FHIR Implementation Guide for ABDM
3.0.1 - CI Build
FHIR Implementation Guide for ABDM - Local Development build (v3.0.1). See the Directory of published versions
Official URL: https://nrces.in/ndhm/fhir/r4/StructureDefinition/InsurancePlan | Version: 3.0.1 | |||
Draft as of 2023-07-05 | Computable Name: InsurancePlan |
This Profile describes a health insurance offering comprised of a list of covered benefits (i.e. the product), costs associated with those benefits (i.e. the plan), and additional information about the offering, such as who it is owned and administered by, a coverage area, contact information, etc.
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from InsurancePlan
This structure is derived from InsurancePlan
Name | Flags | Card. | Type | Description & Constraints![]() |
---|---|---|---|---|
![]() ![]() | 0..* | InsurancePlan | Details of a Health Insurance product/plan provided by an organization | |
![]() ![]() ![]() | S | 1..1 | Identifier | Business Identifier for Product |
![]() ![]() ![]() | S | 1..1 | code | draft | active | retired | unknown |
![]() ![]() ![]() | S | 1..1 | CodeableConcept | Kind of product Binding: InsurancePlan Type (example) |
![]() ![]() ![]() | S | 1..1 | string | Official name |
![]() ![]() ![]() | S | 0..* | string | Alternate names |
![]() ![]() ![]() | S | 1..1 | Period | When the product is available |
![]() ![]() ![]() | S | 1..1 | Reference(Organization) | Plan issuer |
![]() ![]() ![]() | S | 1..1 | Reference(Organization) | Product administrator |
![]() ![]() ![]() | S | 0..* | Reference(Location) | Where product applies |
![]() ![]() ![]() | S | 0..* | BackboneElement | Contact for the product |
![]() ![]() ![]() | S | 0..* | Reference(Organization) | What networks are Included |
![]() ![]() ![]() | S | 1..* | BackboneElement | Coverage details |
![]() ![]() ![]() ![]() | 1..1 | CodeableConcept | Type of coverage Binding: Coverage Type (example) | |
![]() ![]() ![]() ![]() | S | 1..* | BackboneElement | List of benefits |
![]() ![]() ![]() ![]() ![]() | 1..1 | CodeableConcept | Type of benefit Binding: Benefit Type (example) | |
![]() ![]() ![]() | S | 0..* | BackboneElement | Plan details |
![]() ![]() ![]() ![]() | S | 1..1 | CodeableConcept | Type of plan Binding: Plan Type (example) |
![]() ![]() ![]() ![]() | S | 0..* | Reference(Location) | Where product applies |
![]() ![]() ![]() ![]() | 0..* | Reference(Organization) | What networks provide coverage | |
![]() ![]() ![]() ![]() | S | 0..* | BackboneElement | Overall costs |
![]() ![]() ![]() ![]() | S | 0..* | BackboneElement | Specific costs |
![]() ![]() ![]() ![]() ![]() | S | 1..1 | CodeableConcept | General category of benefit Binding: Benefit Category (example) |
![]() |
Name | Flags | Card. | Type | Description & Constraints![]() | ||||
---|---|---|---|---|---|---|---|---|
![]() ![]() | C | 0..* | InsurancePlan | Details of a Health Insurance product/plan provided by an organization | ||||
![]() ![]() ![]() | Σ | 0..1 | id | Logical id of this artifact | ||||
![]() ![]() ![]() | Σ | 0..1 | Meta | Metadata about the resource | ||||
![]() ![]() ![]() | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
![]() ![]() ![]() | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
![]() ![]() ![]() | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
![]() ![]() ![]() | 0..* | Resource | Contained, inline Resources | |||||
![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
![]() ![]() ![]() | SΣC | 1..1 | Identifier | Business Identifier for Product | ||||
![]() ![]() ![]() | ?!SΣ | 1..1 | code | draft | active | retired | unknown Binding: PublicationStatus (required): The lifecycle status of an artifact. | ||||
![]() ![]() ![]() | SΣ | 1..1 | CodeableConcept | Kind of product Binding: InsurancePlan Type (example) | ||||
![]() ![]() ![]() | SΣC | 1..1 | string | Official name | ||||
![]() ![]() ![]() | S | 0..* | string | Alternate names | ||||
![]() ![]() ![]() | S | 1..1 | Period | When the product is available | ||||
![]() ![]() ![]() | SΣ | 1..1 | Reference(Organization) | Plan issuer | ||||
![]() ![]() ![]() | SΣ | 1..1 | Reference(Organization) | Product administrator | ||||
![]() ![]() ![]() | SΣ | 0..* | Reference(Location) | Where product applies | ||||
![]() ![]() ![]() | S | 0..* | BackboneElement | Contact for the product | ||||
![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() | 0..1 | CodeableConcept | The type of contact Binding: ContactEntityType (extensible): The purpose for which you would contact a contact party. | |||||
