v: The maximum amount of a service item a plan will pay for a covered benefit. For examples. wellness visits, or eyeglasses.
comment:
  v: May also be called “eligible expense,” “payment allowance,” or “negotiated rate.”.
min:
  v: 0
max:
  v: 1
type:
  code:
    v: Quantity
    l: Quantity

id:
  v: InsuranceProduct.coverage.benefit.limit.code
path:
  v: InsuranceProduct.coverage.benefit.limit.code
short:
  v: Benefit limit details
definition:
  v: The specific limit on the benefit.
comment:
  v: Use `CodeableConcept.text` element if the data is free (uncoded) text.
min:
  v: 0
max:
  v: 1
type:
  code:
    v: CodeableConcept
    l: CodeableConcept

id:
  v: InsuranceProduct.related
path:
  v: InsuranceProduct.related
short:
  v: Associated insurance product
definition:
  v: Another product that is related to this product. Often used to create relationships to parents or families of products.
min:
  v: 0
max:
  v: *
type:
  code:
    v: BackboneElement
    l: BackboneElement

id:
  v: InsuranceProduct.related.product
path:
  v: InsuranceProduct.related.product
short:
  v: Related Product reference
definition:
  v: The Related Product reference.
min:
  v: 0
max:
  v: 1
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/InsuranceProduct
    l: InsuranceProduct

id:
  v: InsuranceProduct.related.relationship
path:
  v: InsuranceProduct.related.relationship
short:
  v: Relationship of this product to the related product
definition:
  v: The relationship of this product to the related product. an example would be 'sub-plan' where this product is a sub-plan of the related.product.
comment:
  v: Use `CodeableConcept.text` element if the data is free (uncoded) text.
min:
  v: 0
max:
  v: 1
type:
  code:
    v: CodeableConcept
    l: CodeableConcept

id:
  v: InsuranceProduct.related.period
path:
  v: InsuranceProduct.related.period
short:
  v: Period that this Relationship is valid
definition:
  v: Period of time that the product relationship is valid. The start and/or end dates can be empty if this is an open ended relationship.
min:
  v: 0
max:
  v: 1
type:
  code:
    v: Period
    l: Period