R4 Ballot #1 (Mixed Normative/Trial use)
AdministrationThis page is part of the FHIR Specification (v3.3.0: R4 Ballot 2). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions 
| Patient Administration Work Group | Maturity Level: N/A | Ballot Status: Informative | Compartments: Not linked to any defined compartments |
This is a representation of the json schema for ProductPlan, which is just a part of the full JSON Schema.
{
"$schema": "http://json-schema.org/draft-06/schema#",
"id": "http://hl7.org/fhir/json-schema/ProductPlan",
"$ref": "#/definitions/ProductPlan",
"description": "see http://hl7.org/fhir/json.html#schema for information about the FHIR Json Schemas",
"definitions": {
"ProductPlan": {
"description": "Details of a Health Insurance product/plan provided by an organization.",
"properties": {
"resourceType": {
"description": "This is a ProductPlan resource",
"const": "ProductPlan"
},
"id": {
"description": "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
"$ref": "id.schema.json#/definitions/id"
},
"meta": {
"description": "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
"$ref": "Meta.schema.json#/definitions/Meta"
},
"implicitRules": {
"description": "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
"$ref": "#/definitions/uri"
},
"_implicitRules": {
"description": "Extensions for implicitRules",
"$ref": "Element.schema.json#/definitions/Element"
},
"language": {
"description": "The base language in which the resource is written.",
"$ref": "#/definitions/code"
},
"_language": {
"description": "Extensions for language",
"$ref": "Element.schema.json#/definitions/Element"
},
"text": {
"description": "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
"$ref": "Narrative.schema.json#/definitions/Narrative"
},
"contained": {
"description": "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
"items": {
"$ref": "ResourceList.schema.json#/definitions/ResourceList"
},
"type": "array"
},
"extension": {
"description": "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"items": {
"$ref": "Extension.schema.json#/definitions/Extension"
},
"type": "array"
},
"modifierExtension": {
"description": "May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"items": {
"$ref": "Extension.schema.json#/definitions/Extension"
},
"type": "array"
},
"identifier": {
"description": "Identifier for the product/plan that is used to identify it across multiple disparate systems.",
"items": {
"$ref": "Identifier.schema.json#/definitions/Identifier"
},
"type": "array"
},
"status": {
"description": "Whether the organization\u0027s record is still in active use.",
"enum": [
"draft",
"active",
"retired",
"unknown"
]
},
"_status": {
"description": "Extensions for status",
"$ref": "Element.schema.json#/definitions/Element"
},
"type": {
"description": "The type of product/plan.",
"items": {
"$ref": "CodeableConcept.schema.json#/definitions/CodeableConcept"
},
"type": "array"
},
"name": {
"description": "Official name of the product/plan (as designated by the owner).",
"$ref": "#/definitions/string"
},
"_name": {
"description": "Extensions for name",
"$ref": "Element.schema.json#/definitions/Element"
},
"alias": {
"description": "A list of alternate names that the product/plan is known as, or was known as in the past.",
"items": {
"$ref": "#/definitions/string"
},
"type": "array"
},
"_alias": {
"description": "Extensions for alias",
"items": {
"$ref": "Element.schema.json#/definitions/Element"
},
"type": "array"
},
"period": {
"description": "The period of time that the product is available.",
"$ref": "Period.schema.json#/definitions/Period"
},
"ownedBy": {
"description": "Owner of the product/plan (typically a payer).",
"$ref": "Reference.schema.json#/definitions/Reference"
},
"administeredBy": {
"description": "Administrator of the product/plan (e.g. self-insured employer plan administered by a TPA).",
"$ref": "Reference.schema.json#/definitions/Reference"
},
"address": {
"description": "An address for the organization.",
"items": {
"$ref": "Address.schema.json#/definitions/Address"
},
"type": "array"
},
"coverageArea": {
"description": "The geographic region in which this product/plan is available.",
"$ref": "Reference.schema.json#/definitions/Reference"
},
"contact": {
"description": "Contact for the product/plan for a certain purpose.",
"items": {
"$ref": "#/definitions/ProductPlan_Contact"
},
"type": "array"
},
"coverage": {
"description": "Details about the coverage offered by the insurance product.",
"items": {
"$ref": "#/definitions/ProductPlan_Coverage"
},
"type": "array"
},
"plan": {
"description": "Details about an insurance plan.",
"items": {
"$ref": "#/definitions/ProductPlan_Plan"
},
"type": "array"
},
"endpoint": {
"description": "Technical endpoints providing access to services operated for the organization.",
