Guia de Implementação do Projeto de Padronização e Qualificação dos Dados Assistenciais da Saúde Suplementar (PQDAS)
202309 - CI Build
A caixa de publicação vai aqui
Active as of 2023-08-03 |
Definitions for the plano-saude resource profile.
Guidance on how to interpret the contents of this table can be found here
0. InsurancePlan | |
Definition | Plano de Saúde |
Short | Plano de Saúde |
2. InsurancePlan.id | |
Definition | Identificador lógico e único deste recurso |
Short | Identificador lógico do plano |
4. InsurancePlan.meta | |
Definition | Metadados sobre o recurso |
Short | Metadados do plano |
6. InsurancePlan.implicitRules | |
Definition | Regras de negócio que se aplicam a este recurso |
Short | Regras implícitas de negócio |
8. InsurancePlan.language | |
Definition | Idioma do plano |
Short | Idioma do plano |
Binding | The codes SHOULD be taken from CommonLanguages Uma linguagem humana. |
10. InsurancePlan.text | |
Definition | Elemento narrativo do plano. Descreve em texto livre e compreensível por humanos o conteúdo deste recurso. |
Short | Elemento narrativo do plano |
12. InsurancePlan.contained | |
Definition | Recursos contidos neste recurso |
Short | Recursos contidos |
14. InsurancePlan.extension | |
Definition | Extensões do plano |
Short | Extensões do plano |
Slicing | This element introduces a set of slices on InsurancePlan.extension . The slices are unordered and Open, and can be differentiated using the following discriminators: |
16. InsurancePlan.modifierExtension | |
Definition | Extensões modificadores do plano |
Short | Extensões modificadores do plano |
18. InsurancePlan.identifier | |
Definition | Identificadores externos do plano |
Short | Identificadores externos do plano |
Note | This is a business identifier, not a resource identifier (see discussion) |
Control | 1..? |
Slicing | This element introduces a set of slices on InsurancePlan.identifier . The slices are unordered and Open, and can be differentiated using the following discriminators: |
20. InsurancePlan.identifier.id | |
Definition | Identificador do plano |
Short | Identificador do plano |
22. InsurancePlan.identifier.extension | |
Definition | Extensões do identificador do plano |
Short | Extensões do identificador do plano |
24. InsurancePlan.identifier.use | |
Definition | Uso do identificador do plano |
Short | Uso do identificador do plano |
Fixed Value | official |
26. InsurancePlan.identifier.type | |
Definition | Tipo do identificador do plano |
Short | Tipo do identificador do plano |
28. InsurancePlan.identifier.system | |
Definition | Sistema de identificação do plano |
Short | Sistema de identificação do plano |
Control | 1..? |
30. InsurancePlan.identifier.value | |
Definition | Valor do identificador do plano |
Short | Valor do identificador do plano |
32. InsurancePlan.identifier.period | |
Definition | Período de validade do identificador do plano |
Short | Período de validade do identificador do plano |
34. InsurancePlan.identifier.assigner | |
Definition | Entidade que atribuiu o identificador do plano |
Short | Entidade que atribuiu o identificador do plano |
36. InsurancePlan.identifier:rpsScpa | |
Slice Name | rpsScpa |
Definition | RPS SCPA |
Short | RPS SCPA |
Note | This is a business identifier, not a resource identifier (see discussion) |
Control | 1..? |
38. InsurancePlan.identifier:rpsScpa.id | |
Definition | Identificador do plano |
Short | Identificador do plano |
40. InsurancePlan.identifier:rpsScpa.extension | |
Definition | Extensões do identificador do plano |
Short | Extensões do identificador do plano |
42. InsurancePlan.identifier:rpsScpa.use | |
Definition | Uso do identificador do plano |
Short | Uso do identificador do plano |
Fixed Value | official |
44. InsurancePlan.identifier:rpsScpa.type | |
Definition | Tipo do identificador do plano |
Short | Tipo do identificador do plano |
Fixed Value | <valueCodeableConcept xmlns="http://hl7.org/fhir"><br/> <coding><br/> <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/><br/> <code value="NH"/><br/> <display value="National Health Plan Identifier"/><br/> </coding><br/></valueCodeableConcept><br/> |
46. InsurancePlan.identifier:rpsScpa.system | |
Definition | Sistema de identificação do plano |
Short | Sistema de identificação do plano |
Control | 1..? |
Fixed Value | https://fhir.ans.gov.br/sid/registro-rps-scpa |
48. InsurancePlan.identifier:rpsScpa.value | |
Definition | Valor do identificador do plano |
Short | Valor do identificador do plano |
Control | 1..? |
50. InsurancePlan.identifier:rpsScpa.period | |
Definition | Período de validade do identificador do plano |
Short | Período de validade do identificador do plano |
52. InsurancePlan.identifier:rpsScpa.assigner | |
Definition | Entidade que atribuiu o identificador do plano |
Short | Entidade que atribuiu o identificador do plano |
54. InsurancePlan.status | |
Definition | Status do plano |
Short | Status do plano |
56. InsurancePlan.type | |
Definition | Tipo do plano |
Short | Tipo do plano |
58. InsurancePlan.name | |
Definition | Nome oficial do plano |
Short | Nome oficial do plano |
60. InsurancePlan.alias | |
Definition | Outros nomes do plano |
Short | Outros nomes do plano |
62. InsurancePlan.period | |
Definition | Período em que o plano esteve disponível |
Short | Período em que o plano esteve disponível |
64. InsurancePlan.ownedBy | |
Definition | Entidade proprietária do plano |
Short | Entidade proprietária do plano |
Control | 1..? |
Type | Reference(Operadora de plano privado de assistência à saúde) |
66. InsurancePlan.administeredBy | |
Definition | Entidade administradora do plano |
Short | Entidade administradora do plano |
68. InsurancePlan.coverageArea | |
Definition | Área de cobertura do plano |
Short | Área de cobertura do plano |
70. InsurancePlan.contact | |
Definition | Contatos do plano |
Short | Contatos do plano |
72. InsurancePlan.contact.purpose | |
Definition | Propósito do contato |
Short | Propósito do contato |
74. InsurancePlan.contact.name | |
Definition | Nome do contato |
Short | Nome do contato |
76. InsurancePlan.contact.telecom | |
Definition | Contatos do contato |
Short | Contatos do contato |
78. InsurancePlan.contact.address | |
Definition | Endereço do contato |
Short | Endereço do contato |
80. InsurancePlan.endpoint | |
Definition | API do plano |
Short | API do plano |
82. InsurancePlan.network | |
Definition | Rede do plano |
Short | Rede do plano |
84. InsurancePlan.coverage | |
Definition | Cobertura do plano |
Short | Cobertura do plano |
86. InsurancePlan.coverage.type | |
Definition | Tipo de cobertura |
Short | Tipo de cobertura |
88. InsurancePlan.coverage.network | |
Definition | Rede de cobertura |
Short | Rede de cobertura |
90. InsurancePlan.coverage.benefit | |
Definition | Benefícios da cobertura |
Short | Benefícios da cobertura |
92. InsurancePlan.coverage.benefit.type | |
Definition | Tipo de benefício |
Short | Tipo de benefício |
94. InsurancePlan.coverage.benefit.requirement | |
Definition | Requisitos para o benefício |
Short | Requisitos para o benefício |
96. InsurancePlan.coverage.benefit.limit | |
Definition | Limites do benefício |
Short | Limites do benefício |
98. InsurancePlan.coverage.benefit.limit.value | |
Definition | Valor do limite |
Short | Valor do limite |
100. InsurancePlan.coverage.benefit.limit.code | |
Definition | Código do limite |
Short | Código do limite |
102. InsurancePlan.plan | |
Definition | Planos |
Short | Planos |
104. InsurancePlan.plan.identifier | |
Definition | Identificador do plano |
Short | Identificador do plano |
Note | This is a business identifier, not a resource identifier (see discussion) |
106. InsurancePlan.plan.type | |
Definition | Tipo do plano |
Short | Tipo do plano |
108. InsurancePlan.plan.coverageArea | |
Definition | Área de cobertura do plano |
Short | Área de cobertura do plano |
110. InsurancePlan.plan.network | |
Definition | Rede do plano |
Short | Rede do plano |
112. InsurancePlan.plan.generalCost | |
Definition | Custo geral do plano |
Short | Custo geral do plano |
114. InsurancePlan.plan.generalCost.type | |
Definition | Tipo de custo geral |
Short | Tipo de custo geral |
116. InsurancePlan.plan.generalCost.groupSize | |
Definition | Tamanho do grupo |
Short | Tamanho do grupo |
118. InsurancePlan.plan.generalCost.cost | |
Definition | Custo |
Short | Custo |
120. InsurancePlan.plan.generalCost.comment | |
Definition | Comentário |
Short | Comentário |
122. InsurancePlan.plan.specificCost | |
Definition | Custo específico do plano |
Short | Custo específico do plano |
124. InsurancePlan.plan.specificCost.category | |
Definition | Categoria do custo específico |
Short | Categoria do custo específico |
126. InsurancePlan.plan.specificCost.benefit | |
Definition | Benefício do custo específico |
Short | Benefício do custo específico |
128. InsurancePlan.plan.specificCost.benefit.type | |
Definition | Tipo do benefício |
Short | Tipo do benefício |
130. InsurancePlan.plan.specificCost.benefit.cost | |
Definition | Custo |
Short | Custo |
132. InsurancePlan.plan.specificCost.benefit.cost.type | |
Definition | Tipo do custo |
Short | Tipo do custo |
134. InsurancePlan.plan.specificCost.benefit.cost.applicability | |
Definition | Aplicabilidade do custo |
Short | Aplicabilidade do custo |
136. InsurancePlan.plan.specificCost.benefit.cost.qualifiers | |
Definition | Qualificadores do custo |
Short | Qualificadores do custo |
138. InsurancePlan.plan.specificCost.benefit.cost.value | |
Definition | Valor do qualificador |
Short | Valor do qualificador |
Guidance on how to interpret the contents of this table can be found here
0. InsurancePlan | |
Definition | Plano de Saúde Details of a Health Insurance product/plan provided by an organization. |
Short | Plano de SaúdeDetails of a Health Insurance product/plan provided by an organization |
Control | 0..* |
Is Modifier | false |
Summary | false |
Invariants | dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty()) dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()) dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()) dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty()) dom-6: A resource should have narrative for robust management (text.`div`.exists()) ipn-1: The organization SHALL at least have a name or an idendtifier, and possibly more than one ( (identifier.count() + name.count()) > 0 )ipn-1: The organization SHALL at least have a name or an idendtifier, and possibly more than one ((identifier.count() + name.count()) > 0) |
