Finance and Insurance Service (FAIS)
1.0.0 - trial-use
This page is part of the IHE ITI Finance and Insurance Services (v1.0.0: Publication) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions
Official URL: https://profiles.ihe.net/ITI/FAIS/StructureDefinition/IHE.FAIS.InsurancePlan | Version: 1.0.0 | |||
Active as of 2024-11-13 | Computable Name: FAISInsurancePlan |
The FAIS Insurance Plan profile for creating Coverage resources to enroll beneficiaries.
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
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 | |
![]() ![]() ![]() |
0..0 | |||
![]() ![]() ![]() |
0..0 | |||
![]() ![]() ![]() |
1..1 | code | draft | active | retired | unknown | |
![]() ![]() ![]() |
1..1 | CodeableConcept | Kind of product | |
![]() ![]() ![]() |
1..1 | string | Official name | |
![]() ![]() ![]() |
1..1 | Reference(Organization) | Plan issuer | |
![]() ![]() ![]() |
1..1 | Reference(Organization) | Product administrator | |
![]() ![]() ![]() |
1..* | BackboneElement | Coverage details | |
![]() ![]() ![]() |
1..* | BackboneElement | Plan details | |
![]() |
Name | Flags | Card. | Type | Description & Constraints![]() |
---|---|---|---|---|
![]() ![]() |
C | 0..* | InsurancePlan | Details of a Health Insurance product/plan provided by an organization ipn-1: The organization SHALL at least have a name or an idendtifier, and possibly more than one |
![]() ![]() ![]() |
?!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: InsurancePlanType (example): Used to categorize the product/plan. |
![]() ![]() ![]() |
ΣC | 1..1 | string | Official name |
![]() ![]() ![]() |
Σ | 1..1 | Reference(Organization) | Plan issuer |
![]() ![]() ![]() |
Σ | 1..1 | Reference(Organization) | Product administrator |
![]() ![]() ![]() |
1..* | BackboneElement | Coverage details | |
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
![]() ![]() ![]() ![]() |
1..1 | CodeableConcept | Type of coverage | |
![]() ![]() ![]() ![]() |
1..* | BackboneElement | List of benefits | |
![]() ![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
![]() ![]() ![]() ![]() ![]() |
1..1 | CodeableConcept | Type of benefit | |
![]() ![]() ![]() |
1..* | BackboneElement | Plan details | |
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
![]() |
Path | Conformance | ValueSet | URI |
InsurancePlan.status | required | PublicationStatushttp://hl7.org/fhir/ValueSet/publication-status|4.0.1 from the FHIR Standard | |
InsurancePlan.type | example | InsurancePlanTypehttp://hl7.org/fhir/ValueSet/insuranceplan-type from the FHIR Standard |
Name | Flags | Card. | Type | Description & Constraints![]() | ||||
---|---|---|---|---|---|---|---|---|
![]() ![]() |
C | 0..* | InsurancePlan | Details of a Health Insurance product/plan provided by an organization ipn-1: The organization SHALL at least have a name or an idendtifier, and possibly more than one | ||||
![]() ![]() ![]() |
Σ | 0..1 | id | Logical id of this artifact | ||||
![]() ![]() ![]() |
Σ | 0..1 | Meta | Metadata about the resource | ||||
![]() ![]() ![]() |
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 | |||||
![]() ![]() ![]() |
ΣC | 0..* | 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: InsurancePlanType (example): Used to categorize the product/plan. | ||||
![]() ![]() ![]() |
ΣC | 1..1 | string | Official name | ||||
![]() ![]() ![]() |
0..* | string | Alternate names | |||||
![]() ![]() ![]() |
0..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..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 | |||||
![]() ![]() ![]() |
0..* | Reference(Organization) | What networks are Included | |||||
![]() ![]() ![]() |
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 | |||||
![]() ![]() ![]() ![]() |
0..* | Reference(Organization) | What networks provide coverage | |||||
![]() ![]() ![]() ![]() |
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 | |||||
![]() ![]() ![]() ![]() ![]() |
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 | |||||
![]() ![]() ![]() |
1..* | 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 | ||||
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Type of plan | |||||
![]() ![]() ![]() ![]() |
Σ | 0..* | Reference(Location) | Where product applies | ||||
![]() ![]() ![]() ![]() |
0..* | Reference(Organization) | What networks provide coverage | |||||
![]() ![]() ![]() ![]() |
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 | |||||
![]() ![]() ![]() ![]() |
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 | ||||
![]() ![]() ![]() ![]() ![]() |
1..1 | CodeableConcept | General category of benefit | |||||
![]() ![]() ![]() ![]() ![]() |
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 | |||||
![]() |
Path | Conformance | ValueSet | URI | |||
InsurancePlan.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languages from the FHIR Standard | ||||
InsurancePlan.status | required | PublicationStatushttp://hl7.org/fhir/ValueSet/publication-status|4.0.1 from the FHIR Standard | ||||
InsurancePlan.type | example | InsurancePlanTypehttp://hl7.org/fhir/ValueSet/insuranceplan-type from the FHIR Standard | ||||
InsurancePlan.contact.purpose | extensible | ContactEntityTypehttp://hl7.org/fhir/ValueSet/contactentity-type from the FHIR Standard | ||||