"items": {
"$ref": "Reference.schema.json#/definitions/Reference"
},
"type": "array"
}
},
"additionalProperties": false,
"required": [
"resourceType"
]
},
"ProductPlan_Contact": {
"description": "Details of a Health Insurance product/plan provided by an organization.",
"properties": {
"id": {
"description": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"$ref": "string.schema.json#/definitions/string"
},
"extension": {
"description": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"items": {
"$ref": "Extension.schema.json#/definitions/Extension"
},
"type": "array"
},
"modifierExtension": {
"description": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"items": {
"$ref": "Extension.schema.json#/definitions/Extension"
},
"type": "array"
},
"purpose": {
"description": "Indicates a purpose for which the contact can be reached.",
"$ref": "CodeableConcept.schema.json#/definitions/CodeableConcept"
},
"name": {
"description": "A name associated with the contact.",
"$ref": "HumanName.schema.json#/definitions/HumanName"
},
"telecom": {
"description": "A contact detail (e.g. a telephone number or an email address) by which the party may be contacted.",
"items": {
"$ref": "ContactPoint.schema.json#/definitions/ContactPoint"
},
"type": "array"
},
"address": {
"description": "Visiting or postal addresses for the contact.",
"$ref": "Address.schema.json#/definitions/Address"
}
},
"additionalProperties": false
},
"ProductPlan_Coverage": {
"description": "Details of a Health Insurance product/plan provided by an organization.",
"properties": {
"id": {
"description": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"$ref": "string.schema.json#/definitions/string"
},
"extension": {
"description": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"items": {
"$ref": "Extension.schema.json#/definitions/Extension"
},
"type": "array"
},
"modifierExtension": {
"description": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"items": {
"$ref": "Extension.schema.json#/definitions/Extension"
},
"type": "array"
},
"type": {
"description": "Type of coverage (Medical; Dental; Mental Health; Substance Abuse; Vision; Drug; Short Term; Long Term Care; Hospice; Home Health).",
"$ref": "CodeableConcept.schema.json#/definitions/CodeableConcept"
},
"benefit": {
"description": "Specific benefits under this type of coverage.",
"items": {
"$ref": "#/definitions/ProductPlan_Benefit"
},
"type": "array"
}
},
"additionalProperties": false,
"required": [
"type",
"benefit"
]
},
"ProductPlan_Benefit": {
"description": "Details of a Health Insurance product/plan provided by an organization.",
"properties": {
"id": {
"description": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"$ref": "string.schema.json#/definitions/string"
},
"extension": {
"description": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"items": {
"$ref": "Extension.schema.json#/definitions/Extension"
},
"type": "array"
},
"modifierExtension": {
"description": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"items": {
"$ref": "Extension.schema.json#/definitions/Extension"
},
"type": "array"
},
"type": {
"description": "Type of benefit (primary care; speciality care; inpatient; outpatient).",
"$ref": "CodeableConcept.schema.json#/definitions/CodeableConcept"
},
"item": {
"description": "Specific benefit and related value.",
"items": {
"$ref": "#/definitions/ProductPlan_Item"
},
"type": "array"
}
},
"additionalProperties": false,
"required": [
"item",
"type"
]
},
"ProductPlan_Item": {
"description": "Details of a Health Insurance product/plan provided by an organization.",
"properties": {
"id": {
"description": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"$ref": "string.schema.json#/definitions/string"
},
"extension": {
"description": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"items": {
"$ref": "Extension.schema.json#/definitions/Extension"
},
"type": "array"
},
"modifierExtension": {
"description": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"items": {
"$ref": "Extension.schema.json#/definitions/Extension"
},
"type": "array"
},
"code": {
"description": "Coded Details of the specific benefit (days; visits).",
"$ref": "CodeableConcept.schema.json#/definitions/CodeableConcept"
},
"benefitValue": {
"description": "Value of the specific benefit.",
"$ref": "Quantity.schema.json#/definitions/Quantity"
}
},
"additionalProperties": false,
"required": [
"code"
]
},
"ProductPlan_Plan": {
"description": "Details of a Health Insurance product/plan provided by an organization.",
"properties": {
"id": {
"description": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"$ref": "string.schema.json#/definitions/string"
},
"extension": {
"description": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"items": {
