Intersection of https://nrces.in/ndhm/fhir/r4/StructureDefinition/InsurancePlan and https://nrces.in/ndhm/fhir/r4/StructureDefinition/InsurancePlan

This is the set of resources that conform to both InsurancePlan (https://nrces.in/ndhm/fhir/r4/StructureDefinition/InsurancePlan) and InsurancePlan (https://nrces.in/ndhm/fhir/r4/StructureDefinition/InsurancePlan).

Structure

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. InsurancePlan C0..*Details of a Health Insurance product/plan provided by an organization
Constraints: ipn-1
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: ?? (preferred): A human language.
Additional BindingsPurpose
??Max Binding
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionExtension
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier SΣ1..1IdentifierIdentifier provided by payer to uniquely identify the product covering a list of combinations offered to consumers under this particular insurance plan.
... status ?!SΣ1..1codedraft | active | retired | unknown
Binding: ?? (required): The lifecycle status of an artifact.
... type SΣ1..1CodeableConceptType of product that indicates the predominant type.
Binding: ?? (example): The valueset is created by referring the Health Insurance Data Reporting Manual provided by the Insurance Information Bureau of India (IIB). For more information, visit IIB's official website: https://iib.gov.in or access the manual directly at: https://healthapp.iib.gov.in/IIB/datamanuals/hidmanual08.pdf.
.... extension 0..*ExtensionAdditional content defined by implementations
.... coding Σ0..1CodingCode defined by a terminology system
..... extension 0..*ExtensionAdditional content defined by implementations
..... system Σ1..1uriIdentity of the terminology system
..... version Σ0..1stringVersion of the system - if relevant
..... code Σ1..1codeSymbol in syntax defined by the system
..... display Σ1..1stringRepresentation defined by the system
..... userSelected Σ0..1booleanIf this coding was chosen directly by the user
.... text SΣ0..1stringPlain text representation of the concept
... name SΣ1..1stringOfficial name of the product
... alias S0..*stringAlternate names
... period S1..1PeriodWhen the product is available
... ownedBy SΣ1..1Reference(Organization | #sd-Organization-Organization)Plan issuer
... administeredBy SΣ0..1Reference(Organization | #sd-Organization-Organization)Product administrator
... coverageArea SΣ0..*Reference(Location)Where product applies
... contact S0..*BackboneElementContact for the product
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... purpose 0..1CodeableConceptThe type of contact
Binding: ?? (extensible): The purpose for which you would contact a contact party.
.... name 0..1HumanNameA name associated with the contact
.... telecom 0..*ContactPointContact details (telephone, email, etc.) for a contact
.... address 0..1AddressVisiting or postal addresses for the contact
... endpoint 0..*Reference(Endpoint)Technical endpoint
... network S0..*Reference(Organization | #sd-Organization-Organization)Network included in the health insurance product.
... coverage S1..*BackboneElementCoverage details for e.g. In-Patient Hospitalization, Day Care etc.
.... extension 0..*ExtensionExtension
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... type 1..1CodeableConceptType of coverage
Binding: ?? (example)
..... extension 0..*ExtensionAdditional content defined by implementations
..... coding Σ0..1CodingCode defined by a terminology system
...... extension 0..*ExtensionAdditional content defined by implementations
...... system Σ1..1uriIdentity of the terminology system
...... version Σ0..1stringVersion of the system - if relevant
...... code Σ1..1codeSymbol in syntax defined by the system
...... display Σ1..1stringRepresentation defined by the system
...... userSelected Σ0..1booleanIf this coding was chosen directly by the user
..... text SΣ0..1stringPlain text representation of the concept
.... network 0..*Reference(Organization)What networks provide coverage
.... benefit S1..*BackboneElementList of benefits e.g. consultation, oxygen, robotic surgery etc.
..... extension 0..*ExtensionExtension
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... type 1..1CodeableConceptType of benefit
Binding: ?? (example)
...... extension 0..*ExtensionAdditional content defined by implementations
...... coding Σ0..1CodingCode defined by a terminology system
