LinuxForHealth FHIR Implementation Guide
8.0.0 - draft
LinuxForHealth FHIR Implementation Guide - Local Development build (v8.0.0). See the Directory of published versions
@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .
# - resource -------------------------------------------------------------------
a fhir:InsurancePlan;
fhir:nodeRole fhir:treeRoot;
fhir:Resource.id [ fhir:value "InsurancePlanExample"];
fhir:Resource.meta [
fhir:Meta.source [ fhir:value "http://acme-health.com/WellnessInsuranceCompany" ];
fhir:Meta.profile [
fhir:value "http://linuxforhealth.org/fhir/cdm/StructureDefinition/cdm-insurance-plan";
fhir:index 0;
fhir:link <http://linuxforhealth.org/fhir/cdm/StructureDefinition/cdm-insurance-plan> ]
];
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "extensions" ];
fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: InsurancePlan</b><a name=\"InsurancePlanExample\"> </a></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 InsurancePlan \"InsurancePlanExample\" </p><p style=\"margin-bottom: 0px\">Information Source: http://acme-health.com/WellnessInsuranceCompany!</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-cdm-insurance-plan.html\">CDM Insurance Plan</a></p></div><p><b>Payer Medical Coverage Indicator</b>: Y</p><p><b>Payer Dental Coverage Indicator</b>: Y</p><p><b>Payer Drug Coverage Indicator</b>: Y</p><p><b>Payer Hearing Coverage Indicator</b>: Y</p><p><b>Payer Vision Coverage Indicator</b>: Y</p><p><b>Payer Psychiatric Coverage Indicator</b>: N</p><p><b>Payer Shortterm Care Coverage Indicator</b>: Y</p><p><b>Payer Longterm Care Coverage Indicator</b>: Y</p><p><b>Payer Substance Abuse Ambulatory Coverage Indicator</b>: N</p><p><b>Payer Substance Abuse Day-Night Coverage Indicator</b>: N</p><p><b>Payer Substance Abuse Inpatient Coverage Indicator</b>: N</p><p><b>Payer Mental Health Ambulatory Coverage Indicator</b>: N</p><p><b>Payer Mental Health Day Night Coverage Indicator</b>: N</p><p><b>Payer Mental Health Inpatient Coverage Indicator</b>: N</p><p><b>Dental Fully Insured Indicator</b>: Y</p><p><b>Drug Fully Insured Indicator</b>: Y</p><p><b>Enrollment Type</b>: LocalEnrollType <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (local-enrollment-type#LocalEnrollType)</span></p><p><b>Exchange Plan Indicator</b>: N</p><p><b>Industry Classification</b>: 621112 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/4.0.0/CodeSystem-naics.html\">North American Industry Classification System</a>#621112)</span></p><p><b>Medical Fully Insured Indicator</b>: Y</p><p><b>Vision Fully Insured Indicator</b>: Y</p><p><b>Payer Managed Care Plan Type</b>: LocalManagedCarePlan <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (local-managed-care-plan-type#LocalManagedCarePlan)</span></p><p><b>identifier</b>: Source System Row Identifier: plan_code_1234(use: OFFICIAL), Source System Row Identifier: account_id_1234(use: SECONDARY), Source System Row Identifier: dental-plan_code_5555(use: OFFICIAL), Source System Row Identifier: vision-plan_code_2345(use: OFFICIAL)</p><p><b>type</b>: Medical <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/4.0.0/CodeSystem-insurance-plan-type.html\">Insurance plan type</a>#medical)</span>, Dental <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/4.0.0/CodeSystem-insurance-plan-type.html\">Insurance plan type</a>#dental)</span>, Drug <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/4.0.0/CodeSystem-insurance-plan-type.html\">Insurance plan type</a>#Drug)</span>, Hearing <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-insurance-plan-type.html\">Insurance Plan Type Codes</a>#hearing)</span>, Vision <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/4.0.0/CodeSystem-insurance-plan-type.html\">Insurance plan type</a>#vision)</span>, Mental Health <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/4.0.0/CodeSystem-insurance-plan-type.html\">Insurance plan type</a>#mental)</span>, Substance Abuse <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/4.0.0/CodeSystem-insurance-plan-type.html\">Insurance plan type</a>#subst-ab)</span>, Short Term <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/4.0.0/CodeSystem-insurance-plan-type.html\">Insurance plan type</a>#short-term)</span>, Long Term Care <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/4.0.0/CodeSystem-insurance-plan-type.html\">Insurance plan type</a>#long-term)</span>, Substance Abuse Ambulatory <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-insurance-plan-type.html\">Insurance Plan Type Codes</a>#substance-abuse-ambulatory)</span>, Substance Abuse Day Night <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-insurance-plan-type.html\">Insurance Plan Type Codes</a>#substance-abuse-day-night)</span>, Substance Abuse Inpatient <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-insurance-plan-type.html\">Insurance Plan Type Codes</a>#substance-abuse-inpatient)</span>, Mental Health Ambulatory <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-insurance-plan-type.html\">Insurance Plan Type Codes</a>#mental-health-ambulatory)</span>, Mental Health Day Night <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-insurance-plan-type.html\">Insurance Plan Type Codes</a>#mental-health-day-night)</span>, Mental Health Inpatient <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-insurance-plan-type.html\">Insurance Plan Type Codes</a>#mental-health-inpatient)</span></p><p><b>ownedBy</b>: <a href=\"Organization-GeneralHospital.html\">Organization/GeneralHospital</a> \"General Hospital\"</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/4.0.0/CodeSystem-insurance-plan-type.html\">Insurance plan type</a>#medical)</span></p><p><b>network</b>: <a href=\"Organization-GeneralHospital.html\">Organization/GeneralHospital</a> \"General Hospital\"</p><h3>Benefits</h3><table class=\"grid\"><tr><td>-</td><td><b>Type</b></td></tr><tr><td>*</td><td>Medical <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/4.0.0/CodeSystem-insurance-plan-type.html\">Insurance plan type</a>#medical)</span></td></tr></table></blockquote><blockquote><p><b>coverage</b></p><p><b>type</b>: Dental <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/4.0.0/CodeSystem-insurance-plan-type.html\">Insurance plan type</a>#dental)</span></p><h3>Benefits</h3><table class=\"grid\"><tr><td>-</td><td><b>Type</b></td></tr><tr><td>*</td><td>Dental <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/4.0.0/CodeSystem-insurance-plan-type.html\">Insurance plan type</a>#dental)</span></td></tr></table></blockquote><blockquote><p><b>coverage</b></p><p><b>type</b>: Drug <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/4.0.0/CodeSystem-insurance-plan-type.html\">Insurance plan type</a>#Drug)</span></p><h3>Benefits</h3><table class=\"grid\"><tr><td>-</td><td><b>Type</b></td></tr><tr><td>*</td><td>Drug <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/4.0.0/CodeSystem-insurance-plan-type.html\">Insurance plan type</a>#Drug)</span></td></tr></table></blockquote><blockquote><p><b>coverage</b></p><p><b>type</b>: Hearing <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-insurance-plan-type.html\">Insurance Plan Type Codes</a>#hearing)</span></p><h3>Benefits</h3><table class=\"grid\"><tr><td>-</td><td><b>Type</b></td></tr><tr><td>*</td><td>Hearing <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-insurance-plan-type.html\">Insurance Plan Type Codes</a>#hearing)</span></td></tr></table></blockquote><blockquote><p><b>coverage</b></p><p><b>type</b>: Vision <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/4.0.0/CodeSystem-insurance-plan-type.html\">Insurance plan type</a>#vision)</span></p><h3>Benefits</h3><table class=\"grid\"><tr><td>-</td><td><b>Type</b></td></tr><tr><td>*</td><td>Vision <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/4.0.0/CodeSystem-insurance-plan-type.html\">Insurance plan type</a>#vision)</span></td></tr></table></blockquote><blockquote><p><b>coverage</b></p><p><b>type</b>: Mental Health <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/4.0.0/CodeSystem-insurance-plan-type.html\">Insurance plan type</a>#mental)</span></p><h3>Benefits</h3><table class=\"grid\"><tr><td>-</td><td><b>Type</b></td></tr><tr><td>*</td><td>Mental Health <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/4.0.0/CodeSystem-insurance-plan-type.html\">Insurance