InsurancePlan.plan.specificCost.benefit.cost.applicability | required | BenefitCostApplicabilityhttp://hl7.org/fhir/ValueSet/insuranceplan-applicability|4.0.1 from the FHIR Standard |
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 | |
![]() ![]() ![]() |
0..0 | |||
![]() ![]() ![]() |
0..0 | |||
![]() ![]() ![]() |
1..1 | code | draft | active | retired | unknown | |
![]() ![]() ![]() |
1..1 | CodeableConcept | Kind of product | |
![]() ![]() ![]() |
1..1 | string | Official name | |
![]() ![]() ![]() |
1..1 | Reference(Organization) | Plan issuer | |
![]() ![]() ![]() |
1..1 | Reference(Organization) | Product administrator | |
![]() ![]() ![]() |
1..* | BackboneElement | Coverage details | |
![]() ![]() ![]() |
1..* | BackboneElement | Plan details | |
![]() |
Key Elements View
Name | Flags | Card. | Type | Description & Constraints![]() |
---|---|---|---|---|
![]() ![]() |
C | 0..* | InsurancePlan | Details of a Health Insurance product/plan provided by an organization ipn-1: The organization SHALL at least have a name or an idendtifier, and possibly more than one |
![]() ![]() ![]() |
?!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: InsurancePlanType (example): Used to categorize the product/plan. |
![]() ![]() ![]() |
ΣC | 1..1 | string | Official name |
![]() ![]() ![]() |
Σ | 1..1 | Reference(Organization) | Plan issuer |
![]() ![]() ![]() |
Σ | 1..1 | Reference(Organization) | Product administrator |
![]() ![]() ![]() |
1..* | BackboneElement | Coverage details | |
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
![]() ![]() ![]() ![]() |
1..1 | CodeableConcept | Type of coverage | |
![]() ![]() ![]() ![]() |
1..* | BackboneElement | List of benefits | |
![]() ![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
![]() ![]() ![]() ![]() ![]() |
1..1 | CodeableConcept | Type of benefit | |
![]() ![]() ![]() |
1..* | BackboneElement | Plan details | |
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
![]() |
Path | Conformance | ValueSet | URI |
InsurancePlan.status | required | PublicationStatushttp://hl7.org/fhir/ValueSet/publication-status|4.0.1 from the FHIR Standard | |
InsurancePlan.type | example | InsurancePlanTypehttp://hl7.org/fhir/ValueSet/insuranceplan-type from the FHIR Standard |
Snapshot View
Name | Flags | Card. | Type | Description & Constraints![]() | ||||
---|---|---|---|---|---|---|---|---|
![]() ![]() |
C | 0..* | InsurancePlan | Details of a Health Insurance product/plan provided by an organization ipn-1: The organization SHALL at least have a name or an idendtifier, and possibly more than one | ||||
![]() ![]() ![]() |
Σ | 0..1 | id | Logical id of this artifact | ||||
![]() ![]() ![]() |
Σ | 0..1 | Meta | Metadata about the resource | ||||
![]() ![]() ![]() |
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 | |||||
![]() ![]() ![]() |
ΣC | 0..* | 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: InsurancePlanType (example): Used to categorize the product/plan. | ||||
![]() ![]() ![]() |
ΣC | 1..1 | string | Official name | ||||
![]() ![]() ![]() |
0..* | string | Alternate names | |||||
![]() ![]() ![]() |
0..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..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 | |||||
![]() ![]() ![]() |
0..* | Reference(Organization) | What networks are Included | |||||
![]() ![]() ![]() |
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 | |||||
![]() ![]() ![]() ![]() |
0..* | Reference(Organization) | What networks provide coverage | |||||
![]() ![]() ![]() ![]() |
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 | |||||
![]() ![]() ![]() ![]() ![]() |
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 | |||||
![]() ![]() ![]() |
1..* | 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 | ||||
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Type of plan | |||||
![]() ![]() ![]() ![]() |
Σ | 0..* | Reference(Location) | Where product applies | ||||
![]() ![]() ![]() ![]() |
0..* | Reference(Organization) | What networks provide coverage | |||||
![]() ![]() ![]() ![]() |
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 | |||||
![]() ![]() ![]() ![]() |
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 | ||||
![]() ![]() ![]() ![]() ![]() |
1..1 | CodeableConcept | General category of benefit | |||||
![]() ![]() ![]() ![]() ![]() |
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 | |||||
![]() |
Path | Conformance | ValueSet | URI | |||
InsurancePlan.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languages from the FHIR Standard | ||||
InsurancePlan.status | required | PublicationStatushttp://hl7.org/fhir/ValueSet/publication-status|4.0.1 from the FHIR Standard | ||||
InsurancePlan.type | example | InsurancePlanTypehttp://hl7.org/fhir/ValueSet/insuranceplan-type from the FHIR Standard | ||||
InsurancePlan.contact.purpose | extensible | ContactEntityTypehttp://hl7.org/fhir/ValueSet/contactentity-type from the FHIR Standard | ||||
InsurancePlan.plan.specificCost.benefit.cost.applicability | required | BenefitCostApplicabilityhttp://hl7.org/fhir/ValueSet/insuranceplan-applicability|4.0.1 from the FHIR Standard |
This structure is derived from InsurancePlan
Other representations of profile: CSV, Excel, Schematron