R4 Ballot #3 (Special Normative Re-ballot)

This page is part of the FHIR Specification (v3.5a.0: R4 Ballot 4). The current version which supercedes this version is 4.0.1. For a full list of available versions, see the Directory of published versions

Insuranceplan-questionnaire.xml

Patient Administration Work GroupMaturity Level: N/ABallot Status: InformativeCompartments: Not linked to any defined compartments

Raw XML (canonical form + also see XML Format Specification)

Generated Questionnaire for InsurancePlan

<?xml version="1.0" encoding="UTF-8"?>

<Questionnaire xmlns="http://hl7.org/fhir">
  <id value="qs1"/>
  <identifier>
    <system value="urn:ietf:rfc:3986"/>
  </identifier>
  <status value="draft"/>
  <date value="2018-08-19T21:48:56+10:00"/>
  <publisher value="Health Level Seven International (Patient Administration)"/>
  <item>
    <linkId value="InsurancePlan"/>
    <text value="Details of a Health Insurance product/plan provided by an organization"/>
    <type value="group"/>
    <required value="false"/>
    <repeats value="true"/>
    <item>
      <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
        <valueCodeableConcept>
          <coding>
            <system value="http://hl7.org/fhir/questionnaire-item-control"/>
            <code value="flyover"/>
            <display value="Fly-over"/>
          </coding>
        </valueCodeableConcept>
      </extension>
      <text value="Details of a Health Insurance product/plan provided by an organization."/>
      <type value="display"/>
    </item>
    <item>
      <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs">
        <valueInteger value="1"/>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType">
        <valueString value="string"/>
      </extension>
      <linkId value="InsurancePlan.id"/>
      <type value="group"/>
      <required value="false"/>
      <repeats value="true"/>
      <item>
        <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/questionnaire-item-control"/>
              <code value="flyover"/>
              <display value="Fly-over"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <text value="The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. The only time that a resource does not have an id is when it is being submitted to the server using a create operation."/>
        <type value="display"/>
      </item>
      <item>
        <linkId value="InsurancePlan.id.value"/>
        <text value="Logical id of this artifact"/>
        <type value="string"/>
        <required value="false"/>
        <repeats value="false"/>
      </item>
    </item>
    <item>
      <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs">
        <valueInteger value="1"/>
      </extension>
      <linkId value="InsurancePlan.meta"/>
      <text value="Metadata about the resource"/>
      <type value="group"/>
      <required value="false"/>
      <repeats value="true"/>
      <item>
        <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/questionnaire-item-control"/>
              <code value="flyover"/>
              <display value="Fly-over"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <text value="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."/>
        <type value="display"/>
      </item>
    </item>
    <item>
      <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs">
        <valueInteger value="1"/>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType">
        <valueString value="uri"/>
      </extension>
      <linkId value="InsurancePlan.implicitRules"/>
      <type value="group"/>
      <required value="false"/>
      <repeats value="true"/>
      <item>
        <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/questionnaire-item-control"/>
              <code value="flyover"/>
              <display value="Fly-over"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <text value="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. 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 it&#39;s narrative along with other profiles, value sets, etc."/>
        <type value="display"/>
      </item>
      <item>
        <linkId value="InsurancePlan.implicitRules.value"/>
        <text value="A set of rules under which this content was created"/>
        <type value="string"/>
        <required value="false"/>
        <repeats value="false"/>
      </item>
    </item>
    <item>
      <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs">
        <valueInteger value="1"/>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType">
        <valueString value="code"/>
      </extension>
      <linkId value="InsurancePlan.language"/>
      <type value="group"/>
      <required value="false"/>
      <repeats value="true"/>
      <item>
        <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/questionnaire-item-control"/>
              <code value="flyover"/>
              <display value="Fly-over"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <text value="The base language in which the resource is written. 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)."/>
        <type value="display"/>
      </item>
      <item>
        <linkId value="InsurancePlan.language.value"/>
        <text value="language"/>
        <type value="choice"/>
        <required value="false"/>
        <repeats value="false"/>
      </item>
    </item>
    <item>
      <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs">
        <valueInteger value="1"/>
      </extension>
      <linkId value="InsurancePlan.text"/>
      <text value="Text summary of the resource, for human interpretation"/>
      <type value="group"/>
      <required value="false"/>
      <repeats value="true"/>
      <item>
        <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/questionnaire-item-control"/>
              <code value="flyover"/>
              <display value="Fly-over"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <text value="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 &quot;clinically safe&quot; for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety. Contained resources do not have 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 &quot;text blob&quot; or where text is additionally entered raw or narrated and encoded information is added later."/>
        <type value="display"/>
      </item>
    </item>
    <item>
      <linkId value="InsurancePlan.contained"/>
      <text value="Contained, inline Resources"/>
      <type value="group"/>
      <required value="false"/>
      <repeats value="true"/>
      <item>
        <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/questionnaire-item-control"/>
              <code value="flyover"/>
              <display value="Fly-over"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <text value="These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope. 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."/>
        <type value="display"/>
      </item>
    </item>
    <item>
      <linkId value="InsurancePlan.extension"/>
      <text value="Additional Content defined by implementations"/>
      <type value="group"/>
      <required value="false"/>
      <repeats value="true"/>
      <item>
        <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/questionnaire-item-control"/>
              <code value="flyover"/>
              <display value="Fly-over"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <text value="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 manageable, 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. 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."/>
        <type value="display"/>
      </item>
    </item>
    <item>
      <linkId value="InsurancePlan.modifierExtension"/>
      <text value="Extensions that cannot be ignored"/>
      <type value="group"/>
      <required value="false"/>
      <repeats value="true"/>
      <item>
        <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/questionnaire-item-control"/>
              <code value="flyover"/>
              <display value="Fly-over"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <text value="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. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, 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.&#xA;&#xA;Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). 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."/>
        <type value="display"/>
      </item>
    </item>
    <item>
      <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType">
        <valueString value="Identifier"/>
      </extension>
      <linkId value="InsurancePlan.identifier"/>
      <text value="Business Identifier for Product"/>
      <type value="group"/>
      <required value="false"/>
      <repeats value="true"/>
      <item>
        <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/questionnaire-item-control"/>
              <code value="flyover"/>
              <display value="Fly-over"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <text value="Business identifiers assigned to this health insurance product which remain constant as the resource is updated and propagates from server to server."/>
        <type value="display"/>
      </item>
      <item>
        <linkId value="InsurancePlan.identifier.label"/>
        <text value="label:"/>
        <type value="string"/>
        <required value="false"/>
        <repeats value="false"/>
      </item>
      <item>
        <linkId value="InsurancePlan.identifier.system"/>
        <text value="system:"/>
        <type value="string"/>
        <required value="false"/>
        <repeats value="false"/>
      </item>
      <item>
        <linkId value="InsurancePlan.identifier.value"/>
        <text value="value:"/>
        <type value="string"/>
        <required value="false"/>
        <repeats value="false"/>
      </item>
    </item>
    <item>
      <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs">
        <valueInteger value="1"/>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType">
        <valueString value="code"/>
      </extension>
      <linkId value="InsurancePlan.status"/>
      <type value="group"/>
      <required value="false"/>
      <repeats value="true"/>
      <item>
        <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/questionnaire-item-control"/>
              <code value="flyover"/>
              <display value="Fly-over"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <text value="The current state of the health insurance product."/>
        <type value="display"/>
      </item>
      <item>
        <linkId value="InsurancePlan.status.value"/>
        <text value="status"/>
        <type value="choice"/>
        <required value="false"/>
        <repeats value="false"/>
      </item>
    </item>
    <item>
      <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType">
        <valueString value="CodeableConcept"/>
      </extension>
      <linkId value="InsurancePlan.type"/>
      <text value="Kind of product"/>
      <type value="group"/>
      <required value="false"/>
      <repeats value="true"/>
      <item>
        <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/questionnaire-item-control"/>
              <code value="flyover"/>
              <display value="Fly-over"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <text value="The kind of health insurance product."/>
        <type value="display"/>
      </item>
      <item>
        <linkId value="InsurancePlan.type.coding"/>
        <text value="code:"/>
        <type value="open-choice"/>
        <required value="false"/>
        <repeats value="false"/>
      </item>
      <item>
        <linkId value="InsurancePlan.type.text"/>
        <text value="text:"/>
        <type value="string"/>
        <required value="false"/>
        <repeats value="false"/>
      </item>
    </item>
    <item>
      <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs">
        <valueInteger value="1"/>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType">
        <valueString value="string"/>
      </extension>
      <linkId value="InsurancePlan.name"/>
      <type value="group"/>
      <required value="false"/>
      <repeats value="true"/>
      <item>
        <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/questionnaire-item-control"/>
              <code value="flyover"/>
