SIMPLIFIER.NET - FHIRPath Playground

FHIRPath

If you Log in or sign up, you can edit this script yourself.

{
 "resourceType": "InsurancePlan",
 "id": "PayerInsurancePlanA3002",
 "meta": {
 "lastUpdated": "2021-05-22T18:36:03+00:00",
 "profile": [
 "http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-PayerInsurancePlan"
 ]
 },
 "text": {
 "status": "extensions",
 "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Generated Narrative: InsurancePlan PayerInsurancePlanA3002<a name=\"PayerInsurancePlanA3002\"> </a><a name=\"hcPayerInsurancePlanA3002\"> </a><a name=\"PayerInsurancePlanA3002-en-US\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\">Last updated: 2021-05-22 18:36:03+0000Profile: <a href=\"StructureDefinition-usdf-PayerInsurancePlan.html\">Payer Insurance Plan</a></div>identifier: A3002status: Activetype: Medicare Advantagename: Sample Medicare Advantage Plan A3002period: 2021-01-01 --&gt; 2021-12-31coverageArea: <a href=\"Location-UnitedStatesLocation.html\">Location United States Area</a><blockquote>contactpurpose: Patienttelecom: <a href=\"tel:+1(888)555-3002\">+1 (888) 555-3002</a></blockquote><blockquote>contactpurpose: Markettingname: Sample Medicare Advantage Plan Marketing Websitetelecom: <a href=\"http://url/to/health/plan/information\">http://url/to/health/plan/information</a></blockquote><blockquote>contactpurpose: Summaryname: Sample Medicare Advantage Drug Plan Benefit Websitetelecom: <a href=\"http://url/to/health/plan/information\">http://url/to/health/plan/information</a></blockquote><blockquote>contactpurpose: Formularyname: Sample Medicare Advantage Drug Plan Formulary Websitetelecom: <a href=\"http://url/to/health/plan/information\">http://url/to/health/plan/information</a></blockquote><blockquote>coverageFormulary Reference: <a href=\"InsurancePlan-FormularyD3002.html\">InsurancePlan Sample Medicare Advantage Part D Formulary D3002</a>type: drug policy<h3>Benefits</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td>Type</td></tr><tr><td style=\"display: none\">*</td><td>Drug</td></tr></table></blockquote><blockquote>plantype: Drug<blockquote>specificCostcategory: 1 month in network retail<blockquote>benefittype: Generic<blockquote>costtype: Copayqualifiers: Before Deductiblevalue: 10 $ (Details: unknown codeUSD = 'United States dollar')</blockquote><blockquote>costtype: Coinsurancequalifiers: After Deductiblevalue: 1 % (Details: UCUM code% = '%')</blockquote></blockquote></blockquote><blockquote>specificCostcategory: 1 month out of network retail<blockquote>benefittype: Generic<blockquote>costtype: Copayqualifiers: No Chargevalue: 0 $ (Details: unknown codeUSD = 'United States dollar')</blockquote><blockquote>costtype: Coinsurancequalifiers: After Deductiblevalue: 0 % (Details: UCUM code% = '%')</blockquote></blockquote></blockquote><blockquote>specificCostcategory: 3 month in network retail<blockquote>benefittype: Generic<blockquote>costtype: Copayqualifiers: No Chargevalue: 0 $ (Details: unknown codeUSD = 'United States dollar')</blockquote><blockquote>costtype: Coinsurancequalifiers: After Deductiblevalue: 0 % (Details: UCUM code% = '%')</blockquote></blockquote></blockquote><blockquote>specificCostcategory: 3 month out of network retail<blockquote>benefittype: Generic<blockquote>costtype: Copayqualifiers: No Chargevalue: 0 $ (Details: unknown codeUSD = 'United States dollar')</blockquote><blockquote>costtype: Coinsurancequalifiers: After Deductiblevalue: 0 % (Details: UCUM code% = '%')</blockquote></blockquote></blockquote></blockquote></div>"
 },
 "identifier": [
 {
 "value": "A3002"
 }
 ],
 "status": "active",
 "type": [
 {
 "coding": [
 {
 "system": "http://hl7.org/fhir/us/davinci-pdex-plan-net/CodeSystem/InsuranceProductTypeCS",
 "code": "mediadv"
 }
 ]
 }
 ],
 "name": "Sample Medicare Advantage Plan A3002",
 "period": {
 "start": "2021-01-01",
 "end": "2021-12-31"
 },
 "coverageArea": [
 {
