Intersection of http://hl7.org/fhir/us/davinci-pdex-plan-net/StructureDefinition/plannet-InsurancePlan and http://hl7.org/fhir/us/davinci-pdex-plan-net/StructureDefinition/plannet-InsurancePlan

This is the set of resources that conform to both Plan-Net InsurancePlan (http://hl7.org/fhir/us/davinci-pdex-plan-net/StructureDefinition/plannet-InsurancePlan) and Plan-Net InsurancePlan (http://hl7.org/fhir/us/davinci-pdex-plan-net/StructureDefinition/plannet-InsurancePlan).

Structure

NameFlagsCard.TypeDescription & Constraints    Filter: doco
InsurancePlan C0..*Details of a Health Insurance product/plan provided by an organization
Constraints: ipn-1, network-or-plan-Network, plan-type-is-distinct
InsurancePlan.meta This element is included in summaries. 0..1MetaMetadata about the resource
InsurancePlan.implicitRules This element is a modifier element. This element is included in summaries. 0..1uriA set of rules under which this content was created
InsurancePlan.language 0..1codeLanguage of the resource content
Binding: ?? (preferred): A human language.
Additional BindingsPurpose
??Max Binding
InsurancePlan.text 0..1NarrativeText summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
InsurancePlan.contained 0..*ResourceContained, inline Resources
InsurancePlan.extension 0..*ExtensionAdditional content defined by implementations
InsurancePlan.modifierExtension This element is a modifier element. 0..*ExtensionExtensions that cannot be ignored
InsurancePlan.identifier This element is included in summaries. 0..*IdentifierBusiness Identifier for Product
InsurancePlan.identifier.extension 0..*ExtensionAdditional content defined by implementations
InsurancePlan.identifier.use This element is a modifier element. This element is included in summaries. 0..1codeusual | official | temp | secondary | old (If known)
Binding: ?? (required): Identifies the purpose for this identifier, if known .
InsurancePlan.identifier.type This element must be supported. This element is included in summaries. 0..1CodeableConceptDescription of identifier
Binding: ?? (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
InsurancePlan.identifier.system This element is included in summaries. 0..1uriThe namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
InsurancePlan.identifier.value This element must be supported. This element is included in summaries. 0..1stringThe value that is unique
Example General: 123456
InsurancePlan.identifier.period This element is included in summaries. 0..1PeriodTime period when id is/was valid for use
InsurancePlan.identifier.assigner This element must be supported. This element is included in summaries. 0..1Reference(Organization)Organization that issued id (may be just text)
InsurancePlan.status This element is a modifier element. This element must be supported. This element is included in summaries. 1..1codedraft | active | retired | unknown
Binding: ?? (required): The lifecycle status of an artifact.
InsurancePlan.type This element must be supported. This element is included in summaries. 1..1CodeableConceptProduct Type
Binding: ?? (extensible)
InsurancePlan.name This element must be supported. This element is included in summaries. 0..1stringOfficial name
InsurancePlan.alias This element must be supported. 0..*stringAlternate names
InsurancePlan.period This element must be supported. 0..1PeriodWhen the product is available
InsurancePlan.ownedBy This element must be supported. This element is included in summaries. 1..1Reference(Plan-Net Organization | #sd-23-plannet-Organization-plannet-Organization)Plan issuer
InsurancePlan.administeredBy This element must be supported. This element is included in summaries. 1..1Reference(Plan-Net Organization | #sd-23-plannet-Organization-plannet-Organization)Product administrator
InsurancePlan.coverageArea This element must be supported. This element is included in summaries. 0..*Reference(Plan-Net Location | #sd-21-plannet-Location-plannet-Location)Where product applies
InsurancePlan.contact This element must be supported. 0..*BackboneElementContact for the product
InsurancePlan.contact.extension 0..*ExtensionAdditional content defined by implementations
InsurancePlan.contact.modifierExtension This element is a modifier element. This element is included in summaries. 0..*ExtensionExtensions that cannot be ignored even if unrecognized
InsurancePlan.contact.purpose 0..1CodeableConceptThe type of contact
Binding: ?? (extensible): The purpose for which you would contact a contact party.