              <display value="Fly-over"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <text value="Official name of the health insurance product as designated by the owner. If the name of the product/plan changes, consider putting the old name in the alias column so that it can still be located through searches."/>
        <type value="display"/>
      </item>
      <item>
        <linkId value="InsurancePlan.name.value"/>
        <text value="Official name"/>
        <type value="string"/>
        <required value="false"/>
        <repeats value="false"/>
      </item>
    </item>
    <item>
      <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType">
        <valueString value="string"/>
      </extension>
      <linkId value="InsurancePlan.alias"/>
      <type value="group"/>
      <required value="false"/>
      <repeats value="true"/>
      <item>
        <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/questionnaire-item-control"/>
              <code value="flyover"/>
              <display value="Fly-over"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <text value="A list of alternate names that the product is known as, or was known as in the past. There are no dates associated with the alias/historic names, as this is not intended to track when names were used, but to assist in searching so that older names can still result in identifying the product/plan."/>
        <type value="display"/>
      </item>
      <item>
        <linkId value="InsurancePlan.alias.value"/>
        <text value="Alternate names"/>
        <type value="string"/>
        <required value="false"/>
        <repeats value="false"/>
      </item>
    </item>
    <item>
      <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs">
        <valueInteger value="1"/>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType">
        <valueString value="Period"/>
      </extension>
      <linkId value="InsurancePlan.period"/>
      <text value="When the product is available"/>
      <type value="group"/>
      <required value="false"/>
      <repeats value="true"/>
      <item>
        <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/questionnaire-item-control"/>
              <code value="flyover"/>
              <display value="Fly-over"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <text value="The period of time that the health insurance product is available."/>
        <type value="display"/>
      </item>
      <item>
        <linkId value="InsurancePlan.period.low"/>
        <text value="start:"/>
        <type value="dateTime"/>
        <required value="false"/>
        <repeats value="false"/>
      </item>
      <item>
        <linkId value="InsurancePlan.period.end"/>
        <text value="end:"/>
        <type value="dateTime"/>
        <required value="false"/>
        <repeats value="false"/>
      </item>
    </item>
    <item>
      <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs">
        <valueInteger value="1"/>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType">
        <valueString value="Reference"/>
      </extension>
      <linkId value="InsurancePlan.ownedBy"/>
      <type value="group"/>
      <required value="false"/>
      <repeats value="true"/>
      <item>
        <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/questionnaire-item-control"/>
              <code value="flyover"/>
              <display value="Fly-over"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <text value="The entity that is providing  the health insurance product and underwriting the risk.  This is typically an insurance carriers, other third-party payers, or health plan sponsors comonly referred to as &#39;payers&#39;."/>
        <type value="display"/>
      </item>
      <item>
        <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-allowedResource">
          <valueCode value="Organization"/>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-referenceFilter">
          <valueString value="subject=$subj&amp;patient=$subj&amp;encounter=$encounter"/>
        </extension>
        <linkId value="InsurancePlan.ownedBy.value"/>
        <text value="Plan issuer"/>
        <type value="reference"/>
        <required value="false"/>
        <repeats value="false"/>
      </item>
    </item>
    <item>
      <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs">
        <valueInteger value="1"/>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType">
        <valueString value="Reference"/>
      </extension>
      <linkId value="InsurancePlan.administeredBy"/>
      <type value="group"/>
      <required value="false"/>
      <repeats value="true"/>
      <item>
        <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/questionnaire-item-control"/>
              <code value="flyover"/>
              <display value="Fly-over"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <text value="An organization which administer other services such as underwriting, customer service and/or claims processing on behalf of the health insurance product owner."/>
        <type value="display"/>
      </item>
      <item>
        <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-allowedResource">
          <valueCode value="Organization"/>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-referenceFilter">
          <valueString value="subject=$subj&amp;patient=$subj&amp;encounter=$encounter"/>
        </extension>
        <linkId value="InsurancePlan.administeredBy.value"/>
        <text value="Product administrator"/>
        <type value="reference"/>
        <required value="false"/>
        <repeats value="false"/>
      </item>
    </item>
    <item>
      <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType">
        <valueString value="Reference"/>
      </extension>
      <linkId value="InsurancePlan.coverageArea"/>
      <type value="group"/>
      <required value="false"/>
      <repeats value="true"/>
      <item>
        <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/questionnaire-item-control"/>
              <code value="flyover"/>
              <display value="Fly-over"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <text value="The geographic region in which a health insurance product&#39;s benefits apply."/>
        <type value="display"/>
      </item>
      <item>
        <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-allowedResource">
          <valueCode value="Location"/>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-referenceFilter">
          <valueString value="subject=$subj&amp;patient=$subj&amp;encounter=$encounter"/>
        </extension>
        <linkId value="InsurancePlan.coverageArea.value"/>
        <text value="Where product applies"/>
        <type value="reference"/>
        <required value="false"/>
        <repeats value="false"/>
      </item>
    </item>
    <item>
      <linkId value="InsurancePlan.contact"/>
      <text value="Contact for the product"/>
      <type value="group"/>
      <required value="false"/>
      <repeats value="true"/>
      <item>
        <text value="Where multiple contacts for the same purpose are provided there is a standard extension that can be used to determine which one is the preferred contact to use."/>
        <type value="display"/>
      </item>
      <item>
        <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/questionnaire-item-control"/>
              <code value="flyover"/>
              <display value="Fly-over"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <text value="The contact for the health insurance product for a certain purpose."/>
        <type value="display"/>
      </item>
      <item>
        <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs">
          <valueInteger value="1"/>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType">
          <valueString value="string"/>
        </extension>
        <linkId value="InsurancePlan.contact.id"/>
        <type value="group"/>
        <required value="false"/>
        <repeats value="true"/>
        <item>
          <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
            <valueCodeableConcept>
              <coding>
                <system value="http://hl7.org/fhir/questionnaire-item-control"/>
                <code value="flyover"/>
                <display value="Fly-over"/>
              </coding>
            </valueCodeableConcept>
          </extension>
          <text value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
          <type value="display"/>
        </item>
        <item>
          <linkId value="InsurancePlan.contact.id.value"/>
          <text value="xml:id (or equivalent in JSON)"/>
          <type value="string"/>
          <required value="false"/>
          <repeats value="false"/>
        </item>
      </item>
      <item>
        <linkId value="InsurancePlan.contact.extension"/>
        <text value="Additional content defined by implementations"/>
        <type value="group"/>
        <required value="false"/>
        <repeats value="true"/>
        <item>
          <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
            <valueCodeableConcept>
              <coding>
                <system value="http://hl7.org/fhir/questionnaire-item-control"/>
                <code value="flyover"/>
                <display value="Fly-over"/>
              </coding>
            </valueCodeableConcept>
          </extension>
          <text value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, 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. 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."/>
          <type value="display"/>
        </item>
      </item>
      <item>
        <linkId value="InsurancePlan.contact.modifierExtension"/>
        <text value="Extensions that cannot be ignored if unrecognized"/>
        <type value="group"/>
        <required value="false"/>
        <repeats value="true"/>
        <item>
          <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
            <valueCodeableConcept>
              <coding>
                <system value="http://hl7.org/fhir/questionnaire-item-control"/>
                <code value="flyover"/>
                <display value="Fly-over"/>
              </coding>
            </valueCodeableConcept>
          </extension>
          <text value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, 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. Applications processing a resource are required to check for modifier extensions.&#xA;&#xA;Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). 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."/>
          <type value="display"/>
        </item>
      </item>
      <item>
        <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs">
          <valueInteger value="1"/>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType">
          <valueString value="CodeableConcept"/>
        </extension>
        <linkId value="InsurancePlan.contact.purpose"/>
        <text value="The type of contact"/>
        <type value="group"/>
        <required value="false"/>
        <repeats value="true"/>
        <item>
          <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
            <valueCodeableConcept>
              <coding>
                <system value="http://hl7.org/fhir/questionnaire-item-control"/>
                <code value="flyover"/>
                <display value="Fly-over"/>
              </coding>
            </valueCodeableConcept>
          </extension>
          <text value="Indicates a purpose for which the contact can be reached."/>
          <type value="display"/>
        </item>
        <item>
          <linkId value="InsurancePlan.contact.purpose.coding"/>
          <text value="code:"/>
          <type value="open-choice"/>
          <required value="false"/>
          <repeats value="false"/>
        </item>
        <item>
          <linkId value="InsurancePlan.contact.purpose.text"/>
          <text value="text:"/>
          <type value="string"/>
          <required value="false"/>
          <repeats value="false"/>
        </item>
      </item>
      <item>
        <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs">
          <valueInteger value="1"/>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType">
          <valueString value="Name"/>
        </extension>
        <linkId value="InsurancePlan.contact.name"/>
        <text value="A name associated with the contact"/>
        <type value="group"/>
        <required value="false"/>