 "reference": "Location/UnitedStatesLocation"
 }
 ],
 "contact": [
 {
 "purpose": {
 "coding": [
 {
 "system": "http://terminology.hl7.org/CodeSystem/contactentity-type",
 "code": "PATINF"
 }
 ]
 },
 "telecom": [
 {
 "system": "phone",
 "value": "+1 (888) 555-3002"
 }
 ]
 },
 {
 "purpose": {
 "coding": [
 {
 "system": "http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-PlanContactTypeCS-TEMPORARY-TRIAL-USE",
 "code": "MARKETING"
 }
 ]
 },
 "name": {
 "text": "Sample Medicare Advantage Plan Marketing Website"
 },
 "telecom": [
 {
 "system": "url",
 "value": "http://url/to/health/plan/information"
 }
 ]
 },
 {
 "purpose": {
 "coding": [
 {
 "system": "http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-PlanContactTypeCS-TEMPORARY-TRIAL-USE",
 "code": "SUMMARY"
 }
 ]
 },
 "name": {
 "text": "Sample Medicare Advantage Drug Plan Benefit Website"
 },
 "telecom": [
 {
 "system": "url",
 "value": "http://url/to/health/plan/information"
 }
 ]
 },
 {
 "purpose": {
 "coding": [
 {
 "system": "http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-PlanContactTypeCS-TEMPORARY-TRIAL-USE",
 "code": "FORMULARY"
 }
 ]
 },
 "name": {
 "text": "Sample Medicare Advantage Drug Plan Formulary Website"
 },
 "telecom": [
 {
 "system": "url",
 "value": "http://url/to/health/plan/information"
 }
 ]
 }
 ],
 "coverage": [
 {
 "extension": [
 {
 "url": "http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-FormularyReference-extension",
 "valueReference": {
 "reference": "InsurancePlan/FormularyD3002"
 }
 }
 ],
 "type": {
 "coding": [
 {
 "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
 "code": "DRUGPOL"
 }
 ]
 },
 "benefit": [
 {
 "type": {
 "coding": [
 {
 "system": "http://terminology.hl7.org/CodeSystem/insurance-plan-type",
 "code": "drug",
 "display": "Drug"
 }
 ]
 }
 }
 ]
 }
 ],
 "plan": [
 {
 "type": {
 "coding": [
 {
 "system": "http://terminology.hl7.org/CodeSystem/insurance-plan-type",
 "code": "drug",
 "display": "Drug"
 }
 ]
 },
 "specificCost": [
 {
 "category": {
 "coding": [
 {
 "system": "http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-PharmacyBenefitTypeCS-TEMPORARY-TRIAL-USE",
 "code": "1-month-in-retail",
 "display": "1 month in network retail"
 }
 ]
 },
 "benefit": [
 {
 "type": {
 "coding": [
 {
 "system": "http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-DrugTierCS-TEMPORARY-TRIAL-USE",
 "code": "generic",
 "display": "Generic"
 }
 ]
 },
 "cost": [
 {
 "type": {
 "coding": [
 {
 "system": "http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-BenefitCostTypeCS-TEMPORARY-TRIAL-USE",
 "code": "copay",
 "display": "Copay"
 }
 ]
 },
 "qualifiers": [
 {
 "coding": [
 {
 "system": "http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-CostShareOptionCS-TEMPORARY-TRIAL-USE",
 "code": "before-deductible",
 "display": "Before Deductible"
 }
 ]
 }
 ],
 "value": {
 "value": 10,
 "unit": "$",
 "system": "urn:iso:std:iso:4217",
 "code": "USD"
 }
 },
 {
 "type": {
 "coding": [
 {
 "system": "http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-BenefitCostTypeCS-TEMPORARY-TRIAL-USE",
 "code": "coinsurance",
 "display": "Coinsurance"
 }
 ]
 },
 "qualifiers": [
 {
 "coding": [
 {
 "system": "http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-CostShareOptionCS-TEMPORARY-TRIAL-USE",
 "code": "after-deductible",
 "display": "After Deductible"
 }
 ]
 }
 ],
 "value": {
 "value": 1,
 "system": "http://unitsofmeasure.org",
 "code": "%"
 }
 }
 ]
 }
 ]
 },
 {
 "category": {
 "coding": [
 {
 "system": "http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-PharmacyBenefitTypeCS-TEMPORARY-TRIAL-USE",
 "code": "1-month-out-retail",
 "display": "1 month out of network retail"
 }
 ]
 },
 "benefit": [
 {
 "type": {
 "coding": [
 {
 "system": "http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-DrugTierCS-TEMPORARY-TRIAL-USE",
 "code": "generic",
 "display": "Generic"
 }
 ]
 },
 "cost": [
 {
 "type": {
 "coding": [
 {
