NameFlagsCard.TypeDescription & Constraintsdoco
.. InsurancePlan ITUDomainResourceDetails of a Health Insurance product/plan provided by an organization
+ Rule: The organization SHALL at least have a name or an idendtifier, and possibly more than one
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
... identifier ΣI0..*IdentifierBusiness Identifier for Product
... status ?!Σ0..1codedraft | active | retired | unknown
PublicationStatus (Required)
... type Σ0..*CodeableConceptKind of product
Insurance plan type (Example)
... name ΣI0..1stringOfficial name
... alias 0..*stringAlternate names
... period 0..1PeriodWhen the product is available
... ownedBy Σ0..1Reference(Organization)Plan issuer
... administeredBy Σ0..1Reference(Organization)Product administrator
... coverageArea Σ0..*Reference(Location)Where product applies
... contact 0..*BackboneElementContact for the product
.... purpose 0..1CodeableConceptThe type of contact
Contact entity type (Extensible)
.... 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 0..*Reference(Organization)What networks are Included
... coverage 0..*BackboneElementCoverage details
.... type 1..1CodeableConceptType of coverage
.... network 0..*Reference(Organization)What networks provide coverage
.... benefit 1..*BackboneElementList of benefits
..... type 1..1CodeableConceptType of benefit
..... requirement 0..1stringReferral requirements
..... limit 0..*BackboneElementBenefit limits
...... value 0..1QuantityMaximum value allowed
...... code 0..1CodeableConceptBenefit limit details
... plan 0..*BackboneElementPlan details
.... identifier Σ0..*IdentifierBusiness Identifier for Product
.... type 0..1CodeableConceptType of plan
.... coverageArea Σ0..*Reference(Location)Where product applies
.... network 0..*Reference(Organization)What networks provide coverage
.... generalCost 0..*BackboneElementOverall costs
..... type 0..1CodeableConceptType of cost
..... groupSize 0..1positiveIntNumber of enrollees
..... cost 0..1MoneyCost value
..... comment 0..1stringAdditional cost information
.... specificCost 0..*BackboneElementSpecific costs
..... category 1..1CodeableConceptGeneral category of benefit
..... benefit 0..*BackboneElementBenefits list
...... type 1..1CodeableConceptType of specific benefit
...... cost 0..*BackboneElementList of the costs
....... type 1..1CodeableConceptType of cost
....... applicability 0..1CodeableConceptin-network | out-of-network | other
Benefit cost applicability (Required)
....... qualifiers 0..*CodeableConceptAdditional information about the cost
....... value 0..1QuantityThe actual cost value

doco Documentation for this format