Guide d'implémentation du GT Standards et Interopérabilité pour les EDS
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Logical Model: Payer Plan Period OMOP Table

Official URL: https://interop.esante.gouv.fr/ig/fhir/eds/StructureDefinition/OMOPPayerPlanPeriod Version: 0.1.0
Draft as of 2024-11-23 Computable Name: OMOPPayerPlanPeriod

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.

Usage:

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

This structure is derived from Base

NameFlagsCard.TypeDescription & Constraintsdoco
.. OMOPPayerPlanPeriod 0..* Base Payer Plan Period OMOP Table
Instances of this logical model are not marked to be the target of a Reference
... payer_plan_period_id 1..1 integer Payer Plan Period Identifier
... person_id 1..1 Reference(Person OMOP Table) Person
... payer_plan_period_start_date 1..1 date Payer Plan Period Start Date
... payer_concept_id 0..1 Reference(Concept OMOP Table) Payer
... payer_source_value 0..1 string Payer Source Value
... payer_source_concept_id 0..1 Reference(Concept OMOP Table) Payer Source
... plan_concept_id 0..1 Reference(Concept OMOP Table) Plan
... plan_source_value 0..1 string Plan Source Value
... plan_source_concept_id 0..1 Reference(Concept OMOP Table) Plan Source
... sponsor_concept_id 0..1 Reference(Concept OMOP Table) Sponsor
... sponsor_source_value 0..1 string Sponsor Source Value
... sponsor_source_concept_id 0..1 Reference(Concept OMOP Table) Sponsor Source
... family_source_value 0..1 string Family Source Value
... stop_reason_concept_id 0..1 Reference(Concept OMOP Table) Stop Reason
... stop_reason_source_value 0..1 string Stop Reason Source Value
... stop_reason_source_concept_id 0..1 Reference(Concept OMOP Table) Stop Reason Source

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. OMOPPayerPlanPeriod 0..* Base Payer Plan Period OMOP Table
Instances of this logical model are not marked to be the target of a Reference
... payer_plan_period_id 1..1 integer Payer Plan Period Identifier
... person_id 1..1 Reference(Person OMOP Table) Person
... payer_plan_period_start_date 1..1 date Payer Plan Period Start Date
... payer_concept_id 0..1 Reference(Concept OMOP Table) Payer
... payer_source_value 0..1 string Payer Source Value
... payer_source_concept_id 0..1 Reference(Concept OMOP Table) Payer Source
... plan_concept_id 0..1 Reference(Concept OMOP Table) Plan
... plan_source_value 0..1 string Plan Source Value
... plan_source_concept_id 0..1 Reference(Concept OMOP Table) Plan Source
... sponsor_concept_id 0..1 Reference(Concept OMOP Table) Sponsor
... sponsor_source_value 0..1 string Sponsor Source Value
... sponsor_source_concept_id 0..1 Reference(Concept OMOP Table) Sponsor Source
... family_source_value 0..1 string Family Source Value
... stop_reason_concept_id 0..1 Reference(Concept OMOP Table) Stop Reason
... stop_reason_source_value 0..1 string Stop Reason Source Value
... stop_reason_source_concept_id 0..1 Reference(Concept OMOP Table) Stop Reason Source

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. OMOPPayerPlanPeriod 0..* Base Payer Plan Period OMOP Table
Instances of this logical model are not marked to be the target of a Reference
... payer_plan_period_id 1..1 integer Payer Plan Period Identifier
... person_id 1..1 Reference(Person OMOP Table) Person
... payer_plan_period_start_date 1..1 date Payer Plan Period Start Date
... payer_concept_id 0..1 Reference(Concept OMOP Table) Payer
... payer_source_value 0..1 string Payer Source Value
... payer_source_concept_id 0..1 Reference(Concept OMOP Table) Payer Source
... plan_concept_id 0..1 Reference(Concept OMOP Table) Plan
... plan_source_value 0..1 string Plan Source Value
... plan_source_concept_id 0..1 Reference(Concept OMOP Table) Plan Source
... sponsor_concept_id 0..1 Reference(Concept OMOP Table) Sponsor
... sponsor_source_value 0..1 string Sponsor Source Value
... sponsor_source_concept_id 0..1 Reference(Concept OMOP Table) Sponsor Source
... family_source_value 0..1 string Family Source Value
... stop_reason_concept_id 0..1 Reference(Concept OMOP Table) Stop Reason
... stop_reason_source_value 0..1 string Stop Reason Source Value
... stop_reason_source_concept_id 0..1 Reference(Concept OMOP Table) Stop Reason Source

