CARIN Digital Insurance Card
2.0.0-ballot - STU 2 Ballot

CARIN Digital Insurance Card - Downloaded Version 2.0.0-ballot See the Directory of published versions

## CARIN Digital Insurance Card Implementation Guide

Page standards status: Informative

Official URL: http://hl7.org/fhir/us/insurance-card | Version: 1.1.0
NPM package name: hl7.fhir.us.insurance-card | ComputableName: CARINForDigitalInsuranceCard
Copyright/Legal: Used by permission of HL7 International, all rights reserved Creative Commons License |

- XML
- JSON

### Cross Version Analysis

This is an R4 IG. None of the features it uses are changed in R4B, so it can be used as is with R4B systems. Packages for both R4 (hl7.fhir.us.insurance-card.r4) and R4B (hl7.fhir.us.insurance-card.r4b) are available.

### IG Dependencies

This IG Contains the following dependencies on other IGs.

IG | Package | FHIR | Comment
--- | --- | --- | ---
CARIN Digital Insurance Card | hl7.fhir.us.insurance-card#2.0.0-ballot | R4 |
US Core Implementation Guide | hl7.fhir.us.core#6.1.0 | R4 | Defines USCDI v3 resources that will be used by CARIN Digital Insurance Card. Declared as the plain package so the unversioned US Core canonicals in Aliases.fsh continue to resolve here.
HL7 Terminology (THO) | hl7.terminology.r4#5.0.0 | R4 |
FHIR Extensions Pack | hl7.fhir.uv.extensions.r4#1.0.0 | R4 |
Bulk Data Access IG | hl7.fhir.uv.bulkdata#2.0.0 | R4 |
SMART App Launch | hl7.fhir.uv.smart-app-launch#2.1.0 | R4 |
VSAC | us.nlm.vsac#0.11.0 | R4 |
Structured Data Capture | hl7.fhir.uv.sdc#3.0.0 | R4 |
PHINVads | us.cdc.phinvads#0.12.0 | R4 |
IHE FormatCode Vocabulary | ihe.formatcode.fhir#1.1.0 | R4 |
US Core (Reuse Wrapper) | hl7.fhir.us.core.v700#7.0.0 | R4 | Defines USCDI v4 resources. Implementers may conform to either US Core 6.1.0 or US Core 7.0.0; the id makes the version-specific links in the narrative work.
US Core Implementation Guide | hl7.fhir.us.core#7.0.0 | R4 |
HL7 Terminology (THO) | hl7.terminology.r4#5.5.0 | R4 |
SMART App Launch | hl7.fhir.uv.smart-app-launch#2.0.0 | R4 |
VSAC | us.nlm.vsac#0.18.0 | R4 |
SMART Health Cards and Links IG | hl7.fhir.uv.smart-health-cards-and-links#1.0.0 | R4 |
HL7 Terminology (THO) | hl7.terminology.r4#6.5.0 | R4 |
FHIR Extensions Pack | hl7.fhir.uv.extensions.r4#5.2.0 | R4 |
International Patient Summary Implementation Guide | hl7.fhir.uv.ips#2.0.1 | R4 |
HL7 Terminology (THO) | hl7.terminology.r4#7.2.0 | R4 |
FHIR Extensions Pack | hl7.fhir.uv.extensions.r4#5.3.0 | R4 |
HL7 Terminology (THO) | hl7.terminology.r4#7.1.0 | R4 |
International Patient Access | hl7.fhir.uv.ipa#1.1.0 | R4 |
HL7 Terminology (THO) | hl7.terminology.r4#6.2.0 | R4 |
DaVinci Payer Data Exchange (PDex) US Drug Formulary | hl7.fhir.us.davinci-drug-formulary#2.1.0 | R4 |
US Core (Reuse Wrapper) | hl7.fhir.us.core.v311#3.1.1 | R4 |
US Core | hl7.fhir.us.core#3.1.1 | R4 |
US Core (Reuse Wrapper) | hl7.fhir.us.core.v610#6.1.0 | R4 |
Da Vinci Health Record Exchange (HRex) | hl7.fhir.us.davinci-hrex#1.1.0 | R4 |
HL7 Terminology (THO) | hl7.terminology.r4#6.1.0 | R4 |
FHIR Extensions Pack | hl7.fhir.uv.extensions.r4#5.1.0 | R4 |
VSAC | us.nlm.vsac#0.19.0 | R4 |
Da Vinci PDex Plan Net | hl7.fhir.us.davinci-pdex-plan-net#1.2.0 | R4 |
HL7 Terminology (THO) | hl7.terminology.r4#7.3.0 | R4 |
FHIR Tooling Extensions IG | hl7.fhir.uv.tools.r4#1.1.2 | R4 | for example references