2. InsurancePlan.id | |
Definition | Identificador lógico e único deste recurso The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. |
Short | Identificador lógico do planoLogical id of this artifact |
Comments | The only time that a resource does not have an id is when it is being submitted to the server using a create operation. |
Control | 0..1 |
Type | idstring |
Is Modifier | false |
Summary | true |
4. InsurancePlan.meta | |
Definition | Metadados sobre o recurso The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource. |
Short | Metadados do planoMetadata about the resource |
Control | 0..1 |
Type | Meta |
Is Modifier | false |
Summary | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
6. InsurancePlan.implicitRules | |
Definition | Regras de negócio que se aplicam a este recurso A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc. |
Short | Regras implícitas de negócioA set of rules under which this content was created |
Comments | Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc. |
Control | 0..1 |
Type | uri |
Is Modifier | true because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Summary | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
8. InsurancePlan.language | |
Definition | Idioma do plano The base language in which the resource is written. |
Short | Idioma do planoLanguage of the resource content |
Comments | Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute). |
Control | 0..1 |
Binding | The codes SHOULD be taken from CommonLanguageshttp://hl7.org/fhir/ValueSet/languages Uma linguagem humana. A human language. |
Type | code |
Is Modifier | false |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
10. InsurancePlan.text | |
Definition | Elemento narrativo do plano. Descreve em texto livre e compreensível por humanos o conteúdo deste recurso. A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety. |
Short | Elemento narrativo do planoText summary of the resource, for human interpretation |
Comments | Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later. |
Control | 0..1 |
Type | Narrative |
Is Modifier | false |
Summary | false |
Alternate Names | narrative, html, xhtml, display |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
12. InsurancePlan.contained | |
Definition | Recursos contidos neste recurso These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope. |
Short | Recursos contidosContained, inline Resources |
Comments | This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels. |
Control | 0..* |
Type | Resource |
Is Modifier | false |
Summary | false |
Alternate Names | inline resources, anonymous resources, contained resources |
14. InsurancePlan.extension | |
Definition | Extensões do plano May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
Short | Extensões do planoAdditional content defined by implementations |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Control | 0..* |
Type | Extension |
Is Modifier | false |
Summary | false |
Alternate Names | extensions, user content |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
Slicing | This element introduces a set of slices on InsurancePlan.extension . The slices are unordered and Open, and can be differentiated using the following discriminators: |
16. InsurancePlan.modifierExtension | |
Definition | Extensões modificadores do plano May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). |
Short | Extensões modificadores do planoExtensions that cannot be ignored |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Control | 0..* |
Type | Extension |
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them |
Summary | false |
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. |
Alternate Names | extensions, user content |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
18. InsurancePlan.identifier | |
Definition | Identificadores externos do plano Business identifiers assigned to this health insurance product which remain constant as the resource is updated and propagates from server to server. |
Short | Identificadores externos do planoBusiness Identifier for Product |
Note | This is a business identifier, not a resource identifier (see discussion) |
Control | 10..* This element is affected by the following invariants: ipn-1 |
Type | Identifier |
Is Modifier | false |
Summary | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
Slicing | This element introduces a set of slices on InsurancePlan.identifier . The slices are unordered and Open, and can be differentiated using the following discriminators: |
20. InsurancePlan.identifier.id | |
Definition | Identificador do plano Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
Short | Identificador do planoUnique id for inter-element referencing |
Control | 0..1 |
Type | string |
Is Modifier | false |
XML Format | In the XML format, this property is represented as an attribute. |
Summary | false |
22. InsurancePlan.identifier.extension | |
Definition | Extensões do identificador do plano May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
Short | Extensões do identificador do planoAdditional content defined by implementations |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Control | 0..* |
Type | Extension |
Is Modifier | false |
Summary | false |
Alternate Names | extensions, user content |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
Slicing | This element introduces a set of slices on InsurancePlan.identifier.extension . The slices are unordered and Open, and can be differentiated using the following discriminators: |
24. InsurancePlan.identifier.use | |
Definition | Uso do identificador do plano The purpose of this identifier. |
Short | Uso do identificador do planousual | official | temp | secondary | old (If known) |
Comments | Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. |
Control | 0..1 |
Binding | The codes SHALL be taken from IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1 Identifies the purpose for this identifier, if known . |
Type | code |
Is Modifier | true because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one. |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Summary | true |
Requirements | Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. |
Fixed Value | official |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
26. InsurancePlan.identifier.type | |
Definition | Tipo do identificador do plano A coded type for the identifier that can be used to determine which identifier to use for a specific purpose. |
Short | Tipo do identificador do planoDescription of identifier |
Comments | This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type. |
Control | 0..1 |
Binding | Unless not suitable, these codes SHALL be taken from Identifier Type Codeshttp://hl7.org/fhir/ValueSet/identifier-type A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. |
Type | CodeableConcept |
Is Modifier | false |
Summary | true |
Requirements | Allows users to make use of identifiers when the identifier system is not known. |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
28. InsurancePlan.identifier.system | |
Definition | Sistema de identificação do plano Establishes the namespace for the value - that is, a URL that describes a set values that are unique. |
Short | Sistema de identificação do planoThe namespace for the identifier value |
Comments | Identifier.system is always case sensitive. |
Control | 10..1 |
Type | uri |
Is Modifier | false |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Summary | true |
Requirements | There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers. |
Example | <br/><b>General</b>:http://www.acme.com/identifiers/patient |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
30. InsurancePlan.identifier.value | |
Definition | Valor do identificador do plano The portion of the identifier typically relevant to the user and which is unique within the context of the system. |
Short | Valor do identificador do planoThe value that is unique |
Comments | If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe. |
Control | 0..1 |
Type | string |
Is Modifier | false |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Summary | true |
Example | <br/><b>General</b>:123456 |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
32. InsurancePlan.identifier.period | |
Definition | Período de validade do identificador do plano Time period during which identifier is/was valid for use. |
Short | Período de validade do identificador do planoTime period when id is/was valid for use |
Control | 0..1 |
Type | Period |
Is Modifier | false |
Summary | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
34. InsurancePlan.identifier.assigner | |
Definition | Entidade que atribuiu o identificador do plano Organization that issued/manages the identifier. |
Short | Entidade que atribuiu o identificador do planoOrganization that issued id (may be just text) |
Comments | The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization. |
Control | 0..1 |
Type | Reference(Organization) |
Is Modifier | false |
Summary | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
36. InsurancePlan.identifier:rpsScpa | |
Slice Name | rpsScpa |
Definition | RPS SCPA Business identifiers assigned to this health insurance product which remain constant as the resource is updated and propagates from server to server. |
Short | RPS SCPABusiness Identifier for Product |
Note | This is a business identifier, not a resource identifier (see discussion) |
Control | 10..* This element is affected by the following invariants: ipn-1 |
Type | Identifier |
Is Modifier | false |
Summary | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
38. InsurancePlan.identifier:rpsScpa.id | |
Definition | Identificador do plano Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
Short | Identificador do planoUnique id for inter-element referencing |
Control | 0..1 |
Type | string |
Is Modifier | false |