![]() ![]() ![]() ![]() | 0..1 | HumanName | A name associated with the contact | |||||
![]() ![]() ![]() ![]() | 0..* | ContactPoint | Contact details (telephone, email, etc.) for a contact | |||||
![]() ![]() ![]() ![]() | 0..1 | Address | Visiting or postal addresses for the contact | |||||
![]() ![]() ![]() | 0..* | Reference(Endpoint) | Technical endpoint | |||||
![]() ![]() ![]() | S | 0..* | Reference(Organization) | What networks are Included | ||||
![]() ![]() ![]() | S | 1..* | BackboneElement | Coverage details | ||||
![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() | 1..1 | CodeableConcept | Type of coverage Binding: Coverage Type (example) | |||||
![]() ![]() ![]() ![]() | 0..* | Reference(Organization) | What networks provide coverage | |||||
![]() ![]() ![]() ![]() | S | 1..* | BackboneElement | List of benefits | ||||
![]() ![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() ![]() | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() ![]() | 1..1 | CodeableConcept | Type of benefit Binding: Benefit Type (example) | |||||
![]() ![]() ![]() ![]() ![]() | 0..1 | string | Referral requirements | |||||
![]() ![]() ![]() ![]() ![]() | 0..* | BackboneElement | Benefit limits | |||||
![]() ![]() ![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() ![]() ![]() | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() ![]() ![]() | 0..1 | Quantity | Maximum value allowed | |||||
![]() ![]() ![]() ![]() ![]() ![]() | 0..1 | CodeableConcept | Benefit limit details | |||||
![]() ![]() ![]() | S | 0..* | BackboneElement | Plan details | ||||
![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() | Σ | 0..* | Identifier | Business Identifier for Product | ||||
![]() ![]() ![]() ![]() | S | 1..1 | CodeableConcept | Type of plan Binding: Plan Type (example) | ||||
![]() ![]() ![]() ![]() | SΣ | 0..* | Reference(Location) | Where product applies | ||||
![]() ![]() ![]() ![]() | 0..* | Reference(Organization) | What networks provide coverage | |||||
![]() ![]() ![]() ![]() | S | 0..* | BackboneElement | Overall costs | ||||
![]() ![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() ![]() | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() ![]() | 0..1 | CodeableConcept | Type of cost | |||||
![]() ![]() ![]() ![]() ![]() | 0..1 | positiveInt | Number of enrollees | |||||
![]() ![]() ![]() ![]() ![]() | 0..1 | Money | Cost value | |||||
![]() ![]() ![]() ![]() ![]() | 0..1 | string | Additional cost information | |||||
![]() ![]() ![]() ![]() | S | 0..* | BackboneElement | Specific costs | ||||
![]() ![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() ![]() | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() ![]() | S | 1..1 | CodeableConcept | General category of benefit Binding: Benefit Category (example) | ||||
![]() ![]() ![]() ![]() ![]() | 0..* | BackboneElement | Benefits list | |||||
![]() ![]() ![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() ![]() ![]() | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() ![]() ![]() | 1..1 | CodeableConcept | Type of specific benefit | |||||
![]() ![]() ![]() ![]() ![]() ![]() | 0..* | BackboneElement | List of the costs | |||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 1..1 | CodeableConcept | Type of cost | |||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 0..1 | CodeableConcept | in-network | out-of-network | other Binding: BenefitCostApplicability (required): Whether the cost applies to in-network or out-of-network providers. | |||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 0..* | CodeableConcept | Additional information about the cost | |||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 0..1 | Quantity | The actual cost value | |||||
![]() |
Name | Flags | Card. | Type | Description & Constraints![]() |
---|---|---|---|---|
![]() ![]() | C | 0..* | InsurancePlan | Details of a Health Insurance product/plan provided by an organization |
![]() ![]() ![]() | ΣC | 1..1 | Identifier | Business Identifier for Product |
![]() ![]() ![]() | ?!Σ | 1..1 | code | draft | active | retired | unknown Binding: PublicationStatus (required): The lifecycle status of an artifact. |
![]() ![]() ![]() | Σ | 1..1 | CodeableConcept | Kind of product Binding: InsurancePlan Type (example) |
![]() ![]() ![]() | ΣC | 1..1 | string | Official name |
![]() ![]() ![]() | 0..* | string | Alternate names | |
![]() ![]() ![]() | 1..1 | Period | When the product is available | |
![]() ![]() ![]() | Σ | 1..1 | Reference(Organization) | Plan issuer |