 "system": "http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-BenefitCostTypeCS-TEMPORARY-TRIAL-USE",
 "code": "copay",
 "display": "Copay"
 }
 ]
 },
 "qualifiers": [
 {
 "coding": [
 {
 "system": "http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-CostShareOptionCS-TEMPORARY-TRIAL-USE",
 "code": "no-charge",
 "display": "No Charge"
 }
 ]
 }
 ],
 "value": {
 "value": 0,
 "unit": "$",
 "system": "urn:iso:std:iso:4217",
 "code": "USD"
 }
 },
 {
 "type": {
 "coding": [
 {
 "system": "http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-BenefitCostTypeCS-TEMPORARY-TRIAL-USE",
 "code": "coinsurance",
 "display": "Coinsurance"
 }
 ]
 },
 "qualifiers": [
 {
 "coding": [
 {
 "system": "http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-CostShareOptionCS-TEMPORARY-TRIAL-USE",
 "code": "after-deductible",
 "display": "After Deductible"
 }
 ]
 }
 ],
 "value": {
 "value": 0,
 "system": "http://unitsofmeasure.org",
 "code": "%"
 }
 }
 ]
 }
 ]
 },
 {
 "category": {
 "coding": [
 {
 "system": "http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-PharmacyBenefitTypeCS-TEMPORARY-TRIAL-USE",
 "code": "3-month-in-retail",
 "display": "3 month in network retail"
 }
 ]
 },
 "benefit": [
 {
 "type": {
 "coding": [
 {
 "system": "http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-DrugTierCS-TEMPORARY-TRIAL-USE",
 "code": "generic",
 "display": "Generic"
 }
 ]
 },
 "cost": [
 {
 "type": {
 "coding": [
 {
 "system": "http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-BenefitCostTypeCS-TEMPORARY-TRIAL-USE",
 "code": "copay",
 "display": "Copay"
 }
 ]
 },
 "qualifiers": [
 {
 "coding": [
 {
 "system": "http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-CostShareOptionCS-TEMPORARY-TRIAL-USE",
 "code": "no-charge",
 "display": "No Charge"
 }
 ]
 }
 ],
 "value": {
 "value": 0,
 "unit": "$",
 "system": "urn:iso:std:iso:4217",
 "code": "USD"
 }
 },
 {
 "type": {
 "coding": [
 {
 "system": "http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-BenefitCostTypeCS-TEMPORARY-TRIAL-USE",
 "code": "coinsurance",
 "display": "Coinsurance"
 }
 ]
 },
 "qualifiers": [
 {
 "coding": [
 {
 "system": "http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-CostShareOptionCS-TEMPORARY-TRIAL-USE",
 "code": "after-deductible",
 "display": "After Deductible"
 }
 ]
 }
 ],
 "value": {
 "value": 0,
 "system": "http://unitsofmeasure.org",
 "code": "%"
 }
 }
 ]
 }
 ]
 },
 {
 "category": {
 "coding": [
 {
 "system": "http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-PharmacyBenefitTypeCS-TEMPORARY-TRIAL-USE",
 "code": "3-month-out-retail",
 "display": "3 month out of network retail"
 }
 ]
 },
 "benefit": [
 {
 "type": {
 "coding": [
 {
 "system": "http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-DrugTierCS-TEMPORARY-TRIAL-USE",
 "code": "generic",
 "display": "Generic"
 }
 ]
 },
 "cost": [
 {
 "type": {
 "coding": [
 {
 "system": "http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-BenefitCostTypeCS-TEMPORARY-TRIAL-USE",
 "code": "copay",
 "display": "Copay"
 }
 ]
 },
 "qualifiers": [
 {
 "coding": [
 {
 "system": "http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-CostShareOptionCS-TEMPORARY-TRIAL-USE",
 "code": "no-charge",
 "display": "No Charge"
 }
 ]
 }
 ],
 "value": {
 "value": 0,
 "unit": "$",
 "system": "urn:iso:std:iso:4217",
 "code": "USD"
 }
 },
 {
 "type": {
 "coding": [
 {
 "system": "http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-BenefitCostTypeCS-TEMPORARY-TRIAL-USE",
 "code": "coinsurance",
 "display": "Coinsurance"
 }
 ]
 },
 "qualifiers": [
 {
 "coding": [
 {
 "system": "http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-CostShareOptionCS-TEMPORARY-TRIAL-USE",
 "code": "after-deductible",
 "display": "After Deductible"
 }
 ]
 }
 ],
 "value": {
 "value": 0,
 "system": "http://unitsofmeasure.org",
 "code": "%"
 }
 }
 ]
 }
 ]
 }
 ]
 }
 ]
}

name : Sample Medicare Advantage Plan A3002

{

}