XML Format | In the XML format, this property is represented as an attribute. |
Summary | false |
40. InsurancePlan.identifier:rpsScpa.extension | |
Definition | Extensões do identificador do plano May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
Short | Extensões do identificador do planoAdditional content defined by implementations |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Control | 0..* |
Type | Extension |
Is Modifier | false |
Summary | false |
Alternate Names | extensions, user content |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
Slicing | This element introduces a set of slices on InsurancePlan.identifier.extension . The slices are unordered and Open, and can be differentiated using the following discriminators: |
42. InsurancePlan.identifier:rpsScpa.use | |
Definition | Uso do identificador do plano The purpose of this identifier. |
Short | Uso do identificador do planousual | official | temp | secondary | old (If known) |
Comments | Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. |
Control | 0..1 |
Binding | The codes SHALL be taken from IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1 Identifies the purpose for this identifier, if known . |
Type | code |
Is Modifier | true because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one. |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Summary | true |
Requirements | Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. |
Fixed Value | official |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
44. InsurancePlan.identifier:rpsScpa.type | |
Definition | Tipo do identificador do plano A coded type for the identifier that can be used to determine which identifier to use for a specific purpose. |
Short | Tipo do identificador do planoDescription of identifier |
Comments | This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type. |
Control | 0..1 |
Binding | Unless not suitable, these codes SHALL be taken from Identifier Type Codeshttp://hl7.org/fhir/ValueSet/identifier-type A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. |
Type | CodeableConcept |
Is Modifier | false |
Summary | true |
Requirements | Allows users to make use of identifiers when the identifier system is not known. |
Fixed Value | <valueCodeableConcept xmlns="http://hl7.org/fhir"><br/> <coding><br/> <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/><br/> <code value="NH"/><br/> <display value="National Health Plan Identifier"/><br/> </coding><br/></valueCodeableConcept><br/> |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
46. InsurancePlan.identifier:rpsScpa.system | |
Definition | Sistema de identificação do plano Establishes the namespace for the value - that is, a URL that describes a set values that are unique. |
Short | Sistema de identificação do planoThe namespace for the identifier value |
Comments | Identifier.system is always case sensitive. |
Control | 10..1 |
Type | uri |
Is Modifier | false |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Summary | true |
Requirements | There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers. |
Fixed Value | https://fhir.ans.gov.br/sid/registro-rps-scpa |
Example | <br/><b>General</b>:http://www.acme.com/identifiers/patient |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
48. InsurancePlan.identifier:rpsScpa.value | |
Definition | Valor do identificador do plano The portion of the identifier typically relevant to the user and which is unique within the context of the system. |
Short | Valor do identificador do planoThe value that is unique |
Comments | If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe. |
Control | 10..1 |
Type | string |
Is Modifier | false |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Summary | true |
Example | <br/><b>General</b>:123456 |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
50. InsurancePlan.identifier:rpsScpa.period | |
Definition | Período de validade do identificador do plano Time period during which identifier is/was valid for use. |
Short | Período de validade do identificador do planoTime period when id is/was valid for use |
Control | 0..1 |
Type | Period |
Is Modifier | false |
Summary | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
52. InsurancePlan.identifier:rpsScpa.assigner | |
Definition | Entidade que atribuiu o identificador do plano Organization that issued/manages the identifier. |
Short | Entidade que atribuiu o identificador do planoOrganization that issued id (may be just text) |
Comments | The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization. |
Control | 0..1 |
Type | Reference(Organization) |
Is Modifier | false |
Summary | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
54. InsurancePlan.status | |
Definition | Status do plano The current state of the health insurance product. |
Short | Status do planodraft | active | retired | unknown |
Control | 0..1 |
Binding | The codes SHALL be taken from PublicationStatushttp://hl7.org/fhir/ValueSet/publication-status|4.0.1 The lifecycle status of an artifact. |
Type | code |
Is Modifier | true because This element is labeled as a modifier because it is a status element that contains codes which means that the resource should not be treated as valid |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Summary | true |
Requirements | Need a flag to indicate a record is no longer to be used and should generally be hidden for the user in the UI. |
Meaning if Missing | Default interpretation is active. |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
56. InsurancePlan.type | |
Definition | Tipo do plano The kind of health insurance product. |
Short | Tipo do planoKind of product |
Control | 0..* |
Binding | For example codes, see InsurancePlanTypehttp://hl7.org/fhir/ValueSet/insuranceplan-type Used to categorize the product/plan. |
Type | CodeableConcept |
Is Modifier | false |
Summary | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
58. InsurancePlan.name | |
Definition | Nome oficial do plano Official name of the health insurance product as designated by the owner. |
Short | Nome oficial do planoOfficial name |
Comments | If the name of the product/plan changes, consider putting the old name in the alias column so that it can still be located through searches. |
Control | 0..1 This element is affected by the following invariants: ipn-1 |
Type | string |
Is Modifier | false |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Summary | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
60. InsurancePlan.alias | |
Definition | Outros nomes do plano A list of alternate names that the product is known as, or was known as in the past. |
Short | Outros nomes do planoAlternate names |
Comments | There are no dates associated with the alias/historic names, as this is not intended to track when names were used, but to assist in searching so that older names can still result in identifying the product/plan. |
Control | 0..* |
Type | string |
Is Modifier | false |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Summary | false |
Requirements | Over time products/plans go through many changes and can be known by different names. For searching knowing previous names that the product/plan was known by can be very useful. |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
62. InsurancePlan.period | |
Definition | Período em que o plano esteve disponível The period of time that the health insurance product is available. |
Short | Período em que o plano esteve disponívelWhen the product is available |
Control | 0..1 |
Type | Period |
Is Modifier | false |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
64. InsurancePlan.ownedBy | |
Definition | Entidade proprietária do plano The entity that is providing the health insurance product and underwriting the risk. This is typically an insurance carriers, other third-party payers, or health plan sponsors comonly referred to as 'payers'. |
Short | Entidade proprietária do planoPlan issuer |
Control | 10..1 |
Type | Reference(Operadora de plano privado de assistência à saúde, Organization) |
Is Modifier | false |
Summary | true |
Alternate Names | Payer |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
66. InsurancePlan.administeredBy | |
Definition | Entidade administradora do plano An organization which administer other services such as underwriting, customer service and/or claims processing on behalf of the health insurance product owner. |
Short | Entidade administradora do planoProduct administrator |
Control | 0..1 |
Type | Reference(Organization) |
Is Modifier | false |
Summary | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
68. InsurancePlan.coverageArea | |
Definition | Área de cobertura do plano The geographic region in which a health insurance product's benefits apply. |
Short | Área de cobertura do planoWhere product applies |
Control | 0..* |
Type | Reference(Location) |
Is Modifier | false |
Summary | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
70. InsurancePlan.contact | |
Definition | Contatos do plano The contact for the health insurance product for a certain purpose. |
Short | Contatos do planoContact for the product |
Comments | Where multiple contacts for the same purpose are provided there is a standard extension that can be used to determine which one is the preferred contact to use. |
Control | 0..* |
Type | BackboneElement |
Is Modifier | false |
Summary | false |
Requirements | Need to keep track of assigned contact points within bigger organization. |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
72. InsurancePlan.contact.modifierExtension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). |
Short | Extensions that cannot be ignored even if unrecognized |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Control | 0..* |
Type | Extension |
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them |
Summary | true |
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. |
Alternate Names | extensions, user content, modifiers |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
74. InsurancePlan.contact.purpose | |
Definition | Propósito do contato Indicates a purpose for which the contact can be reached. |
Short | Propósito do contatoThe type of contact |
Control | 0..1 |