![]() ![]() ![]() | Σ | 1..1 | Reference(Organization) | Product administrator |
![]() ![]() ![]() | Σ | 0..* | Reference(Location) | Where product applies |
![]() ![]() ![]() | 0..* | BackboneElement | Contact for the product | |
![]() ![]() ![]() | 0..* | Reference(Organization) | What networks are Included | |
![]() ![]() ![]() | 1..* | BackboneElement | Coverage details | |
![]() ![]() ![]() ![]() | 1..* | BackboneElement | List of benefits | |
![]() ![]() ![]() | 0..* | BackboneElement | Plan details | |
![]() ![]() ![]() ![]() | 1..1 | CodeableConcept | Type of plan Binding: Plan Type (example) | |
![]() ![]() ![]() ![]() | Σ | 0..* | Reference(Location) | Where product applies |
![]() ![]() ![]() ![]() | 0..* | BackboneElement | Overall costs | |
![]() ![]() ![]() ![]() | 0..* | BackboneElement | Specific costs | |
![]() ![]() ![]() ![]() ![]() | 1..1 | CodeableConcept | General category of benefit Binding: Benefit Category (example) | |
![]() |
This structure is derived from InsurancePlan
Differential View
This structure is derived from InsurancePlan
Name | Flags | Card. | Type | Description & Constraints![]() |
---|---|---|---|---|
![]() ![]() | 0..* | InsurancePlan | Details of a Health Insurance product/plan provided by an organization | |
![]() ![]() ![]() | S | 1..1 | Identifier | Business Identifier for Product |
![]() ![]() ![]() | S | 1..1 | code | draft | active | retired | unknown |
![]() ![]() ![]() | S | 1..1 | CodeableConcept | Kind of product Binding: InsurancePlan Type (example) |
![]() ![]() ![]() | S | 1..1 | string | Official name |
![]() ![]() ![]() | S | 0..* | string | Alternate names |
![]() ![]() ![]() | S | 1..1 | Period | When the product is available |
![]() ![]() ![]() | S | 1..1 | Reference(Organization) | Plan issuer |
![]() ![]() ![]() | S | 1..1 | Reference(Organization) | Product administrator |
![]() ![]() ![]() | S | 0..* | Reference(Location) | Where product applies |
![]() ![]() ![]() | S | 0..* | BackboneElement | Contact for the product |
![]() ![]() ![]() | S | 0..* | Reference(Organization) | What networks are Included |
![]() ![]() ![]() | S | 1..* | BackboneElement | Coverage details |
![]() ![]() ![]() ![]() | 1..1 | CodeableConcept | Type of coverage Binding: Coverage Type (example) | |
![]() ![]() ![]() ![]() | S | 1..* | BackboneElement | List of benefits |
![]() ![]() ![]() ![]() ![]() | 1..1 | CodeableConcept | Type of benefit Binding: Benefit Type (example) | |
![]() ![]() ![]() | S | 0..* | BackboneElement | Plan details |
![]() ![]() ![]() ![]() | S | 1..1 | CodeableConcept | Type of plan Binding: Plan Type (example) |
![]() ![]() ![]() ![]() | S | 0..* | Reference(Location) | Where product applies |
![]() ![]() ![]() ![]() | 0..* | Reference(Organization) | What networks provide coverage | |
![]() ![]() ![]() ![]() | S | 0..* | BackboneElement | Overall costs |
![]() ![]() ![]() ![]() | S | 0..* | BackboneElement | Specific costs |
![]() ![]() ![]() ![]() ![]() | S | 1..1 | CodeableConcept | General category of benefit Binding: Benefit Category (example) |
![]() |
Snapshot View
Name | Flags | Card. | Type | Description & Constraints![]() | ||||
---|---|---|---|---|---|---|---|---|
![]() ![]() | C | 0..* | InsurancePlan | Details of a Health Insurance product/plan provided by an organization | ||||
![]() ![]() ![]() | Σ | 0..1 | id | Logical id of this artifact | ||||
![]() ![]() ![]() | Σ | 0..1 | Meta | Metadata about the resource | ||||
![]() ![]() ![]() | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
![]() ![]() ![]() | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
![]() ![]() ![]() | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
![]() ![]() ![]() | 0..* | Resource | Contained, inline Resources | |||||
![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
![]() ![]() ![]() | SΣC | 1..1 | Identifier | Business Identifier for Product | ||||
![]() ![]() ![]() | ?!SΣ | 1..1 | code | draft | active | retired | unknown Binding: PublicationStatus (required): The lifecycle status of an artifact. | ||||
![]() ![]() ![]() | SΣ | 1..1 | CodeableConcept | Kind of product Binding: InsurancePlan Type (example) | ||||
![]() ![]() ![]() | SΣC | 1..1 | string | Official name | ||||
![]() ![]() ![]() | S | 0..* | string | Alternate names | ||||
![]() ![]() ![]() | S | 1..1 | Period | When the product is available | ||||
![]() ![]() ![]() | SΣ | 1..1 | Reference(Organization) | Plan issuer | ||||
![]() ![]() ![]() | SΣ | 1..1 | Reference(Organization) | Product administrator | ||||
![]() ![]() ![]() | SΣ | 0..* | Reference(Location) | Where product applies | ||||
