FHIR to OMOP FHIR IG
1.0.0-ballot - INFORMATIVE 1 - Ballot International flag

This page is part of the Vulcan FHIR to OMOP FHIR Implementation Guide (v1.0.0-ballot: INFORMATIVE 1 Ballot 1) based on FHIR (HL7® FHIR® Standard) v5.0.0. No current official version has been published yet. For a full list of available versions, see the Directory of published versions

Logical Model: Payer Plan Period OMOP Table

Official URL: http://hl7.org/fhir/uv/omop/StructureDefinition/PayerPlanPeriod Version: 1.0.0-ballot
Standards status: Informative Maturity Level: 1 Computable Name: PayerPlanPeriod

The PAYER_PLAN_PERIOD table captures details of the period of time that a Person is continuously enrolled under a specific health Plan benefit structure from a given Payer. Each Person receiving healthcare is typically covered by a health benefit plan, which pays for (fully or partially), or directly provides, the care. These benefit plans are provided by payers, such as health insurances or state or government agencies. In each plan the details of the health benefits are defined for the Person or her family, and the health benefit Plan might change over time typically with increasing utilization (reaching certain cost thresholds such as deductibles), plan availability and purchasing choices of the Person. The unique combinations of Payer organizations, health benefit Plans and time periods in which they are valid for a Person are recorded in this table.

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. PayerPlanPeriod 0..* Base Payer Plan Period OMOP Table
Instances of this logical model can be the target of a Reference
... payer_plan_period_id 1..1 code Payer Plan Period Identifier
... person_id 1..1 Reference(Person OMOP Table) Person
... payer_plan_period_start_date 1..1 date Payer Plan Period Start Date
... payer_concept_id 0..1 code Payer
... payer_source_value 0..1 string Payer Source Value
... payer_source_concept_id 0..1 code Payer Source
... plan_concept_id 0..1 code Plan
... plan_source_value 0..1 string Plan Source Value
... plan_source_concept_id 0..1 code Plan Source
... sponsor_concept_id 0..1 code Sponsor
... sponsor_source_value 0..1 string Sponsor Source Value
... sponsor_source_concept_id 0..1 code Sponsor Source
... family_source_value 0..1 string Family Source Value
... stop_reason_concept_id 0..1 code Stop Reason
... stop_reason_source_value 0..1 string Stop Reason Source Value
... stop_reason_source_concept_id 0..1 code Stop Reason Source

doco Documentation for this format

This structure is derived from Base

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. PayerPlanPeriod 0..* Base Payer Plan Period OMOP Table
Instances of this logical model can be the target of a Reference
... payer_plan_period_id 1..1 code Payer Plan Period Identifier
... person_id 1..1 Reference(Person OMOP Table) Person
... payer_plan_period_start_date 1..1 date Payer Plan Period Start Date
... payer_concept_id 0..1 code Payer
... payer_source_value 0..1 string Payer Source Value
... payer_source_concept_id 0..1 code Payer Source
... plan_concept_id 0..1 code Plan
... plan_source_value 0..1 string Plan Source Value
... plan_source_concept_id 0..1 code Plan Source
... sponsor_concept_id 0..1 code Sponsor
... sponsor_source_value 0..1 string Sponsor Source Value
... sponsor_source_concept_id 0..1 code Sponsor Source
... family_source_value 0..1 string Family Source Value
... stop_reason_concept_id 0..1 code Stop Reason
... stop_reason_source_value 0..1 string Stop Reason Source Value
... stop_reason_source_concept_id 0..1 code Stop Reason Source

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. PayerPlanPeriod 0..* Base Payer Plan Period OMOP Table
Instances of this logical model can be the target of a Reference
... payer_plan_period_id 1..1 code Payer Plan Period Identifier
... person_id 1..1 Reference(Person OMOP Table) Person
... payer_plan_period_start_date 1..1 date Payer Plan Period Start Date
... payer_concept_id 0..1 code Payer
... payer_source_value 0..1 string Payer Source Value
... payer_source_concept_id 0..1 code Payer Source
... plan_concept_id 0..1 code Plan
... plan_source_value 0..1 string Plan Source Value
... plan_source_concept_id 0..1 code Plan Source
... sponsor_concept_id 0..1 code Sponsor
... sponsor_source_value 0..1 string Sponsor Source Value
... sponsor_source_concept_id 0..1 code Sponsor Source
... family_source_value 0..1 string Family Source Value
... stop_reason_concept_id 0..1 code Stop Reason
... stop_reason_source_value 0..1 string Stop Reason Source Value
... stop_reason_source_concept_id 0..1 code Stop Reason Source

doco Documentation for this format

This structure is derived from Base

Summary

Mandatory: 0 element(4 nested mandatory elements)