Binding | Unless not suitable, these codes SHALL be taken from ContactEntityTypehttp://hl7.org/fhir/ValueSet/contactentity-type The purpose for which you would contact a contact party. |
Type | CodeableConcept |
Is Modifier | false |
Summary | false |
Requirements | Need to distinguish between multiple contact persons. |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
76. InsurancePlan.contact.name | |
Definition | Nome do contato A name associated with the contact. |
Short | Nome do contatoA name associated with the contact |
Control | 0..1 |
Type | HumanName |
Is Modifier | false |
Summary | false |
Requirements | Need to be able to track the person by name. |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
78. InsurancePlan.contact.telecom | |
Definition | Contatos do contato A contact detail (e.g. a telephone number or an email address) by which the party may be contacted. |
Short | Contatos do contatoContact details (telephone, email, etc.) for a contact |
Control | 0..* |
Type | ContactPoint |
Is Modifier | false |
Summary | false |
Requirements | People have (primary) ways to contact them in some way such as phone, email. |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
80. InsurancePlan.contact.address | |
Definition | Endereço do contato Visiting or postal addresses for the contact. |
Short | Endereço do contatoVisiting or postal addresses for the contact |
Control | 0..1 |
Type | Address |
Is Modifier | false |
Summary | false |
Requirements | May need to keep track of a contact party's address for contacting, billing or reporting requirements. |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
82. InsurancePlan.endpoint | |
Definition | API do plano The technical endpoints providing access to services operated for the health insurance product. |
Short | API do planoTechnical endpoint |
Control | 0..* |
Type | Reference(Endpoint) |
Is Modifier | false |
Summary | false |
Requirements | Organizations have multiple systems that provide various services and need to be able to define the technical connection details for how to connect to them, and for what purpose. |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
84. InsurancePlan.network | |
Definition | Rede do plano Reference to the network included in the health insurance product. |
Short | Rede do planoWhat networks are Included |
Comments | Networks are represented as a hierarchy of organization resources. |
Control | 0..* |
Type | Reference(Organization) |
Is Modifier | false |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
86. InsurancePlan.coverage | |
Definition | Cobertura do plano Details about the coverage offered by the insurance product. |
Short | Cobertura do planoCoverage details |
Control | 0..* |
Type | BackboneElement |
Is Modifier | false |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
88. InsurancePlan.coverage.modifierExtension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). |
Short | Extensions that cannot be ignored even if unrecognized |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Control | 0..* |
Type | Extension |
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them |
Summary | true |
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. |
Alternate Names | extensions, user content, modifiers |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
90. InsurancePlan.coverage.type | |
Definition | Tipo de cobertura Type of coverage (Medical; Dental; Mental Health; Substance Abuse; Vision; Drug; Short Term; Long Term Care; Hospice; Home Health). |
Short | Tipo de coberturaType of coverage |
Control | 1..1 |
Type | CodeableConcept |
Is Modifier | false |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
92. InsurancePlan.coverage.network | |
Definition | Rede de cobertura Reference to the network that providing the type of coverage. |
Short | Rede de coberturaWhat networks provide coverage |
Comments | Networks are represented as a hierarchy of organization resources. |
Control | 0..* |
Type | Reference(Organization) |
Is Modifier | false |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
94. InsurancePlan.coverage.benefit | |
Definition | Benefícios da cobertura Specific benefits under this type of coverage. |
Short | Benefícios da coberturaList of benefits |
Control | 1..* |
Type | BackboneElement |
Is Modifier | false |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
96. InsurancePlan.coverage.benefit.modifierExtension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). |
Short | Extensions that cannot be ignored even if unrecognized |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Control | 0..* |
Type | Extension |
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them |
Summary | true |
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. |
Alternate Names | extensions, user content, modifiers |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
98. InsurancePlan.coverage.benefit.type | |
Definition | Tipo de benefício Type of benefit (primary care; speciality care; inpatient; outpatient). |
Short | Tipo de benefícioType of benefit |
Control | 1..1 |
Type | CodeableConcept |
Is Modifier | false |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
100. InsurancePlan.coverage.benefit.requirement | |
Definition | Requisitos para o benefício The referral requirements to have access/coverage for this benefit. |
Short | Requisitos para o benefícioReferral requirements |
Control | 0..1 |
Type | string |
Is Modifier | false |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
102. InsurancePlan.coverage.benefit.limit | |
Definition | Limites do benefício The specific limits on the benefit. |
Short | Limites do benefícioBenefit limits |
Control | 0..* |
Type | BackboneElement |
Is Modifier | false |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
104. InsurancePlan.coverage.benefit.limit.modifierExtension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). |
Short | Extensions that cannot be ignored even if unrecognized |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Control | 0..* |
Type | Extension |
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them |
Summary | true |
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. |
Alternate Names | extensions, user content, modifiers |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
106. InsurancePlan.coverage.benefit.limit.value | |
Definition | Valor do limite The maximum amount of a service item a plan will pay for a covered benefit. For examples. wellness visits, or eyeglasses. |
Short | Valor do limiteMaximum value allowed |
Comments | May also be called “eligible expense,” “payment allowance,” or “negotiated rate.”. |
Control | 0..1 |
Type | Quantity |
Is Modifier | false |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
108. InsurancePlan.coverage.benefit.limit.code | |
Definition | Código do limite The specific limit on the benefit. |
Short | Código do limiteBenefit limit details |
Comments | Use |
Control | 0..1 |
Type | CodeableConcept |
Is Modifier | false |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
110. InsurancePlan.plan | |
Definition | Planos Details about an insurance plan. |
Short | PlanosPlan details |
Control | 0..* |
Type | BackboneElement |
Is Modifier | false |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
112. InsurancePlan.plan.modifierExtension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). |
Short | Extensions that cannot be ignored even if unrecognized |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Control | 0..* |
Type | Extension |
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them |
Summary | true |
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. |
Alternate Names | extensions, user content, modifiers |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
114. InsurancePlan.plan.identifier | |
Definition | Identificador do plano Business identifiers assigned to this health insurance plan which remain constant as the resource is updated and propagates from server to server. |
Short | Identificador do planoBusiness Identifier for Product |
Note | This is a business identifier, not a resource identifier (see discussion) |
Control | 0..* |
Type | Identifier |
Is Modifier | false |
Summary | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
116. InsurancePlan.plan.type | |
Definition | Tipo do plano Type of plan. For example, "Platinum" or "High Deductable". |
Short | Tipo do planoType of plan |
Control | 0..1 |
Type | CodeableConcept |
Is Modifier | false |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
118. InsurancePlan.plan.coverageArea | |
Definition | Área de cobertura do plano The geographic region in which a health insurance plan's benefits apply. |
Short | Área de cobertura do planoWhere product applies |
Control | 0..* |
Type | Reference(Location) |
Is Modifier | false |
Summary | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
120. InsurancePlan.plan.network | |
Definition | Rede do plano Reference to the network that providing the type of coverage. |
Short | Rede do planoWhat networks provide coverage |
Comments | Networks are represented as a hierarchy of organization resources. |
Control | 0..* |
Type | Reference(Organization) |
Is Modifier | false |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
122. InsurancePlan.plan.generalCost | |
Definition | Custo geral do plano Overall costs associated with the plan. |
Short | Custo geral do planoOverall costs |
Control | 0..* |
Type | BackboneElement |
Is Modifier | false |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
124. InsurancePlan.plan.generalCost.modifierExtension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). |
Short | Extensions that cannot be ignored even if unrecognized |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Control | 0..* |
Type | Extension |
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them |
Summary | true |
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. |
Alternate Names | extensions, user content, modifiers |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
126. InsurancePlan.plan.generalCost.type | |
Definition | Tipo de custo geral Type of cost. |
Short | Tipo de custo geralType of cost |
Control | 0..1 |
Type | CodeableConcept |
