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

This is the set of resources that conform to either of the profiles Payer Insurance Plan (http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-PayerInsurancePlan) and Payer Insurance Plan (http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-PayerInsurancePlan). 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
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
versionId	Σ	0..1	id	Version specific identifier ele-1: All FHIR elements must have a @value or children
lastUpdated	SΣ	1..1	instant	When the resource version last changed ele-1: All FHIR elements must have a @value or children
source	Σ	0..1	uri	Identifies where the resource comes from ele-1: All FHIR elements must have a @value or children
profile	Σ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to ele-1: All FHIR elements must have a @value or children
security	Σ	0..*	Coding	Security Labels applied to this resource Binding: ?? (extensible): Security Labels from the Healthcare Privacy and Security Classification System. ele-1: All FHIR elements must have a @value or children
tag	Σ	0..*	Coding	Tags applied to this resource Binding: ?? (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones". ele-1: All FHIR elements must have a @value or children
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created 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
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
identifier	SΣ	1..*	Identifier	Business Identifier for Product ele-1: All FHIR elements must have a @value or children
status	?!SΣ	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	SΣ	1..1	CodeableConcept	Product type Binding: ?? (extensible) ele-1: All FHIR elements must have a @value or children
name	SΣ	0..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	S	0..1	Period	When the product is available ele-1: All FHIR elements must have a @value or children
ownedBy	Σ	0..1	Reference(Organization)	Plan issuer ele-1: All FHIR elements must have a @value or children
administeredBy	Σ	0..1	Reference(Organization)	Product administrator ele-1: All FHIR elements must have a @value or children
coverageArea	SΣ	0..*	Reference(Insurance Plan Location | #sd-usdf-InsurancePlanLocation-usdf-InsurancePlanLocation)	Where product applies ele-1: All FHIR elements must have a @value or children
contact		0..*	BackboneElement	Contact information for the Insurance Plan including URLs for brochure and formulary information 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) ele-1: All FHIR elements must have a @value or children
name	S	0..1	HumanName	A name associated with the contact 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
use	?!Σ	0..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: ?? (required): The use of a human name. ele-1: All FHIR elements must have a @value or children
text	SΣ	0..1	string	Text representation of the full name ele-1: All FHIR elements must have a @value or children
family	Σ	0..1	string	Family name (often called 'Surname') ele-1: All FHIR elements must have a @value or children
given	Σ	0..*	string	Given names (not always 'first'). Includes middle names ele-1: All FHIR elements must have a @value or children
prefix	Σ	0..*	string	Parts that come before the name ele-1: All FHIR elements must have a @value or children
suffix	Σ	0..*	string	Parts that come after the name ele-1: All FHIR elements must have a @value or children
period	Σ	0..1	Period	Time period when name was/is in use ele-1: All FHIR elements must have a @value or children
telecom	S	0..*	ContactPoint	Contact details (telephone, email, etc.) for a contact 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
system	SΣ	0..1	code	phone | fax | email | pager | url | sms | other Binding: ?? (required): Telecommunications form for contact point. ele-1: All FHIR elements must have a @value or children
value	SΣ	0..1	string	The actual contact point details ele-1: All FHIR elements must have a @value or children
use	?!Σ	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ?? (required): Use of contact point. ele-1: All FHIR elements must have a @value or children
rank	Σ	0..1	positiveInt	Specify preferred order of use (1 = highest) ele-1: All FHIR elements must have a @value or children
period	Σ	0..1	Period	Time period when the contact point was/is in use 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	S	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	S	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	S	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 Binding: ?? (extensible) 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