plan type</a>#mental)</span></td></tr></table></blockquote><blockquote><p><b>coverage</b></p><p><b>type</b>: Substance Abuse <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/4.0.0/CodeSystem-insurance-plan-type.html\">Insurance plan type</a>#subst-ab)</span></p><h3>Benefits</h3><table class=\"grid\"><tr><td>-</td><td><b>Type</b></td></tr><tr><td>*</td><td>Substance Abuse <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/4.0.0/CodeSystem-insurance-plan-type.html\">Insurance plan type</a>#subst-ab)</span></td></tr></table></blockquote><blockquote><p><b>coverage</b></p><p><b>type</b>: Short Term <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/4.0.0/CodeSystem-insurance-plan-type.html\">Insurance plan type</a>#short-term)</span></p><h3>Benefits</h3><table class=\"grid\"><tr><td>-</td><td><b>Type</b></td></tr><tr><td>*</td><td>Short Term <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/4.0.0/CodeSystem-insurance-plan-type.html\">Insurance plan type</a>#short-term)</span></td></tr></table></blockquote><blockquote><p><b>coverage</b></p><p><b>type</b>: Long Term Care <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/4.0.0/CodeSystem-insurance-plan-type.html\">Insurance plan type</a>#long-term)</span></p><h3>Benefits</h3><table class=\"grid\"><tr><td>-</td><td><b>Type</b></td></tr><tr><td>*</td><td>Long Term Care <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/4.0.0/CodeSystem-insurance-plan-type.html\">Insurance plan type</a>#long-term)</span></td></tr></table></blockquote><blockquote><p><b>coverage</b></p><p><b>type</b>: Substance Abuse Ambulatory <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-insurance-plan-type.html\">Insurance Plan Type Codes</a>#substance-abuse-ambulatory)</span></p><h3>Benefits</h3><table class=\"grid\"><tr><td>-</td><td><b>Type</b></td></tr><tr><td>*</td><td>Substance Abuse Ambulatory <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-insurance-plan-type.html\">Insurance Plan Type Codes</a>#substance-abuse-ambulatory)</span></td></tr></table></blockquote><blockquote><p><b>coverage</b></p><p><b>type</b>: Substance Abuse Day Night <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-insurance-plan-type.html\">Insurance Plan Type Codes</a>#substance-abuse-day-night)</span></p><h3>Benefits</h3><table class=\"grid\"><tr><td>-</td><td><b>Type</b></td></tr><tr><td>*</td><td>Substance Abuse Day Night <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-insurance-plan-type.html\">Insurance Plan Type Codes</a>#substance-abuse-day-night)</span></td></tr></table></blockquote><blockquote><p><b>coverage</b></p><p><b>type</b>: Substance Abuse Inpatient <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-insurance-plan-type.html\">Insurance Plan Type Codes</a>#substance-abuse-inpatient)</span></p><h3>Benefits</h3><table class=\"grid\"><tr><td>-</td><td><b>Type</b></td></tr><tr><td>*</td><td>Substance Abuse Inpatient <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-insurance-plan-type.html\">Insurance Plan Type Codes</a>#substance-abuse-inpatient)</span></td></tr></table></blockquote><blockquote><p><b>coverage</b></p><p><b>type</b>: Mental Health Ambulatory <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-insurance-plan-type.html\">Insurance Plan Type Codes</a>#mental-health-ambulatory)</span></p><h3>Benefits</h3><table class=\"grid\"><tr><td>-</td><td><b>Type</b></td></tr><tr><td>*</td><td>Mental Health Ambulatory <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-insurance-plan-type.html\">Insurance Plan Type Codes</a>#mental-health-ambulatory)</span></td></tr></table></blockquote><blockquote><p><b>coverage</b></p><p><b>type</b>: Mental Health Day Night <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-insurance-plan-type.html\">Insurance Plan Type Codes</a>#mental-health-day-night)</span></p><h3>Benefits</h3><table class=\"grid\"><tr><td>-</td><td><b>Type</b></td></tr><tr><td>*</td><td>Mental Health Day Night <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-insurance-plan-type.html\">Insurance Plan Type Codes</a>#mental-health-day-night)</span></td></tr></table></blockquote><blockquote><p><b>coverage</b></p><p><b>type</b>: Mental Health Inpatient <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-insurance-plan-type.html\">Insurance Plan Type Codes</a>#mental-health-inpatient)</span></p><h3>Benefits</h3><table class=\"grid\"><tr><td>-</td><td><b>Type</b></td></tr><tr><td>*</td><td>Mental Health Inpatient <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-insurance-plan-type.html\">Insurance Plan Type Codes</a>#mental-health-inpatient)</span></td></tr></table></blockquote><blockquote><p><b>plan</b></p><p><b>ACA Health Insurance Oversight System Plan</b>: LocalACAPlanCd <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (local-aca-health-insurance-oversight-system-plan#LocalACAPlanCd)</span></p><p><b>ACA Health Insurance Oversight System Product</b>: LocalACAProductCd <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (local-aca-health-insurance-oversight-system-product#LocalACAProductCd)</span></p><p><b>ACA Market Type</b>: LocalACAMarketTypeCd <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (local-aca-market-type#LocalACAMarketTypeCd)</span></p><p><b>ACA Metal Tier</b>: LocalACAMetalTierCd <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (local-aca-metal-tier#LocalACAMetalTierCd)</span></p><p><b>Capitation Arrangement</b>: LocalCapArrangement <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (local-capitation-arrangement#LocalCapArrangement)</span></p><p><b>Carve Out</b>: LocalCarveOutCode <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (local-carve-out#LocalCarveOutCode)</span></p><p><b>Cost Sharing Reduction Variant</b>: LocalCostSharingCd <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (local-cost-sharing-reduction-variant#LocalCostSharingCd)</span></p><p><b>Funding Arrangement</b>: LocalFundArrangement <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (local-funding-arrangement#LocalFundArrangement)</span></p><p><b>Level Of Care</b>: LocalLevelOfCare <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (local-level-of-care#LocalLevelOfCare)</span></p><p><b>Longterm Care Duration</b>: 36</p><p><b>Longterm Care Waiting Period</b>: 90</p><p><b>Rating Area</b>: LocalRatingArea <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (local-rating-area#LocalRatingArea)</span></p><p><b>Shortterm Care Duration</b>: 16</p><p><b>Shortterm Care Waiting Period</b>: 1</p><blockquote><p><b>specificCost</b></p><p><b>category</b>: Drug <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-insurance-plan-cost-category.html\">Insurance Plan Cost Category Codes</a>#drug)</span></p><blockquote><p><b>benefit</b></p><p><b>type</b>: Administrative Fee <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-insurance-plan-benefit-type.html\">Insurance Plan Benefit Type Codes</a>#administrative-fee)</span></p><h3>Costs</h3><table class=\"grid\"><tr><td>-</td><td><b>Type</b></td><td><b>Value</b></td></tr><tr><td>*</td><td>Administrative Fee <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-insurance-plan-benefit-type.html\">Insurance Plan Benefit Type Codes</a>#administrative-fee)</span></td><td>3</td></tr></table></blockquote></blockquote><blockquote><p><b>specificCost</b></p><p><b>category</b>: Medical <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-insurance-plan-cost-category.html\">Insurance Plan Cost Category Codes</a>#medical)</span></p><blockquote><p><b>benefit</b></p><p><b>type</b>: Administrative Fee <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-insurance-plan-benefit-type.html\">Insurance Plan Benefit Type Codes</a>#administrative-fee)</span></p><h3>Costs</h3><table class=\"grid\"><tr><td>-</td><td><b>Type</b></td><td><b>Value</b></td></tr><tr><td>*</td><td>Administrative Fee <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-insurance-plan-benefit-type.html\">Insurance Plan Benefit Type Codes</a>#administrative-fee)</span></td><td>75</td></tr></table></blockquote></blockquote><blockquote><p><b>specificCost</b></p><p><b>category</b>: Drug <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-insurance-plan-cost-category.html\">Insurance Plan Cost Category Codes</a>#drug)</span></p><blockquote><p><b>benefit</b></p><p><b>type</b>: Employee Contribution <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-insurance-plan-benefit-type.html\">Insurance Plan Benefit Type Codes</a>#employee-contribution)</span></p><h3>Costs</h3><table class=\"grid\"><tr><td>-</td><td><b>Type</b></td><td><b>Value</b></td></tr><tr><td>*</td><td>Employee Contribution <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-insurance-plan-benefit-type.html\">Insurance Plan Benefit Type Codes</a>#employee-contribution)</span></td><td>15</td></tr></table></blockquote></blockquote><blockquote><p><b>specificCost</b></p><p><b>category</b>: Medical <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-insurance-plan-cost-category.html\">Insurance Plan Cost Category Codes</a>#medical)</span></p><blockquote><p><b>benefit</b></p><p><b>type</b>: Employee Contribution <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-insurance-plan-benefit-type.html\">Insurance Plan Benefit Type Codes</a>#employee-contribution)</span></p><h3>Costs</h3><table class=\"grid\"><tr><td>-</td><td><b>Type</b></td><td><b>Value</b></td></tr><tr><td>*</td><td>Employee Contribution <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-insurance-plan-benefit-type.html\">Insurance Plan Benefit Type Codes</a>#employee-contribution)</span></td><td>125</td></tr></table></blockquote></blockquote><blockquote><p><b>specificCost</b></p><p><b>category</b>: Drug <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-insurance-plan-cost-category.html\">Insurance Plan Cost Category Codes</a>#drug)</span></p><blockquote><p><b>benefit</b></p><p><b>type</b>: Monthly Premium Paid <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-insurance-plan-benefit-type.html\">Insurance Plan Benefit Type Codes</a>#monthly-premium-paid)</span></p><h3>Costs</h3><table class=\"grid\"><tr><td>-</td><td><b>Type</b></td><td><b>Value</b></td></tr><tr><td>*</td><td>Monthly Premium Paid <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-insurance-plan-benefit-type.html\">Insurance Plan Benefit Type Codes</a>#monthly-premium-paid)</span></td><td>25</td></tr></table></blockquote></blockquote><blockquote><p><b>specificCost</b></p><p><b>category</b>: Medical <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-insurance-plan-cost-category.html\">Insurance Plan Cost Category Codes</a>#medical)</span></p><blockquote><p><b>benefit</b></p><p><b>type</b>: Monthly Premium Paid <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-insurance-plan-benefit-type.html\">Insurance Plan Benefit Type Codes</a>#monthly-premium-paid)</span></p><h3>Costs</h3><table class=\"grid\"><tr><td>-</td><td><b>Type</b></td><td><b>Value</b></td></tr><tr><td>*</td><td>Monthly Premium Paid <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-insurance-plan-benefit-type.html\">Insurance Plan Benefit Type Codes</a>#monthly-premium-paid)</span></td><td>55</td></tr></table></blockquote></blockquote><blockquote><p><b>specificCost</b></p><p><b>category</b>: Other <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-insurance-plan-cost-category.html\">Insurance Plan Cost Category Codes</a>#other)</span></p><blockquote><p><b>benefit</b></p><p><b>type</b>: Non Claim Payment <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-insurance-plan-benefit-type.html\">Insurance Plan Benefit Type Codes</a>#non-claim-payment)</span></p><h3>Costs</h3><table class=\"grid\"><tr><td>-</td><td><b>Type</b></td><td><b>Value</b></td></tr><tr><td>*</td><td>Non Claim Payment <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-insurance-plan-benefit-type.html\">Insurance Plan Benefit Type Codes</a>#non-claim-payment)</span></td><td>5</td></tr></table></blockquote></blockquote><blockquote><p><b>specificCost</b></p><p><b>category</b>: Dental <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-insurance-plan-cost-category.html\">Insurance Plan Cost Category Codes</a>#dental)</span></p><blockquote><p><b>benefit</b></p><p><b>type</b>: Administrative Fee <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-insurance-plan-benefit-type.html\">Insurance Plan Benefit Type Codes</a>#administrative-fee)</span></p><h3>Costs</h3><table class=\"grid\"><tr><td>-</td><td><b>Type</b></td><td><b>Value</b></td></tr><tr><td>*</td><td>Administrative Fee <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-insurance-plan-benefit-type.html\">Insurance Plan Benefit Type Codes</a>#administrative-fee)</span></td><td>2</td></tr></table></blockquote></blockquote><blockquote><p><b>specificCost</b></p><p><b>category</b>: Vision <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-insurance-plan-cost-category.html\">Insurance Plan Cost Category Codes</a>#vision)</span></p><blockquote><p><b>benefit</b></p><p><b>type</b>: Administrative Fee <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-insurance-plan-benefit-type.html\">Insurance Plan Benefit Type Codes</a>#administrative-fee)</span></p><h3>Costs</h3><table class=\"grid\"><tr><td>-</td><td><b>Type</b></td><td><b>Value</b></td></tr><tr><td>*</td><td>Administrative Fee <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-insurance-plan-benefit-type.html\">Insurance Plan Benefit Type Codes</a>#administrative-fee)</span></td><td>3</td></tr></table></blockquote></blockquote><blockquote><p><b>specificCost</b></p><p><b>category</b>: Dental <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-insurance-plan-cost-category.html\">Insurance Plan Cost Category Codes</a>#dental)</span></p><blockquote><p><b>benefit</b></p><p><b>type</b>: Employee Contribution <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-insurance-plan-benefit-type.html\">Insurance Plan Benefit Type Codes</a>#employee-contribution)</span></p><h3>Costs</h3><table class=\"grid\"><tr><td>-</td><td><b>Type</b></td><td><b>Value</b></td></tr><tr><td>*</td><td>Employee Contribution <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-insurance-plan-benefit-type.html\">Insurance Plan Benefit Type Codes</a>#employee-contribution)</span></td><td>0</td></tr></table></blockquote></blockquote><blockquote><p><b>specificCost</b></p><p><b>category</b>: Vision <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-insurance-plan-cost-category.html\">Insurance Plan Cost Category Codes</a>#vision)</span></p><blockquote><p><b>benefit</b></p><p><b>type</b>: Employee Contribution <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-insurance-plan-benefit-type.html\">Insurance Plan Benefit Type Codes</a>#employee-contribution)</span></p><h3>Costs</h3><table class=\"grid\"><tr><td>-</td><td><b>Type</b></td><td><b>Value</b></td></tr><tr><td>*</td><td>Employee Contribution <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-insurance-plan-benefit-type.html\">Insurance Plan Benefit Type Codes</a>#employee-contribution)</span></td><td>0</td></tr></table></blockquote></blockquote><blockquote><p><b>specificCost</b></p><p><b>category</b>: Other <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-insurance-plan-cost-category.html\">Insurance Plan Cost Category Codes</a>#other)</span></p><blockquote><p><b>benefit</b></p><p><b>type</b>: Capitation Amount <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-insurance-plan-benefit-type.html\">Insurance Plan Benefit Type Codes</a>#capitation-amount)</span></p><h3>Costs</h3><table class=\"grid\"><tr><td>-</td><td><b>Type</b></td><td><b>Value</b></td></tr><tr><td>*</td><td>Capitation Amount <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-insurance-plan-benefit-type.html\">Insurance Plan Benefit Type Codes</a>#capitation-amount)</span></td><td>0</td></tr></table></blockquote></blockquote><blockquote><p><b>specificCost</b></p><p><b>category</b>: Other <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-insurance-plan-cost-category.html\">Insurance Plan Cost Category Codes</a>#other)</span></p><blockquote><p><b>benefit</b></p><p><b>type</b>: Monthly Premium Billed <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-insurance-plan-benefit-type.html\">Insurance Plan Benefit Type Codes</a>#monthly-premium-billed)</span></p><h3>Costs</h3><table class=\"grid\"><tr><td>-</td><td><b>Type</b></td><td><b>Value</b></td></tr><tr><td>*</td><td>Monthly Premium Billed <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-insurance-plan-benefit-type.html\">Insurance Plan Benefit Type