Is Modifier | false |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
128. InsurancePlan.plan.generalCost.groupSize | |
Definition | Tamanho do grupo Number of participants enrolled in the plan. |
Short | Tamanho do grupoNumber of enrollees |
Control | 0..1 |
Type | positiveInt |
Is Modifier | false |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
130. InsurancePlan.plan.generalCost.cost | |
Definition | Custo Value of the cost. |
Short | CustoCost value |
Control | 0..1 |
Type | Money |
Is Modifier | false |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
132. InsurancePlan.plan.generalCost.comment | |
Definition | Comentário Additional information about the general costs associated with this plan. |
Short | ComentárioAdditional cost information |
Control | 0..1 |
Type | string |
Is Modifier | false |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
134. InsurancePlan.plan.specificCost | |
Definition | Custo específico do plano Costs associated with the coverage provided by the product. |
Short | Custo específico do planoSpecific costs |
Control | 0..* |
Type | BackboneElement |
Is Modifier | false |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
136. InsurancePlan.plan.specificCost.modifierExtension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). |
Short | Extensions that cannot be ignored even if unrecognized |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Control | 0..* |
Type | Extension |
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them |
Summary | true |
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. |
Alternate Names | extensions, user content, modifiers |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
138. InsurancePlan.plan.specificCost.category | |
Definition | Categoria do custo específico General category of benefit (Medical; Dental; Vision; Drug; Mental Health; Substance Abuse; Hospice, Home Health). |
Short | Categoria do custo específicoGeneral category of benefit |
Control | 1..1 |
Type | CodeableConcept |
Is Modifier | false |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
140. InsurancePlan.plan.specificCost.benefit | |
Definition | Benefício do custo específico List of the specific benefits under this category of benefit. |
Short | Benefício do custo específicoBenefits list |
Control | 0..* |
Type | BackboneElement |
Is Modifier | false |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
142. InsurancePlan.plan.specificCost.benefit.modifierExtension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). |
Short | Extensions that cannot be ignored even if unrecognized |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Control | 0..* |
Type | Extension |
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them |
Summary | true |
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. |
Alternate Names | extensions, user content, modifiers |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
144. InsurancePlan.plan.specificCost.benefit.type | |
Definition | Tipo do benefício Type of specific benefit (preventative; primary care office visit; speciality office visit; hospitalization; emergency room; urgent care). |
Short | Tipo do benefícioType of specific benefit |
Control | 1..1 |
Type | CodeableConcept |
Is Modifier | false |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
146. InsurancePlan.plan.specificCost.benefit.cost | |
Definition | Custo List of the costs associated with a specific benefit. |
Short | CustoList of the costs |
Control | 0..* |
Type | BackboneElement |
Is Modifier | false |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
148. InsurancePlan.plan.specificCost.benefit.cost.modifierExtension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). |
Short | Extensions that cannot be ignored even if unrecognized |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Control | 0..* |
Type | Extension |
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them |
Summary | true |
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. |
Alternate Names | extensions, user content, modifiers |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
150. InsurancePlan.plan.specificCost.benefit.cost.type | |
Definition | Tipo do custo Type of cost (copay; individual cap; family cap; coinsurance; deductible). |
Short | Tipo do custoType of cost |
Control | 1..1 |
Type | CodeableConcept |
Is Modifier | false |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
152. InsurancePlan.plan.specificCost.benefit.cost.applicability | |
Definition | Aplicabilidade do custo Whether the cost applies to in-network or out-of-network providers (in-network; out-of-network; other). |
Short | Aplicabilidade do custoin-network | out-of-network | other |
Control | 0..1 |
Binding | The codes SHALL be taken from BenefitCostApplicabilityhttp://hl7.org/fhir/ValueSet/insuranceplan-applicability|4.0.1 Whether the cost applies to in-network or out-of-network providers. |
Type | CodeableConcept |
Is Modifier | false |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
154. InsurancePlan.plan.specificCost.benefit.cost.qualifiers | |
Definition | Qualificadores do custo Additional information about the cost, such as information about funding sources (e.g. HSA, HRA, FSA, RRA). |
Short | Qualificadores do custoAdditional information about the cost |
Control | 0..* |
Type | CodeableConcept |
Is Modifier | false |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
156. InsurancePlan.plan.specificCost.benefit.cost.value | |
Definition | Valor do qualificador The actual cost value. (some of the costs may be represented as percentages rather than currency, e.g. 10% coinsurance). |
Short | Valor do qualificadorThe actual cost value |
Control | 0..1 |
Type | Quantity |
Is Modifier | false |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
Guidance on how to interpret the contents of this table can be found here
0. InsurancePlan | |
Definition | Plano de Saúde |
Short | Plano de Saúde |
Control | 0..* |
Is Modifier | false |
Summary | false |
Invariants | dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty() )dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource ( contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() )dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated ( contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() )dom-5: If a resource is contained in another resource, it SHALL NOT have a security label ( contained.meta.security.empty() )dom-6: A resource should have narrative for robust management ( text.`div`.exists() )ipn-1: The organization SHALL at least have a name or an idendtifier, and possibly more than one ( (identifier.count() + name.count()) > 0 ) |
2. InsurancePlan.id | |
Definition | Identificador lógico e único deste recurso |
Short | Identificador lógico do plano |
Comments | The only time that a resource does not have an id is when it is being submitted to the server using a create operation. |
Control | 0..1 |
Type | id |
Is Modifier | false |
Summary | true |
4. InsurancePlan.meta | |
Definition | Metadados sobre o recurso |
Short | Metadados do plano |
Control | 0..1 |
Type | Meta |
Is Modifier | false |
Summary | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |
6. InsurancePlan.implicitRules | |
Definition | Regras de negócio que se aplicam a este recurso |
Short | Regras implícitas de negócio |
Comments | Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc. |
Control | 0..1 |
Type | uri |
Is Modifier | true because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Summary | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |
8. InsurancePlan.language | |
Definition | Idioma do plano |
Short | Idioma do plano |
Comments | Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute). |
Control | 0..1 |
Binding | The codes SHOULD be taken from CommonLanguages Uma linguagem humana. |
Type | code |
Is Modifier | false |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |
10. InsurancePlan.text | |
Definition | Elemento narrativo do plano. Descreve em texto livre e compreensível por humanos o conteúdo deste recurso. |
Short | Elemento narrativo do plano |
Comments | Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later. |
Control | 0..1 |
Type | Narrative |
Is Modifier | false |
Summary | false |
Alternate Names | narrative, html, xhtml, display |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |
12. InsurancePlan.contained | |
Definition | Recursos contidos neste recurso |
Short | Recursos contidos |
Comments | This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels. |
Control | 0..* |
Type | Resource |
Is Modifier | false |
Summary | false |
Alternate Names | inline resources, anonymous resources, contained resources |
14. InsurancePlan.extension | |
Definition | Extensões do plano |
Short | Extensões do plano |
Control | 0..* |
Type | Extension |
Is Modifier | false |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) |
Slicing | This element introduces a set of slices on InsurancePlan.extension . The slices are unordered and Open, and can be differentiated using the following discriminators: |
16. InsurancePlan.modifierExtension | |
Definition | Extensões modificadores do plano |
Short | Extensões modificadores do plano |
Control | 0..* |
Type | Extension |
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) |
18. InsurancePlan.identifier | |
Definition | Identificadores externos do plano |
Short | Identificadores externos do plano |
Note | This is a business identifier, not a resource identifier (see discussion) |
Control | 1..* This element is affected by the following invariants: ipn-1 |
Type | Identifier |
Is Modifier | false |
Summary | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |
Slicing | This element introduces a set of slices on InsurancePlan.identifier . The slices are unordered and Open, and can be differentiated using the following discriminators: |
20. InsurancePlan.identifier.id | |
Definition | Identificador do plano |
Short | Identificador do plano |
Control | 0..1 |
Type | string |
Is Modifier | false |
XML Format | In the XML format, this property is represented as an attribute. |
Summary | false |
22. InsurancePlan.identifier.extension | |
Definition | Extensões do identificador do plano |
Short | Extensões do identificador do plano |
