IN1
type: StructureDefinition
node role: treeRoot
id:
  v: IN1
meta:
  last updated:
    v: 2023-08-09T18:09:02.505+02:00
text:
  status:
    v: generated
  div: Segment: IN1
url:
  v: http://hl7.org/fhir/StructureDefinition/IN1
version:
  v: 2.9
name:
  v: IN1
title:
  v: IN1 (Segment)
status:
  v: draft
experimental:
  v: true
date:
  v: 2023-08-09T18:09:02+02:00
publisher:
  v: FO
description:
  v: Insurance
copyright:
  v: FO
fhir version:
  v: 5.0.0
mapping:
  identity:
    v: rim
  uri:
    v: http://hl7.org/v3
  name:
    v: RIM Mapping
kind:
  v: logical
abstract:
  v: false
type:
  v: IN1
base definition:
  v: http://hl7.org/fhir/StructureDefinition/DomainResource
  link: http://hl7.org/fhir/StructureDefinition/DomainResource
derivation:
  v: specialization
snapshot:
  element:
    id:
      v: IN1
    path:
      v: IN1
    short:
      v: A resource with narrative, extensions, and contained resources
    definition:
      v: Insurance
    min:
      v: 1
    max:
      v: 1
    base:
      path:
        v: DomainResource
      min:
        v: 0
      max:
        v: *
    constraint:
      key:
        v: dom-2
      severity:
        v: error
      human:
        v: If the resource is contained in another resource, it SHALL NOT contain nested Resources
      expression:
        v: contained.contained.empty()
      source:
        v: http://hl7.org/fhir/StructureDefinition/DomainResource
        link: http://hl7.org/fhir/StructureDefinition/DomainResource
    constraint:
      key:
        v: dom-3
      severity:
        v: error
      human:
        v: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
      expression:
        v: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
      source:
        v: http://hl7.org/fhir/StructureDefinition/DomainResource
        link: http://hl7.org/fhir/StructureDefinition/DomainResource
    constraint:
      key:
        v: dom-4
      severity:
        v: error
      human:
        v: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
      expression:
        v: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
      source:
        v: http://hl7.org/fhir/StructureDefinition/DomainResource
        link: http://hl7.org/fhir/StructureDefinition/DomainResource
    constraint:
      key:
        v: dom-5
      severity:
        v: error
      human:
        v: If a resource is contained in another resource, it SHALL NOT have a security label
      expression:
        v: contained.meta.security.empty()
      source:
        v: http://hl7.org/fhir/StructureDefinition/DomainResource
        link: http://hl7.org/fhir/StructureDefinition/DomainResource
    constraint:
      key:
        v: dom-6
      severity:
        v: warning
      human:
        v: A resource should have narrative for robust management
      expression:
        v: text.`div`.exists()
      source:
        v: http://hl7.org/fhir/StructureDefinition/DomainResource
        link: http://hl7.org/fhir/StructureDefinition/DomainResource
    must support:
      v: false
    is modifier:
      v: false
    is summary:
      v: false
    mapping:
      identity:
        v: rim
      map:
        v: Entity. Role, or Act,Entity, Role, or Act
  element:
    id:
      v: IN1.id
    path:
      v: IN1.id
    short:
      v: Logical id of this artifact
    definition:
      v: The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
    comment:
      v: Within the context of the FHIR RESTful interactions, the resource has an id except for cases like the create and conditional update. Otherwise, the use of the resouce id depends on the given use case.
    min:
      v: 0
    max:
      v: 1
    base:
      path:
        v: Resource.id
      min:
        v: 0
      max:
        v: 1
    type:
      code:
        v: http://hl7.org/fhirpath/System.String
    must support:
      v: false
    is modifier:
      v: false
    is summary:
      v: true
  element:
    id:
      v: IN1.meta
    path:
      v: IN1.meta
    short:
      v: Metadata about the resource
    definition:
      v: The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.
    min:
      v: 0
    max:
      v: 1
    base:
      path:
        v: Resource.meta
      min:
        v: 0
      max:
        v: 1
    type:
      code:
        v: Meta
    constraint:
      key:
        v: ele-1
      severity:
        v: error
      human:
        v: All FHIR elements must have a @value or children

v: true

v: When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time.

