Guide d'implémentation du GT Standards et Interopérabilité pour les EDS
0.1.0 - ci-build
Guide d'implémentation du GT Standards et Interopérabilité pour les EDS - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
Draft as of 2024-11-23 |
Definitions for the OMOPPayerPlanPeriod logical model.
Guidance on how to interpret the contents of this table can be found here
0. OMOPPayerPlanPeriod | |
Definition | The PAYER_PLAN_PERIOD table captures details of the period of time that a Person is continuously enrolled under a specific health Plan benefit structure from a given Payer. Each Person receiving healthcare is typically covered by a health benefit plan, which pays for (fully or partially), or directly provides, the care. These benefit plans are provided by payers, such as health insurances or state or government agencies. In each plan the details of the health benefits are defined for the Person or her family, and the health benefit Plan might change over time typically with increasing utilization (reaching certain cost thresholds such as deductibles), plan availability and purchasing choices of the Person. The unique combinations of Payer organizations, health benefit Plans and time periods in which they are valid for a Person are recorded in this table. |
Short | Payer Plan Period OMOP Table |
Logical Model | Instances of this logical model are not marked to be the target of a Reference |
2. OMOPPayerPlanPeriod.payer-plan-period-id | |
Definition | Payer Plan Period Identifier |
Short | Payer Plan Period Identifier |
Control | 1..1 |
Type | integer |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
4. OMOPPayerPlanPeriod.person-id | |
Definition | The Person covered by the Plan. |
Short | Person |
Control | 1..1 |
Type | Reference(Person OMOP Table) |
6. OMOPPayerPlanPeriod.payer-plan-period-start-date | |
Definition | Start date of Plan coverage. |
Short | Payer Plan Period Start Date |
Control | 1..1 |
Type | date |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
8. OMOPPayerPlanPeriod.payer-plan-period-end-date | |
Definition | End date of Plan coverage. |
Short | Payer Plan Period End Date |
Control | 1..1 |
Type | date |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
10. OMOPPayerPlanPeriod.payer-concept-id | |
Definition | This field represents the organization who reimburses the provider which administers care to the Person. |
Short | Payer |
Control | 0..1 |
Type | Reference(Concept OMOP Table) |
12. OMOPPayerPlanPeriod.payer-source-value | |
Definition | This is the Payer as it appears in the source data. |
Short | Payer Source Value |
Control | 0..1 |
Type | string |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
14. OMOPPayerPlanPeriod.payer-source-concept-id | |
Definition | Payer Source |
Short | Payer Source |
Control | 0..1 |
Type | Reference(Concept OMOP Table) |
16. OMOPPayerPlanPeriod.plan-concept-id | |
Definition | This field represents the specific health benefit Plan the Person is enrolled in. |
Short | Plan |
Control | 0..1 |
Type | Reference(Concept OMOP Table) |
18. OMOPPayerPlanPeriod.plan-source-value | |
Definition | This is the health benefit Plan of the Person as it appears in the source data. |
Short | Plan Source Value |
Control | 0..1 |
Type | string |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
20. OMOPPayerPlanPeriod.plan-source-concept-id | |
Definition | Plan Source |
Short | Plan Source |
Control | 0..1 |
Type | Reference(Concept OMOP Table) |
22. OMOPPayerPlanPeriod.sponsor-concept-id | |
Definition | This field represents the sponsor of the Plan who finances the Plan. This includes self-insured, small group health plan and large group health plan. |
Short | Sponsor |
Control | 0..1 |
Type | Reference(Concept OMOP Table) |
24. OMOPPayerPlanPeriod.sponsor-source-value | |
Definition | The Plan sponsor as it appears in the source data. |
Short | Sponsor Source Value |
Control | 0..1 |
Type | string |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
26. OMOPPayerPlanPeriod.sponsor-source-concept-id | |
Definition | Sponsor Source |
Short | Sponsor Source |
Control | 0..1 |
Type | Reference(Concept OMOP Table) |
28. OMOPPayerPlanPeriod.family-source-value | |
Definition | The common identifier for all people (often a family) that covered by the same policy. |
Short | Family Source Value |
Control | 0..1 |
Type | string |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
30. OMOPPayerPlanPeriod.stop-reason-concept-id | |
Definition | This field represents the reason the Person left the Plan, if known. |
Short | Stop Reason |
Control | 0..1 |
Type | Reference(Concept OMOP Table) |
32. OMOPPayerPlanPeriod.stop-reason-source-value | |
Definition | The Plan stop reason as it appears in the source data. |
Short | Stop Reason Source Value |
Control | 0..1 |
Type | string |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