InsurancePlan.contact.name This element must be supported. 0..1HumanNameA name associated with the contact
InsurancePlan.contact.name.extension 0..*ExtensionAdditional content defined by implementations
InsurancePlan.contact.name.use This element is a modifier element. This element is included in summaries. 0..1codeusual | official | temp | nickname | anonymous | old | maiden
Binding: ?? (required): The use of a human name.
InsurancePlan.contact.name.text This element must be supported. This element is included in summaries. 0..1stringText representation of the full name
InsurancePlan.contact.name.family This element is included in summaries. 0..1stringFamily name (often called 'Surname')
InsurancePlan.contact.name.given This element is included in summaries. 0..*stringGiven names (not always 'first'). Includes middle names
InsurancePlan.contact.name.prefix This element is included in summaries. 0..*stringParts that come before the name
InsurancePlan.contact.name.suffix This element is included in summaries. 0..*stringParts that come after the name
InsurancePlan.contact.name.period This element is included in summaries. 0..1PeriodTime period when name was/is in use
InsurancePlan.contact.telecom This element must be supported. 0..*ContactPointContact details (telephone, email, etc.) for a contact
InsurancePlan.contact.telecom.extension 0..*ExtensionAdditional content defined by implementations
InsurancePlan.contact.telecom.system This element must be supported. This element is included in summaries. 0..1codephone | fax | email | pager | url | sms | other
Binding: ?? (required): Telecommunications form for contact point.
InsurancePlan.contact.telecom.value This element must be supported. This element is included in summaries. 0..1stringThe actual contact point details
InsurancePlan.contact.telecom.use This element is a modifier element. This element is included in summaries. 0..1codehome | work | temp | old | mobile - purpose of this contact point
Binding: ?? (required): Use of contact point.
InsurancePlan.contact.telecom.rank This element is included in summaries. 0..1positiveIntSpecify preferred order of use (1 = highest)
InsurancePlan.contact.telecom.period This element is included in summaries. 0..1PeriodTime period when the contact point was/is in use
InsurancePlan.contact.address 0..1AddressVisiting or postal addresses for the contact
InsurancePlan.endpoint This element must be supported. 0..*Reference(Plan-Net Endpoint | #sd-24-plannet-Endpoint-plannet-Endpoint)Technical endpoint
InsurancePlan.network This element must be supported. 0..*Reference(Plan-Net Network | #sd-27-plannet-Network-plannet-Network)What networks are Included
InsurancePlan.coverage 0..*BackboneElementCoverage details
InsurancePlan.coverage.extension 0..*ExtensionAdditional content defined by implementations
InsurancePlan.coverage.modifierExtension This element is a modifier element. This element is included in summaries. 0..*ExtensionExtensions that cannot be ignored even if unrecognized
InsurancePlan.coverage.type 1..1CodeableConceptType of coverage
InsurancePlan.coverage.network 0..*Reference(Organization)What networks provide coverage
InsurancePlan.coverage.benefit 1..*BackboneElementList of benefits
InsurancePlan.coverage.benefit.extension 0..*ExtensionAdditional content defined by implementations
InsurancePlan.coverage.benefit.modifierExtension This element is a modifier element. This element is included in summaries. 0..*ExtensionExtensions that cannot be ignored even if unrecognized
InsurancePlan.coverage.benefit.type 1..1CodeableConceptType of benefit
InsurancePlan.coverage.benefit.requirement 0..1stringReferral requirements
InsurancePlan.coverage.benefit.limit 0..*BackboneElementBenefit limits
InsurancePlan.coverage.benefit.limit.extension 0..*ExtensionAdditional content defined by implementations