Package hl7.fhir.uv.extensions.r4#1.0.0 This IG defines the global extensions - the ones defined for everyone. These extensions are always in scope wherever FHIR is being used (built Sun, Mar 26, 2023 08:46+1100+11:00)

Package hl7.fhir.uv.bulkdata#2.0.0 FHIR based approach for exporting large data sets from a FHIR server to a client application (built Fri, Nov 26, 2021 05:56+1100+11:00)

Package hl7.fhir.uv.sdc#3.0.0 The SDC specification provides an infrastructure to standardize the capture and expanded use of patient-level data collected within an EHR. This includes two components: * Support more sophisticated questionnaire/form use-cases such as those needed for research, oncology, pathology and other clinical domains. *Support pre-population and auto-population of EHR data into forms/questionnaires for uses outside direct clinical care (patient safety, adverse event reporting, public health reporting, etc.). (built Tue, Mar 8, 2022 18:32+0000+00:00)

Package ihe.formatcode.fhir#1.1.0 Implementation Guide for IHE defined FormatCode vocabulary. (built Thu, Feb 24, 2022 16:55-0600-06:00)

Package hl7.fhir.us.core#6.1.0 The US Core Implementation Guide is based on FHIR Version R4 and defines the minimum conformance requirements for accessing patient data. The Argonaut pilot implementations, ONC 2015 Edition Common Clinical Data Set (CCDS), and ONC U.S. Core Data for Interoperability (USCDI) v1 provided the requirements for this guide. The prior Argonaut search and vocabulary requirements, based on FHIR DSTU2, are updated in this guide to support FHIR Version R4. This guide was used as the basis for further testing and guidance by the Argonaut Project Team to provide additional content and guidance specific to Data Query Access for purpose of ONC Certification testing. These profiles are the foundation for future US Realm FHIR implementation guides. In addition to Argonaut, they are used by DAF-Research, QI-Core, and CIMI. Under the guidance of HL7 and the HL7 US Realm Steering Committee, the content will expand in future versions to meet the needs specific to the US Realm. These requirements were originally developed, balloted, and published in FHIR DSTU2 as part of the Office of the National Coordinator for Health Information Technology (ONC) sponsored Data Access Framework (DAF) project. For more information on how DAF became US Core see the US Core change notes. (built Fri, Jun 30, 2023 14:02+0000+00:00)

Package hl7.fhir.us.core#7.0.0 The US Core Implementation Guide is based on FHIR Version R4 and defines the minimum conformance requirements for accessing patient data. The Argonaut pilot implementations, ONC 2015 Edition Common Clinical Data Set (CCDS), and ONC U.S. Core Data for Interoperability (USCDI) v1 provided the requirements for this guide. The prior Argonaut search and vocabulary requirements, based on FHIR DSTU2, are updated in this guide to support FHIR Version R4. This guide was used as the basis for further testing and guidance by the Argonaut Project Team to provide additional content and guidance specific to Data Query Access for purpose of ONC Certification testing. These profiles are the foundation for future US Realm FHIR implementation guides. In addition to Argonaut, they are used by DAF-Research, QI-Core, and CIMI. Under the guidance of HL7 and the HL7 US Realm Steering Committee, the content will expand in future versions to meet the needs specific to the US Realm. These requirements were originally developed, balloted, and published in FHIR DSTU2 as part of the Office of the National Coordinator for Health Information Technology (ONC) sponsored Data Access Framework (DAF) project. For more information on how DAF became US Core see the US Core change notes. (built Wed, May 8, 2024 15:33+0000+00:00)

