# SBC Metadata Extension - CARIN Digital Insurance Card v2.0.0-ballot

* [**Table of Contents**](toc.md)
* [**Artifacts Summary**](artifacts.md)
* **SBC Metadata Extension**

## Extension: SBC Metadata Extension (Experimental) 

| | |
| :--- | :--- |
| *Official URL*:http://hl7.org/fhir/us/insurance-card/StructureDefinition/sbc-metadata | *Version*:2.0.0-ballot |
| * Standards status: *[Informative](http://hl7.org/fhir/R4/versions.html#std-process) | *Computable Name*:SBCMetadata |
| *Other Identifiers:*OID:2.16.840.1.113883.4.642.40.9.42.19 | |

Extension containing regulatory metadata required for Summary of Benefits and Coverage documents

**Context of Use**

This extension may be used on the following element(s):

* Element ID InsurancePlan

**Usage info**

**Usages:**

* Use this Extension: [SBC Insurance Plan Profile](StructureDefinition-sbc-insurance-plan.md)
* Examples for this Extension: [Sample Health HMO Gold Plan](InsurancePlan-SBCExampleHMO.md)

You can also check for [usages in the FHIR IG Statistics](https://packages2.fhir.org/xig/resource/hl7.fhir.us.insurance-card|current/StructureDefinition/StructureDefinition-sbc-metadata.json)

### Formal Views of Extension Content

 [Description of Profiles, Differentials, Snapshots, and how the XML and JSON presentations work](http://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#structure-definitions). 

 

Other representations of profile: [CSV](StructureDefinition-sbc-metadata.csv), [Excel](StructureDefinition-sbc-metadata.xlsx), [Schematron](StructureDefinition-sbc-metadata.sch) 

