Represents the participation of a Healthcare Provider (either an Individual or an Organizational Provider) with a Health Plan for the purpose of providing healthcare services to members (i.e., patients) of that plan.

Attributes
«IVL_TS» Period	effectiveDateRange	The time period during which the Provider’s participated in the Health Plan. For active participations, the end-date of this time period would be blank.
HealthcareProvider	healthcareProvider	Pointer to the Healthcare Provider (individual or orgnization) with which the Health Plan has some contractual relationship.
HealthPlan	healthPlan	Pointer to a collection of Health Plan in which the Healthcare Provider participates for the purpose of providing healthcare services to members (i.e., patients) of that Health Plan.
«CS» Code	status	The state of the Provider’s participation in the Health Plan. The values for this property will likely be a subset of the Managed Participation state-transition model in the HL7 RIM. Possible values include: Active, Completed, Pending, Canceled, or Nullified.

 effectiveDateRange

Public «IVL_TS» Period effectiveDateRange

The time period during which the Provider’s participated in the Health Plan. For active participations, the end-date of this time period would be blank.

Constraints:

Properties:

Aggregation	None
Alias
Association
Association End
Class	ProviderPlanParticipation
Datatype
Default
Default Value
Is Composite	false
Is Derived	false
Is Derived Union	false
Is Leaf	false
Is Ordered	false
Is Read Only	false
Is Static	false
Is Unique	true
Keywords
Lower	1
Lower Value	(1)
Multiplicity	1
Name	effectiveDateRange
Name Expression
Namespace	ProviderPlanParticipation
Opposite
Owner	ProviderPlanParticipation
Owning Association
Owning Template Parameter
Qualified Name	FHIM::Provider::ProviderPlanParticipation::effectiveDateRange
Stereotype
Template Parameter
Type	«IVL_TS» Period
Upper	1
Upper Value	(1)
Visibility	Public

 healthcareProvider

Public HealthcareProvider healthcareProvider

Pointer to the Healthcare Provider (individual or orgnization) with which the Health Plan has some contractual relationship.

Constraints:

Properties:

Aggregation	None
Alias
Association	healthcareProvider_providerPlanParticipation
Association End
Class	ProviderPlanParticipation
Datatype
Default
Default Value
Is Composite	false
Is Derived	false
Is Derived Union	false
Is Leaf	false
Is Ordered	false
Is Read Only	false
Is Static	false
Is Unique	true
Keywords
Lower	1
Lower Value	(1)
Multiplicity	1
Name	healthcareProvider
Name Expression
Namespace	ProviderPlanParticipation
Opposite	providerPlanParticipation
Owner	ProviderPlanParticipation
Owning Association
Owning Template Parameter
Qualified Name	FHIM::Provider::ProviderPlanParticipation::healthcareProvider
Stereotype
Template Parameter
Type	HealthcareProvider
Upper	1
Upper Value	(1)
Visibility	Public

 healthPlan

Public HealthPlan healthPlan

Pointer to a collection of Health Plan in which the Healthcare Provider participates for the purpose of providing healthcare services to members (i.e., patients) of that Health Plan.

Constraints:

Properties:

Aggregation	None
Alias
Association	providerPlanParticipation_healthPlan
Association End
Class	ProviderPlanParticipation
Datatype
Default
Default Value
Is Composite	false
Is Derived	false
Is Derived Union	false
Is Leaf	false
Is Ordered	false
Is Read Only	false
Is Static	false
Is Unique	true
Keywords
Lower	1
Lower Value	(1)
Multiplicity	1
Name	healthPlan
Name Expression
Namespace	ProviderPlanParticipation
Opposite	providerPlanParticipation
Owner	ProviderPlanParticipation
Owning Association
Owning Template Parameter
Qualified Name	FHIM::Provider::ProviderPlanParticipation::healthPlan
Stereotype
Template Parameter
Type	HealthPlan
Upper	1
Upper Value	(1)
Visibility	Public

 status

Public «CS» Code status

The state of the Provider’s participation in the Health Plan. The values for this property will likely be a subset of the Managed Participation state-transition model in the HL7 RIM. Possible values include: Active, Completed, Pending, Canceled, or Nullified.

Constraints:

Properties:

Aggregation	None
Alias
Association
Association End
Class	ProviderPlanParticipation
Datatype
Default
Default Value
Is Composite	false
Is Derived	false
Is Derived Union	false
Is Leaf	false
Is Ordered	false
Is Read Only	false
Is Static	false
Is Unique	true
Keywords
Lower	1
Lower Value	(1)
Multiplicity	1
Name	status
Name Expression
Namespace	ProviderPlanParticipation
Opposite
Owner	ProviderPlanParticipation
Owning Association
Owning Template Parameter
Qualified Name	FHIM::Provider::ProviderPlanParticipation::status
Stereotype
Template Parameter
Type	«CS» Code
Upper	1
Upper Value	(1)
Visibility	Public