openIMIS FHIR R4 Implementation Guide - Local Development build (v1.0.0). See the Directory of published versions

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: RX02 - XML Representation

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<InsurancePlan xmlns="http://hl7.org/fhir">
  <id value="RX02"/>
  <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 "RX02" </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>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>: 2023-10-01 --&gt; 2030-12-31</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-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="2023-10-01"/>
    <end value="2030-12-31"/>
  </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="1500"/>
        <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="150"/>
        <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="70"/>
        <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="200"/>
        <currency value="EUR"/>
      </cost>
    </generalCost>
  </plan>
</InsurancePlan>