....... extension 0..*ExtensionAdditional content defined by implementations
....... system Σ1..1uriIdentity of the terminology system
....... version Σ0..1stringVersion of the system - if relevant
....... code Σ1..1codeSymbol in syntax defined by the system
....... display Σ1..1stringRepresentation defined by the system
....... userSelected Σ0..1booleanIf this coding was chosen directly by the user
...... text SΣ0..1stringPlain text representation of the concept
..... requirement 0..1stringReferral requirements
..... limit 0..*BackboneElementBenefit limits
...... extension 0..*ExtensionAdditional content defined by implementations
...... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
...... value 0..1QuantityMaximum value allowed
...... code 0..1CodeableConceptBenefit limit details
... plan S0..*BackboneElementCost sharing details for the plan offered to a consumer.
.... extension 0..*ExtensionExtension
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... identifier Σ0..*IdentifierBusiness Identifier for Product
.... type S1..1CodeableConceptType of plan
Binding: ?? (example)
..... extension 0..*ExtensionAdditional content defined by implementations
..... coding Σ0..1CodingCode defined by a terminology system
...... extension 0..*ExtensionAdditional content defined by implementations
...... system Σ1..1uriIdentity of the terminology system
...... version Σ0..1stringVersion of the system - if relevant
...... code Σ1..1codeSymbol in syntax defined by the system
...... display Σ1..1stringRepresentation defined by the system
...... userSelected Σ0..1booleanIf this coding was chosen directly by the user
..... text SΣ0..1stringPlain text representation of the concept
.... coverageArea SΣ0..*Reference(Location)Where product applies
.... network 0..*Reference(Organization | #sd-Organization-Organization)What networks provide coverage
.... generalCost S0..*BackboneElementSum insured amount associated with the plan.
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... type 0..1CodeableConceptType of cost
..... groupSize 0..1positiveIntNumber of enrollees
..... cost 0..1MoneyCost value
..... comment 0..1stringAdditional cost information
.... specificCost S0..*BackboneElementSpecific costs
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... category S1..1CodeableConceptGeneral category of benefit
Binding: ?? (example)
...... extension 0..*ExtensionAdditional content defined by implementations
...... coding Σ0..1CodingCode defined by a terminology system
....... extension 0..*ExtensionAdditional content defined by implementations
....... system Σ1..1uriIdentity of the terminology system
....... version Σ0..1stringVersion of the system - if relevant
....... code Σ1..1codeSymbol in syntax defined by the system
....... display Σ1..1stringRepresentation defined by the system
....... userSelected Σ0..1booleanIf this coding was chosen directly by the user
...... text SΣ0..1stringPlain text representation of the concept
..... benefit 0..*BackboneElementBenefits list
...... extension 0..*ExtensionAdditional content defined by implementations
...... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
...... type 1..1CodeableConceptType of specific benefit
Binding: ?? (example)
....... extension 0..*ExtensionAdditional content defined by implementations
....... coding Σ0..1CodingCode defined by a terminology system
........ extension 0..*ExtensionAdditional content defined by implementations
........ system Σ1..1uriIdentity of the terminology system
........ version Σ0..1stringVersion of the system - if relevant
........ code Σ1..1codeSymbol in syntax defined by the system
........ display Σ1..1stringRepresentation defined by the system
........ userSelected Σ0..1booleanIf this coding was chosen directly by the user
....... text SΣ0..1stringPlain text representation of the concept
...... cost 0..*BackboneElementList of the costs
....... extension 0..*ExtensionAdditional content defined by implementations
....... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
....... type 1..1CodeableConceptType of cost
....... applicability 0..1CodeableConceptin-network | out-of-network | other
Binding: ?? (required): Whether the cost applies to in-network or out-of-network providers.
....... qualifiers 0..*CodeableConceptAdditional information about the cost
....... value 0..1QuantityThe actual cost value

doco Documentation for this format