![]() ![]() ![]() | S | 0..* | BackboneElement | Contact for the product | ||||
![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() | 0..1 | CodeableConcept | The type of contact Binding: ContactEntityType (extensible): The purpose for which you would contact a contact party. | |||||
![]() ![]() ![]() ![]() | 0..1 | HumanName | A name associated with the contact | |||||
![]() ![]() ![]() ![]() | 0..* | ContactPoint | Contact details (telephone, email, etc.) for a contact | |||||
![]() ![]() ![]() ![]() | 0..1 | Address | Visiting or postal addresses for the contact | |||||
![]() ![]() ![]() | 0..* | Reference(Endpoint) | Technical endpoint | |||||
![]() ![]() ![]() | S | 0..* | Reference(Organization) | What networks are Included | ||||
![]() ![]() ![]() | S | 1..* | BackboneElement | Coverage details | ||||
![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() | 1..1 | CodeableConcept | Type of coverage Binding: Coverage Type (example) | |||||
![]() ![]() ![]() ![]() | 0..* | Reference(Organization) | What networks provide coverage | |||||
![]() ![]() ![]() ![]() | S | 1..* | BackboneElement | List of benefits | ||||
![]() ![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() ![]() | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() ![]() | 1..1 | CodeableConcept | Type of benefit Binding: Benefit Type (example) | |||||
![]() ![]() ![]() ![]() ![]() | 0..1 | string | Referral requirements | |||||
![]() ![]() ![]() ![]() ![]() | 0..* | BackboneElement | Benefit limits | |||||
![]() ![]() ![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() ![]() ![]() | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() ![]() ![]() | 0..1 | Quantity | Maximum value allowed | |||||
![]() ![]() ![]() ![]() ![]() ![]() | 0..1 | CodeableConcept | Benefit limit details | |||||
![]() ![]() ![]() | S | 0..* | BackboneElement | Plan details | ||||
![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() | Σ | 0..* | Identifier | Business Identifier for Product | ||||
![]() ![]() ![]() ![]() | S | 1..1 | CodeableConcept | Type of plan Binding: Plan Type (example) | ||||
![]() ![]() ![]() ![]() | SΣ | 0..* | Reference(Location) | Where product applies | ||||
![]() ![]() ![]() ![]() | 0..* | Reference(Organization) | What networks provide coverage | |||||
![]() ![]() ![]() ![]() | S | 0..* | BackboneElement | Overall costs | ||||
![]() ![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() ![]() | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() ![]() | 0..1 | CodeableConcept | Type of cost | |||||
![]() ![]() ![]() ![]() ![]() | 0..1 | positiveInt | Number of enrollees | |||||
![]() ![]() ![]() ![]() ![]() | 0..1 | Money | Cost value | |||||
![]() ![]() ![]() ![]() ![]() | 0..1 | string | Additional cost information | |||||
![]() ![]() ![]() ![]() | S | 0..* | BackboneElement | Specific costs | ||||
![]() ![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() ![]() | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() ![]() | S | 1..1 | CodeableConcept | General category of benefit Binding: Benefit Category (example) | ||||
![]() ![]() ![]() ![]() ![]() | 0..* | BackboneElement | Benefits list | |||||
![]() ![]() ![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() ![]() ![]() | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() ![]() ![]() | 1..1 | CodeableConcept | Type of specific benefit | |||||
![]() ![]() ![]() ![]() ![]() ![]() | 0..* | BackboneElement | List of the costs | |||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 1..1 | CodeableConcept | Type of cost | |||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 0..1 | CodeableConcept | in-network | out-of-network | other Binding: BenefitCostApplicability (required): Whether the cost applies to in-network or out-of-network providers. | |||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 0..* | CodeableConcept | Additional information about the cost | |||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 0..1 | Quantity | The actual cost value | |||||
![]() |
Other representations of profile: CSV, Excel, Schematron
Path | Conformance | ValueSet |
InsurancePlan.language | preferred | CommonLanguages Max Binding: AllLanguages |
InsurancePlan.status | required | PublicationStatus |
InsurancePlan.type | example | InsurancePlanType |
InsurancePlan.contact.purpose | extensible | ContactEntityType |
InsurancePlan.coverage.type | example | CoverageType |
InsurancePlan.coverage.benefit.type | example | BenefitType |
InsurancePlan.plan.type | example | PlanType |