Codes</a>#monthly-premium-billed)</span></td><td>10</td></tr></table></blockquote></blockquote><blockquote><p><b>specificCost</b></p><p><b>category</b>: Dental <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-insurance-plan-cost-category.html\">Insurance Plan Cost Category Codes</a>#dental)</span></p><blockquote><p><b>benefit</b></p><p><b>type</b>: Monthly Premium Paid <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-insurance-plan-benefit-type.html\">Insurance Plan Benefit Type Codes</a>#monthly-premium-paid)</span></p><h3>Costs</h3><table class=\"grid\"><tr><td>-</td><td><b>Type</b></td><td><b>Value</b></td></tr><tr><td>*</td><td>Monthly Premium Paid <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-insurance-plan-benefit-type.html\">Insurance Plan Benefit Type Codes</a>#monthly-premium-paid)</span></td><td>5</td></tr></table></blockquote></blockquote><blockquote><p><b>specificCost</b></p><p><b>category</b>: Vision <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-insurance-plan-cost-category.html\">Insurance Plan Cost Category Codes</a>#vision)</span></p><blockquote><p><b>benefit</b></p><p><b>type</b>: Monthly Premium Paid <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-insurance-plan-benefit-type.html\">Insurance Plan Benefit Type Codes</a>#monthly-premium-paid)</span></p><h3>Costs</h3><table class=\"grid\"><tr><td>-</td><td><b>Type</b></td><td><b>Value</b></td></tr><tr><td>*</td><td>Monthly Premium Paid <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-insurance-plan-benefit-type.html\">Insurance Plan Benefit Type Codes</a>#monthly-premium-paid)</span></td><td>2</td></tr></table></blockquote></blockquote><blockquote><p><b>specificCost</b></p><p><b>category</b>: Other <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-insurance-plan-cost-category.html\">Insurance Plan Cost Category Codes</a>#other)</span></p><blockquote><p><b>benefit</b></p><p><b>type</b>: Administrative Fee <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-insurance-plan-benefit-type.html\">Insurance Plan Benefit Type Codes</a>#administrative-fee)</span></p><h3>Costs</h3><table class=\"grid\"><tr><td>-</td><td><b>Type</b></td><td><b>Value</b></td></tr><tr><td>*</td><td>Administrative Fee <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-insurance-plan-benefit-type.html\">Insurance Plan Benefit Type Codes</a>#administrative-fee)</span></td><td>2</td></tr></table></blockquote></blockquote><blockquote><p><b>specificCost</b></p><p><b>category</b>: Other <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-insurance-plan-cost-category.html\">Insurance Plan Cost Category Codes</a>#other)</span></p><blockquote><p><b>benefit</b></p><p><b>type</b>: Employee Contribution <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-insurance-plan-benefit-type.html\">Insurance Plan Benefit Type Codes</a>#employee-contribution)</span></p><h3>Costs</h3><table class=\"grid\"><tr><td>-</td><td><b>Type</b></td><td><b>Value</b></td></tr><tr><td>*</td><td>Employee Contribution <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-insurance-plan-benefit-type.html\">Insurance Plan Benefit Type Codes</a>#employee-contribution)</span></td><td>6</td></tr></table></blockquote></blockquote><blockquote><p><b>specificCost</b></p><p><b>category</b>: Other <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-insurance-plan-cost-category.html\">Insurance Plan Cost Category Codes</a>#other)</span></p><blockquote><p><b>benefit</b></p><p><b>type</b>: Monthly Premium Paid <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-insurance-plan-benefit-type.html\">Insurance Plan Benefit Type Codes</a>#monthly-premium-paid)</span></p><h3>Costs</h3><table class=\"grid\"><tr><td>-</td><td><b>Type</b></td><td><b>Value</b></td></tr><tr><td>*</td><td>Monthly Premium Paid <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-insurance-plan-benefit-type.html\">Insurance Plan Benefit Type Codes</a>#monthly-premium-paid)</span></td><td>6</td></tr></table></blockquote></blockquote></blockquote></div>"
];
fhir:DomainResource.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://linuxforhealth.org/fhir/cdm/StructureDefinition/payer-medical-coverage-indicator" ];
fhir:Extension.valueString [ fhir:value "Y" ]
], [
fhir:index 1;
fhir:Extension.url [ fhir:value "http://linuxforhealth.org/fhir/cdm/StructureDefinition/payer-dental-coverage-indicator" ];
fhir:Extension.valueString [ fhir:value "Y" ]
], [
fhir:index 2;
fhir:Extension.url [ fhir:value "http://linuxforhealth.org/fhir/cdm/StructureDefinition/payer-drug-coverage-indicator" ];
fhir:Extension.valueString [ fhir:value "Y" ]
], [
fhir:index 3;
fhir:Extension.url [ fhir:value "http://linuxforhealth.org/fhir/cdm/StructureDefinition/payer-hearing-coverage-indicator" ];
fhir:Extension.valueString [ fhir:value "Y" ]
], [
fhir:index 4;
fhir:Extension.url [ fhir:value "http://linuxforhealth.org/fhir/cdm/StructureDefinition/payer-vision-coverage-indicator" ];
fhir:Extension.valueString [ fhir:value "Y" ]
], [
fhir:index 5;
fhir:Extension.url [ fhir:value "http://linuxforhealth.org/fhir/cdm/StructureDefinition/payer-psych-coverage-indicator" ];
fhir:Extension.valueString [ fhir:value "N" ]
], [
fhir:index 6;
fhir:Extension.url [ fhir:value "http://linuxforhealth.org/fhir/cdm/StructureDefinition/payer-short-term-care-coverage-indicator" ];
fhir:Extension.valueString [ fhir:value "Y" ]
], [
fhir:index 7;
fhir:Extension.url [ fhir:value "http://linuxforhealth.org/fhir/cdm/StructureDefinition/payer-long-term-care-coverage-indicator" ];
fhir:Extension.valueString [ fhir:value "Y" ]
], [
fhir:index 8;
fhir:Extension.url [ fhir:value "http://linuxforhealth.org/fhir/cdm/StructureDefinition/payer-substance-abuse-ambulatory-coverage-indicator" ];
fhir:Extension.valueString [ fhir:value "N" ]
], [
fhir:index 9;
fhir:Extension.url [ fhir:value "http://linuxforhealth.org/fhir/cdm/StructureDefinition/payer-substance-abuse-day-night-coverage-indicator" ];
fhir:Extension.valueString [ fhir:value "N" ]
], [
fhir:index 10;
fhir:Extension.url [ fhir:value "http://linuxforhealth.org/fhir/cdm/StructureDefinition/payer-substance-abuse-inpatient-coverage-indicator" ];
fhir:Extension.valueString [ fhir:value "N" ]
], [
fhir:index 11;
fhir:Extension.url [ fhir:value "http://linuxforhealth.org/fhir/cdm/StructureDefinition/payer-mental-health-ambulatory-coverage-indicator" ];
fhir:Extension.valueString [ fhir:value "N" ]
], [
fhir:index 12;
fhir:Extension.url [ fhir:value "http://linuxforhealth.org/fhir/cdm/StructureDefinition/payer-mental-health-day-night-coverage-indicator" ];
fhir:Extension.valueString [ fhir:value "N" ]
], [
fhir:index 13;
fhir:Extension.url [ fhir:value "http://linuxforhealth.org/fhir/cdm/StructureDefinition/payer-mental-health-inpatient-coverage-indicator" ];
fhir:Extension.valueString [ fhir:value "N" ]
], [
fhir:index 14;
fhir:Extension.url [ fhir:value "http://linuxforhealth.org/fhir/cdm/StructureDefinition/dental-fully-insured-indicator" ];
fhir:Extension.valueString [ fhir:value "Y" ]
], [
fhir:index 15;
fhir:Extension.url [ fhir:value "http://linuxforhealth.org/fhir/cdm/StructureDefinition/drug-fully-insured-indicator" ];
fhir:Extension.valueString [ fhir:value "Y" ]
], [
fhir:index 16;
fhir:Extension.url [ fhir:value "http://linuxforhealth.org/fhir/cdm/StructureDefinition/enrollment-type" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://acme-health.com/CodeSystem/local-enrollment-type" ];
fhir:Coding.code [ fhir:value "LocalEnrollType" ] ] ]
], [
fhir:index 17;
fhir:Extension.url [ fhir:value "http://linuxforhealth.org/fhir/cdm/StructureDefinition/exchange-plan-indicator" ];
fhir:Extension.valueString [ fhir:value "N" ]
], [
fhir:index 18;
fhir:Extension.url [ fhir:value "http://linuxforhealth.org/fhir/cdm/StructureDefinition/industry-classification" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/naics" ];
fhir:Coding.code [ fhir:value "621112" ] ] ]
], [
fhir:index 19;
fhir:Extension.url [ fhir:value "http://linuxforhealth.org/fhir/cdm/StructureDefinition/medical-fully-insured-indicator" ];
fhir:Extension.valueString [ fhir:value "Y" ]
], [
fhir:index 20;
fhir:Extension.url [ fhir:value "http://linuxforhealth.org/fhir/cdm/StructureDefinition/vision-fully-insured-indicator" ];
fhir:Extension.valueString [ fhir:value "Y" ]
], [
fhir:index 21;
