| # | | Name | Source | Ver | Description |
| 1 | | Formulary | hl7.fhir.us.Davinci-drug-formulary#2.0.0 | R4 | The Formulary provides general information about a formulary and acts as an organizing construct that associated FormularyItem resources point to. The Formulary combined with its associated FormularyItem and FormularyDrug resources represent a formulary list that includes the set of drugs covered and the requirements and limitations of the coverage. |
| 2 | | NatDir InsurancePlan | hl7.fhir.us.directory-attestation#current | R4 | An InsurancePlan is a discrete package of health insurance coverage benefits that are offered under a particular network type. A given payer’s products typically differ by network type and/or covered benefits. A plan pairs a product’s covered benefits with the particular cost sharing structure offered to a consumer. A given product may comprise multiple plans (i.e. each plan offers different cost sharing requirements for the same set of covered benefits). |
| 3 | | National Directory Endpoint Qry Exchange InsurancePlan | hl7.fhir.us.directory-query#current | R4 | An InsurancePlan is a discrete package of health insurance coverage benefits that are offered under a particular network type. A given payer’s products typically differ by network type and/or covered benefits. A plan pairs a product’s covered benefits with the particular cost sharing structure offered to a consumer. A given product may comprise multiple plans (i.e. each plan offers different cost sharing requirements for the same set of covered benefits).
InsurancePlan describes a health insurance offering comprised of a list of covered benefits (i.e. the product), costs associated with those benefits (i.e. the plan), and additional information about the offering, such as who it is owned and administered by, a coverage area, contact information, etc. |
| 4 | | National Directory InsurancePlan | hl7.fhir.us.directory-exchange#current | R4 | An InsurancePlan is a discrete package of health insurance coverage benefits that are offered under a particular network type. A given payer’s products typically differ by network type and/or covered benefits. A plan pairs a product’s covered benefits with the particular cost sharing structure offered to a consumer. A given product may comprise multiple plans (i.e. each plan offers different cost sharing requirements for the same set of covered benefits). |
| 5 | | NDH Base InsurancePlan Profile | hl7.fhir.us.ndh#current | R4 | An InsurancePlan is a discrete package of health insurance coverage benefits that are offered under a particular network type. A given payer’s products
typically differ by network type and/or covered benefits. A plan pairs a product’s covered benefits with the particular cost sharing structure offered to a consumer.
A given product may comprise multiple plans (i.e. each plan offers different cost sharing requirements for the same set of covered benefits).
InsurancePlan describes a health insurance offering comprised of a list of covered benefits (i.e. the product), costs associated with those benefits (i.e. the plan),
and additional information about the offering, such as who it is owned and administered by, a coverage area, contact information, etc. |
| 6 | | NDH Exchange InsurancePlan Profile | hl7.fhir.us.ndh#current | R4 | An InsurancePlan is a discrete package of health insurance coverage benefits that are offered under a particular network type. A given payer’s products
typically differ by network type and/or covered benefits. A plan pairs a product’s covered benefits with the particular cost sharing structure offered to a consumer.
A given product may comprise multiple plans (i.e. each plan offers different cost sharing requirements for the same set of covered benefits).
InsurancePlan describes a health insurance offering comprised of a list of covered benefits (i.e. the product), costs associated with those benefits (i.e. the plan),
and additional information about the offering, such as who it is owned and administered by, a coverage area, contact information, etc. |
| 7 | | Payer Insurance Plan | hl7.fhir.us.Davinci-drug-formulary#2.0.0 | R4 | The Payer InsurancePlan that defines the health insurance product, which include coverage benefits that are offered, and additional information about the offering, such as a coverage area, contact information, brochure locations, etc. The health insurance product offers one or more types of coverage, each of which may define a plan of covered benefits with the particular cost sharing structure offered to a consumer. Health insurance plans that include drug coverage reference a formulary that provides details about drugs that are covered under the plan including requirements and limitations of the coverage specific to each drug. |
| 8 | | Payer Provider Network Query InsurancePlan Profile | hl7.fhir.us.ndh#current | R4 | An InsurancePlan is a discrete package of health insurance coverage benefits that are offered under a particular network type. A given payer’s products
typically differ by network type and/or covered benefits. A plan pairs a product’s covered benefits with the particular cost sharing structure offered to a consumer.
A given product may comprise multiple plans (i.e. each plan offers different cost sharing requirements for the same set of covered benefits).
InsurancePlan describes a health insurance offering comprised of a list of covered benefits (i.e. the product), costs associated with those benefits (i.e. the plan),
and additional information about the offering, such as who it is owned and administered by, a coverage area, contact information, etc. |
| 9 | | Plan-Net InsurancePlan | hl7.fhir.us.davinci-pdex-plan-net#current | R4 | An InsurancePlan is a discrete package of health insurance coverage benefits that are offered under a particular network type. A given payer’s products typically differ by network type and/or covered benefits. A plan pairs a product’s covered benefits with the particular cost sharing structure offered to a consumer. A given product may comprise multiple plans (i.e. each plan offers different cost sharing requirements for the same set of covered benefits).