InsurancePlan.plan.specificCost.category | example | BenefitCategory |
InsurancePlan.plan.specificCost.benefit.cost.applicability | required | BenefitCostApplicability |
Id | Grade | Path | Details | Requirements |
dom-2 | error | InsurancePlan | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-3 | error | InsurancePlan | 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 : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
dom-4 | error | InsurancePlan | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
dom-5 | error | InsurancePlan | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
dom-6 | Best Practice | InsurancePlan | A resource should have narrative for robust management : text.`div`.exists() | |
ipn-1 | error | InsurancePlan | The organization SHALL at least have a name or an idendtifier, and possibly more than one : (identifier.count() + name.count()) > 0 | |
ele-1 | error | InsurancePlan.meta | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | InsurancePlan.implicitRules | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | InsurancePlan.language | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | InsurancePlan.text | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | InsurancePlan.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | InsurancePlan.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
ele-1 | error | InsurancePlan.modifierExtension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | InsurancePlan.modifierExtension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
ele-1 | error | InsurancePlan.identifier | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | InsurancePlan.status | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | InsurancePlan.type | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | InsurancePlan.name | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | InsurancePlan.alias | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | InsurancePlan.period | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | InsurancePlan.ownedBy | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | InsurancePlan.administeredBy | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | InsurancePlan.coverageArea | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | InsurancePlan.contact | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | InsurancePlan.contact.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | InsurancePlan.contact.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
ele-1 | error | InsurancePlan.contact.modifierExtension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | InsurancePlan.contact.modifierExtension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
ele-1 | error | InsurancePlan.contact.purpose | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | InsurancePlan.contact.name | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | InsurancePlan.contact.telecom | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | InsurancePlan.contact.address | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | InsurancePlan.endpoint | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | InsurancePlan.network | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | InsurancePlan.coverage | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | InsurancePlan.coverage.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | InsurancePlan.coverage.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
ele-1 | error | InsurancePlan.coverage.modifierExtension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | InsurancePlan.coverage.modifierExtension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
ele-1 | error | InsurancePlan.coverage.type | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | InsurancePlan.coverage.network | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | InsurancePlan.coverage.benefit | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | InsurancePlan.coverage.benefit.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | InsurancePlan.coverage.benefit.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
ele-1 | error | InsurancePlan.coverage.benefit.modifierExtension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | InsurancePlan.coverage.benefit.modifierExtension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
ele-1 | error | InsurancePlan.coverage.benefit.type | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | InsurancePlan.coverage.benefit.requirement | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | InsurancePlan.coverage.benefit.limit | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | InsurancePlan.coverage.benefit.limit.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | InsurancePlan.coverage.benefit.limit.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