Package hl7.fhir.uv.extensions.r4#5.2.0 This IG defines the global extensions - the ones defined for everyone. These extensions are always in scope wherever FHIR is being used (built Mon, Feb 10, 2025 21:45+1100+11:00)

Package hl7.fhir.uv.smart-health-cards-and-links#1.0.0 FHIR Implementation Guide for SMART Health Cards and Links (built Tue, Jul 22, 2025 13:19+0000+00:00)

Package hl7.fhir.uv.extensions.r4#5.3.0 This IG defines the global extensions - the ones defined for everyone. These extensions are always in scope wherever FHIR is being used (built Sat, May 16, 2026 18:32+1000+10:00)

Package hl7.fhir.uv.ipa#1.1.0 This IG describes how an application acting on behalf of a patient can access information about the patient from an clinical records system using a FHIR based API. The clinical records system may be supporting a clinical care provider (e.g. a hospital, or a general practitioner), or a health data exchange, including a national health record system. (built Wed, Mar 19, 2025 14:34+0000+00:00)

Package hl7.fhir.uv.extensions.r4#5.1.0 This IG defines the global extensions - the ones defined for everyone. These extensions are always in scope wherever FHIR is being used (built Sat, Apr 27, 2024 18:39+1000+10:00)

Package hl7.fhir.us.davinci-hrex#1.1.0 The Da Vinci Payer Health Record exchange (HRex) Framework/library specifies the FHIR elements used in multiple Da Vinci implementation guides. This includes FHIR profiles, functions, operations, and constraints on other specifications such as CDS-Hooks and other aspects of Da Vinci Use Cases that are common across more than a single use case.\n\nDa Vinci HRex Implementation Guide (IG) will make use of US Core profiles that are based on the FHIR R4 specification wherever practical. The HRex IG will use the HL7 FHIR Release 4/US Core STU3 specification as its base but will provide additional guidance and documentation to support implementations that follow the HL7 FHIR STU3/US Core STU2 and HL7 FHIR DSTU2/Argonaut specifications.\n\nThe HRex profiles documented in this IG will be used to exchange data between providers systems (e.g. EHRs) and other providers, payers, and third-party applications where appropriate. In addition, exchanges from payer systems to providers, other payers, and third-party applications are supported by the HRex profiles and operations.\n\nHRex may define new extensions, profiles, value sets, constraints/extension to other specification (e.g. specific CDS-Hooks) that are specific Da Vinci requirements. Where appropriate these Da Vinci specific artifacts will be promoted for incorporation into the future versions of existing standards (e.g. R4 US Core profiles) and deprecated in this guide on publication in the updated standard. (built Tue, Dec 10, 2024 16:43+0000+00:00)

Package hl7.fhir.us.davinci-pdex-plan-net#1.2.0 Da Vinci PDex Plan Net (built Tue, Feb 25, 2025 19:12+0000+00:00)

Package hl7.fhir.us.davinci-drug-formulary#2.1.0 DaVinci Payer Data Exchange (PDex) US Drug Formulary" (built Wed, Feb 26, 2025 17:11+0000+00:00)

Package hl7.fhir.uv.tools.r4#1.1.2 This IG defines the extensions that the tools use internally. Some of these extensions are content that are being evaluated for elevation into the main spec, and others are tooling concerns (built Tue, Mar 24, 2026 11:13+1100+11:00)

### Global Profiles

There are no Global profiles defined

### Copyrights

This publication includes IP covered under the following statements.