v: id

v: hasValue() or (children().count() > id.count())

v: false

v: false

v: true

id:
  v: IN1.implicitRules
path:
  v: IN1.implicitRules
short:
  v: A set of rules under which this content was created
definition:
  v: A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.
comment:
  v: Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of its narrative along with other profiles, value sets, etc.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Resource.implicitRules
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: uri
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
must support:
  v: false
is modifier:
  v: true
is modifier reason:
  v: This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies its meaning or interpretation
is summary:
  v: true

id:
  v: IN1.language
path:
  v: IN1.language
short:
  v: Language of the resource content
definition:
  v: The base language in which the resource is written.
comment:
  v: Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Resource.language
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: code
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: false
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    value:
      v: Language
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding
    value:
      v: true
  strength:
    v: required
  description:
    v: IETF language tag for a human language
  value set:
    v: http://hl7.org/fhir/ValueSet/all-languages|5.0.0
    link: 5.0
    link: .0
  additional:
    purpose:
      v: starter
    value set:
      v: http://hl7.org/fhir/ValueSet/languages
      link: http://hl7.org/fhir/ValueSet/languages

id:
  v: IN1.text
path:
  v: IN1.text
short:
  v: Text summary of the resource, for human interpretation
definition:
  v: A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.
comment:
  v: Contained resources do not have a narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.
alias:
  v: narrative
alias:
  v: html
alias:
  v: xhtml
alias:
  v: display
min:
  v: 0
max:
  v: 1
base:
  path:
    v: DomainResource.text
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Narrative
condition:
  v: dom-6
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: Act.text?

id:
  v: IN1.contained
path:
  v: IN1.contained
short:
  v: Contained, inline Resources
definition:
  v: These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, nor can they have their own independent transaction scope. This is allowed to be a Parameters resource if and only if it is referenced by a resource that provides context/meaning.
comment:
  v: This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags in their meta elements, but SHALL NOT have security labels.
alias:
  v: inline resources
alias:
  v: anonymous resources
alias:
  v: contained resources
min:
  v: 0
max:
  v: *
base:
  path:
    v: DomainResource.contained
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Resource
condition:
  v: dom-2
condition:
  v: dom-4
condition:
  v: dom-3
condition:
  v: dom-5
must support:
  v: false
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: IN1.extension
path:
  v: IN1.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  rules:
    v: open
short:
  v: Additional content defined by implementations
definition:
  v: May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: DomainResource.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
must support:
  v: false
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: IN1.modifierExtension
path:
  v: IN1.modifierExtension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  rules:
    v: open
short:
  v: Extensions that cannot be ignored
definition:
  v: May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
requirements:
  v: Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R5/extensibility.html#modifierExtension).
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: DomainResource.modifierExtension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
must support:
  v: false
is modifier:
  v: true
is modifier reason:
  v: Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: IN1.setID-IN1
path:
  v: IN1.setID-IN1
short:
  v: setID-IN1
definition:
  v: **Set ID - IN1**
min:
  v: 1
max:
  v: 1
base:
  path:
    v: IN1.setID-IN1
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: SI
max length:
  v: 4
must support:
  v: true

id:
  v: IN1.healthPlanID
path:
  v: IN1.healthPlanID
short:
  v: healthPlanID
definition:
  v: **Health Plan ID**
min:
  v: 1
max:
  v: 1
base:
  path:
    v: IN1.healthPlanID
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: CWE
must support:
  v: true

id:
  v: IN1.insuranceCompanyID
path:
  v: IN1.insuranceCompanyID
short:
  v: insuranceCompanyID
definition:
  v: **Insurance Company ID**
min:
  v: 1
max:
  v: *
base:
  path:
    v: IN1.insuranceCompanyID
  min:
    v: 1
  max:
    v: *
type:
  code:
    v: CX
must support:
  v: true

id:
  v: IN1.insuranceCompanyName
path:
  v: IN1.insuranceCompanyName
short:
  v: insuranceCompanyName
definition:
  v: **Insurance Company Name**
min:
  v: 0
max:
  v: *
base:
  path:
    v: IN1.insuranceCompanyName
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: XON

id:
  v: IN1.insuranceCompanyAddress
path:
  v: IN1.insuranceCompanyAddress
short:
  v: insuranceCompanyAddress
definition:
  v: **Insurance Company Address**
min:
  v: 0
max:
  v: *
base:
  path:
    v: IN1.insuranceCompanyAddress
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: XAD

id:
  v: IN1.insuranceCoContactPerson
path:
  v: IN1.insuranceCoContactPerson
short:
  v: insuranceCoContactPerson
definition:
  v: **Insurance Co Contact Person**
min:
  v: 0
max:
  v: *
base:
  path:
    v: IN1.insuranceCoContactPerson
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: XPN

id:
  v: IN1.insuranceCoPhoneNumber
path:
  v: IN1.insuranceCoPhoneNumber
short:
  v: insuranceCoPhoneNumber
definition:
  v: **Insurance Co Phone Number**
min:
  v: 0
max:
  v: *
base:
  path:
    v: IN1.insuranceCoPhoneNumber
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: XTN

id:
  v: IN1.groupNumber
path:
  v: IN1.groupNumber
short:
  v: groupNumber
definition:
  v: **Group Number**
min:
  v: 0
max:
  v: 1
base:
  path:
    v: IN1.groupNumber
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: ST