        <repeats value="true"/>
        <item>
          <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
            <valueCodeableConcept>
              <coding>
                <system value="http://hl7.org/fhir/questionnaire-item-control"/>
                <code value="flyover"/>
                <display value="Fly-over"/>
              </coding>
            </valueCodeableConcept>
          </extension>
          <text value="A name associated with the contact."/>
          <type value="display"/>
        </item>
        <item>
          <linkId value="InsurancePlan.contact.name.text"/>
          <text value="text:"/>
          <type value="string"/>
          <required value="false"/>
          <repeats value="false"/>
        </item>
        <item>
          <linkId value="InsurancePlan.contact.name.family"/>
          <text value="family:"/>
          <type value="string"/>
          <required value="false"/>
          <repeats value="true"/>
        </item>
        <item>
          <linkId value="InsurancePlan.contact.name.given"/>
          <text value="given:"/>
          <type value="string"/>
          <required value="false"/>
          <repeats value="true"/>
        </item>
      </item>
      <item>
        <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType">
          <valueString value="ContactPoint"/>
        </extension>
        <linkId value="InsurancePlan.contact.telecom"/>
        <text value="Contact details (telephone, email, etc.)  for a contact"/>
        <type value="group"/>
        <required value="false"/>
        <repeats value="true"/>
        <item>
          <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
            <valueCodeableConcept>
              <coding>
                <system value="http://hl7.org/fhir/questionnaire-item-control"/>
                <code value="flyover"/>
                <display value="Fly-over"/>
              </coding>
            </valueCodeableConcept>
          </extension>
          <text value="A contact detail (e.g. a telephone number or an email address) by which the party may be contacted."/>
          <type value="display"/>
        </item>
        <item>
          <linkId value="InsurancePlan.contact.telecom.system"/>
          <text value="type:"/>
          <type value="choice"/>
          <required value="false"/>
          <repeats value="false"/>
        </item>
        <item>
          <linkId value="InsurancePlan.contact.telecom.value"/>
          <text value="value:"/>
          <type value="string"/>
          <required value="false"/>
          <repeats value="false"/>
        </item>
        <item>
          <linkId value="InsurancePlan.contact.telecom.use"/>
          <text value="use:"/>
          <type value="choice"/>
          <required value="false"/>
          <repeats value="false"/>
        </item>
      </item>
      <item>
        <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs">
          <valueInteger value="1"/>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType">
          <valueString value="Address"/>
        </extension>
        <linkId value="InsurancePlan.contact.address"/>
        <text value="Visiting or postal addresses for the contact"/>
        <type value="group"/>
        <required value="false"/>
        <repeats value="true"/>
        <item>
          <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
            <valueCodeableConcept>
              <coding>
                <system value="http://hl7.org/fhir/questionnaire-item-control"/>
                <code value="flyover"/>
                <display value="Fly-over"/>
              </coding>
            </valueCodeableConcept>
          </extension>
          <text value="Visiting or postal addresses for the contact."/>
          <type value="display"/>
        </item>
        <item>
          <linkId value="InsurancePlan.contact.address.text"/>
          <text value="text:"/>
          <type value="string"/>
          <required value="false"/>
          <repeats value="false"/>
        </item>
        <item>
          <linkId value="InsurancePlan.contact.address.line"/>
          <text value="line:"/>
          <type value="string"/>
          <required value="false"/>
          <repeats value="true"/>
        </item>
        <item>
          <linkId value="InsurancePlan.contact.address.city"/>
          <text value="city:"/>
          <type value="string"/>
          <required value="false"/>
          <repeats value="false"/>
        </item>
        <item>
          <linkId value="InsurancePlan.contact.address.state"/>
          <text value="state:"/>
          <type value="string"/>
          <required value="false"/>
          <repeats value="false"/>
        </item>
        <item>
          <linkId value="InsurancePlan.contact.address.postalCode"/>
          <text value="post code:"/>
          <type value="string"/>
          <required value="false"/>
          <repeats value="false"/>
        </item>
        <item>
          <linkId value="InsurancePlan.contact.address.country"/>
          <text value="country:"/>
          <type value="string"/>
          <required value="false"/>
          <repeats value="false"/>
        </item>
        <item>
          <linkId value="InsurancePlan.contact.address.use"/>
          <text value="use:"/>
          <type value="choice"/>
          <required value="false"/>
          <repeats value="false"/>
        </item>
      </item>
    </item>
    <item>
      <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType">
        <valueString value="Reference"/>
      </extension>
      <linkId value="InsurancePlan.endpoint"/>
      <type value="group"/>
      <required value="false"/>
      <repeats value="true"/>
      <item>
        <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/questionnaire-item-control"/>
              <code value="flyover"/>
              <display value="Fly-over"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <text value="The technical endpoints providing access to services operated for the health insurance product."/>
        <type value="display"/>
      </item>
      <item>
        <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-allowedResource">
          <valueCode value="Endpoint"/>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-referenceFilter">
          <valueString value="subject=$subj&amp;patient=$subj&amp;encounter=$encounter"/>
        </extension>
        <linkId value="InsurancePlan.endpoint.value"/>
        <text value="Technical endpoint"/>
        <type value="reference"/>
        <required value="false"/>
        <repeats value="false"/>
      </item>
    </item>
    <item>
      <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType">
        <valueString value="Reference"/>
      </extension>
      <linkId value="InsurancePlan.network"/>
      <type value="group"/>
      <required value="false"/>
      <repeats value="true"/>
      <item>
        <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/questionnaire-item-control"/>
              <code value="flyover"/>
              <display value="Fly-over"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <text value="Reference to the network included in the health insurance product. Networks are represented as a hierarchy of organization resources."/>
        <type value="display"/>
      </item>
      <item>
        <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-allowedResource">
          <valueCode value="Organization"/>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-referenceFilter">
          <valueString value="subject=$subj&amp;patient=$subj&amp;encounter=$encounter"/>
        </extension>
        <linkId value="InsurancePlan.network.value"/>
        <text value="What networks are Included"/>
        <type value="reference"/>
        <required value="false"/>
        <repeats value="false"/>
      </item>
    </item>
    <item>
      <linkId value="InsurancePlan.coverage"/>
      <text value="Coverage details"/>
      <type value="group"/>
      <required value="false"/>
      <repeats value="true"/>
      <item>
        <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/questionnaire-item-control"/>
              <code value="flyover"/>
              <display value="Fly-over"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <text value="Details about the coverage offered by the insurance product."/>
        <type value="display"/>
      </item>
      <item>
        <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs">
          <valueInteger value="1"/>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType">
          <valueString value="string"/>
        </extension>
        <linkId value="InsurancePlan.coverage.id"/>
        <type value="group"/>
        <required value="false"/>
        <repeats value="true"/>
        <item>
          <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
            <valueCodeableConcept>
              <coding>
                <system value="http://hl7.org/fhir/questionnaire-item-control"/>
                <code value="flyover"/>
                <display value="Fly-over"/>
              </coding>
            </valueCodeableConcept>
          </extension>
          <text value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
          <type value="display"/>
        </item>
        <item>
          <linkId value="InsurancePlan.coverage.id.value"/>
          <text value="xml:id (or equivalent in JSON)"/>
          <type value="string"/>
          <required value="false"/>
          <repeats value="false"/>
        </item>
      </item>
      <item>
        <linkId value="InsurancePlan.coverage.extension"/>
        <text value="Additional content defined by implementations"/>
        <type value="group"/>
        <required value="false"/>
        <repeats value="true"/>
        <item>
          <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
            <valueCodeableConcept>
              <coding>
                <system value="http://hl7.org/fhir/questionnaire-item-control"/>
                <code value="flyover"/>
                <display value="Fly-over"/>
              </coding>
            </valueCodeableConcept>
          </extension>
          <text value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, 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. 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."/>
          <type value="display"/>
        </item>
      </item>
      <item>
        <linkId value="InsurancePlan.coverage.modifierExtension"/>
        <text value="Extensions that cannot be ignored if unrecognized"/>
        <type value="group"/>
        <required value="false"/>
        <repeats value="true"/>
        <item>
          <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
            <valueCodeableConcept>
              <coding>
                <system value="http://hl7.org/fhir/questionnaire-item-control"/>
                <code value="flyover"/>
                <display value="Fly-over"/>
              </coding>
            </valueCodeableConcept>
          </extension>
          <text value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, 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. Applications processing a resource are required to check for modifier extensions.&#xA;&#xA;Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). 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."/>
          <type value="display"/>
        </item>
      </item>
      <item>
        <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-minOccurs">
          <valueInteger value="1"/>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs">
          <valueInteger value="1"/>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType">
          <valueString value="CodeableConcept"/>
        </extension>
        <linkId value="InsurancePlan.coverage.type"/>
        <text value="Type of coverage"/>
        <type value="group"/>
        <required value="true"/>
        <repeats value="true"/>
        <item>
          <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
            <valueCodeableConcept>
              <coding>
                <system value="http://hl7.org/fhir/questionnaire-item-control"/>
                <code value="flyover"/>
                <display value="Fly-over"/>
              </coding>
            </valueCodeableConcept>
          </extension>