"$ref": "Extension.schema.json#/definitions/Extension"
},
"type": "array"
},
"modifierExtension": {
"description": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"items": {
"$ref": "Extension.schema.json#/definitions/Extension"
},
"type": "array"
},
"type": {
"description": "Type of plan (Platinum; Gold; Silver; Bronze; High Deductable; Low Deductable).",
"$ref": "CodeableConcept.schema.json#/definitions/CodeableConcept"
},
"description": {
"description": "Additional descriptive content about the plan.",
"$ref": "#/definitions/string"
},
"_description": {
"description": "Extensions for description",
"$ref": "Element.schema.json#/definitions/Element"
},
"premium": {
"description": "Plan premium.",
"$ref": "Money.schema.json#/definitions/Money"
},
"category": {
"description": "List of the costs associated with plan benefits.",
"items": {
"$ref": "#/definitions/ProductPlan_Category"
},
"type": "array"
}
},
"additionalProperties": false
},
"ProductPlan_Category": {
"description": "Details of a Health Insurance product/plan provided by an organization.",
"properties": {
"id": {
"description": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"$ref": "string.schema.json#/definitions/string"
},
"extension": {
"description": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"items": {
"$ref": "Extension.schema.json#/definitions/Extension"
},
"type": "array"
},
"modifierExtension": {
"description": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"items": {
"$ref": "Extension.schema.json#/definitions/Extension"
},
"type": "array"
},
"code": {
"description": "General category of benefit (Medical; Dental; Vision; Drug; Mental Health; Substance Abuse; Hospice, Home Health).",
"$ref": "CodeableConcept.schema.json#/definitions/CodeableConcept"
},
"benefit": {
"description": "List of the specific benefits under this category of benefit.",
"items": {
"$ref": "#/definitions/ProductPlan_Benefit1"
},
"type": "array"
}
},
"additionalProperties": false
},
"ProductPlan_Benefit1": {
"description": "Details of a Health Insurance product/plan provided by an organization.",
"properties": {
"id": {
"description": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"$ref": "string.schema.json#/definitions/string"
},
"extension": {
"description": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"items": {
"$ref": "Extension.schema.json#/definitions/Extension"
},
"type": "array"
},
"modifierExtension": {
"description": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"items": {
"$ref": "Extension.schema.json#/definitions/Extension"
},
"type": "array"
},
"type": {
"description": "Type of specific benefit (preventative; primary care office visit; speciality office visit; hospitalization; emergency room; urgent care).",
"$ref": "CodeableConcept.schema.json#/definitions/CodeableConcept"
},
"cost": {
"description": "List of the costs associated with a specific benefit.",
"items": {
"$ref": "#/definitions/ProductPlan_Cost"
},
"type": "array"
}
},
"additionalProperties": false,
"required": [
"type"
]
},
"ProductPlan_Cost": {
"description": "Details of a Health Insurance product/plan provided by an organization.",
"properties": {
"id": {
"description": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"$ref": "string.schema.json#/definitions/string"
},
"extension": {
"description": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"items": {
"$ref": "Extension.schema.json#/definitions/Extension"
},
"type": "array"
},
"modifierExtension": {
"description": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"items": {
"$ref": "Extension.schema.json#/definitions/Extension"
},
"type": "array"
},
"type": {
"description": "Type of cost (copay; individual cap; family cap; coinsurance; deductible).",
"$ref": "CodeableConcept.schema.json#/definitions/CodeableConcept"
},
"applicability": {
"description": "Whether the cost applies to in-network or out-of-network providers (in-network; out-of-network; other).",
"items": {
"$ref": "Coding.schema.json#/definitions/Coding"
},
"type": "array"
},
"qualifiers": {
"description": "Additional information about the cost, such as information about funding sources (e.g. HSA, HRA, FSA, RRA).",
"items": {
"$ref": "#/definitions/string"
},
"type": "array"
},
"_qualifiers": {
"description": "Extensions for qualifiers",
"items": {
"$ref": "Element.schema.json#/definitions/Element"
},
"type": "array"
},
"value": {
"description": "The actual cost value.",
"$ref": "Quantity.schema.json#/definitions/Quantity"
}
},
"additionalProperties": false,
"required": [
"type"
]
}
}
}
®© HL7.org 2011+. FHIR Mixed Nomative/Trial Use Ballot (v3.3.0-13671) generated on Tue, Apr 3, 2018 12:17+1000. QA Page
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