id:
  v: IN1.groupName
path:
  v: IN1.groupName
short:
  v: groupName
definition:
  v: **Group Name**
min:
  v: 0
max:
  v: *
base:
  path:
    v: IN1.groupName
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: XON

id:
  v: IN1.insuredsGroupEmpID
path:
  v: IN1.insuredsGroupEmpID
short:
  v: insuredsGroupEmpID
definition:
  v: **Insured's Group Emp ID**
min:
  v: 0
max:
  v: *
base:
  path:
    v: IN1.insuredsGroupEmpID
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: CX

id:
  v: IN1.insuredsGroupEmpName
path:
  v: IN1.insuredsGroupEmpName
short:
  v: insuredsGroupEmpName
definition:
  v: **Insured's Group Emp Name**
min:
  v: 0
max:
  v: *
base:
  path:
    v: IN1.insuredsGroupEmpName
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: XON

id:
  v: IN1.planEffectiveDate
path:
  v: IN1.planEffectiveDate
short:
  v: planEffectiveDate
definition:
  v: **Plan Effective Date**
min:
  v: 0
max:
  v: 1
base:
  path:
    v: IN1.planEffectiveDate
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: DT

id:
  v: IN1.planExpirationDate
path:
  v: IN1.planExpirationDate
short:
  v: planExpirationDate
definition:
  v: **Plan Expiration Date**
min:
  v: 0
max:
  v: 1
base:
  path:
    v: IN1.planExpirationDate
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: DT

id:
  v: IN1.authorizationInformation
path:
  v: IN1.authorizationInformation
short:
  v: authorizationInformation
definition:
  v: **Authorization Information**
min:
  v: 0
max:
  v: 1
base:
  path:
    v: IN1.authorizationInformation
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: AUI

id:
  v: IN1.planType
path:
  v: IN1.planType
short:
  v: planType
definition:
  v: **Plan Type**
min:
  v: 0
max:
  v: 1
base:
  path:
    v: IN1.planType
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CWE

id:
  v: IN1.nameOfInsured
path:
  v: IN1.nameOfInsured
short:
  v: nameOfInsured
definition:
  v: **Name Of Insured**
min:
  v: 0
max:
  v: *
base:
  path:
    v: IN1.nameOfInsured
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: XPN

id:
  v: IN1.insuredsRelationshipToPatient
path:
  v: IN1.insuredsRelationshipToPatient
short:
  v: insuredsRelationshipToPatient
definition:
  v: **Insured's Relationship To Patient**
min:
  v: 0
max:
  v: 1
base:
  path:
    v: IN1.insuredsRelationshipToPatient
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CWE

id:
  v: IN1.insuredsDateOfBirth
path:
  v: IN1.insuredsDateOfBirth
short:
  v: insuredsDateOfBirth
definition:
  v: **Insured's Date Of Birth**
min:
  v: 0
max:
  v: 1
base:
  path:
    v: IN1.insuredsDateOfBirth
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: DTM

id:
  v: IN1.insuredsAddress
path:
  v: IN1.insuredsAddress
short:
  v: insuredsAddress
definition:
  v: **Insured's Address**
min:
  v: 0
max:
  v: *
base:
  path:
    v: IN1.insuredsAddress
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: XAD

id:
  v: IN1.assignmentOfBenefits
path:
  v: IN1.assignmentOfBenefits
short:
  v: assignmentOfBenefits
definition:
  v: **Assignment Of Benefits**
min:
  v: 0
max:
  v: 1
base:
  path:
    v: IN1.assignmentOfBenefits
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CWE

id:
  v: IN1.coordinationOfBenefits
path:
  v: IN1.coordinationOfBenefits
short:
  v: coordinationOfBenefits
definition:
  v: **Coordination Of Benefits**
min:
  v: 0
max:
  v: 1
base:
  path:
    v: IN1.coordinationOfBenefits
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CWE

id:
  v: IN1.coordOfBenPriority
path:
  v: IN1.coordOfBenPriority
short:
  v: coordOfBenPriority
definition:
  v: **Coord Of Ben. Priority**
min:
  v: 0
max:
  v: 1
base:
  path:
    v: IN1.coordOfBenPriority
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: ST

id:
  v: IN1.noticeOfAdmissionFlag
path:
  v: IN1.noticeOfAdmissionFlag
short:
  v: noticeOfAdmissionFlag
definition:
  v: **Notice Of Admission Flag**
min:
  v: 0
max:
  v: 1
base:
  path:
    v: IN1.noticeOfAdmissionFlag
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: ID
max length:
  v: 1

id:
  v: IN1.noticeOfAdmissionDate
path:
  v: IN1.noticeOfAdmissionDate
short:
  v: noticeOfAdmissionDate
definition:
  v: **Notice Of Admission Date**
min:
  v: 0
max:
  v: 1
base:
  path:
    v: IN1.noticeOfAdmissionDate
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: DT

