openIMIS FHIR R4 Implementation Guide
1.0.0 - ci-build
openIMIS FHIR R4 Implementation Guide - Local Development build (v1.0.0). See the Directory of published versions
<InsurancePlan xmlns="http://hl7.org/fhir">
<id value="RX01"/>
<meta>
<profile
value="https://openimis.github.io/openimis_fhir_r4_ig/StructureDefinition/openimis-insurance-plan"/>
</meta>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource "RX01" </p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-openimis-insurance-plan.html">openIMIS Insurance Plan</a></p></div><p><b>Max Installments (InsurancePlan)</b>: 3</p><p><b>Conversion Product (InsurancePlan)</b>: <a href="InsurancePlan-RX02.html">InsurancePlan/RX02</a> "Regional fixed enrolment"</p><p><b>Cycle Start (InsurancePlan)</b>: 01-03</p><p><b>Cycle Start (InsurancePlan)</b>: 01-07</p><p><b>Cycle Start (InsurancePlan)</b>: 01-10</p><p><b>Period (InsurancePlan)</b>: 1 months</p><p><b>Period (InsurancePlan)</b>: 1 months</p><p><b>Period (InsurancePlan)</b>: 1 months</p><p><b>Period (InsurancePlan)</b>: 1 months</p><blockquote><p><b>Discount (InsurancePlan)</b></p><p><b>value</b>: 50</p><p><b>value</b>: 2 months</p></blockquote><blockquote><p><b>Discount (InsurancePlan)</b></p><p><b>value</b>: 80</p><p><b>value</b>: 2 months</p></blockquote><p><b>identifier</b>: Unique code: RX01</p><p><b>status</b>: active</p><p><b>type</b>: Medical <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/3.1.0/CodeSystem-insurance-plan-type.html">Insurance plan type</a>#medical)</span></p><p><b>name</b>: Regional fixed enrolment</p><p><b>period</b>: 2016-10-01 --> 2022-12-31</p><p><b>coverageArea</b>: <a href="Location-Upper-River-Region.html">Location/Upper-River-Region</a> "Upper River Region"</p><blockquote><p><b>coverage</b></p><p><b>type</b>: Medical <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/3.1.0/CodeSystem-insurance-plan-type.html">Insurance plan type</a>#medical)</span></p><blockquote><p><b>benefit</b></p><p><b>type</b>: Medical <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/3.1.0/CodeSystem-insurance-plan-type.html">Insurance plan type</a>#medical)</span></p><blockquote><p><b>limit</b></p><p><b>value</b>: 12 month</p><p><b>code</b>: Period <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-insurance-plan-coverage-benefit-limit.html">Coverage Benefit Limit Types (InsurancePlan)</a>#period)</span></p></blockquote><blockquote><p><b>limit</b></p><p><b>value</b>: 10 member</p><p><b>code</b>: Member Count <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-insurance-plan-coverage-benefit-limit.html">Coverage Benefit Limit Types (InsurancePlan)</a>#memberCount)</span></p></blockquote></blockquote></blockquote><blockquote><p><b>plan</b></p><blockquote><p><b>generalCost</b></p><p><b>type</b>: Lumpsum <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-insurance-plan-general-cost-type.html">General Cost Type (InsurancePlan)</a>#lumpsum)</span></p><p><b>groupSize</b>: 3</p></blockquote><blockquote><p><b>generalCost</b></p><p><b>type</b>: Premium Adult <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-insurance-plan-general-cost-type.html">General Cost Type (InsurancePlan)</a>#premiumAdult)</span></p></blockquote><blockquote><p><b>generalCost</b></p><p><b>type</b>: Premium Child <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-insurance-plan-general-cost-type.html">General Cost Type (InsurancePlan)</a>#premiumChild)</span></p></blockquote><blockquote><p><b>generalCost</b></p><p><b>type</b>: Registration Fee <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-insurance-plan-general-cost-type.html">General Cost Type (InsurancePlan)</a>#registrationFee)</span></p></blockquote></blockquote></div>
</text>
<extension
url="https://openimis.github.io/openimis_fhir_r4_ig/StructureDefinition/insurance-plan-max-installments">
<valueUnsignedInt value="3"/>
</extension>
<extension
url="https://openimis.github.io/openimis_fhir_r4_ig/StructureDefinition/insurance-plan-conversion">
<valueReference>
<reference value="InsurancePlan/RX02"/>
</valueReference>
</extension>
<extension
url="https://openimis.github.io/openimis_fhir_r4_ig/StructureDefinition/insurance-plan-start-cycle">
<valueString value="01-03"/>
</extension>
<extension
url="https://openimis.github.io/openimis_fhir_r4_ig/StructureDefinition/insurance-plan-start-cycle">