Control | 0..* |
Type | Extension |
Is Modifier | false |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) |
Slicing | This element introduces a set of slices on InsurancePlan.identifier.extension . The slices are unordered and Open, and can be differentiated using the following discriminators: |
24. InsurancePlan.identifier.use | |
Definition | Uso do identificador do plano |
Short | Uso do identificador do plano |
Comments | Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. |
Control | 0..1 |
Binding | The codes SHALL be taken from IdentifierUse Identifies the purpose for this identifier, if known . |
Type | code |
Is Modifier | true because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one. |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Summary | true |
Requirements | Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. |
Fixed Value | official |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |
26. InsurancePlan.identifier.type | |
Definition | Tipo do identificador do plano |
Short | Tipo do identificador do plano |
Comments | This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type. |
Control | 0..1 |
Binding | Unless not suitable, these codes SHALL be taken from Identifier Type Codes A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. |
Type | CodeableConcept |
Is Modifier | false |
Summary | true |
Requirements | Allows users to make use of identifiers when the identifier system is not known. |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |
28. InsurancePlan.identifier.system | |
Definition | Sistema de identificação do plano |
Short | Sistema de identificação do plano |
Comments | Identifier.system is always case sensitive. |
Control | 1..1 |
Type | uri |
Is Modifier | false |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Summary | true |
Requirements | There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers. |
Example | <br/><b>General</b>:http://www.acme.com/identifiers/patient |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |
30. InsurancePlan.identifier.value | |
Definition | Valor do identificador do plano |
Short | Valor do identificador do plano |
Comments | If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe. |
Control | 0..1 |
Type | string |
Is Modifier | false |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Summary | true |
Example | <br/><b>General</b>:123456 |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |
32. InsurancePlan.identifier.period | |
Definition | Período de validade do identificador do plano |
Short | Período de validade do identificador do plano |
Control | 0..1 |
Type | Period |
Is Modifier | false |
Summary | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |
34. InsurancePlan.identifier.assigner | |
Definition | Entidade que atribuiu o identificador do plano |
Short | Entidade que atribuiu o identificador do plano |
Comments | The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization. |
Control | 0..1 |
Type | Reference(Organization) |
Is Modifier | false |
Summary | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |
36. InsurancePlan.identifier:rpsScpa | |
Slice Name | rpsScpa |
Definition | RPS SCPA |
Short | RPS SCPA |
Note | This is a business identifier, not a resource identifier (see discussion) |
Control | 1..* This element is affected by the following invariants: ipn-1 |
Type | Identifier |
Is Modifier | false |
Summary | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |
38. InsurancePlan.identifier:rpsScpa.id | |
Definition | Identificador do plano |
Short | Identificador do plano |
Control | 0..1 |
Type | string |
Is Modifier | false |
XML Format | In the XML format, this property is represented as an attribute. |
Summary | false |
40. InsurancePlan.identifier:rpsScpa.extension | |
Definition | Extensões do identificador do plano |
Short | Extensões do identificador do plano |
Control | 0..* |
Type | Extension |
Is Modifier | false |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) |
Slicing | This element introduces a set of slices on InsurancePlan.identifier.extension . The slices are unordered and Open, and can be differentiated using the following discriminators: |
42. InsurancePlan.identifier:rpsScpa.use | |
Definition | Uso do identificador do plano |
Short | Uso do identificador do plano |
Comments | Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. |
Control | 0..1 |
Binding | The codes SHALL be taken from IdentifierUse Identifies the purpose for this identifier, if known . |
Type | code |
Is Modifier | true because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one. |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Summary | true |
Requirements | Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. |
Fixed Value | official |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |
44. InsurancePlan.identifier:rpsScpa.type | |
Definition | Tipo do identificador do plano |
Short | Tipo do identificador do plano |
Comments | This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type. |
Control | 0..1 |
Binding | Unless not suitable, these codes SHALL be taken from Identifier Type Codes A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. |
Type | CodeableConcept |
Is Modifier | false |
Summary | true |
Requirements | Allows users to make use of identifiers when the identifier system is not known. |
Fixed Value | <valueCodeableConcept xmlns="http://hl7.org/fhir"><br/> <coding><br/> <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/><br/> <code value="NH"/><br/> <display value="National Health Plan Identifier"/><br/> </coding><br/></valueCodeableConcept><br/> |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |
46. InsurancePlan.identifier:rpsScpa.system | |
Definition | Sistema de identificação do plano |
Short | Sistema de identificação do plano |
Comments | Identifier.system is always case sensitive. |
Control | 1..1 |
Type | uri |
Is Modifier | false |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Summary | true |
Requirements | There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers. |
Fixed Value | https://fhir.ans.gov.br/sid/registro-rps-scpa |
Example | <br/><b>General</b>:http://www.acme.com/identifiers/patient |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |
48. InsurancePlan.identifier:rpsScpa.value | |
Definition | Valor do identificador do plano |
Short | Valor do identificador do plano |
Comments | If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe. |
Control | 1..1 |
Type | string |
Is Modifier | false |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Summary | true |
Example | <br/><b>General</b>:123456 |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |
50. InsurancePlan.identifier:rpsScpa.period | |
Definition | Período de validade do identificador do plano |
Short | Período de validade do identificador do plano |
Control | 0..1 |
Type | Period |
Is Modifier | false |
Summary | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |
52. InsurancePlan.identifier:rpsScpa.assigner | |
Definition | Entidade que atribuiu o identificador do plano |
Short | Entidade que atribuiu o identificador do plano |
Comments | The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization. |
Control | 0..1 |
Type | Reference(Organization) |
Is Modifier | false |
Summary | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |
54. InsurancePlan.status | |
Definition | Status do plano |
Short | Status do plano |
Control | 0..1 |
Binding | The codes SHALL be taken from PublicationStatus The lifecycle status of an artifact. |
Type | code |
Is Modifier | true because This element is labeled as a modifier because it is a status element that contains codes which means that the resource should not be treated as valid |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Summary | true |
Requirements | Need a flag to indicate a record is no longer to be used and should generally be hidden for the user in the UI. |
Meaning if Missing | Default interpretation is active. |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |
56. InsurancePlan.type | |
Definition | Tipo do plano |
Short | Tipo do plano |
Control | 0..* |
Binding | For example codes, see InsurancePlanType Used to categorize the product/plan. |
Type | CodeableConcept |
Is Modifier | false |
Summary | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |
58. InsurancePlan.name | |
Definition | Nome oficial do plano |
Short | Nome oficial do plano |
Comments | If the name of the product/plan changes, consider putting the old name in the alias column so that it can still be located through searches. |
Control | 0..1 This element is affected by the following invariants: ipn-1 |
Type | string |
Is Modifier | false |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Summary | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |
60. InsurancePlan.alias | |
Definition | Outros nomes do plano |
Short | Outros nomes do plano |
Comments | There are no dates associated with the alias/historic names, as this is not intended to track when names were used, but to assist in searching so that older names can still result in identifying the product/plan. |
Control | 0..* |
Type | string |
Is Modifier | false |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Summary | false |
Requirements | Over time products/plans go through many changes and can be known by different names. For searching knowing previous names that the product/plan was known by can be very useful. |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |
62. InsurancePlan.period | |
Definition | Período em que o plano esteve disponível |
Short | Período em que o plano esteve disponível |
Control | 0..1 |
Type | Period |
Is Modifier | false |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |
64. InsurancePlan.ownedBy | |
Definition | Entidade proprietária do plano |
Short | Entidade proprietária do plano |
Control | 1..1 |
Type | Reference(Operadora de plano privado de assistência à saúde) |
Is Modifier | false |
Summary | true |
Alternate Names | Payer |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |
66. InsurancePlan.administeredBy | |
Definition | Entidade administradora do plano |
Short | Entidade administradora do plano |
Control | 0..1 |