id:
  v: IN1.reportOfEligibilityFlag
path:
  v: IN1.reportOfEligibilityFlag
short:
  v: reportOfEligibilityFlag
definition:
  v: **Report Of Eligibility Flag**
min:
  v: 0
max:
  v: 1
base:
  path:
    v: IN1.reportOfEligibilityFlag
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: ID
max length:
  v: 1

id:
  v: IN1.reportOfEligibilityDate
path:
  v: IN1.reportOfEligibilityDate
short:
  v: reportOfEligibilityDate
definition:
  v: **Report Of Eligibility Date**
min:
  v: 0
max:
  v: 1
base:
  path:
    v: IN1.reportOfEligibilityDate
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: DT

id:
  v: IN1.releaseInformationCode
path:
  v: IN1.releaseInformationCode
short:
  v: releaseInformationCode
definition:
  v: **Release Information Code**
min:
  v: 0
max:
  v: 1
base:
  path:
    v: IN1.releaseInformationCode
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CWE

id:
  v: IN1.pre-AdmitCertPAC
path:
  v: IN1.pre-AdmitCertPAC
short:
  v: pre-AdmitCertPAC
definition:
  v: **Pre-Admit Cert (PAC)**
min:
  v: 0
max:
  v: 1
base:
  path:
    v: IN1.pre-AdmitCertPAC
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: ST

id:
  v: IN1.verificationDateTime
path:
  v: IN1.verificationDateTime
short:
  v: verificationDateTime
definition:
  v: **Verification DateTime**
min:
  v: 0
max:
  v: 1
base:
  path:
    v: IN1.verificationDateTime
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: DTM

id:
  v: IN1.verificationBy
path:
  v: IN1.verificationBy
short:
  v: verificationBy
definition:
  v: **Verification By**
min:
  v: 0
max:
  v: *
base:
  path:
    v: IN1.verificationBy
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: XCN

id:
  v: IN1.typeOfAgreementCode
path:
  v: IN1.typeOfAgreementCode
short:
  v: typeOfAgreementCode
definition:
  v: **Type Of Agreement Code**
min:
  v: 0
max:
  v: 1
base:
  path:
    v: IN1.typeOfAgreementCode
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CWE

id:
  v: IN1.billingStatus
path:
  v: IN1.billingStatus
short:
  v: billingStatus
definition:
  v: **Billing Status**
min:
  v: 0
max:
  v: 1
base:
  path:
    v: IN1.billingStatus
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CWE

id:
  v: IN1.lifetimeReserveDays
path:
  v: IN1.lifetimeReserveDays
short:
  v: lifetimeReserveDays
definition:
  v: **Lifetime Reserve Days**
min:
  v: 0
max:
  v: 1
base:
  path:
    v: IN1.lifetimeReserveDays
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: NM

id:
  v: IN1.delayBeforeLRDay
path:
  v: IN1.delayBeforeLRDay
short:
  v: delayBeforeLRDay
definition:
  v: **Delay Before L.R. Day**
min:
  v: 0
max:
  v: 1
base:
  path:
    v: IN1.delayBeforeLRDay
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: NM

id:
  v: IN1.companyPlanCode
path:
  v: IN1.companyPlanCode
short:
  v: companyPlanCode
definition:
  v: **Company Plan Code**
min:
  v: 0
max:
  v: 1
base:
  path:
    v: IN1.companyPlanCode
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CWE

id:
  v: IN1.policyNumber
path:
  v: IN1.policyNumber
short:
  v: policyNumber
definition:
  v: **Policy Number**
min:
  v: 0
max:
  v: 1
base:
  path:
    v: IN1.policyNumber
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: ST

id:
  v: IN1.policyDeductible
path:
  v: IN1.policyDeductible
short:
  v: policyDeductible
definition:
  v: **Policy Deductible**
min:
  v: 0
max:
  v: 1
base:
  path:
    v: IN1.policyDeductible
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CP

id:
  v: IN1.policyLimit-Amount
path:
  v: IN1.policyLimit-Amount
short:
  v: policyLimit-Amount
definition:
  v: **Policy Limit - Amount**
min:
  v: 0
max:
  v: 1
base:
  path:
    v: IN1.policyLimit-Amount
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: -

id:
  v: IN1.policyLimit-Days
path:
  v: IN1.policyLimit-Days
short:
  v: policyLimit-Days
definition:
  v: **Policy Limit - Days**
min:
  v: 0
max:
  v: 1
base:
  path:
    v: IN1.policyLimit-Days
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: NM

id:
  v: IN1.roomRate-Semi-Private
path:
  v: IN1.roomRate-Semi-Private
short:
  v: roomRate-Semi-Private
definition:
  v: **Room Rate - Semi-Private**
min:
  v: 0
max:
  v: 1
base:
  path:
    v: IN1.roomRate-Semi-Private
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: -

