| Name | Flags | Card. | Type |
Description & Constraints
|
|---|---|---|---|---|
InsurancePlan
|
InsurancePlan | |||
meta
|
||||
lastUpdated
|
S | 1.. | ||
|
identifier
|
S | 1.. | ||
|
status
|
S | 1.. | ||
|
type
|
S | 1..1 |
Plan type Required Pattern: At least the following |
|
coding
|
1..* | Coding |
Code defined by a terminology system Fixed Value: (complex) |
|
system
|
1..1 | uri |
Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActCode |
|
|
code
|
1..1 | code |
Symbol in syntax defined by the system Fixed Value: DRUGPOL |
|
|
name
|
S | |||
|
period
|
S | |||
|
plan
|
..1 | Optional non-cost related plan information indicating pharmacy benefit types and drug tiers available in the formulary | ||
|
type
|
1.. | Required Pattern: At least the following | ||
|
coding
|
1..* | Coding |
Code defined by a terminology system Fixed Value: (complex) |
|
|
system
|
1..1 | uri |
Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/insurance-plan-type |
|
|
code
|
1..1 | code |
Symbol in syntax defined by the system Fixed Value: Drug |
|
|
display
|
1..1 | string |
Representation defined by the system Fixed Value: Drug |
|
|
specificCost
|
Pharmacy benefit type specific cost | |||
|
category
|
Binding: Pharmacy benefit types ( extensible ) | |||
|
benefit
|
Drug tier benefit | |||
|
type
|
Binding: Drug tier of medication in health plan ( extensible ) | |||
|
Documentation for this format
|
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