#### Constraints



## Resource Content

```json
{
  "resourceType" : "StructureDefinition",
  "id" : "sbc-metadata",
  "extension" : [{
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
    "valueCode" : "claims"
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
    "valueCode" : "informative",
    "_valueCode" : {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
        "valueCanonical" : "http://hl7.org/fhir/us/insurance-card/ImplementationGuide/hl7.fhir.us.insurance-card"
      }]
    }
  }],
  "url" : "http://hl7.org/fhir/us/insurance-card/StructureDefinition/sbc-metadata",
  "identifier" : [{
    "system" : "urn:ietf:rfc:3986",
    "value" : "urn:oid:2.16.840.1.113883.4.642.40.9.42.19"
  }],
  "version" : "2.0.0-ballot",
  "name" : "SBCMetadata",
  "title" : "SBC Metadata Extension",
  "status" : "draft",
  "experimental" : true,
  "date" : "2026-08-13T02:29:19+10:00",
  "publisher" : "HL7 International / Payer/Provider Information Exchange Work Group",
  "contact" : [{
    "name" : "HL7 International / Payer/Provider Information Exchange Work Group",
    "telecom" : [{
      "system" : "url",
      "value" : "http://www.hl7.org/Special/committees/claims"
    },
    {
      "system" : "email",
      "value" : "pie@lists.HL7.org"
    }]
  }],
  "description" : "Extension containing regulatory metadata required for Summary of Benefits and Coverage documents",
  "jurisdiction" : [{
    "coding" : [{
      "system" : "urn:iso:std:iso:3166",
      "code" : "US"
    }]
  }],
  "fhirVersion" : "4.0.1",
  "mapping" : [{
    "identity" : "rim",
    "uri" : "http://hl7.org/v3",
    "name" : "RIM Mapping"
  }],
  "kind" : "complex-type",
  "abstract" : false,
  "context" : [{
    "type" : "element",
    "expression" : "InsurancePlan"
  }],
  "type" : "Extension",
  "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/Extension",
  "derivation" : "constraint",
  "differential" : {
    "element" : [{
      "id" : "Extension",
      "path" : "Extension",
      "short" : "SBC Metadata Extension",
      "definition" : "Extension containing regulatory metadata required for Summary of Benefits and Coverage documents"
    },
    {
      "id" : "Extension.extension:sbcVersionDate",
      "path" : "Extension.extension",
      "sliceName" : "sbcVersionDate",
      "short" : "SBC Template Version Date",
      "definition" : "The effective date of the SBC template version used",
      "min" : 0,
      "max" : "1"
    },
    {
      "id" : "Extension.extension:sbcVersionDate.extension",
      "path" : "Extension.extension.extension",
      "max" : "0"
    },
    {
      "id" : "Extension.extension:sbcVersionDate.url",
      "path" : "Extension.extension.url",
      "fixedUri" : "sbcVersionDate"
    },
    {
      "id" : "Extension.extension:sbcVersionDate.value[x]",
      "path" : "Extension.extension.value[x]",
      "type" : [{
        "code" : "date"
      }]
    },
    {
      "id" : "Extension.extension:minimumEssentialCoverage",
      "path" : "Extension.extension",
      "sliceName" : "minimumEssentialCoverage",
      "short" : "Minimum Essential Coverage Indicator",
      "definition" : "Indicates whether the plan provides minimum essential coverage under section 5000A(f) of the Internal Revenue Code",
      "min" : 0,
      "max" : "1"
    },
    {
      "id" : "Extension.extension:minimumEssentialCoverage.extension",
      "path" : "Extension.extension.extension",
      "max" : "0"
    },
    {
      "id" : "Extension.extension:minimumEssentialCoverage.url",
      "path" : "Extension.extension.url",
      "fixedUri" : "minimumEssentialCoverage"
    },
    {
      "id" : "Extension.extension:minimumEssentialCoverage.value[x]",
      "path" : "Extension.extension.value[x]",
      "type" : [{
        "code" : "boolean"
      }]
    },
    {
      "id" : "Extension.extension:minimumValue",
      "path" : "Extension.extension",
      "sliceName" : "minimumValue",
      "short" : "Minimum Value Indicator",
      "definition" : "Indicates whether the plan's share of the total allowed costs of benefits meets the minimum value requirement",
      "min" : 0,
      "max" : "1"
    },
    {
      "id" : "Extension.extension:minimumValue.extension",
      "path" : "Extension.extension.extension",
      "max" : "0"
    },
    {
      "id" : "Extension.extension:minimumValue.url",
      "path" : "Extension.extension.url",
      "fixedUri" : "minimumValue"
    },
    {
      "id" : "Extension.extension:minimumValue.value[x]",
      "path" : "Extension.extension.value[x]",
      "type" : [{
        "code" : "boolean"
      }]
    },
    {
      "id" : "Extension.extension:abortionCoverage",
      "path" : "Extension.extension",
      "sliceName" : "abortionCoverage",
      "short" : "Abortion Coverage Disclosure",
      "definition" : "For qualified health plans, indicates coverage, exclusion, or limitation to excepted abortion services per 45 CFR 156.280",
      "min" : 0,
      "max" : "1"
    },
    {
      "id" : "Extension.extension:abortionCoverage.extension",
      "path" : "Extension.extension.extension",
      "max" : "0"
    },
    {
      "id" : "Extension.extension:abortionCoverage.url",
      "path" : "Extension.extension.url",
      "fixedUri" : "abortionCoverage"
    },
    {
      "id" : "Extension.extension:abortionCoverage.value[x]",
      "path" : "Extension.extension.value[x]",
      "type" : [{
        "code" : "CodeableConcept"
      }]
    },
    {
      "id" : "Extension.url",
      "path" : "Extension.url",
      "fixedUri" : "http://hl7.org/fhir/us/insurance-card/StructureDefinition/sbc-metadata"
    },
    {
      "id" : "Extension.value[x]",
      "path" : "Extension.value[x]",
      "max" : "0"
    }]
  }
}

```