InsurancePlan describes a health insurance offering comprised of a list of covered benefits (i.e. the product), costs associated with those benefits (i.e. the plan), and additional information about the offering, such as who it is owned and administered by, a coverage area, contact information, etc. |
| 10 | | VhDir Insurance Plan | hl7.fhir.uv.vhdir#current | R4 | The details of a health insurance product/plan |
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| InsurancePlan |
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| InsurancePlan.meta |
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| InsurancePlan.meta.profile |
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C |
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| InsurancePlan.meta.lastUpdated |
C |
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C |
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| InsurancePlan.implicitRules |
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| InsurancePlan.language |
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| InsurancePlan.text |
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| InsurancePlan.contained |
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| InsurancePlan.extension |
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S C (3) |
S C (2) |
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S C D (2) |
| InsurancePlan.modifierExtension |
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| InsurancePlan.identifier |
C |
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C |
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| InsurancePlan.identifier.period |
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| InsurancePlan.identifier.value |
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| InsurancePlan.identifier.system |
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| InsurancePlan.identifier.type |
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| InsurancePlan.identifier.use |
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| InsurancePlan.identifier.assigner |
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| InsurancePlan.identifier.extension |
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S C |
S C (2) |
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S C (2) |
| InsurancePlan.status |
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C F |
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C F |
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C F |
C |
| InsurancePlan.type |
C F |
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C B M |
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C B M |
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C B M |
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C B M |
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| InsurancePlan.name |
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| InsurancePlan.alias |
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| InsurancePlan.period |
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| InsurancePlan.ownedBy |
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C |
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C |
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C |
C |
| InsurancePlan.administeredBy |
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C |
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C |
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C |
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| InsurancePlan.coverageArea |
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| InsurancePlan.contact |
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| InsurancePlan.contact.address |
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| InsurancePlan.contact.name |
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| InsurancePlan.contact.name.suffix |
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| InsurancePlan.contact.name.prefix |
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| InsurancePlan.contact.name.given |
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C |
| InsurancePlan.contact.name.family |
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C |
| InsurancePlan.contact.name.text |
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| InsurancePlan.contact.name.use |
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| InsurancePlan.contact.purpose |
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B M |
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| InsurancePlan.contact.telecom |
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| InsurancePlan.contact.telecom.period |
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| InsurancePlan.contact.telecom.rank |
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| InsurancePlan.contact.telecom.use |
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| InsurancePlan.contact.telecom.value |
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C |
| InsurancePlan.contact.telecom.system |
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C |
| InsurancePlan.contact.telecom.extension |
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S C (2) |
S (2) |
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S C (3) |
| InsurancePlan.endpoint |
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| InsurancePlan.network |
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| InsurancePlan.coverage |
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S C (2) |
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| InsurancePlan.coverage.extension |
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S C (2) |
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| InsurancePlan.coverage.modifierExtension |
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| InsurancePlan.coverage.type |
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B M |
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F (2) |
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B M |
| InsurancePlan.coverage.network |
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| InsurancePlan.coverage.benefit |
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S C (2) |
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| InsurancePlan.coverage.benefit.extension |
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| InsurancePlan.coverage.benefit.modifierExtension |
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| InsurancePlan.coverage.benefit.type |
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B M |
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F B M (2) |
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B M |
| InsurancePlan.coverage.benefit.requirement |
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| InsurancePlan.coverage.benefit.limit |
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| InsurancePlan.coverage.benefit.limit.extension |
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| InsurancePlan.coverage.benefit.limit.modifierExtension |
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| InsurancePlan.coverage.benefit.limit.value |
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| InsurancePlan.coverage.benefit.limit.code |
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B M |
| InsurancePlan.plan |
C |
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S C (2) |
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| InsurancePlan.plan.extension |
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| InsurancePlan.plan.modifierExtension |
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| InsurancePlan.plan.identifier |
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| InsurancePlan.plan.identifier.period |
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| InsurancePlan.plan.identifier.value |
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| InsurancePlan.plan.identifier.system |
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| InsurancePlan.plan.identifier.type |
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| InsurancePlan.plan.identifier.use |
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| InsurancePlan.plan.identifier.assigner |
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| InsurancePlan.plan.identifier.extension |
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S C |
S |
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S C (2) |
| InsurancePlan.plan.type |
C F |
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B M |
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B M |
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C F B M (2) |
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B M |
B M |
| InsurancePlan.plan.coverageArea |
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| InsurancePlan.plan.network |
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| InsurancePlan.plan.generalCost |
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| InsurancePlan.plan.generalCost.extension |
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| InsurancePlan.plan.generalCost.modifierExtension |
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| InsurancePlan.plan.generalCost.type |
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B M |
| InsurancePlan.plan.generalCost.groupSize |
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| InsurancePlan.plan.generalCost.cost |
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| InsurancePlan.plan.generalCost.comment |
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| InsurancePlan.plan.specificCost |
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C |
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| InsurancePlan.plan.specificCost.extension |
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| InsurancePlan.plan.specificCost.modifierExtension |
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| InsurancePlan.plan.specificCost.category |
B M |
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B M |
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B M |
| InsurancePlan.plan.specificCost.benefit |
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C |
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| InsurancePlan.plan.specificCost.benefit.extension |
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| InsurancePlan.plan.specificCost.benefit.modifierExtension |
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| InsurancePlan.plan.specificCost.benefit.type |
B M |
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B M |
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B M |
| InsurancePlan.plan.specificCost.benefit.cost |
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S C (3) |
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| InsurancePlan.plan.specificCost.benefit.cost.extension |
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| InsurancePlan.plan.specificCost.benefit.cost.modifierExtension |
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| InsurancePlan.plan.specificCost.benefit.cost.type |
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F B M (3) |
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B M |
| InsurancePlan.plan.specificCost.benefit.cost.applicability |
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| InsurancePlan.plan.specificCost.benefit.cost.qualifiers |
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C B M (3) |
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B M |
| InsurancePlan.plan.specificCost.benefit.cost.value |
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(2) |
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| InsurancePlan.plan.specificCost.benefit.cost.value.code |
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F (2) |
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| InsurancePlan.plan.specificCost.benefit.cost.value.system |
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F (2) |
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| InsurancePlan.plan.specificCost.benefit.cost.value.value |
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C |
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