          <text value="Type of coverage  (Medical; Dental; Mental Health; Substance Abuse; Vision; Drug; Short Term; Long Term Care; Hospice; Home Health)."/>
          <type value="display"/>
        </item>
        <item>
          <linkId value="InsurancePlan.coverage.type.coding"/>
          <text value="code:"/>
          <type value="open-choice"/>
          <required value="false"/>
          <repeats value="false"/>
        </item>
        <item>
          <linkId value="InsurancePlan.coverage.type.text"/>
          <text value="text:"/>
          <type value="string"/>
          <required value="false"/>
          <repeats value="false"/>
        </item>
      </item>
      <item>
        <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType">
          <valueString value="Reference"/>
        </extension>
        <linkId value="InsurancePlan.coverage.network"/>
        <type value="group"/>
        <required value="false"/>
        <repeats value="true"/>
        <item>
          <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
            <valueCodeableConcept>
              <coding>
                <system value="http://hl7.org/fhir/questionnaire-item-control"/>
                <code value="flyover"/>
                <display value="Fly-over"/>
              </coding>
            </valueCodeableConcept>
          </extension>
          <text value="Reference to the network that providing the type of coverage. Networks are represented as a hierarchy of organization resources."/>
          <type value="display"/>
        </item>
        <item>
          <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-allowedResource">
            <valueCode value="Organization"/>
          </extension>
          <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-referenceFilter">
            <valueString value="subject=$subj&amp;patient=$subj&amp;encounter=$encounter"/>
          </extension>
          <linkId value="InsurancePlan.coverage.network.value"/>
          <text value="What networks provide coverage"/>
          <type value="reference"/>
          <required value="false"/>
          <repeats value="false"/>
        </item>
      </item>
      <item>
        <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-minOccurs">
          <valueInteger value="1"/>
        </extension>
        <linkId value="InsurancePlan.coverage.benefit"/>
        <text value="List of benefits"/>
        <type value="group"/>
        <required value="true"/>
        <repeats value="true"/>
        <item>
          <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
            <valueCodeableConcept>
              <coding>
                <system value="http://hl7.org/fhir/questionnaire-item-control"/>
                <code value="flyover"/>
                <display value="Fly-over"/>
              </coding>
            </valueCodeableConcept>
          </extension>
          <text value="Specific benefits under this type of coverage."/>
          <type value="display"/>
        </item>
        <item>
          <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs">
            <valueInteger value="1"/>
          </extension>
          <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType">
            <valueString value="string"/>
          </extension>
          <linkId value="InsurancePlan.coverage.benefit.id"/>
          <type value="group"/>
          <required value="false"/>
          <repeats value="true"/>
          <item>
            <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
              <valueCodeableConcept>
                <coding>
                  <system value="http://hl7.org/fhir/questionnaire-item-control"/>
                  <code value="flyover"/>
                  <display value="Fly-over"/>
                </coding>
              </valueCodeableConcept>
            </extension>
            <text value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
            <type value="display"/>
          </item>
          <item>
            <linkId value="InsurancePlan.coverage.benefit.id.value"/>
            <text value="xml:id (or equivalent in JSON)"/>
            <type value="string"/>
            <required value="false"/>
            <repeats value="false"/>
          </item>
        </item>
        <item>
          <linkId value="InsurancePlan.coverage.benefit.extension"/>
          <text value="Additional content defined by implementations"/>
          <type value="group"/>
          <required value="false"/>
          <repeats value="true"/>
          <item>
            <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
              <valueCodeableConcept>
                <coding>
                  <system value="http://hl7.org/fhir/questionnaire-item-control"/>
                  <code value="flyover"/>
                  <display value="Fly-over"/>
                </coding>
              </valueCodeableConcept>
            </extension>
            <text value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, 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. 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."/>
            <type value="display"/>
          </item>
        </item>
        <item>
          <linkId value="InsurancePlan.coverage.benefit.modifierExtension"/>
          <text value="Extensions that cannot be ignored if unrecognized"/>
          <type value="group"/>
          <required value="false"/>
          <repeats value="true"/>
          <item>
            <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
              <valueCodeableConcept>
                <coding>
                  <system value="http://hl7.org/fhir/questionnaire-item-control"/>
                  <code value="flyover"/>
                  <display value="Fly-over"/>
                </coding>
              </valueCodeableConcept>
            </extension>
            <text value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, 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. Applications processing a resource are required to check for modifier extensions.&#xA;&#xA;Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). 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."/>
            <type value="display"/>
          </item>
        </item>
        <item>
          <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-minOccurs">
            <valueInteger value="1"/>
          </extension>
          <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs">
            <valueInteger value="1"/>
          </extension>
          <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType">
            <valueString value="CodeableConcept"/>
          </extension>
          <linkId value="InsurancePlan.coverage.benefit.type"/>
          <text value="Type of benefit"/>
          <type value="group"/>
          <required value="true"/>
          <repeats value="true"/>
          <item>
            <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
              <valueCodeableConcept>
                <coding>
                  <system value="http://hl7.org/fhir/questionnaire-item-control"/>
                  <code value="flyover"/>
                  <display value="Fly-over"/>
                </coding>
              </valueCodeableConcept>
            </extension>
            <text value="Type of benefit (primary care; speciality care; inpatient; outpatient)."/>
            <type value="display"/>
          </item>
          <item>
            <linkId value="InsurancePlan.coverage.benefit.type.coding"/>
            <text value="code:"/>
            <type value="open-choice"/>
            <required value="false"/>
            <repeats value="false"/>
          </item>
          <item>
            <linkId value="InsurancePlan.coverage.benefit.type.text"/>
            <text value="text:"/>
            <type value="string"/>
            <required value="false"/>
            <repeats value="false"/>
          </item>
        </item>
        <item>
          <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs">
            <valueInteger value="1"/>
          </extension>
          <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType">
            <valueString value="string"/>
          </extension>
          <linkId value="InsurancePlan.coverage.benefit.requirement"/>
          <type value="group"/>
          <required value="false"/>
          <repeats value="true"/>
          <item>
            <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
              <valueCodeableConcept>
                <coding>
                  <system value="http://hl7.org/fhir/questionnaire-item-control"/>
                  <code value="flyover"/>
                  <display value="Fly-over"/>
                </coding>
              </valueCodeableConcept>
            </extension>
            <text value="The referral requirements to have access/coverage for this benefit."/>
            <type value="display"/>
          </item>
          <item>
            <linkId value="InsurancePlan.coverage.benefit.requirement.value"/>
            <text value="Referral requirements"/>
            <type value="string"/>
            <required value="false"/>
            <repeats value="false"/>
          </item>
        </item>
        <item>
          <linkId value="InsurancePlan.coverage.benefit.limit"/>
          <text value="Benefit limits"/>
          <type value="group"/>
          <required value="false"/>
          <repeats value="true"/>
          <item>
            <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
              <valueCodeableConcept>
                <coding>
                  <system value="http://hl7.org/fhir/questionnaire-item-control"/>
                  <code value="flyover"/>
                  <display value="Fly-over"/>
                </coding>
              </valueCodeableConcept>
            </extension>
            <text value="The specific limits on the benefit."/>
            <type value="display"/>
          </item>
          <item>
            <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs">
              <valueInteger value="1"/>
            </extension>
            <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType">
              <valueString value="string"/>
            </extension>
            <linkId value="InsurancePlan.coverage.benefit.limit.id"/>
            <type value="group"/>
            <required value="false"/>
            <repeats value="true"/>
            <item>
              <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
                <valueCodeableConcept>
                  <coding>
                    <system value="http://hl7.org/fhir/questionnaire-item-control"/>
                    <code value="flyover"/>
                    <display value="Fly-over"/>
                  </coding>
                </valueCodeableConcept>
              </extension>
              <text value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
              <type value="display"/>
            </item>
            <item>
              <linkId value="InsurancePlan.coverage.benefit.limit.id.value"/>
              <text value="xml:id (or equivalent in JSON)"/>
              <type value="string"/>
              <required value="false"/>
              <repeats value="false"/>
            </item>
          </item>
          <item>
            <linkId value="InsurancePlan.coverage.benefit.limit.extension"/>
            <text value="Additional content defined by implementations"/>
            <type value="group"/>
            <required value="false"/>
            <repeats value="true"/>
            <item>
              <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
                <valueCodeableConcept>
                  <coding>
                    <system value="http://hl7.org/fhir/questionnaire-item-control"/>
                    <code value="flyover"/>
                    <display value="Fly-over"/>
                  </coding>
                </valueCodeableConcept>
              </extension>
              <text value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, 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. 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."/>
              <type value="display"/>
            </item>
          </item>
          <item>
            <linkId value="InsurancePlan.coverage.benefit.limit.modifierExtension"/>
            <text value="Extensions that cannot be ignored if unrecognized"/>