InsurancePlan.coverage.benefit.limit.modifierExtension This element is a modifier element. This element is included in summaries. 0..*ExtensionExtensions that cannot be ignored even if unrecognized
InsurancePlan.coverage.benefit.limit.value 0..1QuantityMaximum value allowed
InsurancePlan.coverage.benefit.limit.code 0..1CodeableConceptBenefit limit details
InsurancePlan.plan 0..*BackboneElementCost sharing details for the plan
InsurancePlan.plan.extension 0..*ExtensionAdditional content defined by implementations
InsurancePlan.plan.modifierExtension This element is a modifier element. This element is included in summaries. 0..*ExtensionExtensions that cannot be ignored even if unrecognized
InsurancePlan.plan.identifier This element is included in summaries. 0..*IdentifierBusiness Identifier for Product
InsurancePlan.plan.type This element must be supported. 0..1CodeableConceptCategorization of the cost sharing for the plan
Binding: ?? (extensible)
InsurancePlan.plan.coverageArea This element must be supported. This element is included in summaries. 0..*Reference(Plan-Net Location | #sd-21-plannet-Location-plannet-Location)Where product applies
InsurancePlan.plan.network 0..*Reference(Plan-Net Network | #sd-27-plannet-Network-plannet-Network)What networks provide coverage
InsurancePlan.plan.generalCost 0..*BackboneElementOverall costs
InsurancePlan.plan.generalCost.extension 0..*ExtensionAdditional content defined by implementations
InsurancePlan.plan.generalCost.modifierExtension This element is a modifier element. This element is included in summaries. 0..*ExtensionExtensions that cannot be ignored even if unrecognized
InsurancePlan.plan.generalCost.type 0..1CodeableConceptType of cost
InsurancePlan.plan.generalCost.groupSize 0..1positiveIntNumber of enrollees
InsurancePlan.plan.generalCost.cost 0..1MoneyCost value
InsurancePlan.plan.generalCost.comment 0..1stringAdditional cost information
InsurancePlan.plan.specificCost 0..*BackboneElementSpecific costs
InsurancePlan.plan.specificCost.extension 0..*ExtensionAdditional content defined by implementations
InsurancePlan.plan.specificCost.modifierExtension This element is a modifier element. This element is included in summaries. 0..*ExtensionExtensions that cannot be ignored even if unrecognized
InsurancePlan.plan.specificCost.category 1..1CodeableConceptGeneral category of benefit
InsurancePlan.plan.specificCost.benefit 0..*BackboneElementBenefits list
InsurancePlan.plan.specificCost.benefit.extension 0..*ExtensionAdditional content defined by implementations
InsurancePlan.plan.specificCost.benefit.modifierExtension This element is a modifier element. This element is included in summaries. 0..*ExtensionExtensions that cannot be ignored even if unrecognized
InsurancePlan.plan.specificCost.benefit.type 1..1CodeableConceptType of specific benefit
InsurancePlan.plan.specificCost.benefit.cost 0..*BackboneElementList of the costs
InsurancePlan.plan.specificCost.benefit.cost.extension 0..*ExtensionAdditional content defined by implementations
InsurancePlan.plan.specificCost.benefit.cost.modifierExtension This element is a modifier element. This element is included in summaries. 0..*ExtensionExtensions that cannot be ignored even if unrecognized
InsurancePlan.plan.specificCost.benefit.cost.type 1..1CodeableConceptType of cost
InsurancePlan.plan.specificCost.benefit.cost.applicability 0..1CodeableConceptin-network | out-of-network | other
Binding: ?? (required): Whether the cost applies to in-network or out-of-network providers.
InsurancePlan.plan.specificCost.benefit.cost.qualifiers 0..*CodeableConceptAdditional information about the cost
InsurancePlan.plan.specificCost.benefit.cost.value 0..1QuantityThe actual cost value

doco Documentation for this format