34. OMOPPayerPlanPeriod.stop-reason-source-concept-id | |
Definition | Stop Reason Source |
Short | Stop Reason Source |
Control | 0..1 |
Type | Reference(Concept OMOP Table) |
Guidance on how to interpret the contents of this table can be found here
0. OMOPPayerPlanPeriod | |
Definition | The PAYER_PLAN_PERIOD table captures details of the period of time that a Person is continuously enrolled under a specific health Plan benefit structure from a given Payer. Each Person receiving healthcare is typically covered by a health benefit plan, which pays for (fully or partially), or directly provides, the care. These benefit plans are provided by payers, such as health insurances or state or government agencies. In each plan the details of the health benefits are defined for the Person or her family, and the health benefit Plan might change over time typically with increasing utilization (reaching certain cost thresholds such as deductibles), plan availability and purchasing choices of the Person. The unique combinations of Payer organizations, health benefit Plans and time periods in which they are valid for a Person are recorded in this table. |
Short | Payer Plan Period OMOP Table |
Control | 0..* |
Is Modifier | false |
Logical Model | Instances of this logical model are not marked to be the target of a Reference |
2. OMOPPayerPlanPeriod.payer-plan-period-id | |
Definition | Payer Plan Period Identifier |
Short | Payer Plan Period Identifier |
Control | 1..1 |
Type | integer |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
4. OMOPPayerPlanPeriod.person-id | |
Definition | The Person covered by the Plan. |
Short | Person |
Control | 1..1 |
Type | Reference(Person OMOP Table) |
6. OMOPPayerPlanPeriod.payer-plan-period-start-date | |
Definition | Start date of Plan coverage. |
Short | Payer Plan Period Start Date |
Control | 1..1 |
Type | date |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
8. OMOPPayerPlanPeriod.payer-plan-period-end-date | |
Definition | End date of Plan coverage. |
Short | Payer Plan Period End Date |
Control | 1..1 |
Type | date |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
10. OMOPPayerPlanPeriod.payer-concept-id | |
Definition | This field represents the organization who reimburses the provider which administers care to the Person. |
Short | Payer |
Control | 0..1 |
Type | Reference(Concept OMOP Table) |
12. OMOPPayerPlanPeriod.payer-source-value | |
Definition | This is the Payer as it appears in the source data. |
Short | Payer Source Value |
Control | 0..1 |
Type | string |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
14. OMOPPayerPlanPeriod.payer-source-concept-id | |
Definition | Payer Source |
Short | Payer Source |
Control | 0..1 |
Type | Reference(Concept OMOP Table) |
16. OMOPPayerPlanPeriod.plan-concept-id | |
Definition | This field represents the specific health benefit Plan the Person is enrolled in. |
Short | Plan |
Control | 0..1 |
Type | Reference(Concept OMOP Table) |
18. OMOPPayerPlanPeriod.plan-source-value | |
Definition | This is the health benefit Plan of the Person as it appears in the source data. |
Short | Plan Source Value |
Control | 0..1 |
Type | string |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
20. OMOPPayerPlanPeriod.plan-source-concept-id | |
Definition | Plan Source |
Short | Plan Source |
Control | 0..1 |
Type | Reference(Concept OMOP Table) |
22. OMOPPayerPlanPeriod.sponsor-concept-id | |
Definition | This field represents the sponsor of the Plan who finances the Plan. This includes self-insured, small group health plan and large group health plan. |
Short | Sponsor |
Control | 0..1 |
Type | Reference(Concept OMOP Table) |
24. OMOPPayerPlanPeriod.sponsor-source-value | |
Definition | The Plan sponsor as it appears in the source data. |
Short | Sponsor Source Value |
Control | 0..1 |
Type | string |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
26. OMOPPayerPlanPeriod.sponsor-source-concept-id | |
Definition | Sponsor Source |
Short | Sponsor Source |
Control | 0..1 |
Type | Reference(Concept OMOP Table) |
28. OMOPPayerPlanPeriod.family-source-value | |
Definition | The common identifier for all people (often a family) that covered by the same policy. |
Short | Family Source Value |
Control | 0..1 |
Type | string |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
30. OMOPPayerPlanPeriod.stop-reason-concept-id | |
Definition | This field represents the reason the Person left the Plan, if known. |
Short | Stop Reason |
Control | 0..1 |
Type | Reference(Concept OMOP Table) |
32. OMOPPayerPlanPeriod.stop-reason-source-value | |
Definition | The Plan stop reason as it appears in the source data. |
Short | Stop Reason Source Value |
Control | 0..1 |
Type | string |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
34. OMOPPayerPlanPeriod.stop-reason-source-concept-id | |
Definition | Stop Reason Source |