            <type value="group"/>
            <required value="false"/>
            <repeats value="true"/>
            <item>
              <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
                <valueCodeableConcept>
                  <coding>
                    <system value="http://hl7.org/fhir/questionnaire-item-control"/>
                    <code value="flyover"/>
                    <display value="Fly-over"/>
                  </coding>
                </valueCodeableConcept>
              </extension>
              <text value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, 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. Applications processing a resource are required to check for modifier extensions.&#xA;&#xA;Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). 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."/>
              <type value="display"/>
            </item>
          </item>
          <item>
            <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs">
              <valueInteger value="1"/>
            </extension>
            <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType">
              <valueString value="Quantity"/>
            </extension>
            <linkId value="InsurancePlan.coverage.benefit.limit.value"/>
            <text value="Maximum value allowed"/>
            <type value="group"/>
            <required value="false"/>
            <repeats value="true"/>
            <item>
              <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
                <valueCodeableConcept>
                  <coding>
                    <system value="http://hl7.org/fhir/questionnaire-item-control"/>
                    <code value="flyover"/>
                    <display value="Fly-over"/>
                  </coding>
                </valueCodeableConcept>
              </extension>
              <text value="The maximum amount of a service item a plan will pay for a covered benefit.  For examples. wellness visits, or eyeglasses. May also be called &#x201C;eligible expense,&#x201D; &#x201C;payment allowance,&#x201D; or &#x201C;negotiated rate.&#x201D;."/>
              <type value="display"/>
            </item>
            <item>
              <linkId value="InsurancePlan.coverage.benefit.limit.value.comparator"/>
              <text value="comp:"/>
              <type value="choice"/>
              <required value="false"/>
              <repeats value="false"/>
            </item>
            <item>
              <linkId value="InsurancePlan.coverage.benefit.limit.value.value"/>
              <text value="value:"/>
              <type value="decimal"/>
              <required value="false"/>
              <repeats value="false"/>
            </item>
            <item>
              <linkId value="InsurancePlan.coverage.benefit.limit.value.units"/>
              <text value="units:"/>
              <type value="string"/>
              <required value="false"/>
              <repeats value="false"/>
            </item>
            <item>
              <linkId value="InsurancePlan.coverage.benefit.limit.value.code"/>
              <text value="coded units:"/>
              <type value="string"/>
              <required value="false"/>
              <repeats value="false"/>
            </item>
            <item>
              <linkId value="InsurancePlan.coverage.benefit.limit.value.system"/>
              <text value="units system:"/>
              <type value="string"/>
              <required value="false"/>
              <repeats value="false"/>
            </item>
          </item>
          <item>
            <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs">
              <valueInteger value="1"/>
            </extension>
            <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType">
              <valueString value="CodeableConcept"/>
            </extension>
            <linkId value="InsurancePlan.coverage.benefit.limit.code"/>
            <text value="Benefit limit details"/>
            <type value="group"/>
            <required value="false"/>
            <repeats value="true"/>
            <item>
              <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
                <valueCodeableConcept>
                  <coding>
                    <system value="http://hl7.org/fhir/questionnaire-item-control"/>
                    <code value="flyover"/>
                    <display value="Fly-over"/>
                  </coding>
                </valueCodeableConcept>
              </extension>
              <text value="The specific limit on the benefit. Use `CodeableConcept.text` element if the data is free (uncoded) text."/>
              <type value="display"/>
            </item>
            <item>
              <linkId value="InsurancePlan.coverage.benefit.limit.code.coding"/>
              <text value="code:"/>
              <type value="open-choice"/>
              <required value="false"/>
              <repeats value="false"/>
            </item>
            <item>
              <linkId value="InsurancePlan.coverage.benefit.limit.code.text"/>
              <text value="text:"/>
              <type value="string"/>
              <required value="false"/>
              <repeats value="false"/>
            </item>
          </item>
        </item>
      </item>
    </item>
    <item>
      <linkId value="InsurancePlan.plan"/>
      <text value="Plan details"/>
      <type value="group"/>
      <required value="false"/>
      <repeats value="true"/>
      <item>
        <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/questionnaire-item-control"/>
              <code value="flyover"/>
              <display value="Fly-over"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <text value="Details about an insurance plan."/>
        <type value="display"/>
      </item>
      <item>
        <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs">
          <valueInteger value="1"/>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType">
          <valueString value="string"/>
        </extension>
        <linkId value="InsurancePlan.plan.id"/>
        <type value="group"/>
        <required value="false"/>
        <repeats value="true"/>
        <item>
          <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
            <valueCodeableConcept>
              <coding>
                <system value="http://hl7.org/fhir/questionnaire-item-control"/>
                <code value="flyover"/>
                <display value="Fly-over"/>
              </coding>
            </valueCodeableConcept>
          </extension>
          <text value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
          <type value="display"/>
        </item>
        <item>
          <linkId value="InsurancePlan.plan.id.value"/>
          <text value="xml:id (or equivalent in JSON)"/>
          <type value="string"/>
          <required value="false"/>
          <repeats value="false"/>
        </item>
      </item>
      <item>
        <linkId value="InsurancePlan.plan.extension"/>
        <text value="Additional content defined by implementations"/>
        <type value="group"/>
        <required value="false"/>
        <repeats value="true"/>
        <item>
          <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
            <valueCodeableConcept>
              <coding>
                <system value="http://hl7.org/fhir/questionnaire-item-control"/>
                <code value="flyover"/>
                <display value="Fly-over"/>
              </coding>
            </valueCodeableConcept>
          </extension>
          <text value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, 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. 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."/>
          <type value="display"/>
        </item>
      </item>
      <item>
        <linkId value="InsurancePlan.plan.modifierExtension"/>
        <text value="Extensions that cannot be ignored if unrecognized"/>
        <type value="group"/>
        <required value="false"/>
        <repeats value="true"/>
        <item>
          <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
            <valueCodeableConcept>
              <coding>
                <system value="http://hl7.org/fhir/questionnaire-item-control"/>
                <code value="flyover"/>
                <display value="Fly-over"/>
              </coding>
            </valueCodeableConcept>
          </extension>
          <text value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, 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. Applications processing a resource are required to check for modifier extensions.&#xA;&#xA;Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). 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."/>
          <type value="display"/>
        </item>
      </item>
      <item>
        <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType">
          <valueString value="Identifier"/>
        </extension>
        <linkId value="InsurancePlan.plan.identifier"/>
        <text value="Business Identifier for Product"/>
        <type value="group"/>
        <required value="false"/>
        <repeats value="true"/>
        <item>
          <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
            <valueCodeableConcept>
              <coding>
                <system value="http://hl7.org/fhir/questionnaire-item-control"/>
                <code value="flyover"/>
                <display value="Fly-over"/>
              </coding>
            </valueCodeableConcept>
          </extension>
          <text value="Business identifiers assigned to this health insurance plan which remain constant as the resource is updated and propagates from server to server."/>
          <type value="display"/>
        </item>
        <item>
          <linkId value="InsurancePlan.plan.identifier.label"/>
          <text value="label:"/>
          <type value="string"/>
          <required value="false"/>
          <repeats value="false"/>
        </item>
        <item>
          <linkId value="InsurancePlan.plan.identifier.system"/>
          <text value="system:"/>
          <type value="string"/>
          <required value="false"/>
          <repeats value="false"/>
        </item>
        <item>
          <linkId value="InsurancePlan.plan.identifier.value"/>
          <text value="value:"/>
          <type value="string"/>
          <required value="false"/>
          <repeats value="false"/>
        </item>
      </item>
      <item>
        <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs">
          <valueInteger value="1"/>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType">
          <valueString value="CodeableConcept"/>
        </extension>
        <linkId value="InsurancePlan.plan.type"/>
        <text value="Type of plan"/>
        <type value="group"/>
        <required value="false"/>
        <repeats value="true"/>
        <item>
          <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
            <valueCodeableConcept>
              <coding>
                <system value="http://hl7.org/fhir/questionnaire-item-control"/>
                <code value="flyover"/>
                <display value="Fly-over"/>
              </coding>
            </valueCodeableConcept>
          </extension>
          <text value="Type of plan. For example, &quot;Platinum&quot; or &quot;High Deductable&quot;."/>
          <type value="display"/>
        </item>
        <item>
          <linkId value="InsurancePlan.plan.type.coding"/>
          <text value="code:"/>
          <type value="open-choice"/>
          <required value="false"/>
          <repeats value="false"/>
        </item>
        <item>
          <linkId value="InsurancePlan.plan.type.text"/>
          <text value="text:"/>
          <type value="string"/>
          <required value="false"/>
          <repeats value="false"/>
        </item>
      </item>
      <item>
        <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType">
          <valueString value="Reference"/>
        </extension>
        <linkId value="InsurancePlan.plan.coverageArea"/>
        <type value="group"/>
        <required value="false"/>
        <repeats value="true"/>
        <item>
          <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
            <valueCodeableConcept>
              <coding>