fhir:Extension.url [ fhir:value "http://linuxforhealth.org/fhir/cdm/StructureDefinition/payer-managed-care-plan-type" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://acme-health.com/CodeSystem/local-managed-care-plan-type" ];
fhir:Coding.code [ fhir:value "LocalManagedCarePlan" ] ] ]
];
fhir:InsurancePlan.identifier [
fhir:index 0;
fhir:Identifier.use [ fhir:value "official" ];
fhir:Identifier.type [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://linuxforhealth.org/fhir/cdm/CodeSystem/identifier-type" ];
fhir:Coding.code [ fhir:value "SSRI" ] ] ];
fhir:Identifier.system [ fhir:value "http://acme-health.com/plan/insuranceplan1" ];
fhir:Identifier.value [ fhir:value "plan_code_1234" ];
fhir:Identifier.assigner [
fhir:Reference.display [ fhir:value "Acme Health - Insurance Plan" ] ]
], [
fhir:index 1;
fhir:Identifier.use [ fhir:value "secondary" ];
fhir:Identifier.type [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://linuxforhealth.org/fhir/cdm/CodeSystem/identifier-type" ];
fhir:Coding.code [ fhir:value "SSRI" ] ] ];
fhir:Identifier.system [ fhir:value "http://acme-health.com/plan/insuranceplan1" ];
fhir:Identifier.value [ fhir:value "account_id_1234" ];
fhir:Identifier.assigner [
fhir:Reference.display [ fhir:value "Acme Health - Insurance Plan Account ID" ] ]
], [
fhir:index 2;
fhir:Identifier.use [ fhir:value "official" ];
fhir:Identifier.type [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://linuxforhealth.org/fhir/cdm/CodeSystem/identifier-type" ];
fhir:Coding.code [ fhir:value "SSRI" ] ] ];
fhir:Identifier.system [ fhir:value "http://acme-health.com/plan/DentalInsurancePlan" ];
fhir:Identifier.value [ fhir:value "dental-plan_code_5555" ];
fhir:Identifier.assigner [
fhir:Reference.display [ fhir:value "Acme Health - Dental Insurance Plan" ] ]
], [
fhir:index 3;
fhir:Identifier.use [ fhir:value "official" ];
fhir:Identifier.type [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://linuxforhealth.org/fhir/cdm/CodeSystem/identifier-type" ];
fhir:Coding.code [ fhir:value "SSRI" ] ] ];
fhir:Identifier.system [ fhir:value "http://acme-health.com/plan/VisionInsurancePlan" ];
fhir:Identifier.value [ fhir:value "vision-plan_code_2345" ];
fhir:Identifier.assigner [
fhir:Reference.display [ fhir:value "Acme Health - Vision Insurance Plan" ] ]
];
fhir:InsurancePlan.type [
fhir:index 0;
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/insurance-plan-type" ];
fhir:Coding.code [ fhir:value "medical" ] ]
], [
fhir:index 1;
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/insurance-plan-type" ];
fhir:Coding.code [ fhir:value "dental" ] ]
], [
fhir:index 2;
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/insurance-plan-type" ];
fhir:Coding.code [ fhir:value "Drug" ] ]
], [
fhir:index 3;
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://linuxforhealth.org/fhir/cdm/CodeSystem/insurance-plan-type" ];
fhir:Coding.code [ fhir:value "hearing" ] ]
], [
fhir:index 4;
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/insurance-plan-type" ];
fhir:Coding.code [ fhir:value "vision" ] ]
], [
fhir:index 5;
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/insurance-plan-type" ];
fhir:Coding.code [ fhir:value "mental" ] ]
], [
fhir:index 6;
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/insurance-plan-type" ];
fhir:Coding.code [ fhir:value "subst-ab" ] ]
], [
fhir:index 7;
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/insurance-plan-type" ];
fhir:Coding.code [ fhir:value "short-term" ] ]
], [
fhir:index 8;
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/insurance-plan-type" ];
fhir:Coding.code [ fhir:value "long-term" ] ]
], [
fhir:index 9;
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://linuxforhealth.org/fhir/cdm/CodeSystem/insurance-plan-type" ];
fhir:Coding.code [ fhir:value "substance-abuse-ambulatory" ] ]
], [
fhir:index 10;
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://linuxforhealth.org/fhir/cdm/CodeSystem/insurance-plan-type" ];
fhir:Coding.code [ fhir:value "substance-abuse-day-night" ] ]
], [
fhir:index 11;
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://linuxforhealth.org/fhir/cdm/CodeSystem/insurance-plan-type" ];
fhir:Coding.code [ fhir:value "substance-abuse-inpatient" ] ]
], [
fhir:index 12;
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://linuxforhealth.org/fhir/cdm/CodeSystem/insurance-plan-type" ];
fhir:Coding.code [ fhir:value "mental-health-ambulatory" ] ]
], [
fhir:index 13;
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://linuxforhealth.org/fhir/cdm/CodeSystem/insurance-plan-type" ];
fhir:Coding.code [ fhir:value "mental-health-day-night" ] ]
], [
fhir:index 14;
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://linuxforhealth.org/fhir/cdm/CodeSystem/insurance-plan-type" ];
fhir:Coding.code [ fhir:value "mental-health-inpatient" ] ]
];
fhir:InsurancePlan.ownedBy [
fhir:Reference.reference [ fhir:value "Organization/GeneralHospital" ]
];
fhir:InsurancePlan.coverage [
fhir:index 0;
fhir:InsurancePlan.coverage.type [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/insurance-plan-type" ];
fhir:Coding.code [ fhir:value "medical" ] ] ];
fhir:InsurancePlan.coverage.network [
fhir:index 0;
fhir:Reference.reference [ fhir:value "Organization/GeneralHospital" ] ];
fhir:InsurancePlan.coverage.benefit [
fhir:index 0;
fhir:InsurancePlan.coverage.benefit.type [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/insurance-plan-type" ];
fhir:Coding.code [ fhir:value "medical" ] ] ] ]
], [
fhir:index 1;
fhir:InsurancePlan.coverage.type [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/insurance-plan-type" ];
fhir:Coding.code [ fhir:value "dental" ] ] ];
fhir:InsurancePlan.coverage.benefit [
fhir:index 0;
fhir:InsurancePlan.coverage.benefit.type [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/insurance-plan-type" ];
fhir:Coding.code [ fhir:value "dental" ] ] ] ]
], [
fhir:index 2;
fhir:InsurancePlan.coverage.type [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/insurance-plan-type" ];
fhir:Coding.code [ fhir:value "Drug" ] ] ];
fhir:InsurancePlan.coverage.benefit [
fhir:index 0;
fhir:InsurancePlan.coverage.benefit.type [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/insurance-plan-type" ];
fhir:Coding.code [ fhir:value "Drug" ] ] ] ]
], [
fhir:index 3;
fhir:InsurancePlan.coverage.type [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://linuxforhealth.org/fhir/cdm/CodeSystem/insurance-plan-type" ];
fhir:Coding.code [ fhir:value "hearing" ] ] ];
fhir:InsurancePlan.coverage.benefit [
fhir:index 0;
fhir:InsurancePlan.coverage.benefit.type [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://linuxforhealth.org/fhir/cdm/CodeSystem/insurance-plan-type" ];
fhir:Coding.code [ fhir:value "hearing" ] ] ] ]
], [
fhir:index 4;
fhir:InsurancePlan.coverage.type [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/insurance-plan-type" ];
fhir:Coding.code [ fhir:value "vision" ] ] ];
fhir:InsurancePlan.coverage.benefit [
fhir:index 0;
fhir:InsurancePlan.coverage.benefit.type [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/insurance-plan-type" ];
fhir:Coding.code [ fhir:value "vision" ] ] ] ]
], [
fhir:index 5;
fhir:InsurancePlan.coverage.type [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/insurance-plan-type" ];
fhir:Coding.code [ fhir:value "mental" ] ] ];
fhir:InsurancePlan.coverage.benefit [
fhir:index 0;
fhir:InsurancePlan.coverage.benefit.type [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/insurance-plan-type" ];
fhir:Coding.code [ fhir:value "mental" ] ] ] ]
], [
fhir:index 6;
fhir:InsurancePlan.coverage.type [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/insurance-plan-type" ];
fhir:Coding.code [ fhir:value "subst-ab" ] ] ];
fhir:InsurancePlan.coverage.benefit [
fhir:index 0;
fhir:InsurancePlan.coverage.benefit.type [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/insurance-plan-type" ];
fhir:Coding.code [ fhir:value "subst-ab" ] ] ] ]
], [
fhir:index 7;
fhir:InsurancePlan.coverage.type [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/insurance-plan-type" ];
fhir:Coding.code [ fhir:value "short-term" ] ] ];
fhir:InsurancePlan.coverage.benefit [
fhir:index 0;
fhir:InsurancePlan.coverage.benefit.type [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/insurance-plan-type" ];
fhir:Coding.code [ fhir:value "short-term" ] ] ] ]
], [