- All IEC Publications are protected by the publisher's copyright and no part of any IEC Publication can be reproduced or utilized in any form or by any means (graphic, electronic or mechanical including photocopying) without the written permission of the publisher (please see Copyright on IEC Standards in Database Format). For standards using code components, please see the code components EULA.For more information, see https://www.iec.ch/copyright
  Show Usage
  - IEC 61966-2-1: Colour measurement and management - Part 2-1: Colour management - Default RGB colour space - sRGB: BackgroundColor, Coverage/Example-Coverage-FSH... Show 4 more, Coverage/Example-Coverage1, ForegroundColor, HighlightColor and ISOColorVS
- ISO maintains the copyright on the country codes, and controls its use carefully. For further details see the ISO 3166 web page: https://www.iso.org/iso-3166-country-codes.html
  Show Usage
  - ISO 3166-1 Codes for the representation of names of countries and their subdivisions — Part 1: Country code: AdditionalCardInformation, BackgroundColor... Show 40 more, Barcode, BeneficiaryCostString, BenefitLimitation, C4DICContactTypeVS, C4DICCopayTypeVS, C4DICCoverage, C4DICCoverageClassVS, C4DICCoverageIdentifierType, C4DICExtendedContactTypeCS, C4DICExtendedCopayTypeCS, C4DICExtendedCoverageClassCS, C4DICIdentifierType, C4DICOrganization, C4DICPatient, CARINForDigitalInsuranceCard, CardIssueDate, ColorPalette, CostAppliesToNetwork, CostTierCS, CostTierVS, DeductibleApplies, ExcludedServices, ForegroundColor, HighlightColor, ISOColorVS, InsuranceCardCapabilityStatement, LimitPeriodCS, LimitPeriodVS, LimitTypeCS, LimitTypeVS, Logo, PlanBeneficiaries, QRCode, SBCBenefitCategoryCS, SBCBenefitCategoryVS, SBCInsurancePlan, SBCMetadata, SBCPlanTypeCS, SBCPlanTypeVS and SupportingImage
- This CodeSystem is not copyrighted.
  Show Usage
  - C4DIC Extended Contact Type: Acme Insurance Co, C4DICContactTypeVS and C4DICOrganization
  - C4DIC Extended Copay Type: C4DICCopayTypeVS, C4DICCoverage, Coverage/Example-Coverage-FSH and Coverage/Example-Coverage1
  - C4DIC Extended Coverage Class: C4DICCoverage, C4DICCoverageClassVS, Coverage/Example-Coverage-FSH and Coverage/Example-Coverage1
  - C4DIC Identifier Type: Acme Insurance Co, C4DICCoverage, C4DICCoverageIdentifierType and C4DICOrganization
- This material derives from the HL7 Terminology (THO). THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license.html
  Show Usage
  - Benefit cost applicability: Sample Health HMO Gold Plan
  - Contact entity type: Acme Insurance Co, C4DICContactTypeVS and C4DICOrganization
  - Coverage Class Codes: C4DICCoverage, C4DICCoverageClassVS, Coverage/Example-Coverage-FSH and Coverage/Example-Coverage1
  - Coverage Copay Type Codes: Coverage/Example-Coverage1
  - SubscriberPolicyholder Relationship Codes: C4DICCoverage, Coverage/Example-Coverage-FSH and Coverage/Example-Coverage1
  - identifierType: C4DICCoverage, C4DICCoverageIdentifierType... Show 4 more, Coverage/Example-Coverage-FSH, Coverage/Example-Coverage1, Patient/Example-Patient1 and Patient/Example-Patient2
  - ActCode: Coverage/Example-Coverage-FSH, Coverage/Example-Coverage1 and Sample Health HMO Gold Plan
  - MaritalStatus: Patient/Example-Patient1 and Patient/Example-Patient2