Structures

This structure refers to these other structures:

Maturity: 1

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. PayerPlanPeriod 0..* Base Payer Plan Period OMOP Table
Instances of this logical model can be the target of a Reference
... payer_plan_period_id 1..1 code Payer Plan Period Identifier
... person_id 1..1 Reference(Person OMOP Table) Person
... payer_plan_period_start_date 1..1 date Payer Plan Period Start Date
... payer_concept_id 0..1 code Payer
... payer_source_value 0..1 string Payer Source Value
... payer_source_concept_id 0..1 code Payer Source
... plan_concept_id 0..1 code Plan
... plan_source_value 0..1 string Plan Source Value
... plan_source_concept_id 0..1 code Plan Source
... sponsor_concept_id 0..1 code Sponsor
... sponsor_source_value 0..1 string Sponsor Source Value
... sponsor_source_concept_id 0..1 code Sponsor Source
... family_source_value 0..1 string Family Source Value
... stop_reason_concept_id 0..1 code Stop Reason
... stop_reason_source_value 0..1 string Stop Reason Source Value
... stop_reason_source_concept_id 0..1 code Stop Reason Source

doco Documentation for this format

Differential View

This structure is derived from Base

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. PayerPlanPeriod 0..* Base Payer Plan Period OMOP Table
Instances of this logical model can be the target of a Reference
... payer_plan_period_id 1..1 code Payer Plan Period Identifier
... person_id 1..1 Reference(Person OMOP Table) Person
... payer_plan_period_start_date 1..1 date Payer Plan Period Start Date
... payer_concept_id 0..1 code Payer
... payer_source_value 0..1 string Payer Source Value
... payer_source_concept_id 0..1 code Payer Source
... plan_concept_id 0..1 code Plan
... plan_source_value 0..1 string Plan Source Value
... plan_source_concept_id 0..1 code Plan Source
... sponsor_concept_id 0..1 code Sponsor
... sponsor_source_value 0..1 string Sponsor Source Value
... sponsor_source_concept_id 0..1 code Sponsor Source
... family_source_value 0..1 string Family Source Value
... stop_reason_concept_id 0..1 code Stop Reason
... stop_reason_source_value 0..1 string Stop Reason Source Value
... stop_reason_source_concept_id 0..1 code Stop Reason Source

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. PayerPlanPeriod 0..* Base Payer Plan Period OMOP Table
Instances of this logical model can be the target of a Reference
... payer_plan_period_id 1..1 code Payer Plan Period Identifier
... person_id 1..1 Reference(Person OMOP Table) Person
... payer_plan_period_start_date 1..1 date Payer Plan Period Start Date
... payer_concept_id 0..1 code Payer
... payer_source_value 0..1 string Payer Source Value
... payer_source_concept_id 0..1 code Payer Source
... plan_concept_id 0..1 code Plan
... plan_source_value 0..1 string Plan Source Value
... plan_source_concept_id 0..1 code Plan Source
... sponsor_concept_id 0..1 code Sponsor
... sponsor_source_value 0..1 string Sponsor Source Value
... sponsor_source_concept_id 0..1 code Sponsor Source
... family_source_value 0..1 string Family Source Value
... stop_reason_concept_id 0..1 code Stop Reason
... stop_reason_source_value 0..1 string Stop Reason Source Value
... stop_reason_source_concept_id 0..1 code Stop Reason Source

doco Documentation for this format

This structure is derived from Base

Summary

Mandatory: 0 element(4 nested mandatory elements)

Structures

This structure refers to these other structures:

Maturity: 1

 

Other representations of profile: CSV, Excel