Type | Reference(Organization) |
Is Modifier | false |
Summary | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |
68. InsurancePlan.coverageArea | |
Definition | Área de cobertura do plano |
Short | Área de cobertura do plano |
Control | 0..* |
Type | Reference(Location) |
Is Modifier | false |
Summary | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |
70. InsurancePlan.contact | |
Definition | Contatos do plano |
Short | Contatos do plano |
Comments | Where multiple contacts for the same purpose are provided there is a standard extension that can be used to determine which one is the preferred contact to use. |
Control | 0..* |
Type | BackboneElement |
Is Modifier | false |
Summary | false |
Requirements | Need to keep track of assigned contact points within bigger organization. |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |
72. InsurancePlan.contact.id | |
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
Short | Unique id for inter-element referencing |
Control | 0..1 |
Type | string |
Is Modifier | false |
XML Format | In the XML format, this property is represented as an attribute. |
Summary | false |
74. InsurancePlan.contact.extension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
Short | Additional content defined by implementations |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Control | 0..* |
Type | Extension |
Is Modifier | false |
Summary | false |
Alternate Names | extensions, user content |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) |
76. InsurancePlan.contact.modifierExtension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). |
Short | Extensions that cannot be ignored even if unrecognized |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Control | 0..* |
Type | Extension |
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them |
Summary | true |
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. |
Alternate Names | extensions, user content, modifiers |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) |
78. InsurancePlan.contact.purpose | |
Definition | Propósito do contato |
Short | Propósito do contato |
Control | 0..1 |
Binding | Unless not suitable, these codes SHALL be taken from ContactEntityType The purpose for which you would contact a contact party. |
Type | CodeableConcept |
Is Modifier | false |
Summary | false |
Requirements | Need to distinguish between multiple contact persons. |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |
80. InsurancePlan.contact.name | |
Definition | Nome do contato |
Short | Nome do contato |
Control | 0..1 |
Type | HumanName |
Is Modifier | false |
Summary | false |
Requirements | Need to be able to track the person by name. |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |
82. InsurancePlan.contact.telecom | |
Definition | Contatos do contato |
Short | Contatos do contato |
Control | 0..* |
Type | ContactPoint |
Is Modifier | false |
Summary | false |
Requirements | People have (primary) ways to contact them in some way such as phone, email. |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |
84. InsurancePlan.contact.address | |
Definition | Endereço do contato |
Short | Endereço do contato |
Control | 0..1 |
Type | Address |
Is Modifier | false |
Summary | false |
Requirements | May need to keep track of a contact party's address for contacting, billing or reporting requirements. |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |
86. InsurancePlan.endpoint | |
Definition | API do plano |
Short | API do plano |
Control | 0..* |
Type | Reference(Endpoint) |
Is Modifier | false |
Summary | false |
Requirements | Organizations have multiple systems that provide various services and need to be able to define the technical connection details for how to connect to them, and for what purpose. |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |
88. InsurancePlan.network | |
Definition | Rede do plano |
Short | Rede do plano |
Comments | Networks are represented as a hierarchy of organization resources. |
Control | 0..* |
Type | Reference(Organization) |
Is Modifier | false |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |
90. InsurancePlan.coverage | |
Definition | Cobertura do plano |
Short | Cobertura do plano |
Control | 0..* |
Type | BackboneElement |
Is Modifier | false |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |
92. InsurancePlan.coverage.id | |
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
Short | Unique id for inter-element referencing |
Control | 0..1 |
Type | string |
Is Modifier | false |
XML Format | In the XML format, this property is represented as an attribute. |
Summary | false |
94. InsurancePlan.coverage.extension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
Short | Additional content defined by implementations |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Control | 0..* |
Type | Extension |
Is Modifier | false |
Summary | false |
Alternate Names | extensions, user content |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) |
96. InsurancePlan.coverage.modifierExtension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). |
Short | Extensions that cannot be ignored even if unrecognized |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Control | 0..* |
Type | Extension |
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them |
Summary | true |
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. |
Alternate Names | extensions, user content, modifiers |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) |
98. InsurancePlan.coverage.type | |
Definition | Tipo de cobertura |
Short | Tipo de cobertura |
Control | 1..1 |
Type | CodeableConcept |
Is Modifier | false |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |
100. InsurancePlan.coverage.network | |
Definition | Rede de cobertura |
Short | Rede de cobertura |
Comments | Networks are represented as a hierarchy of organization resources. |
Control | 0..* |
Type | Reference(Organization) |
Is Modifier | false |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |
102. InsurancePlan.coverage.benefit | |
Definition | Benefícios da cobertura |
Short | Benefícios da cobertura |
Control | 1..* |
Type | BackboneElement |
Is Modifier | false |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |
104. InsurancePlan.coverage.benefit.id | |
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
Short | Unique id for inter-element referencing |
Control | 0..1 |
Type | string |
Is Modifier | false |
XML Format | In the XML format, this property is represented as an attribute. |
Summary | false |
106. InsurancePlan.coverage.benefit.extension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
Short | Additional content defined by implementations |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Control | 0..* |
Type | Extension |
Is Modifier | false |
Summary | false |
Alternate Names | extensions, user content |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) |
108. InsurancePlan.coverage.benefit.modifierExtension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). |
Short | Extensions that cannot be ignored even if unrecognized |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Control | 0..* |
Type | Extension |
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them |
Summary | true |
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. |
Alternate Names | extensions, user content, modifiers |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) |
110. InsurancePlan.coverage.benefit.type | |
Definition | Tipo de benefício |
Short | Tipo de benefício |
Control | 1..1 |
Type | CodeableConcept |
Is Modifier | false |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |
112. InsurancePlan.coverage.benefit.requirement | |
Definition | Requisitos para o benefício |
Short | Requisitos para o benefício |
Control | 0..1 |
Type | string |
Is Modifier | false |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |
114. InsurancePlan.coverage.benefit.limit | |
Definition | Limites do benefício |
Short | Limites do benefício |
Control | 0..* |
Type | BackboneElement |
Is Modifier | false |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |
116. InsurancePlan.coverage.benefit.limit.id | |
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
Short | Unique id for inter-element referencing |
Control | 0..1 |
Type | string |
Is Modifier | false |
XML Format | In the XML format, this property is represented as an attribute. |
Summary | false |
118. InsurancePlan.coverage.benefit.limit.extension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
Short | Additional content defined by implementations |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Control | 0..* |
Type | Extension |
Is Modifier | false |
Summary | false |
Alternate Names | extensions, user content |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) |
120. InsurancePlan.coverage.benefit.limit.modifierExtension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). |
Short | Extensions that cannot be ignored even if unrecognized |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Control | 0..* |
Type | Extension |
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them |
Summary | true |
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. |
Alternate Names | extensions, user content, modifiers |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) |
122. InsurancePlan.coverage.benefit.limit.value | |
Definition | Valor do limite |
Short | Valor do limite |
Comments | May also be called “eligible expense,” “payment allowance,” or “negotiated rate.”. |
Control | 0..1 |
Type | Quantity |
Is Modifier | false |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |
124. InsurancePlan.coverage.benefit.limit.code | |
Definition | Código do limite |
Short | Código do limite |
Comments | Use |
Control | 0..1 |
Type | CodeableConcept |
Is Modifier | false |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |
126. InsurancePlan.plan | |
Definition | Planos |
Short | Planos |
Control | 0..* |
Type | BackboneElement |
Is Modifier | false |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |
128. InsurancePlan.plan.id | |
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
Short | Unique id for inter-element referencing |
Control | 0..1 |
Type | string |