id:
  v: IN1.roomRate-Private
path:
  v: IN1.roomRate-Private
short:
  v: roomRate-Private
definition:
  v: **Room Rate - Private**
min:
  v: 0
max:
  v: 1
base:
  path:
    v: IN1.roomRate-Private
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: -

id:
  v: IN1.insuredsEmploymentStatus
path:
  v: IN1.insuredsEmploymentStatus
short:
  v: insuredsEmploymentStatus
definition:
  v: **Insured's Employment Status**
min:
  v: 0
max:
  v: 1
base:
  path:
    v: IN1.insuredsEmploymentStatus
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CWE

id:
  v: IN1.insuredsAdministrativeSex
path:
  v: IN1.insuredsAdministrativeSex
short:
  v: insuredsAdministrativeSex
definition:
  v: **Insured's Administrative Sex**
min:
  v: 0
max:
  v: 1
base:
  path:
    v: IN1.insuredsAdministrativeSex
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CWE

id:
  v: IN1.insuredsEmployersAddress
path:
  v: IN1.insuredsEmployersAddress
short:
  v: insuredsEmployersAddress
definition:
  v: **Insured's Employer's Address**
min:
  v: 0
max:
  v: *
base:
  path:
    v: IN1.insuredsEmployersAddress
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: XAD

id:
  v: IN1.verificationStatus
path:
  v: IN1.verificationStatus
short:
  v: verificationStatus
definition:
  v: **Verification Status**
min:
  v: 0
max:
  v: 1
base:
  path:
    v: IN1.verificationStatus
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: ST

id:
  v: IN1.priorInsurancePlanID
path:
  v: IN1.priorInsurancePlanID
short:
  v: priorInsurancePlanID
definition:
  v: **Prior Insurance Plan ID**
min:
  v: 0
max:
  v: 1
base:
  path:
    v: IN1.priorInsurancePlanID
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CWE

id:
  v: IN1.coverageType
path:
  v: IN1.coverageType
short:
  v: coverageType
definition:
  v: **Coverage Type**
min:
  v: 0
max:
  v: 1
base:
  path:
    v: IN1.coverageType
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CWE

id:
  v: IN1.handicap
path:
  v: IN1.handicap
short:
  v: handicap
definition:
  v: **Handicap**
min:
  v: 0
max:
  v: 1
base:
  path:
    v: IN1.handicap
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CWE

id:
  v: IN1.insuredsIDNumber
path:
  v: IN1.insuredsIDNumber
short:
  v: insuredsIDNumber
definition:
  v: **Insured's ID Number**
min:
  v: 0
max:
  v: *
base:
  path:
    v: IN1.insuredsIDNumber
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: CX

id:
  v: IN1.signatureCode
path:
  v: IN1.signatureCode
short:
  v: signatureCode
definition:
  v: **Signature Code**
min:
  v: 0
max:
  v: 1
base:
  path:
    v: IN1.signatureCode
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CWE

id:
  v: IN1.signatureCodeDate
path:
  v: IN1.signatureCodeDate
short:
  v: signatureCodeDate
definition:
  v: **Signature Code Date**
min:
  v: 0
max:
  v: 1
base:
  path:
    v: IN1.signatureCodeDate
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: DT

id:
  v: IN1.insuredsBirthPlace
path:
  v: IN1.insuredsBirthPlace
short:
  v: insuredsBirthPlace
definition:
  v: **Insured's Birth Place**
min:
  v: 0
max:
  v: 1
base:
  path:
    v: IN1.insuredsBirthPlace
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: ST

id:
  v: IN1.vIPIndicator
path:
  v: IN1.vIPIndicator
short:
  v: vIPIndicator
definition:
  v: **VIP Indicator**
min:
  v: 0
max:
  v: 1
base:
  path:
    v: IN1.vIPIndicator
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CWE

id:
  v: IN1.externalHealthPlanIdentifiers
path:
  v: IN1.externalHealthPlanIdentifiers
short:
  v: externalHealthPlanIdentifiers
definition:
  v: **External Health Plan Identifiers**
min:
  v: 0
max:
  v: *
base:
  path:
    v: IN1.externalHealthPlanIdentifiers
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: CX

id:
  v: IN1.insuranceActionCode
path:
  v: IN1.insuranceActionCode
short:
  v: insuranceActionCode
definition:
  v: **Insurance Action Code**
min:
  v: 0
max:
  v: 1
base:
  path:
    v: IN1.insuranceActionCode
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: ID