fhir:index 8;
fhir:InsurancePlan.coverage.type [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/insurance-plan-type" ];
fhir:Coding.code [ fhir:value "long-term" ] ] ];
fhir:InsurancePlan.coverage.benefit [
fhir:index 0;
fhir:InsurancePlan.coverage.benefit.type [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/insurance-plan-type" ];
fhir:Coding.code [ fhir:value "long-term" ] ] ] ]
], [
fhir:index 9;
fhir:InsurancePlan.coverage.type [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://linuxforhealth.org/fhir/cdm/CodeSystem/insurance-plan-type" ];
fhir:Coding.code [ fhir:value "substance-abuse-ambulatory" ] ] ];
fhir:InsurancePlan.coverage.benefit [
fhir:index 0;
fhir:InsurancePlan.coverage.benefit.type [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://linuxforhealth.org/fhir/cdm/CodeSystem/insurance-plan-type" ];
fhir:Coding.code [ fhir:value "substance-abuse-ambulatory" ] ] ] ]
], [
fhir:index 10;
fhir:InsurancePlan.coverage.type [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://linuxforhealth.org/fhir/cdm/CodeSystem/insurance-plan-type" ];
fhir:Coding.code [ fhir:value "substance-abuse-day-night" ] ] ];
fhir:InsurancePlan.coverage.benefit [
fhir:index 0;
fhir:InsurancePlan.coverage.benefit.type [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://linuxforhealth.org/fhir/cdm/CodeSystem/insurance-plan-type" ];
fhir:Coding.code [ fhir:value "substance-abuse-day-night" ] ] ] ]
], [
fhir:index 11;
fhir:InsurancePlan.coverage.type [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://linuxforhealth.org/fhir/cdm/CodeSystem/insurance-plan-type" ];
fhir:Coding.code [ fhir:value "substance-abuse-inpatient" ] ] ];
fhir:InsurancePlan.coverage.benefit [
fhir:index 0;
fhir:InsurancePlan.coverage.benefit.type [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://linuxforhealth.org/fhir/cdm/CodeSystem/insurance-plan-type" ];
fhir:Coding.code [ fhir:value "substance-abuse-inpatient" ] ] ] ]
], [
fhir:index 12;
fhir:InsurancePlan.coverage.type [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://linuxforhealth.org/fhir/cdm/CodeSystem/insurance-plan-type" ];
fhir:Coding.code [ fhir:value "mental-health-ambulatory" ] ] ];
fhir:InsurancePlan.coverage.benefit [
fhir:index 0;
fhir:InsurancePlan.coverage.benefit.type [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://linuxforhealth.org/fhir/cdm/CodeSystem/insurance-plan-type" ];
fhir:Coding.code [ fhir:value "mental-health-ambulatory" ] ] ] ]
], [
fhir:index 13;
fhir:InsurancePlan.coverage.type [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://linuxforhealth.org/fhir/cdm/CodeSystem/insurance-plan-type" ];
fhir:Coding.code [ fhir:value "mental-health-day-night" ] ] ];
fhir:InsurancePlan.coverage.benefit [
fhir:index 0;
fhir:InsurancePlan.coverage.benefit.type [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://linuxforhealth.org/fhir/cdm/CodeSystem/insurance-plan-type" ];
fhir:Coding.code [ fhir:value "mental-health-day-night" ] ] ] ]
], [
fhir:index 14;
fhir:InsurancePlan.coverage.type [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://linuxforhealth.org/fhir/cdm/CodeSystem/insurance-plan-type" ];
fhir:Coding.code [ fhir:value "mental-health-inpatient" ] ] ];
fhir:InsurancePlan.coverage.benefit [
fhir:index 0;
fhir:InsurancePlan.coverage.benefit.type [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://linuxforhealth.org/fhir/cdm/CodeSystem/insurance-plan-type" ];
fhir:Coding.code [ fhir:value "mental-health-inpatient" ] ] ] ]
];
fhir:InsurancePlan.plan [
fhir:index 0;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://linuxforhealth.org/fhir/cdm/StructureDefinition/aca-health-insurance-oversight-system-plan" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://acme-health.com/CodeSystem/local-aca-health-insurance-oversight-system-plan" ];
fhir:Coding.code [ fhir:value "LocalACAPlanCd" ] ] ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "http://linuxforhealth.org/fhir/cdm/StructureDefinition/aca-health-insurance-oversight-system-product" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://acme-health.com/CodeSystem/local-aca-health-insurance-oversight-system-product" ];
fhir:Coding.code [ fhir:value "LocalACAProductCd" ] ] ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "http://linuxforhealth.org/fhir/cdm/StructureDefinition/aca-market-type" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://acme-health.com/CodeSystem/local-aca-market-type" ];
fhir:Coding.code [ fhir:value "LocalACAMarketTypeCd" ] ] ] ], [
fhir:index 3;
fhir:Extension.url [ fhir:value "http://linuxforhealth.org/fhir/cdm/StructureDefinition/aca-metal-tier" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://acme-health.com/CodeSystem/local-aca-metal-tier" ];
fhir:Coding.code [ fhir:value "LocalACAMetalTierCd" ] ] ] ], [
fhir:index 4;
fhir:Extension.url [ fhir:value "http://linuxforhealth.org/fhir/cdm/StructureDefinition/capitation-arrangement" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://acme-health.com/CodeSystem/local-capitation-arrangement" ];
fhir:Coding.code [ fhir:value "LocalCapArrangement" ] ] ] ], [
fhir:index 5;
fhir:Extension.url [ fhir:value "http://linuxforhealth.org/fhir/cdm/StructureDefinition/carve-out" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://acme-health.com/CodeSystem/local-carve-out" ];
fhir:Coding.code [ fhir:value "LocalCarveOutCode" ] ] ] ], [
fhir:index 6;
fhir:Extension.url [ fhir:value "http://linuxforhealth.org/fhir/cdm/StructureDefinition/cost-sharing-reduction-variant" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://acme-health.com/CodeSystem/local-cost-sharing-reduction-variant" ];
fhir:Coding.code [ fhir:value "LocalCostSharingCd" ] ] ] ], [
fhir:index 7;
fhir:Extension.url [ fhir:value "http://linuxforhealth.org/fhir/cdm/StructureDefinition/funding-arrangement" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://acme-health.com/CodeSystem/local-funding-arrangement" ];
fhir:Coding.code [ fhir:value "LocalFundArrangement" ] ] ] ], [
fhir:index 8;
fhir:Extension.url [ fhir:value "http://linuxforhealth.org/fhir/cdm/StructureDefinition/level-of-care" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://acme-health.com/CodeSystem/local-level-of-care" ];
fhir:Coding.code [ fhir:value "LocalLevelOfCare" ] ] ] ], [
fhir:index 9;
fhir:Extension.url [ fhir:value "http://linuxforhealth.org/fhir/cdm/StructureDefinition/long-term-care-duration" ];
fhir:Extension.valueInteger [ fhir:value "36"^^xsd:integer ] ], [
fhir:index 10;
fhir:Extension.url [ fhir:value "http://linuxforhealth.org/fhir/cdm/StructureDefinition/long-term-care-waiting-period" ];
fhir:Extension.valueInteger [ fhir:value "90"^^xsd:integer ] ], [
fhir:index 11;
fhir:Extension.url [ fhir:value "http://linuxforhealth.org/fhir/cdm/StructureDefinition/rating-area" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://acme-health.com/CodeSystem/local-rating-area" ];
fhir:Coding.code [ fhir:value "LocalRatingArea" ] ] ] ], [
fhir:index 12;
fhir:Extension.url [ fhir:value "http://linuxforhealth.org/fhir/cdm/StructureDefinition/short-term-care-duration" ];
fhir:Extension.valueInteger [ fhir:value "16"^^xsd:integer ] ], [
fhir:index 13;
fhir:Extension.url [ fhir:value "http://linuxforhealth.org/fhir/cdm/StructureDefinition/short-term-care-waiting-period" ];
fhir:Extension.valueInteger [ fhir:value "1"^^xsd:integer ] ];
fhir:InsurancePlan.plan.specificCost [
fhir:index 0;
fhir:InsurancePlan.plan.specificCost.category [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://linuxforhealth.org/fhir/cdm/CodeSystem/insurance-plan-cost-category" ];
fhir:Coding.code [ fhir:value "drug" ] ] ];
fhir:InsurancePlan.plan.specificCost.benefit [
fhir:index 0;
fhir:InsurancePlan.plan.specificCost.benefit.type [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://linuxforhealth.org/fhir/cdm/CodeSystem/insurance-plan-benefit-type" ];
fhir:Coding.code [ fhir:value "administrative-fee" ] ] ];
fhir:InsurancePlan.plan.specificCost.benefit.cost [
fhir:index 0;
fhir:InsurancePlan.plan.specificCost.benefit.cost.type [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://linuxforhealth.org/fhir/cdm/CodeSystem/insurance-plan-benefit-type" ];
fhir:Coding.code [ fhir:value "administrative-fee" ] ] ];
fhir:InsurancePlan.plan.specificCost.benefit.cost.value [
fhir:Quantity.value [ fhir:value "3"^^xsd:decimal ] ] ] ] ], [
