Data Management with FHIR
0.1.0 - ci-build

Data Management with FHIR - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

## Logical Model: Payer Plan Period OMOP Table

Official URL: https://interop.aphp.fr/ig/fhir/dm/StructureDefinition/OMOPPayerPlanPeriod | Version: 0.1.0
Draft as of 2025-10-23 | 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.

Usages:

- Refer to this Logical Model: Cost OMOP Table

You can also check for usages in the FHIR IG Statistics

### Formal Views of Profile Content

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

- Key Elements Table
- Differential Table
- Snapshot Table
- Statistics/References
- All

Nom | Drapeaux | Card. | Type | Description et contraintes Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
OMOPPayerPlanPeriod |  | 0..* | Base | Payer Plan Period OMOP Table Instances of this logical model can 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_plan_period_end_date |  | 1..1 | date | Payer Plan Period End 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
Documentation for this format

This structure is derived from Base

Nom | Drapeaux | Card. | Type | Description et contraintes Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
OMOPPayerPlanPeriod |  | 0..* | Base | Payer Plan Period OMOP Table Instances of this logical model can 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_plan_period_end_date |  | 1..1 | date | Payer Plan Period End 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
Documentation for this format

Nom | Drapeaux | Card. | Type | Description et contraintes Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
OMOPPayerPlanPeriod |  | 0..* | Base | Payer Plan Period OMOP Table Instances of this logical model can 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_plan_period_end_date |  | 1..1 | date | Payer Plan Period End 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
Documentation for this format

This structure is derived from Base

Résumé

Mandatory: 0 element(4 nested mandatory elements)

Structures

This structure refers to these other structures:

- Person OMOP Table (https://interop.aphp.fr/ig/fhir/dm/StructureDefinition/OMOPPerson)
- Concept OMOP Table (https://interop.aphp.fr/ig/fhir/dm/StructureDefinition/OMOPConcept)

Key Elements View

Nom | Drapeaux | Card. | Type | Description et contraintes Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
OMOPPayerPlanPeriod |  | 0..* | Base | Payer Plan Period OMOP Table Instances of this logical model can 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_plan_period_end_date |  | 1..1 | date | Payer Plan Period End 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
Documentation for this format

Differential View

This structure is derived from Base

Nom | Drapeaux | Card. | Type | Description et contraintes Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
OMOPPayerPlanPeriod |  | 0..* | Base | Payer Plan Period OMOP Table Instances of this logical model can 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_plan_period_end_date |  | 1..1 | date | Payer Plan Period End 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
Documentation for this format

Snapshot View

Nom | Drapeaux | Card. | Type | Description et contraintes Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
OMOPPayerPlanPeriod |  | 0..* | Base | Payer Plan Period OMOP Table Instances of this logical model can 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_plan_period_end_date |  | 1..1 | date | Payer Plan Period End 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
Documentation for this format

This structure is derived from Base

Résumé

Mandatory: 0 element(4 nested mandatory elements)

Structures

This structure refers to these other structures:

- Person OMOP Table (https://interop.aphp.fr/ig/fhir/dm/StructureDefinition/OMOPPerson)
- Concept OMOP Table (https://interop.aphp.fr/ig/fhir/dm/StructureDefinition/OMOPConcept)

Other representations of profile: CSV, Excel