element:
  id:
    v: IN1
  path:
    v: IN1
  definition:
    v: Insurance
  min:
    v: 1
  max:
    v: 1
element:
  id:
    v: IN1.setID-IN1
  path:
    v: IN1.setID-IN1
  short:
    v: setID-IN1
  definition:
    v: **Set ID - IN1**
  min:
    v: 1
  max:
    v: 1
  type:
    code:
      v: SI
  max length:
    v: 4
  must support:
    v: true
element:
  id:
    v: IN1.healthPlanID
  path:
    v: IN1.healthPlanID
  short:
    v: healthPlanID
  definition:
    v: **Health Plan ID**
  min:
    v: 1
  max:
    v: 1
  type:
    code:
      v: CWE
  must support:
    v: true
element:
  id:
    v: IN1.insuranceCompanyID
  path:
    v: IN1.insuranceCompanyID
  short:
    v: insuranceCompanyID
  definition:
    v: **Insurance Company ID**
  min:
    v: 1
  max:
    v: *
  type:
    code:
      v: CX
  must support:
    v: true
element:
  id:
    v: IN1.insuranceCompanyName
  path:
    v: IN1.insuranceCompanyName
  short:
    v: insuranceCompanyName
  definition:
    v: **Insurance Company Name**
  min:
    v: 0
  max:
    v: *
  type:
    code:
      v: XON
element:
  id:
    v: IN1.insuranceCompanyAddress
  path:
    v: IN1.insuranceCompanyAddress
  short:
    v: insuranceCompanyAddress
  definition:
    v: **Insurance Company Address**
  min:
    v: 0
  max:
    v: *
  type:
    code:
      v: XAD
element:
  id:
    v: IN1.insuranceCoContactPerson
  path:
    v: IN1.insuranceCoContactPerson
  short:
    v: insuranceCoContactPerson
  definition:
    v: **Insurance Co Contact Person**
  min:
    v: 0
  max:
    v: *
  type:
    code:
      v: XPN
element:
  id:
    v: IN1.insuranceCoPhoneNumber
  path:
    v: IN1.insuranceCoPhoneNumber
  short:
    v: insuranceCoPhoneNumber
  definition:
    v: **Insurance Co Phone Number**
  min:
    v: 0
  max:
    v: *
  type:
    code:
      v: XTN
element:
  id:
    v: IN1.groupNumber
  path:
    v: IN1.groupNumber
  short:
    v: groupNumber
  definition:
    v: **Group Number**
  min:
    v: 0
  max:
    v: 1
  type:
    code:
      v: ST
element:
  id:
    v: IN1.groupName
  path:
    v: IN1.groupName
  short:
    v: groupName
  definition:
    v: **Group Name**
  min:
    v: 0
  max:
    v: *
  type:
    code:
      v: XON
element:
  id:
    v: IN1.insuredsGroupEmpID
  path:
    v: IN1.insuredsGroupEmpID
  short:
    v: insuredsGroupEmpID
  definition:
    v: **Insured's Group Emp ID**
  min:
    v: 0
  max:
    v: *
  type:
    code:
      v: CX
element:
  id:
    v: IN1.insuredsGroupEmpName
  path:
    v: IN1.insuredsGroupEmpName
  short:
    v: insuredsGroupEmpName
  definition:
    v: **Insured's Group Emp Name**
  min:
    v: 0
  max:
    v: *
  type:
    code:
      v: XON
element:
  id:
    v: IN1.planEffectiveDate
  path:
    v: IN1.planEffectiveDate
  short:
    v: planEffectiveDate

v: **Plan Effective Date**

v: 0

v: 1

code:
  v: DT

id:
  v: IN1.planExpirationDate
path:
  v: IN1.planExpirationDate
short:
  v: planExpirationDate
definition:
  v: **Plan Expiration Date**
min:
  v: 0
max:
  v: 1
type:
  code:
    v: DT

id:
  v: IN1.authorizationInformation
path:
  v: IN1.authorizationInformation
short:
  v: authorizationInformation
definition:
  v: **Authorization Information**
min:
  v: 0
max:
  v: 1
type:
  code:
    v: AUI

id:
  v: IN1.planType
path:
  v: IN1.planType
short:
  v: planType
definition:
  v: **Plan Type**
min:
  v: 0
max:
  v: 1
type:
  code:
    v: CWE

id:
  v: IN1.nameOfInsured
path:
  v: IN1.nameOfInsured
short:
  v: nameOfInsured
definition:
  v: **Name Of Insured**
min:
  v: 0
max:
  v: *
type:
  code:
    v: XPN

id:
  v: IN1.insuredsRelationshipToPatient
path:
  v: IN1.insuredsRelationshipToPatient
short:
  v: insuredsRelationshipToPatient
definition:
  v: **Insured's Relationship To Patient**
min:
  v: 0
max:
  v: 1
type:
  code:
    v: CWE

id:
  v: IN1.insuredsDateOfBirth
path:
  v: IN1.insuredsDateOfBirth
short:
  v: insuredsDateOfBirth
definition:
  v: **Insured's Date Of Birth**
min:
  v: 0
max:
  v: 1
type:
  code:
    v: DTM

id:
  v: IN1.insuredsAddress
path:
  v: IN1.insuredsAddress
short:
  v: insuredsAddress
definition:
  v: **Insured's Address**
min:
  v: 0
max:
  v: *
type:
  code:
    v: XAD