fhir:index 1;
fhir:InsurancePlan.plan.specificCost.category [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://linuxforhealth.org/fhir/cdm/CodeSystem/insurance-plan-cost-category" ];
fhir:Coding.code [ fhir:value "medical" ] ] ];
fhir:InsurancePlan.plan.specificCost.benefit [
fhir:index 0;
fhir:InsurancePlan.plan.specificCost.benefit.type [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://linuxforhealth.org/fhir/cdm/CodeSystem/insurance-plan-benefit-type" ];
fhir:Coding.code [ fhir:value "administrative-fee" ] ] ];
fhir:InsurancePlan.plan.specificCost.benefit.cost [
fhir:index 0;
fhir:InsurancePlan.plan.specificCost.benefit.cost.type [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://linuxforhealth.org/fhir/cdm/CodeSystem/insurance-plan-benefit-type" ];
fhir:Coding.code [ fhir:value "administrative-fee" ] ] ];
fhir:InsurancePlan.plan.specificCost.benefit.cost.value [
fhir:Quantity.value [ fhir:value "75"^^xsd:decimal ] ] ] ] ], [
fhir:index 2;
fhir:InsurancePlan.plan.specificCost.category [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://linuxforhealth.org/fhir/cdm/CodeSystem/insurance-plan-cost-category" ];
fhir:Coding.code [ fhir:value "drug" ] ] ];
fhir:InsurancePlan.plan.specificCost.benefit [
fhir:index 0;
fhir:InsurancePlan.plan.specificCost.benefit.type [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://linuxforhealth.org/fhir/cdm/CodeSystem/insurance-plan-benefit-type" ];
fhir:Coding.code [ fhir:value "employee-contribution" ] ] ];
fhir:InsurancePlan.plan.specificCost.benefit.cost [
fhir:index 0;
fhir:InsurancePlan.plan.specificCost.benefit.cost.type [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://linuxforhealth.org/fhir/cdm/CodeSystem/insurance-plan-benefit-type" ];
fhir:Coding.code [ fhir:value "employee-contribution" ] ] ];
fhir:InsurancePlan.plan.specificCost.benefit.cost.value [
fhir:Quantity.value [ fhir:value "15"^^xsd:decimal ] ] ] ] ], [
fhir:index 3;
fhir:InsurancePlan.plan.specificCost.category [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://linuxforhealth.org/fhir/cdm/CodeSystem/insurance-plan-cost-category" ];
fhir:Coding.code [ fhir:value "medical" ] ] ];
fhir:InsurancePlan.plan.specificCost.benefit [
fhir:index 0;
fhir:InsurancePlan.plan.specificCost.benefit.type [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://linuxforhealth.org/fhir/cdm/CodeSystem/insurance-plan-benefit-type" ];
fhir:Coding.code [ fhir:value "employee-contribution" ] ] ];
fhir:InsurancePlan.plan.specificCost.benefit.cost [
fhir:index 0;
fhir:InsurancePlan.plan.specificCost.benefit.cost.type [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://linuxforhealth.org/fhir/cdm/CodeSystem/insurance-plan-benefit-type" ];
fhir:Coding.code [ fhir:value "employee-contribution" ] ] ];
fhir:InsurancePlan.plan.specificCost.benefit.cost.value [
fhir:Quantity.value [ fhir:value "125"^^xsd:decimal ] ] ] ] ], [
fhir:index 4;
fhir:InsurancePlan.plan.specificCost.category [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://linuxforhealth.org/fhir/cdm/CodeSystem/insurance-plan-cost-category" ];
fhir:Coding.code [ fhir:value "drug" ] ] ];
fhir:InsurancePlan.plan.specificCost.benefit [
fhir:index 0;
fhir:InsurancePlan.plan.specificCost.benefit.type [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://linuxforhealth.org/fhir/cdm/CodeSystem/insurance-plan-benefit-type" ];
fhir:Coding.code [ fhir:value "monthly-premium-paid" ] ] ];
fhir:InsurancePlan.plan.specificCost.benefit.cost [
fhir:index 0;
fhir:InsurancePlan.plan.specificCost.benefit.cost.type [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://linuxforhealth.org/fhir/cdm/CodeSystem/insurance-plan-benefit-type" ];
fhir:Coding.code [ fhir:value "monthly-premium-paid" ] ] ];
fhir:InsurancePlan.plan.specificCost.benefit.cost.value [
fhir:Quantity.value [ fhir:value "25"^^xsd:decimal ] ] ] ] ], [
fhir:index 5;
fhir:InsurancePlan.plan.specificCost.category [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://linuxforhealth.org/fhir/cdm/CodeSystem/insurance-plan-cost-category" ];
fhir:Coding.code [ fhir:value "medical" ] ] ];
fhir:InsurancePlan.plan.specificCost.benefit [
fhir:index 0;
fhir:InsurancePlan.plan.specificCost.benefit.type [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://linuxforhealth.org/fhir/cdm/CodeSystem/insurance-plan-benefit-type" ];
fhir:Coding.code [ fhir:value "monthly-premium-paid" ] ] ];
fhir:InsurancePlan.plan.specificCost.benefit.cost [
fhir:index 0;
fhir:InsurancePlan.plan.specificCost.benefit.cost.type [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://linuxforhealth.org/fhir/cdm/CodeSystem/insurance-plan-benefit-type" ];
fhir:Coding.code [ fhir:value "monthly-premium-paid" ] ] ];
fhir:InsurancePlan.plan.specificCost.benefit.cost.value [
fhir:Quantity.value [ fhir:value "55"^^xsd:decimal ] ] ] ] ], [
fhir:index 6;
fhir:InsurancePlan.plan.specificCost.category [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://linuxforhealth.org/fhir/cdm/CodeSystem/insurance-plan-cost-category" ];
fhir:Coding.code [ fhir:value "other" ] ] ];
fhir:InsurancePlan.plan.specificCost.benefit [
fhir:index 0;
fhir:InsurancePlan.plan.specificCost.benefit.type [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://linuxforhealth.org/fhir/cdm/CodeSystem/insurance-plan-benefit-type" ];
fhir:Coding.code [ fhir:value "non-claim-payment" ] ] ];
fhir:InsurancePlan.plan.specificCost.benefit.cost [
fhir:index 0;
fhir:InsurancePlan.plan.specificCost.benefit.cost.type [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://linuxforhealth.org/fhir/cdm/CodeSystem/insurance-plan-benefit-type" ];
fhir:Coding.code [ fhir:value "non-claim-payment" ] ] ];
fhir:InsurancePlan.plan.specificCost.benefit.cost.value [
fhir:Quantity.value [ fhir:value "5"^^xsd:decimal ] ] ] ] ], [
fhir:index 7;
fhir:InsurancePlan.plan.specificCost.category [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://linuxforhealth.org/fhir/cdm/CodeSystem/insurance-plan-cost-category" ];
fhir:Coding.code [ fhir:value "dental" ] ] ];
fhir:InsurancePlan.plan.specificCost.benefit [
fhir:index 0;
fhir:InsurancePlan.plan.specificCost.benefit.type [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://linuxforhealth.org/fhir/cdm/CodeSystem/insurance-plan-benefit-type" ];
fhir:Coding.code [ fhir:value "administrative-fee" ] ] ];
fhir:InsurancePlan.plan.specificCost.benefit.cost [
fhir:index 0;
fhir:InsurancePlan.plan.specificCost.benefit.cost.type [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://linuxforhealth.org/fhir/cdm/CodeSystem/insurance-plan-benefit-type" ];
fhir:Coding.code [ fhir:value "administrative-fee" ] ] ];
fhir:InsurancePlan.plan.specificCost.benefit.cost.value [
fhir:Quantity.value [ fhir:value "2"^^xsd:decimal ] ] ] ] ], [
fhir:index 8;
fhir:InsurancePlan.plan.specificCost.category [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://linuxforhealth.org/fhir/cdm/CodeSystem/insurance-plan-cost-category" ];
fhir:Coding.code [ fhir:value "vision" ] ] ];
fhir:InsurancePlan.plan.specificCost.benefit [
fhir:index 0;
fhir:InsurancePlan.plan.specificCost.benefit.type [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://linuxforhealth.org/fhir/cdm/CodeSystem/insurance-plan-benefit-type" ];
fhir:Coding.code [ fhir:value "administrative-fee" ] ] ];
fhir:InsurancePlan.plan.specificCost.benefit.cost [
fhir:index 0;
fhir:InsurancePlan.plan.specificCost.benefit.cost.type [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://linuxforhealth.org/fhir/cdm/CodeSystem/insurance-plan-benefit-type" ];
fhir:Coding.code [ fhir:value "administrative-fee" ] ] ];
fhir:InsurancePlan.plan.specificCost.benefit.cost.value [
fhir:Quantity.value [ fhir:value "3"^^xsd:decimal ] ] ] ] ], [
fhir:index 9;
fhir:InsurancePlan.plan.specificCost.category [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://linuxforhealth.org/fhir/cdm/CodeSystem/insurance-plan-cost-category" ];
fhir:Coding.code [ fhir:value "dental" ] ] ];
fhir:InsurancePlan.plan.specificCost.benefit [
fhir:index 0;
fhir:InsurancePlan.plan.specificCost.benefit.type [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://linuxforhealth.org/fhir/cdm/CodeSystem/insurance-plan-benefit-type" ];
fhir:Coding.code [ fhir:value "employee-contribution" ] ] ];
fhir:InsurancePlan.plan.specificCost.benefit.cost [
fhir:index 0;
