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

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
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. Additional Bindings Purpose ?? Max Binding 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	Extension 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..1	Identifier	Identifier provided by payer to uniquely identify the product covering a list of combinations offered to consumers under this particular insurance plan. 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	Type 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. 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
coding	Σ	0..1	Coding	Code defined by a terminology system 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	Σ	1..1	uri	Identity of the terminology system ele-1: All FHIR elements must have a @value or children
version	Σ	0..1	string	Version of the system - if relevant ele-1: All FHIR elements must have a @value or children
code	Σ	1..1	code	Symbol in syntax defined by the system ele-1: All FHIR elements must have a @value or children
display	Σ	1..1	string	Representation defined by the system ele-1: All FHIR elements must have a @value or children
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user ele-1: All FHIR elements must have a @value or children
text	SΣ	0..1	string	Plain text representation of the concept ele-1: All FHIR elements must have a @value or children
name	SΣ	1..1	string	Official name of the product ele-1: All FHIR elements must have a @value or children
alias	S	0..*	string	Alternate names ele-1: All FHIR elements must have a @value or children
period	S	1..1	Period	When the product is available ele-1: All FHIR elements must have a @value or children
ownedBy	SΣ	1..1	Reference(Organization | #sd-Organization-Organization)	Plan issuer ele-1: All FHIR elements must have a @value or children
administeredBy	SΣ	0..1	Reference(Organization | #sd-Organization-Organization)	Product administrator ele-1: All FHIR elements must have a @value or children
coverageArea	SΣ	0..*	Reference(Location)	Where product applies ele-1: All FHIR elements must have a @value or children
contact	S	0..*	BackboneElement	Contact for the product 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): The purpose for which you would contact a contact party. ele-1: All FHIR elements must have a @value or children
name		0..1	HumanName	A name associated with the contact ele-1: All FHIR elements must have a @value or children
telecom		0..*	ContactPoint	Contact details (telephone, email, etc.) for a contact 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	S	0..*	Reference(Organization | #sd-Organization-Organization)	Network included in the health insurance product. ele-1: All FHIR elements must have a @value or children
coverage	S	1..*	BackboneElement	Coverage details for e.g. In-Patient Hospitalization, Day Care etc. ele-1: All FHIR elements must have a @value or children
extension		0..*	Extension	Extension 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 coverage Binding: ?? (example) 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
coding	Σ	0..1	Coding	Code defined by a terminology system 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	Σ	1..1	uri	Identity of the terminology system ele-1: All FHIR elements must have a @value or children
version	Σ	0..1	string	Version of the system - if relevant ele-1: All FHIR elements must have a @value or children
code	Σ	1..1	code	Symbol in syntax defined by the system ele-1: All FHIR elements must have a @value or children
display	Σ	1..1	string	Representation defined by the system ele-1: All FHIR elements must have a @value or children
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user ele-1: All FHIR elements must have a @value or children
text	SΣ	0..1	string	Plain text representation of the concept 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	S	1..*	BackboneElement	List of benefits e.g. consultation, oxygen, robotic surgery etc. ele-1: All FHIR elements must have a @value or children
extension		0..*	Extension	Extension 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 Binding: ?? (example) 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
coding	Σ	0..1	Coding	Code defined by a terminology system 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	Σ	1..1	uri	Identity of the terminology system ele-1: All FHIR elements must have a @value or children
version	Σ	0..1	string	Version of the system - if relevant ele-1: All FHIR elements must have a @value or children
code	Σ	1..1	code	Symbol in syntax defined by the system ele-1: All FHIR elements must have a @value or children
display	Σ	1..1	string	Representation defined by the system ele-1: All FHIR elements must have a @value or children
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user ele-1: All FHIR elements must have a @value or children
text	SΣ	0..1	string	Plain text representation of the concept 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	0..*	BackboneElement	Cost sharing details for the plan offered to a consumer. ele-1: All FHIR elements must have a @value or children
extension		0..*	Extension	Extension 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	S	1..1	CodeableConcept	Type of plan Binding: ?? (example) 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
coding	Σ	0..1	Coding	Code defined by a terminology system 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	Σ	1..1	uri	Identity of the terminology system ele-1: All FHIR elements must have a @value or children
version	Σ	0..1	string	Version of the system - if relevant ele-1: All FHIR elements must have a @value or children
code	Σ	1..1	code	Symbol in syntax defined by the system ele-1: All FHIR elements must have a @value or children
display	Σ	1..1	string	Representation defined by the system ele-1: All FHIR elements must have a @value or children
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user ele-1: All FHIR elements must have a @value or children
text	SΣ	0..1	string	Plain text representation of the concept ele-1: All FHIR elements must have a @value or children
coverageArea	SΣ	0..*	Reference(Location)	Where product applies ele-1: All FHIR elements must have a @value or children
network		0..*	Reference(Organization | #sd-Organization-Organization)	What networks provide coverage ele-1: All FHIR elements must have a @value or children
generalCost	S	0..*	BackboneElement	Sum insured amount associated with the plan. 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	S	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	S	1..1	CodeableConcept	General category of benefit Binding: ?? (example) 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
coding	Σ	0..1	Coding	Code defined by a terminology system 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	Σ	1..1	uri	Identity of the terminology system ele-1: All FHIR elements must have a @value or children
version	Σ	0..1	string	Version of the system - if relevant ele-1: All FHIR elements must have a @value or children
code	Σ	1..1	code	Symbol in syntax defined by the system ele-1: All FHIR elements must have a @value or children
display	Σ	1..1	string	Representation defined by the system ele-1: All FHIR elements must have a @value or children
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user ele-1: All FHIR elements must have a @value or children
text	SΣ	0..1	string	Plain text representation of the concept 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 Binding: ?? (example) 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
coding	Σ	0..1	Coding	Code defined by a terminology system 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	Σ	1..1	uri	Identity of the terminology system ele-1: All FHIR elements must have a @value or children
version	Σ	0..1	string	Version of the system - if relevant ele-1: All FHIR elements must have a @value or children
code	Σ	1..1	code	Symbol in syntax defined by the system ele-1: All FHIR elements must have a @value or children
display	Σ	1..1	string	Representation defined by the system ele-1: All FHIR elements must have a @value or children
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user ele-1: All FHIR elements must have a @value or children
text	SΣ	0..1	string	Plain text representation of the concept 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