Short | Stop Reason Source |
Control | 0..1 |
Type | Reference(Concept OMOP Table) |
Guidance on how to interpret the contents of this table can be found here
0. OMOPPayerPlanPeriod | |
Definition | The PAYER_PLAN_PERIOD table captures details of the period of time that a Person is continuously enrolled under a specific health Plan benefit structure from a given Payer. Each Person receiving healthcare is typically covered by a health benefit plan, which pays for (fully or partially), or directly provides, the care. These benefit plans are provided by payers, such as health insurances or state or government agencies. In each plan the details of the health benefits are defined for the Person or her family, and the health benefit Plan might change over time typically with increasing utilization (reaching certain cost thresholds such as deductibles), plan availability and purchasing choices of the Person. The unique combinations of Payer organizations, health benefit Plans and time periods in which they are valid for a Person are recorded in this table. |
Short | Payer Plan Period OMOP Table |
Control | 0..* |
Is Modifier | false |
Logical Model | Instances of this logical model are not marked to be the target of a Reference |
2. OMOPPayerPlanPeriod.payer-plan-period-id | |
Definition | Payer Plan Period Identifier |
Short | Payer Plan Period Identifier |
Control | 1..1 |
Type | integer |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
4. OMOPPayerPlanPeriod.person-id | |
Definition | The Person covered by the Plan. |
Short | Person |
Control | 1..1 |
Type | Reference(Person OMOP Table) |
6. OMOPPayerPlanPeriod.payer-plan-period-start-date | |
Definition | Start date of Plan coverage. |
Short | Payer Plan Period Start Date |
Control | 1..1 |
Type | date |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
8. OMOPPayerPlanPeriod.payer-plan-period-end-date | |
Definition | End date of Plan coverage. |
Short | Payer Plan Period End Date |
Control | 1..1 |
Type | date |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
10. OMOPPayerPlanPeriod.payer-concept-id | |
Definition | This field represents the organization who reimburses the provider which administers care to the Person. |
Short | Payer |
Control | 0..1 |
Type | Reference(Concept OMOP Table) |
12. OMOPPayerPlanPeriod.payer-source-value | |
Definition | This is the Payer as it appears in the source data. |
Short | Payer Source Value |
Control | 0..1 |
Type | string |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
14. OMOPPayerPlanPeriod.payer-source-concept-id | |
Definition | Payer Source |
Short | Payer Source |
Control | 0..1 |
Type | Reference(Concept OMOP Table) |
16. OMOPPayerPlanPeriod.plan-concept-id | |
Definition | This field represents the specific health benefit Plan the Person is enrolled in. |
Short | Plan |
Control | 0..1 |
Type | Reference(Concept OMOP Table) |
18. OMOPPayerPlanPeriod.plan-source-value | |
Definition | This is the health benefit Plan of the Person as it appears in the source data. |
Short | Plan Source Value |
Control | 0..1 |
Type | string |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
20. OMOPPayerPlanPeriod.plan-source-concept-id | |
Definition | Plan Source |
Short | Plan Source |
Control | 0..1 |
Type | Reference(Concept OMOP Table) |
22. OMOPPayerPlanPeriod.sponsor-concept-id | |
Definition | This field represents the sponsor of the Plan who finances the Plan. This includes self-insured, small group health plan and large group health plan. |
Short | Sponsor |
Control | 0..1 |
Type | Reference(Concept OMOP Table) |
24. OMOPPayerPlanPeriod.sponsor-source-value | |
Definition | The Plan sponsor as it appears in the source data. |
Short | Sponsor Source Value |
Control | 0..1 |
Type | string |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
26. OMOPPayerPlanPeriod.sponsor-source-concept-id | |
Definition | Sponsor Source |
Short | Sponsor Source |
Control | 0..1 |
Type | Reference(Concept OMOP Table) |
28. OMOPPayerPlanPeriod.family-source-value | |
Definition | The common identifier for all people (often a family) that covered by the same policy. |
Short | Family Source Value |
Control | 0..1 |
Type | string |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
30. OMOPPayerPlanPeriod.stop-reason-concept-id | |
Definition | This field represents the reason the Person left the Plan, if known. |
Short | Stop Reason |
Control | 0..1 |
Type | Reference(Concept OMOP Table) |
32. OMOPPayerPlanPeriod.stop-reason-source-value | |
Definition | The Plan stop reason as it appears in the source data. |
Short | Stop Reason Source Value |
Control | 0..1 |
Type | string |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
34. OMOPPayerPlanPeriod.stop-reason-source-concept-id | |
Definition | Stop Reason Source |
Short | Stop Reason Source |
Control | 0..1 |
Type | Reference(Concept OMOP Table) |