<valueString value="01-07"/>
</extension>
<extension
url="https://openimis.github.io/openimis_fhir_r4_ig/StructureDefinition/insurance-plan-start-cycle">
<valueString value="01-10"/>
</extension>
<extension
url="https://openimis.github.io/openimis_fhir_r4_ig/StructureDefinition/insurance-plan-period">
<valueQuantity>
<value value="1"/>
<unit value="months"/>
</valueQuantity>
</extension>
<extension
url="https://openimis.github.io/openimis_fhir_r4_ig/StructureDefinition/insurance-plan-period">
<valueQuantity>
<value value="1"/>
<unit value="months"/>
</valueQuantity>
</extension>
<extension
url="https://openimis.github.io/openimis_fhir_r4_ig/StructureDefinition/insurance-plan-period">
<valueQuantity>
<value value="1"/>
<unit value="months"/>
</valueQuantity>
</extension>
<extension
url="https://openimis.github.io/openimis_fhir_r4_ig/StructureDefinition/insurance-plan-period">
<valueQuantity>
<value value="1"/>
<unit value="months"/>
</valueQuantity>
</extension>
<extension
url="https://openimis.github.io/openimis_fhir_r4_ig/StructureDefinition/insurance-plan-discount">
<extension url="Percentage">
<valueDecimal value="50"/>
</extension>
<extension url="Period">
<valueQuantity>
<value value="2"/>
<unit value="months"/>
</valueQuantity>
</extension>
</extension>
<extension
url="https://openimis.github.io/openimis_fhir_r4_ig/StructureDefinition/insurance-plan-discount">
<extension url="Percentage">
<valueDecimal value="80"/>
</extension>
<extension url="Period">
<valueQuantity>
<value value="2"/>
<unit value="months"/>
</valueQuantity>
</extension>
</extension>
<identifier>
<type>
<coding>
<system
value="https://openimis.github.io/openimis_fhir_r4_ig/CodeSystem/openimis-identifiers"/>
<code value="Code"/>
</coding>
</type>
<value value="RX01"/>
</identifier>
<status value="active"/>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/insurance-plan-type"/>
<code value="medical"/>
<display value="Medical"/>
</coding>
</type>
<name value="Regional fixed enrolment"/>
<period>
<start value="2016-10-01"/>
<end value="2022-12-31"/>
</period>
<coverageArea>
<reference value="Location/Upper-River-Region"/>
</coverageArea>
<coverage>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/insurance-plan-type"/>
<code value="medical"/>
<display value="Medical"/>
</coding>
</type>
<benefit>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/insurance-plan-type"/>
<code value="medical"/>
<display value="Medical"/>
</coding>
</type>
<limit>
<value>
<value value="12"/>
<unit value="month"/>
</value>
<code>
<coding>
<system
value="https://openimis.github.io/openimis_fhir_r4_ig/CodeSystem/insurance-plan-coverage-benefit-limit"/>
<code value="period"/>
<display value="Period"/>
</coding>
</code>
</limit>
<limit>
<value>
<value value="10"/>
<unit value="member"/>
</value>
<code>
<coding>
<system
value="https://openimis.github.io/openimis_fhir_r4_ig/CodeSystem/insurance-plan-coverage-benefit-limit"/>
<code value="memberCount"/>
<display value="Member Count"/>
</coding>
</code>
</limit>
</benefit>
</coverage>
<plan>
<generalCost>
<type>
<coding>
<system
value="https://openimis.github.io/openimis_fhir_r4_ig/CodeSystem/insurance-plan-general-cost-type"/>
<code value="lumpsum"/>
<display value="Lumpsum"/>
</coding>
</type>
<groupSize value="3"/>
<cost>
<value value="1000"/>
<currency value="EUR"/>
</cost>
</generalCost>
<generalCost>
<type>
<coding>
<system
value="https://openimis.github.io/openimis_fhir_r4_ig/CodeSystem/insurance-plan-general-cost-type"/>
<code value="premiumAdult"/>
<display value="Premium Adult"/>
</coding>
</type>
<cost>
<value value="100"/>
<currency value="EUR"/>
</cost>
</generalCost>
<generalCost>
<type>
<coding>
<system
value="https://openimis.github.io/openimis_fhir_r4_ig/CodeSystem/insurance-plan-general-cost-type"/>
<code value="premiumChild"/>
<display value="Premium Child"/>
</coding>
</type>
<cost>
<value value="50"/>
<currency value="EUR"/>
</cost>
</generalCost>
<generalCost>
<type>
<coding>
<system
value="https://openimis.github.io/openimis_fhir_r4_ig/CodeSystem/insurance-plan-general-cost-type"/>
<code value="registrationFee"/>
<display value="Registration Fee"/>
</coding>
</type>
<cost>
<value value="300"/>
<currency value="EUR"/>
</cost>
</generalCost>
</plan>
</InsurancePlan>