fhir:InsurancePlan.plan.specificCost.benefit.cost.type [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://linuxforhealth.org/fhir/cdm/CodeSystem/insurance-plan-benefit-type" ];
fhir:Coding.code [ fhir:value "employee-contribution" ] ] ];
fhir:InsurancePlan.plan.specificCost.benefit.cost.value [
fhir:Quantity.value [ fhir:value "0"^^xsd:decimal ] ] ] ] ], [
fhir:index 10;
fhir:InsurancePlan.plan.specificCost.category [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://linuxforhealth.org/fhir/cdm/CodeSystem/insurance-plan-cost-category" ];
fhir:Coding.code [ fhir:value "vision" ] ] ];
fhir:InsurancePlan.plan.specificCost.benefit [
fhir:index 0;
fhir:InsurancePlan.plan.specificCost.benefit.type [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://linuxforhealth.org/fhir/cdm/CodeSystem/insurance-plan-benefit-type" ];
fhir:Coding.code [ fhir:value "employee-contribution" ] ] ];
fhir:InsurancePlan.plan.specificCost.benefit.cost [
fhir:index 0;
fhir:InsurancePlan.plan.specificCost.benefit.cost.type [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://linuxforhealth.org/fhir/cdm/CodeSystem/insurance-plan-benefit-type" ];
fhir:Coding.code [ fhir:value "employee-contribution" ] ] ];
fhir:InsurancePlan.plan.specificCost.benefit.cost.value [
fhir:Quantity.value [ fhir:value "0"^^xsd:decimal ] ] ] ] ], [
fhir:index 11;
fhir:InsurancePlan.plan.specificCost.category [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://linuxforhealth.org/fhir/cdm/CodeSystem/insurance-plan-cost-category" ];
fhir:Coding.code [ fhir:value "other" ] ] ];
fhir:InsurancePlan.plan.specificCost.benefit [
fhir:index 0;
fhir:InsurancePlan.plan.specificCost.benefit.type [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://linuxforhealth.org/fhir/cdm/CodeSystem/insurance-plan-benefit-type" ];
fhir:Coding.code [ fhir:value "capitation-amount" ] ] ];
fhir:InsurancePlan.plan.specificCost.benefit.cost [
fhir:index 0;
fhir:InsurancePlan.plan.specificCost.benefit.cost.type [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://linuxforhealth.org/fhir/cdm/CodeSystem/insurance-plan-benefit-type" ];
fhir:Coding.code [ fhir:value "capitation-amount" ] ] ];
fhir:InsurancePlan.plan.specificCost.benefit.cost.value [
fhir:Quantity.value [ fhir:value "0"^^xsd:decimal ] ] ] ] ], [
fhir:index 12;
fhir:InsurancePlan.plan.specificCost.category [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://linuxforhealth.org/fhir/cdm/CodeSystem/insurance-plan-cost-category" ];
fhir:Coding.code [ fhir:value "other" ] ] ];
fhir:InsurancePlan.plan.specificCost.benefit [
fhir:index 0;
fhir:InsurancePlan.plan.specificCost.benefit.type [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://linuxforhealth.org/fhir/cdm/CodeSystem/insurance-plan-benefit-type" ];
fhir:Coding.code [ fhir:value "monthly-premium-billed" ] ] ];
fhir:InsurancePlan.plan.specificCost.benefit.cost [
fhir:index 0;
fhir:InsurancePlan.plan.specificCost.benefit.cost.type [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://linuxforhealth.org/fhir/cdm/CodeSystem/insurance-plan-benefit-type" ];
fhir:Coding.code [ fhir:value "monthly-premium-billed" ] ] ];
fhir:InsurancePlan.plan.specificCost.benefit.cost.value [
fhir:Quantity.value [ fhir:value "10"^^xsd:decimal ] ] ] ] ], [
fhir:index 13;
fhir:InsurancePlan.plan.specificCost.category [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://linuxforhealth.org/fhir/cdm/CodeSystem/insurance-plan-cost-category" ];
fhir:Coding.code [ fhir:value "dental" ] ] ];
fhir:InsurancePlan.plan.specificCost.benefit [
fhir:index 0;
fhir:InsurancePlan.plan.specificCost.benefit.type [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://linuxforhealth.org/fhir/cdm/CodeSystem/insurance-plan-benefit-type" ];
fhir:Coding.code [ fhir:value "monthly-premium-paid" ] ] ];
fhir:InsurancePlan.plan.specificCost.benefit.cost [
fhir:index 0;
fhir:InsurancePlan.plan.specificCost.benefit.cost.type [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://linuxforhealth.org/fhir/cdm/CodeSystem/insurance-plan-benefit-type" ];
fhir:Coding.code [ fhir:value "monthly-premium-paid" ] ] ];
fhir:InsurancePlan.plan.specificCost.benefit.cost.value [
fhir:Quantity.value [ fhir:value "5"^^xsd:decimal ] ] ] ] ], [
fhir:index 14;
fhir:InsurancePlan.plan.specificCost.category [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://linuxforhealth.org/fhir/cdm/CodeSystem/insurance-plan-cost-category" ];
fhir:Coding.code [ fhir:value "vision" ] ] ];
fhir:InsurancePlan.plan.specificCost.benefit [
fhir:index 0;
fhir:InsurancePlan.plan.specificCost.benefit.type [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://linuxforhealth.org/fhir/cdm/CodeSystem/insurance-plan-benefit-type" ];
fhir:Coding.code [ fhir:value "monthly-premium-paid" ] ] ];
fhir:InsurancePlan.plan.specificCost.benefit.cost [
fhir:index 0;
fhir:InsurancePlan.plan.specificCost.benefit.cost.type [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://linuxforhealth.org/fhir/cdm/CodeSystem/insurance-plan-benefit-type" ];
fhir:Coding.code [ fhir:value "monthly-premium-paid" ] ] ];
fhir:InsurancePlan.plan.specificCost.benefit.cost.value [
fhir:Quantity.value [ fhir:value "2"^^xsd:decimal ] ] ] ] ], [
fhir:index 15;
fhir:InsurancePlan.plan.specificCost.category [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://linuxforhealth.org/fhir/cdm/CodeSystem/insurance-plan-cost-category" ];
fhir:Coding.code [ fhir:value "other" ] ] ];
fhir:InsurancePlan.plan.specificCost.benefit [
fhir:index 0;
fhir:InsurancePlan.plan.specificCost.benefit.type [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://linuxforhealth.org/fhir/cdm/CodeSystem/insurance-plan-benefit-type" ];
fhir:Coding.code [ fhir:value "administrative-fee" ] ] ];
fhir:InsurancePlan.plan.specificCost.benefit.cost [
fhir:index 0;
fhir:InsurancePlan.plan.specificCost.benefit.cost.type [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://linuxforhealth.org/fhir/cdm/CodeSystem/insurance-plan-benefit-type" ];
fhir:Coding.code [ fhir:value "administrative-fee" ] ] ];
fhir:InsurancePlan.plan.specificCost.benefit.cost.value [
fhir:Quantity.value [ fhir:value "2"^^xsd:decimal ] ] ] ] ], [
fhir:index 16;
fhir:InsurancePlan.plan.specificCost.category [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://linuxforhealth.org/fhir/cdm/CodeSystem/insurance-plan-cost-category" ];
fhir:Coding.code [ fhir:value "other" ] ] ];
fhir:InsurancePlan.plan.specificCost.benefit [
fhir:index 0;
fhir:InsurancePlan.plan.specificCost.benefit.type [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://linuxforhealth.org/fhir/cdm/CodeSystem/insurance-plan-benefit-type" ];
fhir:Coding.code [ fhir:value "employee-contribution" ] ] ];
fhir:InsurancePlan.plan.specificCost.benefit.cost [
fhir:index 0;
fhir:InsurancePlan.plan.specificCost.benefit.cost.type [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://linuxforhealth.org/fhir/cdm/CodeSystem/insurance-plan-benefit-type" ];
fhir:Coding.code [ fhir:value "employee-contribution" ] ] ];
fhir:InsurancePlan.plan.specificCost.benefit.cost.value [
fhir:Quantity.value [ fhir:value "6"^^xsd:decimal ] ] ] ] ], [
fhir:index 17;
fhir:InsurancePlan.plan.specificCost.category [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://linuxforhealth.org/fhir/cdm/CodeSystem/insurance-plan-cost-category" ];
fhir:Coding.code [ fhir:value "other" ] ] ];
fhir:InsurancePlan.plan.specificCost.benefit [
fhir:index 0;
fhir:InsurancePlan.plan.specificCost.benefit.type [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://linuxforhealth.org/fhir/cdm/CodeSystem/insurance-plan-benefit-type" ];
fhir:Coding.code [ fhir:value "monthly-premium-paid" ] ] ];
fhir:InsurancePlan.plan.specificCost.benefit.cost [
fhir:index 0;
fhir:InsurancePlan.plan.specificCost.benefit.cost.type [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://linuxforhealth.org/fhir/cdm/CodeSystem/insurance-plan-benefit-type" ];
fhir:Coding.code [ fhir:value "monthly-premium-paid" ] ] ];
fhir:InsurancePlan.plan.specificCost.benefit.cost.value [
fhir:Quantity.value [ fhir:value "6"^^xsd:decimal ] ] ] ] ]
].
# - ontology header ------------------------------------------------------------
a owl:Ontology;
owl:imports fhir:fhir.ttl.
IG © 2021+ LinuxForHealth Team. Package linuxforhealth.fhir.ig#8.0.0 based on FHIR 4.0.1. Generated 2022-11-10
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