                <system value="http://hl7.org/fhir/questionnaire-item-control"/>
                <code value="flyover"/>
                <display value="Fly-over"/>
              </coding>
            </valueCodeableConcept>
          </extension>
          <text value="The geographic region in which a health insurance plan&#39;s benefits apply."/>
          <type value="display"/>
        </item>
        <item>
          <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-allowedResource">
            <valueCode value="Location"/>
          </extension>
          <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-referenceFilter">
            <valueString value="subject=$subj&amp;patient=$subj&amp;encounter=$encounter"/>
          </extension>
          <linkId value="InsurancePlan.plan.coverageArea.value"/>
          <text value="Where product applies"/>
          <type value="reference"/>
          <required value="false"/>
          <repeats value="false"/>
        </item>
      </item>
      <item>
        <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType">
          <valueString value="Reference"/>
        </extension>
        <linkId value="InsurancePlan.plan.network"/>
        <type value="group"/>
        <required value="false"/>
        <repeats value="true"/>
        <item>
          <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
            <valueCodeableConcept>
              <coding>
                <system value="http://hl7.org/fhir/questionnaire-item-control"/>
                <code value="flyover"/>
                <display value="Fly-over"/>
              </coding>
            </valueCodeableConcept>
          </extension>
          <text value="Reference to the network that providing the type of coverage. Networks are represented as a hierarchy of organization resources."/>
          <type value="display"/>
        </item>
        <item>
          <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-allowedResource">
            <valueCode value="Organization"/>
          </extension>
          <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-referenceFilter">
            <valueString value="subject=$subj&amp;patient=$subj&amp;encounter=$encounter"/>
          </extension>
          <linkId value="InsurancePlan.plan.network.value"/>
          <text value="What networks provide coverage"/>
          <type value="reference"/>
          <required value="false"/>
          <repeats value="false"/>
        </item>
      </item>
      <item>
        <linkId value="InsurancePlan.plan.generalCost"/>
        <text value="Overall costs"/>
        <type value="group"/>
        <required value="false"/>
        <repeats value="true"/>
        <item>
          <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
            <valueCodeableConcept>
              <coding>
                <system value="http://hl7.org/fhir/questionnaire-item-control"/>
                <code value="flyover"/>
                <display value="Fly-over"/>
              </coding>
            </valueCodeableConcept>
          </extension>
          <text value="Overall costs associated with the plan."/>
          <type value="display"/>
        </item>
        <item>
          <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs">
            <valueInteger value="1"/>
          </extension>
          <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType">
            <valueString value="string"/>
          </extension>
          <linkId value="InsurancePlan.plan.generalCost.id"/>
          <type value="group"/>
          <required value="false"/>
          <repeats value="true"/>
          <item>
            <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
              <valueCodeableConcept>
                <coding>
                  <system value="http://hl7.org/fhir/questionnaire-item-control"/>
                  <code value="flyover"/>
                  <display value="Fly-over"/>
                </coding>
              </valueCodeableConcept>
            </extension>
            <text value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
            <type value="display"/>
          </item>
          <item>
            <linkId value="InsurancePlan.plan.generalCost.id.value"/>
            <text value="xml:id (or equivalent in JSON)"/>
            <type value="string"/>
            <required value="false"/>
            <repeats value="false"/>
          </item>
        </item>
        <item>
          <linkId value="InsurancePlan.plan.generalCost.extension"/>
          <text value="Additional content defined by implementations"/>
          <type value="group"/>
          <required value="false"/>
          <repeats value="true"/>
          <item>
            <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
              <valueCodeableConcept>
                <coding>
                  <system value="http://hl7.org/fhir/questionnaire-item-control"/>
                  <code value="flyover"/>
                  <display value="Fly-over"/>
                </coding>
              </valueCodeableConcept>
            </extension>
            <text value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, 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. 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."/>
            <type value="display"/>
          </item>
        </item>
        <item>
          <linkId value="InsurancePlan.plan.generalCost.modifierExtension"/>
          <text value="Extensions that cannot be ignored if unrecognized"/>
          <type value="group"/>
          <required value="false"/>
          <repeats value="true"/>
          <item>
            <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
              <valueCodeableConcept>
                <coding>
                  <system value="http://hl7.org/fhir/questionnaire-item-control"/>
                  <code value="flyover"/>
                  <display value="Fly-over"/>
                </coding>
              </valueCodeableConcept>
            </extension>
            <text value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, 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. Applications processing a resource are required to check for modifier extensions.&#xA;&#xA;Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). 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."/>
            <type value="display"/>
          </item>
        </item>
        <item>
          <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs">
            <valueInteger value="1"/>
          </extension>
          <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType">
            <valueString value="CodeableConcept"/>
          </extension>
          <linkId value="InsurancePlan.plan.generalCost.type"/>
          <text value="Type of cost"/>
          <type value="group"/>
          <required value="false"/>
          <repeats value="true"/>
          <item>
            <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
              <valueCodeableConcept>
                <coding>
                  <system value="http://hl7.org/fhir/questionnaire-item-control"/>
                  <code value="flyover"/>
                  <display value="Fly-over"/>
                </coding>
              </valueCodeableConcept>
            </extension>
            <text value="Type of cost."/>
            <type value="display"/>
          </item>
          <item>
            <linkId value="InsurancePlan.plan.generalCost.type.coding"/>
            <text value="code:"/>
            <type value="open-choice"/>
            <required value="false"/>
            <repeats value="false"/>
          </item>
          <item>
            <linkId value="InsurancePlan.plan.generalCost.type.text"/>
            <text value="text:"/>
            <type value="string"/>
            <required value="false"/>
            <repeats value="false"/>
          </item>
        </item>
        <item>
          <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs">
            <valueInteger value="1"/>
          </extension>
          <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType">
            <valueString value="integer"/>
          </extension>
          <linkId value="InsurancePlan.plan.generalCost.groupSize"/>
          <type value="group"/>
          <required value="false"/>
          <repeats value="true"/>
          <item>
            <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
              <valueCodeableConcept>
                <coding>
                  <system value="http://hl7.org/fhir/questionnaire-item-control"/>
                  <code value="flyover"/>
                  <display value="Fly-over"/>
                </coding>
              </valueCodeableConcept>
            </extension>
            <text value="Number of participants enrolled in the plan."/>
            <type value="display"/>
          </item>
          <item>
            <linkId value="InsurancePlan.plan.generalCost.groupSize.value"/>
            <text value="Number of enrollees"/>
            <type value="integer"/>
            <required value="false"/>
            <repeats value="false"/>
          </item>
        </item>
        <item>
          <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs">
            <valueInteger value="1"/>
          </extension>
          <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType">
            <valueString value="Quantity"/>
          </extension>
          <linkId value="InsurancePlan.plan.generalCost.cost"/>
          <text value="Cost value"/>
          <type value="group"/>
          <required value="false"/>
          <repeats value="true"/>
          <item>
            <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
              <valueCodeableConcept>
                <coding>
                  <system value="http://hl7.org/fhir/questionnaire-item-control"/>
                  <code value="flyover"/>
                  <display value="Fly-over"/>
                </coding>
              </valueCodeableConcept>
            </extension>
            <text value="Value of the cost."/>
            <type value="display"/>
          </item>
          <item>
            <linkId value="InsurancePlan.plan.generalCost.cost.comparator"/>
            <text value="comp:"/>
            <type value="choice"/>
            <required value="false"/>
            <repeats value="false"/>
          </item>
          <item>
            <linkId value="InsurancePlan.plan.generalCost.cost.value"/>
            <text value="value:"/>
            <type value="decimal"/>
            <required value="false"/>
            <repeats value="false"/>
          </item>
          <item>
            <linkId value="InsurancePlan.plan.generalCost.cost.units"/>
            <text value="units:"/>
            <type value="string"/>
            <required value="false"/>
            <repeats value="false"/>
          </item>
          <item>
            <linkId value="InsurancePlan.plan.generalCost.cost.code"/>
            <text value="coded units:"/>
            <type value="string"/>
            <required value="false"/>
            <repeats value="false"/>
          </item>
          <item>
            <linkId value="InsurancePlan.plan.generalCost.cost.system"/>
            <text value="units system:"/>
            <type value="string"/>
            <required value="false"/>
            <repeats value="false"/>
          </item>
        </item>
        <item>
          <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs">
            <valueInteger value="1"/>
          </extension>
          <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType">
            <valueString value="string"/>
          </extension>
          <linkId value="InsurancePlan.plan.generalCost.comment"/>
          <type value="group"/>
          <required value="false"/>
          <repeats value="true"/>
          <item>
            <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
              <valueCodeableConcept>
                <coding>
                  <system value="http://hl7.org/fhir/questionnaire-item-control"/>
                  <code value="flyover"/>
                  <display value="Fly-over"/>
                </coding>
              </valueCodeableConcept>
            </extension>
            <text value="Additional information about the general costs associated with this plan."/>
            <type value="display"/>
          </item>
          <item>
            <linkId value="InsurancePlan.plan.generalCost.comment.value"/>
            <text value="Additional cost information"/>
            <type value="string"/>
            <required value="false"/>
            <repeats value="false"/>
          </item>
        </item>
      </item>
      <item>
        <linkId value="InsurancePlan.plan.specificCost"/>
        <text value="Specific costs"/>
        <type value="group"/>
        <required value="false"/>
        <repeats value="true"/>
        <item>
          <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
            <valueCodeableConcept>
              <coding>
                <system value="http://hl7.org/fhir/questionnaire-item-control"/>
                <code value="flyover"/>
                <display value="Fly-over"/>
              </coding>
            </valueCodeableConcept>
          </extension>
          <text value="Costs associated with the coverage provided by the product."/>
          <type value="display"/>
        </item>
        <item>
          <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs">
            <valueInteger value="1"/>
          </extension>
          <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType">
            <valueString value="string"/>
          </extension>
          <linkId value="InsurancePlan.plan.specificCost.id"/>
          <type value="group"/>
          <required value="false"/>
          <repeats value="true"/>
          <item>
            <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
              <valueCodeableConcept>
                <coding>
                  <system value="http://hl7.org/fhir/questionnaire-item-control"/>
                  <code value="flyover"/>
                  <display value="Fly-over"/>
                </coding>
              </valueCodeableConcept>
            </extension>
            <text value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
            <type value="display"/>
          </item>
          <item>
            <linkId value="InsurancePlan.plan.specificCost.id.value"/>
            <text value="xml:id (or equivalent in JSON)"/>
            <type value="string"/>
            <required value="false"/>
            <repeats value="false"/>
          </item>
        </item>
        <item>
          <linkId value="InsurancePlan.plan.specificCost.extension"/>
          <text value="Additional content defined by implementations"/>
          <type value="group"/>
          <required value="false"/>
          <repeats value="true"/>
          <item>
            <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
              <valueCodeableConcept>
                <coding>
                  <system value="http://hl7.org/fhir/questionnaire-item-control"/>
                  <code value="flyover"/>
                  <display value="Fly-over"/>
                </coding>
              </valueCodeableConcept>
            </extension>
            <text value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, 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. 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."/>
            <type value="display"/>
          </item>
        </item>
        <item>
          <linkId value="InsurancePlan.plan.specificCost.modifierExtension"/>
          <text value="Extensions that cannot be ignored if unrecognized"/>
          <type value="group"/>
          <required value="false"/>
          <repeats value="true"/>
          <item>
            <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
              <valueCodeableConcept>
                <coding>
                  <system value="http://hl7.org/fhir/questionnaire-item-control"/>
                  <code value="flyover"/>
                  <display value="Fly-over"/>
                </coding>
              </valueCodeableConcept>
            </extension>
            <text value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, 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. Applications processing a resource are required to check for modifier extensions.&#xA;&#xA;Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). 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."/>
            <type value="display"/>
          </item>
        </item>
        <item>
          <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-minOccurs">
            <valueInteger value="1"/>
          </extension>
          <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs">
            <valueInteger value="1"/>
          </extension>
          <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType">
            <valueString value="CodeableConcept"/>
          </extension>
          <linkId value="InsurancePlan.plan.specificCost.category"/>
          <text value="General category of benefit"/>
          <type value="group"/>
          <required value="true"/>
          <repeats value="true"/>
          <item>
            <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
              <valueCodeableConcept>
                <coding>
                  <system value="http://hl7.org/fhir/questionnaire-item-control"/>
                  <code value="flyover"/>
                  <display value="Fly-over"/>
                </coding>
              </valueCodeableConcept>
            </extension>
            <text value="General category of benefit (Medical; Dental; Vision; Drug; Mental Health; Substance Abuse; Hospice, Home Health)."/>
            <type value="display"/>
          </item>
          <item>
            <linkId value="InsurancePlan.plan.specificCost.category.coding"/>
            <text value="code:"/>
            <type value="open-choice"/>
            <required value="false"/>
            <repeats value="false"/>
          </item>
          <item>
            <linkId value="InsurancePlan.plan.specificCost.category.text"/>
            <text value="text:"/>
            <type value="string"/>
            <required value="false"/>
            <repeats value="false"/>
          </item>
        </item>
        <item>
          <linkId value="InsurancePlan.plan.specificCost.benefit"/>
          <text value="Benefits list"/>
          <type value="group"/>
          <required value="false"/>
          <repeats value="true"/>
          <item>
            <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
              <valueCodeableConcept>
                <coding>
                  <system value="http://hl7.org/fhir/questionnaire-item-control"/>
                  <code value="flyover"/>
                  <display value="Fly-over"/>
                </coding>
              </valueCodeableConcept>
            </extension>
            <text value="List of the specific benefits under this category of benefit."/>
            <type value="display"/>
          </item>
          <item>
            <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs">
              <valueInteger value="1"/>
            </extension>
            <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType">
              <valueString value="string"/>
            </extension>
            <linkId value="InsurancePlan.plan.specificCost.benefit.id"/>
            <type value="group"/>
            <required value="false"/>
            <repeats value="true"/>
            <item>
              <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
                <valueCodeableConcept>
                  <coding>
                    <system value="http://hl7.org/fhir/questionnaire-item-control"/>
                    <code value="flyover"/>
                    <display value="Fly-over"/>
                  </coding>
                </valueCodeableConcept>
              </extension>
              <text value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
              <type value="display"/>
            </item>
            <item>
              <linkId value="InsurancePlan.plan.specificCost.benefit.id.value"/>
              <text value="xml:id (or equivalent in JSON)"/>
              <type value="string"/>
              <required value="false"/>
              <repeats value="false"/>
            </item>
          </item>
          <item>
            <linkId value="InsurancePlan.plan.specificCost.benefit.extension"/>
            <text value="Additional content defined by implementations"/>
            <type value="group"/>
            <required value="false"/>
            <repeats value="true"/>
            <item>
              <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
                <valueCodeableConcept>
                  <coding>
                    <system value="http://hl7.org/fhir/questionnaire-item-control"/>
                    <code value="flyover"/>
                    <display value="Fly-over"/>
                  </coding>
                </valueCodeableConcept>
              </extension>
              <text value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, 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. 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."/>
              <type value="display"/>
            </item>
          </item>
          <item>
            <linkId value="InsurancePlan.plan.specificCost.benefit.modifierExtension"/>
            <text value="Extensions that cannot be ignored if unrecognized"/>
            <type value="group"/>
            <required value="false"/>
            <repeats value="true"/>
            <item>
              <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
                <valueCodeableConcept>
                  <coding>
                    <system value="http://hl7.org/fhir/questionnaire-item-control"/>
                    <code value="flyover"/>
                    <display value="Fly-over"/>
                  </coding>
                </valueCodeableConcept>
              </extension>
              <text value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, 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. Applications processing a resource are required to check for modifier extensions.&#xA;&#xA;Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). 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."/>
              <type value="display"/>
            </item>
          </item>
          <item>
            <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-minOccurs">
              <valueInteger value="1"/>
            </extension>
            <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs">
              <valueInteger value="1"/>
            </extension>
            <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType">
              <valueString value="CodeableConcept"/>
            </extension>
            <linkId value="InsurancePlan.plan.specificCost.benefit.type"/>
            <text value="Type of specific benefit"/>
            <type value="group"/>
            <required value="true"/>
            <repeats value="true"/>
            <item>
              <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
                <valueCodeableConcept>
                  <coding>
                    <system value="http://hl7.org/fhir/questionnaire-item-control"/>
                    <code value="flyover"/>
                    <display value="Fly-over"/>
                  </coding>
                </valueCodeableConcept>
              </extension>
              <text value="Type of specific benefit (preventative; primary care office visit; speciality office visit; hospitalization; emergency room; urgent care)."/>
              <type value="display"/>
            </item>
            <item>
              <linkId value="InsurancePlan.plan.specificCost.benefit.type.coding"/>
              <text value="code:"/>
              <type value="open-choice"/>
              <required value="false"/>
              <repeats value="false"/>
            </item>
            <item>
              <linkId value="InsurancePlan.plan.specificCost.benefit.type.text"/>
              <text value="text:"/>
              <type value="string"/>
              <required value="false"/>
              <repeats value="false"/>
            </item>
          </item>
          <item>
            <linkId value="InsurancePlan.plan.specificCost.benefit.cost"/>
            <text value="List of the costs"/>
            <type value="group"/>
            <required value="false"/>
            <repeats value="true"/>
            <item>
              <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
                <valueCodeableConcept>
                  <coding>
                    <system value="http://hl7.org/fhir/questionnaire-item-control"/>
                    <code value="flyover"/>
                    <display value="Fly-over"/>
                  </coding>
                </valueCodeableConcept>
              </extension>
              <text value="List of the costs associated with a specific benefit."/>
              <type value="display"/>
            </item>
            <item>
              <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs">
                <valueInteger value="1"/>
              </extension>
              <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType">
                <valueString value="string"/>
              </extension>
              <linkId value="InsurancePlan.plan.specificCost.benefit.cost.id"/>
              <type value="group"/>
              <required value="false"/>
              <repeats value="true"/>
              <item>
                <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
                  <valueCodeableConcept>
                    <coding>
                      <system value="http://hl7.org/fhir/questionnaire-item-control"/>
                      <code value="flyover"/>
                      <display value="Fly-over"/>
                    </coding>
                  </valueCodeableConcept>
                </extension>
                <text value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
                <type value="display"/>
              </item>
              <item>
                <linkId value="InsurancePlan.plan.specificCost.benefit.cost.id.value"/>
                <text value="xml:id (or equivalent in JSON)"/>
                <type value="string"/>
                <required value="false"/>
                <repeats value="false"/>
              </item>
            </item>
            <item>
              <linkId value="InsurancePlan.plan.specificCost.benefit.cost.extension"/>
              <text value="Additional content defined by implementations"/>
              <type value="group"/>
              <required value="false"/>
              <repeats value="true"/>
              <item>
                <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
                  <valueCodeableConcept>
                    <coding>
                      <system value="http://hl7.org/fhir/questionnaire-item-control"/>
                      <code value="flyover"/>
                      <display value="Fly-over"/>
                    </coding>
                  </valueCodeableConcept>
                </extension>
                <text value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, 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. 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."/>
                <type value="display"/>
              </item>
            </item>
            <item>
              <linkId value="InsurancePlan.plan.specificCost.benefit.cost.modifierExtension"/>
              <text value="Extensions that cannot be ignored if unrecognized"/>
              <type value="group"/>
              <required value="false"/>
              <repeats value="true"/>
              <item>
                <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
                  <valueCodeableConcept>
                    <coding>
                      <system value="http://hl7.org/fhir/questionnaire-item-control"/>
                      <code value="flyover"/>
                      <display value="Fly-over"/>
                    </coding>
                  </valueCodeableConcept>
                </extension>
                <text value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, 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. Applications processing a resource are required to check for modifier extensions.&#xA;&#xA;Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). 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."/>
                <type value="display"/>
              </item>
            </item>
            <item>
              <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-minOccurs">
                <valueInteger value="1"/>
              </extension>
              <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs">
                <valueInteger value="1"/>
              </extension>
              <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType">
                <valueString value="CodeableConcept"/>
              </extension>
              <linkId value="InsurancePlan.plan.specificCost.benefit.cost.type"/>
              <text value="Type of cost"/>
              <type value="group"/>
              <required value="true"/>
              <repeats value="true"/>
              <item>
                <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
                  <valueCodeableConcept>
                    <coding>
                      <system value="http://hl7.org/fhir/questionnaire-item-control"/>
                      <code value="flyover"/>
                      <display value="Fly-over"/>
                    </coding>
                  </valueCodeableConcept>
                </extension>
                <text value="Type of cost (copay; individual cap; family cap; coinsurance; deductible)."/>
                <type value="display"/>
              </item>
              <item>
                <linkId value="InsurancePlan.plan.specificCost.benefit.cost.type.coding"/>
                <text value="code:"/>
                <type value="open-choice"/>
                <required value="false"/>
                <repeats value="false"/>
              </item>
              <item>
                <linkId value="InsurancePlan.plan.specificCost.benefit.cost.type.text"/>
                <text value="text:"/>
                <type value="string"/>
                <required value="false"/>
                <repeats value="false"/>
              </item>
            </item>
            <item>
              <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs">
                <valueInteger value="1"/>
              </extension>
              <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType">
                <valueString value="CodeableConcept"/>
              </extension>
              <linkId value="InsurancePlan.plan.specificCost.benefit.cost.applicability"/>
              <text value="in-network | out-of-network | other"/>
              <type value="group"/>
              <required value="false"/>
              <repeats value="true"/>
              <item>
                <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
                  <valueCodeableConcept>
                    <coding>
                      <system value="http://hl7.org/fhir/questionnaire-item-control"/>
                      <code value="flyover"/>
                      <display value="Fly-over"/>
                    </coding>
                  </valueCodeableConcept>
                </extension>
                <text value="Whether the cost applies to in-network or out-of-network providers (in-network; out-of-network; other)."/>
                <type value="display"/>
              </item>
              <item>
                <linkId value="InsurancePlan.plan.specificCost.benefit.cost.applicability.coding"/>
                <text value="code:"/>
                <type value="choice"/>
                <required value="false"/>
                <repeats value="false"/>
              </item>
              <item>
                <linkId value="InsurancePlan.plan.specificCost.benefit.cost.applicability.text"/>
                <text value="text:"/>
                <type value="string"/>
                <required value="false"/>
                <repeats value="false"/>
              </item>
            </item>
            <item>
              <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType">
                <valueString value="CodeableConcept"/>
              </extension>
              <linkId value="InsurancePlan.plan.specificCost.benefit.cost.qualifiers"/>
              <text value="Additional information about the cost"/>
              <type value="group"/>
              <required value="false"/>
              <repeats value="true"/>
              <item>
                <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
                  <valueCodeableConcept>
                    <coding>
                      <system value="http://hl7.org/fhir/questionnaire-item-control"/>
                      <code value="flyover"/>
                      <display value="Fly-over"/>
                    </coding>
                  </valueCodeableConcept>
                </extension>
                <text value="Additional information about the cost, such as information about funding sources (e.g. HSA, HRA, FSA, RRA)."/>
                <type value="display"/>
              </item>
              <item>
                <linkId value="InsurancePlan.plan.specificCost.benefit.cost.qualifiers.coding"/>
                <text value="code:"/>
                <type value="open-choice"/>
                <required value="false"/>
                <repeats value="false"/>
              </item>
              <item>
                <linkId value="InsurancePlan.plan.specificCost.benefit.cost.qualifiers.text"/>
                <text value="text:"/>
                <type value="string"/>
                <required value="false"/>
                <repeats value="false"/>
              </item>
            </item>
            <item>
              <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs">
                <valueInteger value="1"/>
              </extension>
              <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType">
                <valueString value="Quantity"/>
              </extension>
              <linkId value="InsurancePlan.plan.specificCost.benefit.cost.value"/>
              <text value="The actual cost value"/>
              <type value="group"/>
              <required value="false"/>
              <repeats value="true"/>
              <item>
                <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
                  <valueCodeableConcept>
                    <coding>
                      <system value="http://hl7.org/fhir/questionnaire-item-control"/>
                      <code value="flyover"/>
                      <display value="Fly-over"/>
                    </coding>
                  </valueCodeableConcept>
                </extension>
                <text value="The actual cost value. (some of the costs may be represented as percentages rather than currency, e.g. 10% coinsurance)."/>
                <type value="display"/>
              </item>
              <item>
                <linkId value="InsurancePlan.plan.specificCost.benefit.cost.value.comparator"/>
                <text value="comp:"/>
                <type value="choice"/>
                <required value="false"/>
                <repeats value="false"/>
              </item>
              <item>
                <linkId value="InsurancePlan.plan.specificCost.benefit.cost.value.value"/>
                <text value="value:"/>
                <type value="decimal"/>
                <required value="false"/>
                <repeats value="false"/>
              </item>
              <item>
                <linkId value="InsurancePlan.plan.specificCost.benefit.cost.value.units"/>
                <text value="units:"/>
                <type value="string"/>
                <required value="false"/>
                <repeats value="false"/>
              </item>
              <item>
                <linkId value="InsurancePlan.plan.specificCost.benefit.cost.value.code"/>
                <text value="coded units:"/>
                <type value="string"/>
                <required value="false"/>
                <repeats value="false"/>
              </item>
              <item>
                <linkId value="InsurancePlan.plan.specificCost.benefit.cost.value.system"/>
                <text value="units system:"/>
                <type value="string"/>
                <required value="false"/>
                <repeats value="false"/>
              </item>
            </item>
          </item>
        </item>
      </item>
    </item>
  </item>
</Questionnaire>

Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.