id:
  v: IN1.assignmentOfBenefits
path:
  v: IN1.assignmentOfBenefits
short:
  v: assignmentOfBenefits
definition:
  v: **Assignment Of Benefits**
min:
  v: 0
max:
  v: 1
type:
  code:
    v: CWE

id:
  v: IN1.coordinationOfBenefits
path:
  v: IN1.coordinationOfBenefits
short:
  v: coordinationOfBenefits
definition:
  v: **Coordination Of Benefits**
min:
  v: 0
max:
  v: 1
type:
  code:
    v: CWE

id:
  v: IN1.coordOfBenPriority
path:
  v: IN1.coordOfBenPriority
short:
  v: coordOfBenPriority
definition:
  v: **Coord Of Ben. Priority**
min:
  v: 0
max:
  v: 1
type:
  code:
    v: ST

id:
  v: IN1.noticeOfAdmissionFlag
path:
  v: IN1.noticeOfAdmissionFlag
short:
  v: noticeOfAdmissionFlag
definition:
  v: **Notice Of Admission Flag**
min:
  v: 0
max:
  v: 1
type:
  code:
    v: ID
max length:
  v: 1

id:
  v: IN1.noticeOfAdmissionDate
path:
  v: IN1.noticeOfAdmissionDate
short:
  v: noticeOfAdmissionDate
definition:
  v: **Notice Of Admission Date**
min:
  v: 0
max:
  v: 1
type:
  code:
    v: DT

id:
  v: IN1.reportOfEligibilityFlag
path:
  v: IN1.reportOfEligibilityFlag
short:
  v: reportOfEligibilityFlag
definition:
  v: **Report Of Eligibility Flag**
min:
  v: 0
max:
  v: 1
type:
  code:
    v: ID
max length:
  v: 1

id:
  v: IN1.reportOfEligibilityDate
path:
  v: IN1.reportOfEligibilityDate
short:
  v: reportOfEligibilityDate
definition:
  v: **Report Of Eligibility Date**
min:
  v: 0
max:
  v: 1
type:
  code:
    v: DT

id:
  v: IN1.releaseInformationCode
path:
  v: IN1.releaseInformationCode
short:
  v: releaseInformationCode
definition:
  v: **Release Information Code**
min:
  v: 0
max:
  v: 1
type:
  code:
    v: CWE

id:
  v: IN1.pre-AdmitCertPAC
path:
  v: IN1.pre-AdmitCertPAC
short:
  v: pre-AdmitCertPAC
definition:
  v: **Pre-Admit Cert (PAC)**
min:
  v: 0
max:
  v: 1
type:
  code:
    v: ST

id:
  v: IN1.verificationDateTime
path:
  v: IN1.verificationDateTime
short:
  v: verificationDateTime
definition:
  v: **Verification DateTime**
min:
  v: 0
max:
  v: 1
type:
  code:
    v: DTM

id:
  v: IN1.verificationBy
path:
  v: IN1.verificationBy
short:
  v: verificationBy
definition:
  v: **Verification By**
min:
  v: 0
max:
  v: *
type:
  code:
    v: XCN

id:
  v: IN1.typeOfAgreementCode
path:
  v: IN1.typeOfAgreementCode
short:
  v: typeOfAgreementCode
definition:
  v: **Type Of Agreement Code**
min:
  v: 0
max:
  v: 1
type:
  code:
    v: CWE

id:
  v: IN1.billingStatus
path:
  v: IN1.billingStatus
short:
  v: billingStatus
definition:
  v: **Billing Status**
min:
  v: 0
max:
  v: 1
type:
  code:
    v: CWE

id:
  v: IN1.lifetimeReserveDays
path:
  v: IN1.lifetimeReserveDays
short:
  v: lifetimeReserveDays
definition:
  v: **Lifetime Reserve Days**
min:
  v: 0
max:
  v: 1
type:
  code:
    v: NM

id:
  v: IN1.delayBeforeLRDay
path:
  v: IN1.delayBeforeLRDay
short:
  v: delayBeforeLRDay
definition:
  v: **Delay Before L.R. Day**
min:
  v: 0
max:
  v: 1
type:
  code:
    v: NM

id:
  v: IN1.companyPlanCode
path:
  v: IN1.companyPlanCode
short:
  v: companyPlanCode
definition:
  v: **Company Plan Code**
min:
  v: 0
max:
  v: 1
type:
  code:
    v: CWE

id:
  v: IN1.policyNumber
path:
  v: IN1.policyNumber
short:
  v: policyNumber
definition:
  v: **Policy Number**
min:
  v: 0
max:
  v: 1
type:
  code:
    v: ST