ele-1 | error | InsurancePlan.coverage.benefit.limit.modifierExtension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | InsurancePlan.coverage.benefit.limit.modifierExtension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
ele-1 | error | InsurancePlan.coverage.benefit.limit.value | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | InsurancePlan.coverage.benefit.limit.code | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | InsurancePlan.plan | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | InsurancePlan.plan.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | InsurancePlan.plan.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
ele-1 | error | InsurancePlan.plan.modifierExtension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | InsurancePlan.plan.modifierExtension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
ele-1 | error | InsurancePlan.plan.identifier | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | InsurancePlan.plan.type | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | InsurancePlan.plan.coverageArea | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | InsurancePlan.plan.network | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | InsurancePlan.plan.generalCost | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | InsurancePlan.plan.generalCost.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | InsurancePlan.plan.generalCost.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
ele-1 | error | InsurancePlan.plan.generalCost.modifierExtension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | InsurancePlan.plan.generalCost.modifierExtension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
ele-1 | error | InsurancePlan.plan.generalCost.type | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | InsurancePlan.plan.generalCost.groupSize | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | InsurancePlan.plan.generalCost.cost | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | InsurancePlan.plan.generalCost.comment | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | InsurancePlan.plan.specificCost | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | InsurancePlan.plan.specificCost.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | InsurancePlan.plan.specificCost.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
ele-1 | error | InsurancePlan.plan.specificCost.modifierExtension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | InsurancePlan.plan.specificCost.modifierExtension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
ele-1 | error | InsurancePlan.plan.specificCost.category | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | InsurancePlan.plan.specificCost.benefit | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | InsurancePlan.plan.specificCost.benefit.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | InsurancePlan.plan.specificCost.benefit.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
ele-1 | error | InsurancePlan.plan.specificCost.benefit.modifierExtension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | InsurancePlan.plan.specificCost.benefit.modifierExtension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
ele-1 | error | InsurancePlan.plan.specificCost.benefit.type | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | InsurancePlan.plan.specificCost.benefit.cost | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | InsurancePlan.plan.specificCost.benefit.cost.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | InsurancePlan.plan.specificCost.benefit.cost.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
ele-1 | error | InsurancePlan.plan.specificCost.benefit.cost.modifierExtension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | InsurancePlan.plan.specificCost.benefit.cost.modifierExtension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
ele-1 | error | InsurancePlan.plan.specificCost.benefit.cost.type | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | InsurancePlan.plan.specificCost.benefit.cost.applicability | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | InsurancePlan.plan.specificCost.benefit.cost.qualifiers | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | InsurancePlan.plan.specificCost.benefit.cost.value | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |