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: OMOPPayerPlanPeriod - Detailed Descriptions

Draft as of 2025-10-23

Definitions for the OMOPPayerPlanPeriod logical model.

- Key Elements Table
- Differential Elements Table
- Snapshot Elements Table

Guidance on how to interpret the contents of this table can be foundhere

0. OMOPPayerPlanPeriod
Définition | 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
Définition | 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
Définition | The Person covered by the Plan.
Short | Person
Control | 1..1
Type | Reference(Person OMOP Table)
6. OMOPPayerPlanPeriod.payer-plan-period-start-date
Définition | 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
Définition | 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
Définition | 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
Définition | 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
Définition | Payer Source
Short | Payer Source
Control | 0..1
Type | Reference(Concept OMOP Table)
16. OMOPPayerPlanPeriod.plan-concept-id
Définition | 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
Définition | 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
Définition | Plan Source
Short | Plan Source
Control | 0..1
Type | Reference(Concept OMOP Table)
22. OMOPPayerPlanPeriod.sponsor-concept-id
Définition | 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
Définition | 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
Définition | Sponsor Source
Short | Sponsor Source
Control | 0..1
Type | Reference(Concept OMOP Table)
28. OMOPPayerPlanPeriod.family-source-value
Définition | 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
Définition | 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
Définition | 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
Définition | 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 foundhere

0. OMOPPayerPlanPeriod
Définition | 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
Définition | 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
Définition | The Person covered by the Plan.
Short | Person
Control | 1..1
Type | Reference(Person OMOP Table)
6. OMOPPayerPlanPeriod.payer-plan-period-start-date
Définition | 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
Définition | 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
Définition | 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
Définition | 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
Définition | Payer Source
Short | Payer Source
Control | 0..1
Type | Reference(Concept OMOP Table)
16. OMOPPayerPlanPeriod.plan-concept-id
Définition | 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
Définition | 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
Définition | Plan Source
Short | Plan Source
Control | 0..1
Type | Reference(Concept OMOP Table)
22. OMOPPayerPlanPeriod.sponsor-concept-id
Définition | 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
Définition | 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
Définition | Sponsor Source
Short | Sponsor Source
Control | 0..1
Type | Reference(Concept OMOP Table)
28. OMOPPayerPlanPeriod.family-source-value
Définition | 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
Définition | 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
Définition | 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
Définition | 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 foundhere

0. OMOPPayerPlanPeriod
Définition | 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
Définition | 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
Définition | The Person covered by the Plan.
Short | Person
Control | 1..1
Type | Reference(Person OMOP Table)
6. OMOPPayerPlanPeriod.payer-plan-period-start-date
Définition | 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
Définition | 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
Définition | 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
Définition | 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
Définition | Payer Source
Short | Payer Source
Control | 0..1
Type | Reference(Concept OMOP Table)
16. OMOPPayerPlanPeriod.plan-concept-id
Définition | 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
Définition | 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
Définition | Plan Source
Short | Plan Source
Control | 0..1
Type | Reference(Concept OMOP Table)
22. OMOPPayerPlanPeriod.sponsor-concept-id
Définition | 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
Définition | 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
Définition | Sponsor Source
Short | Sponsor Source
Control | 0..1
Type | Reference(Concept OMOP Table)
28. OMOPPayerPlanPeriod.family-source-value
Définition | 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
Définition | 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
Définition | 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
Définition | Stop Reason Source
Short | Stop Reason Source
Control | 0..1
Type | Reference(Concept OMOP Table)