id:
  v: IN1.policyDeductible
path:
  v: IN1.policyDeductible
short:
  v: policyDeductible
definition:
  v: **Policy Deductible**
min:
  v: 0
max:
  v: 1
type:
  code:
    v: CP

id:
  v: IN1.policyLimit-Amount
path:
  v: IN1.policyLimit-Amount
short:
  v: policyLimit-Amount
definition:
  v: **Policy Limit - Amount**
min:
  v: 0
max:
  v: 1
type:
  code:
    v: -

id:
  v: IN1.policyLimit-Days
path:
  v: IN1.policyLimit-Days
short:
  v: policyLimit-Days
definition:
  v: **Policy Limit - Days**
min:
  v: 0
max:
  v: 1
type:
  code:
    v: NM

id:
  v: IN1.roomRate-Semi-Private
path:
  v: IN1.roomRate-Semi-Private
short:
  v: roomRate-Semi-Private
definition:
  v: **Room Rate - Semi-Private**
min:
  v: 0
max:
  v: 1
type:
  code:
    v: -

id:
  v: IN1.roomRate-Private
path:
  v: IN1.roomRate-Private
short:
  v: roomRate-Private
definition:
  v: **Room Rate - Private**
min:
  v: 0
max:
  v: 1
type:
  code:
    v: -

id:
  v: IN1.insuredsEmploymentStatus
path:
  v: IN1.insuredsEmploymentStatus
short:
  v: insuredsEmploymentStatus
definition:
  v: **Insured's Employment Status**
min:
  v: 0
max:
  v: 1
type:
  code:
    v: CWE

id:
  v: IN1.insuredsAdministrativeSex
path:
  v: IN1.insuredsAdministrativeSex
short:
  v: insuredsAdministrativeSex
definition:
  v: **Insured's Administrative Sex**
min:
  v: 0
max:
  v: 1
type:
  code:
    v: CWE

id:
  v: IN1.insuredsEmployersAddress
path:
  v: IN1.insuredsEmployersAddress
short:
  v: insuredsEmployersAddress
definition:
  v: **Insured's Employer's Address**
min:
  v: 0
max:
  v: *
type:
  code:
    v: XAD

id:
  v: IN1.verificationStatus
path:
  v: IN1.verificationStatus
short:
  v: verificationStatus
definition:
  v: **Verification Status**
min:
  v: 0
max:
  v: 1
type:
  code:
    v: ST

id:
  v: IN1.priorInsurancePlanID
path:
  v: IN1.priorInsurancePlanID
short:
  v: priorInsurancePlanID
definition:
  v: **Prior Insurance Plan ID**
min:
  v: 0
max:
  v: 1
type:
  code:
    v: CWE

id:
  v: IN1.coverageType
path:
  v: IN1.coverageType
short:
  v: coverageType
definition:
  v: **Coverage Type**
min:
  v: 0
max:
  v: 1
type:
  code:
    v: CWE

id:
  v: IN1.handicap
path:
  v: IN1.handicap
short:
  v: handicap
definition:
  v: **Handicap**
min:
  v: 0
max:
  v: 1
type:
  code:
    v: CWE

id:
  v: IN1.insuredsIDNumber
path:
  v: IN1.insuredsIDNumber
short:
  v: insuredsIDNumber
definition:
  v: **Insured's ID Number**
min:
  v: 0
max:
  v: *
type:
  code:
    v: CX

id:
  v: IN1.signatureCode
path:
  v: IN1.signatureCode
short:
  v: signatureCode
definition:
  v: **Signature Code**
min:
  v: 0
max:
  v: 1
type:
  code:
    v: CWE

id:
  v: IN1.signatureCodeDate
path:
  v: IN1.signatureCodeDate
short:
  v: signatureCodeDate
definition:
  v: **Signature Code Date**
min:
  v: 0
max:
  v: 1
type:
  code:
    v: DT

id:
  v: IN1.insuredsBirthPlace
path:
  v: IN1.insuredsBirthPlace
short:
  v: insuredsBirthPlace
definition:
  v: **Insured's Birth Place**
min:
  v: 0
max:
  v: 1
type:
  code:
    v: ST

id:
  v: IN1.vIPIndicator
path:
  v: IN1.vIPIndicator
short:
  v: vIPIndicator
definition:
  v: **VIP Indicator**
min:
  v: 0
max:
  v: 1
type:
  code:
    v: CWE

id:
  v: IN1.externalHealthPlanIdentifiers
path:
  v: IN1.externalHealthPlanIdentifiers
short:
  v: externalHealthPlanIdentifiers
definition:
  v: **External Health Plan Identifiers**
min:
  v: 0
max:
  v: *
type:
  code:
    v: CX

id:
  v: IN1.insuranceActionCode
path:
  v: IN1.insuranceActionCode
short:
  v: insuranceActionCode
definition:
  v: **Insurance Action Code**
min:
  v: 0
max:
  v: 1
type:
  code:
    v: ID