doco Documentation for this format

This structure is derived from Base

Differential View

This structure is derived from Base

NameFlagsCard.TypeDescription & Constraintsdoco
.. OMOPPayerPlanPeriod 0..* Base Payer Plan Period OMOP Table
Instances of this logical model are not marked to be the target of a Reference
... payer_plan_period_id 1..1 integer Payer Plan Period Identifier
... person_id 1..1 Reference(Person OMOP Table) Person
... payer_plan_period_start_date 1..1 date Payer Plan Period Start Date
... payer_concept_id 0..1 Reference(Concept OMOP Table) Payer
... payer_source_value 0..1 string Payer Source Value
... payer_source_concept_id 0..1 Reference(Concept OMOP Table) Payer Source
... plan_concept_id 0..1 Reference(Concept OMOP Table) Plan
... plan_source_value 0..1 string Plan Source Value
... plan_source_concept_id 0..1 Reference(Concept OMOP Table) Plan Source
... sponsor_concept_id 0..1 Reference(Concept OMOP Table) Sponsor
... sponsor_source_value 0..1 string Sponsor Source Value
... sponsor_source_concept_id 0..1 Reference(Concept OMOP Table) Sponsor Source
... family_source_value 0..1 string Family Source Value
... stop_reason_concept_id 0..1 Reference(Concept OMOP Table) Stop Reason
... stop_reason_source_value 0..1 string Stop Reason Source Value
... stop_reason_source_concept_id 0..1 Reference(Concept OMOP Table) Stop Reason Source

doco Documentation for this format

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. OMOPPayerPlanPeriod 0..* Base Payer Plan Period OMOP Table
Instances of this logical model are not marked to be the target of a Reference
... payer_plan_period_id 1..1 integer Payer Plan Period Identifier
... person_id 1..1 Reference(Person OMOP Table) Person
... payer_plan_period_start_date 1..1 date Payer Plan Period Start Date
... payer_concept_id 0..1 Reference(Concept OMOP Table) Payer
... payer_source_value 0..1 string Payer Source Value
... payer_source_concept_id 0..1 Reference(Concept OMOP Table) Payer Source
... plan_concept_id 0..1 Reference(Concept OMOP Table) Plan
... plan_source_value 0..1 string Plan Source Value
... plan_source_concept_id 0..1 Reference(Concept OMOP Table) Plan Source
... sponsor_concept_id 0..1 Reference(Concept OMOP Table) Sponsor
... sponsor_source_value 0..1 string Sponsor Source Value
... sponsor_source_concept_id 0..1 Reference(Concept OMOP Table) Sponsor Source
... family_source_value 0..1 string Family Source Value
... stop_reason_concept_id 0..1 Reference(Concept OMOP Table) Stop Reason
... stop_reason_source_value 0..1 string Stop Reason Source Value
... stop_reason_source_concept_id 0..1 Reference(Concept OMOP Table) Stop Reason Source

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. OMOPPayerPlanPeriod 0..* Base Payer Plan Period OMOP Table
Instances of this logical model are not marked to be the target of a Reference
... payer_plan_period_id 1..1 integer Payer Plan Period Identifier
... person_id 1..1 Reference(Person OMOP Table) Person
... payer_plan_period_start_date 1..1 date Payer Plan Period Start Date
... payer_concept_id 0..1 Reference(Concept OMOP Table) Payer
... payer_source_value 0..1 string Payer Source Value
... payer_source_concept_id 0..1 Reference(Concept OMOP Table) Payer Source
... plan_concept_id 0..1 Reference(Concept OMOP Table) Plan
... plan_source_value 0..1 string Plan Source Value
... plan_source_concept_id 0..1 Reference(Concept OMOP Table) Plan Source
... sponsor_concept_id 0..1 Reference(Concept OMOP Table) Sponsor
... sponsor_source_value 0..1 string Sponsor Source Value
... sponsor_source_concept_id 0..1 Reference(Concept OMOP Table) Sponsor Source
... family_source_value 0..1 string Family Source Value
... stop_reason_concept_id 0..1 Reference(Concept OMOP Table) Stop Reason
... stop_reason_source_value 0..1 string Stop Reason Source Value
... stop_reason_source_concept_id 0..1 Reference(Concept OMOP Table) Stop Reason Source

doco Documentation for this format

This structure is derived from Base

 

Other representations of profile: CSV, Excel