Is Modifier | false |
XML Format | In the XML format, this property is represented as an attribute. |
Summary | false |
130. InsurancePlan.plan.extension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
Short | Additional content defined by implementations |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Control | 0..* |
Type | Extension |
Is Modifier | false |
Summary | false |
Alternate Names | extensions, user content |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) |
132. InsurancePlan.plan.modifierExtension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). |
Short | Extensions that cannot be ignored even if unrecognized |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Control | 0..* |
Type | Extension |
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them |
Summary | true |
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. |
Alternate Names | extensions, user content, modifiers |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) |
134. InsurancePlan.plan.identifier | |
Definition | Identificador do plano |
Short | Identificador do plano |
Note | This is a business identifier, not a resource identifier (see discussion) |
Control | 0..* |
Type | Identifier |
Is Modifier | false |
Summary | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |
136. InsurancePlan.plan.type | |
Definition | Tipo do plano |
Short | Tipo do plano |
Control | 0..1 |
Type | CodeableConcept |
Is Modifier | false |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |
138. InsurancePlan.plan.coverageArea | |
Definition | Área de cobertura do plano |
Short | Área de cobertura do plano |
Control | 0..* |
Type | Reference(Location) |
Is Modifier | false |
Summary | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |
140. InsurancePlan.plan.network | |
Definition | Rede do plano |
Short | Rede do plano |
Comments | Networks are represented as a hierarchy of organization resources. |
Control | 0..* |
Type | Reference(Organization) |
Is Modifier | false |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |
142. InsurancePlan.plan.generalCost | |
Definition | Custo geral do plano |
Short | Custo geral do plano |
Control | 0..* |
Type | BackboneElement |
Is Modifier | false |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |
144. InsurancePlan.plan.generalCost.id | |
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
Short | Unique id for inter-element referencing |
Control | 0..1 |
Type | string |
Is Modifier | false |
XML Format | In the XML format, this property is represented as an attribute. |
Summary | false |
146. InsurancePlan.plan.generalCost.extension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
Short | Additional content defined by implementations |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Control | 0..* |
Type | Extension |
Is Modifier | false |
Summary | false |
Alternate Names | extensions, user content |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) |
148. InsurancePlan.plan.generalCost.modifierExtension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). |
Short | Extensions that cannot be ignored even if unrecognized |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Control | 0..* |
Type | Extension |
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them |
Summary | true |
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. |
Alternate Names | extensions, user content, modifiers |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) |
150. InsurancePlan.plan.generalCost.type | |
Definition | Tipo de custo geral |
Short | Tipo de custo geral |
Control | 0..1 |
Type | CodeableConcept |
Is Modifier | false |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |
152. InsurancePlan.plan.generalCost.groupSize | |
Definition | Tamanho do grupo |
Short | Tamanho do grupo |
Control | 0..1 |
Type | positiveInt |
Is Modifier | false |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |
154. InsurancePlan.plan.generalCost.cost | |
Definition | Custo |
Short | Custo |
Control | 0..1 |
Type | Money |
Is Modifier | false |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |
156. InsurancePlan.plan.generalCost.comment | |
Definition | Comentário |
Short | Comentário |
Control | 0..1 |
Type | string |
Is Modifier | false |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |
158. InsurancePlan.plan.specificCost | |
Definition | Custo específico do plano |
Short | Custo específico do plano |
Control | 0..* |
Type | BackboneElement |
Is Modifier | false |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |
160. InsurancePlan.plan.specificCost.id | |
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
Short | Unique id for inter-element referencing |
Control | 0..1 |
Type | string |
Is Modifier | false |
XML Format | In the XML format, this property is represented as an attribute. |
Summary | false |
162. InsurancePlan.plan.specificCost.extension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
Short | Additional content defined by implementations |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Control | 0..* |
Type | Extension |
Is Modifier | false |
Summary | false |
Alternate Names | extensions, user content |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) |
164. InsurancePlan.plan.specificCost.modifierExtension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). |
Short | Extensions that cannot be ignored even if unrecognized |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Control | 0..* |
Type | Extension |
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them |
Summary | true |
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. |
Alternate Names | extensions, user content, modifiers |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) |
166. InsurancePlan.plan.specificCost.category | |
Definition | Categoria do custo específico |
Short | Categoria do custo específico |
Control | 1..1 |
Type | CodeableConcept |
Is Modifier | false |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |
168. InsurancePlan.plan.specificCost.benefit | |
Definition | Benefício do custo específico |
Short | Benefício do custo específico |
Control | 0..* |
Type | BackboneElement |
Is Modifier | false |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |
170. InsurancePlan.plan.specificCost.benefit.id | |
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
Short | Unique id for inter-element referencing |
Control | 0..1 |
Type | string |
Is Modifier | false |
XML Format | In the XML format, this property is represented as an attribute. |
Summary | false |
172. InsurancePlan.plan.specificCost.benefit.extension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
Short | Additional content defined by implementations |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Control | 0..* |
Type | Extension |
Is Modifier | false |
Summary | false |
Alternate Names | extensions, user content |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) |
174. InsurancePlan.plan.specificCost.benefit.modifierExtension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). |
Short | Extensions that cannot be ignored even if unrecognized |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Control | 0..* |
Type | Extension |
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them |
Summary | true |
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. |
Alternate Names | extensions, user content, modifiers |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) |
176. InsurancePlan.plan.specificCost.benefit.type | |
Definition | Tipo do benefício |
Short | Tipo do benefício |
Control | 1..1 |
Type | CodeableConcept |
Is Modifier | false |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |
178. InsurancePlan.plan.specificCost.benefit.cost | |
Definition | Custo |
Short | Custo |
Control | 0..* |
Type | BackboneElement |
Is Modifier | false |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |
180. InsurancePlan.plan.specificCost.benefit.cost.id | |
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
Short | Unique id for inter-element referencing |
Control | 0..1 |
Type | string |
Is Modifier | false |
XML Format | In the XML format, this property is represented as an attribute. |
Summary | false |
182. InsurancePlan.plan.specificCost.benefit.cost.extension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
Short | Additional content defined by implementations |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Control | 0..* |
Type | Extension |
Is Modifier | false |
Summary | false |
Alternate Names | extensions, user content |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) |
184. InsurancePlan.plan.specificCost.benefit.cost.modifierExtension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). |
Short | Extensions that cannot be ignored even if unrecognized |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Control | 0..* |
Type | Extension |
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them |
Summary | true |
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. |
Alternate Names | extensions, user content, modifiers |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) |
186. InsurancePlan.plan.specificCost.benefit.cost.type | |
Definition | Tipo do custo |
Short | Tipo do custo |
Control | 1..1 |
Type | CodeableConcept |
Is Modifier | false |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |
188. InsurancePlan.plan.specificCost.benefit.cost.applicability | |
Definition | Aplicabilidade do custo |
Short | Aplicabilidade do custo |
Control | 0..1 |
Binding | The codes SHALL be taken from BenefitCostApplicability Whether the cost applies to in-network or out-of-network providers. |
Type | CodeableConcept |
Is Modifier | false |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |
190. InsurancePlan.plan.specificCost.benefit.cost.qualifiers | |
Definition | Qualificadores do custo |
Short | Qualificadores do custo |
Control | 0..* |
Type | CodeableConcept |
Is Modifier | false |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |
192. InsurancePlan.plan.specificCost.benefit.cost.value | |
Definition | Valor do qualificador |
Short | Valor do qualificador |
Control | 0..1 |
Type | Quantity |
Is Modifier | false |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |