description: This Profile 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.
package_name: ndhm.in
derivation: constraint
name: InsurancePlan
type: InsurancePlan
elements:
  coverageArea: {mustSupport: true, index: 8}
  name: {mustSupport: true, index: 3}
  coverage:
    mustSupport: true
    index: 11
    elements:
      type:
        binding: {strength: example, valueSet: 'https://nrces.in/ndhm/fhir/r4/ValueSet/ndhm-coverage-type'}
        index: 12
      benefit:
        mustSupport: true
        index: 13
        elements:
          type:
            binding: {strength: example, valueSet: 'https://nrces.in/ndhm/fhir/r4/ValueSet/ndhm-benefit-type'}
            index: 14
  type:
    binding: {strength: example, valueSet: 'https://nrces.in/ndhm/fhir/r4/ValueSet/ndhm-insuranceplan-type'}
    mustSupport: true
    index: 2
  alias: {mustSupport: true, index: 4}
  status: {mustSupport: true, index: 1}
  identifier: {mustSupport: true, index: 0}
  administeredBy:
    type: Reference
    mustSupport: true
    refers: ['https://nrces.in/ndhm/fhir/r4/StructureDefinition/Organization']
    index: 7
  ownedBy:
    type: Reference
    mustSupport: true
    refers: ['https://nrces.in/ndhm/fhir/r4/StructureDefinition/Organization']
    index: 6
  network:
    type: Reference
    mustSupport: true
    refers: ['https://nrces.in/ndhm/fhir/r4/StructureDefinition/Organization']
    index: 10
  period: {mustSupport: true, index: 5}
  plan:
    mustSupport: true
    index: 15
    elements:
      type:
        binding: {strength: example, valueSet: 'https://nrces.in/ndhm/fhir/r4/ValueSet/ndhm-plan-type'}
        mustSupport: true
        index: 16
      coverageArea: {mustSupport: true, index: 17}
      network:
        type: Reference
        refers: ['https://nrces.in/ndhm/fhir/r4/StructureDefinition/Organization']
        index: 18
      generalCost: {mustSupport: true, index: 19}
      specificCost:
        mustSupport: true
        index: 20
        elements:
          category:
            binding: {strength: example, valueSet: 'https://nrces.in/ndhm/fhir/r4/ValueSet/ndhm-benefitcategory'}
            mustSupport: true
            index: 21
    required: [type]
  contact: {mustSupport: true, index: 9}
package_version: 3.0.1
class: profile
kind: resource
url: https://nrces.in/ndhm/fhir/r4/StructureDefinition/InsurancePlan
base: http://hl7.org/fhir/StructureDefinition/InsurancePlan
version: 3.0.1
required: [coverage, ownedBy, name, status, identifier, administeredBy, type, period]