Generated Narrative: StructureDefinition ext-R4-Coverage.costToBeneficiary Name Flags Card. Type Description & Constraints Extension 0..* Extension R4: Patient payments for services/products (new) #xD; Slices for extension 1..* Extension Extension Slice: Unordered, Open by value:url #xD; extension:type 0..1 Extension R4: Cost category (new) #xD; url 1..1 uri "type" #xD; value[x] 0..1 CodeableConcept Cost category Binding: R4CoverageCopayTypeForR3 (0.1.0) (extensible): The types of services to which patient copayments are specified. #xD; extension:value 1..1 Extension R4: The amount or percentage due from the beneficiary (new) #xD; url 1..1 uri "value" #xD; value[x] 1..1 The amount or percentage due from the beneficiary #xD; valueQuantity Quantity(SimpleQuantity) #xD; valueMoney Money #xD; extension:exception 0..* Extension R4: Exceptions for patient payments (new) #xD; Slices for extension 1..* Extension Extension Slice: Unordered, Open by value:url #xD; extension:type 1..1 Extension R4: Exception category (new) #xD; url 1..1 uri "type" #xD; value[x] 1..1 CodeableConcept Exception category Binding: R4CoverageFinancialExceptionForR3 (0.1.0) (example): The types of exceptions from the part or full value of financial obligations such as copays. #xD; extension:period 0..1 Extension R4: The effective period of the exception (new) #xD; url 1..1 uri "period" #xD; value[x] 0..1 Period The effective period of the exception #xD; url 1..1 uri "exception" #xD; value[x] 0..0 Value of extension #xD; url 1..1 uri "http://hl7.org/fhir/4.0/StructureDefinition/extension-Coverage.costToBeneficiary" #xD; value[x] 0..0 Value of extension #xD; Documentation for this format
R4: Patient payments for services/products (new)
R4: `Coverage.costToBeneficiary` (new:BackboneElement)
This extension is part of the cross-version definitions generated to enable use of the element `Coverage.costToBeneficiary` as defined in FHIR R4 in FHIR STU3. The source element is defined as: `Coverage.costToBeneficiary` 0..* `BackboneElement` Following are the generation technical comments: Element `Coverage.costToBeneficiary` has a context of Coverage based on following the parent source element upwards and mapping to `Coverage`. Element `Coverage.costToBeneficiary` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).
Element `Coverage.costToBeneficiary` has a context of Coverage based on following the parent source element upwards and mapping to `Coverage`. Element `Coverage.costToBeneficiary` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). For example by knowing the patient visit co-pay, the provider can collect the amount prior to undertaking treatment.
All FHIR elements must have a @value or children
hasValue() | (children().count() > id.count())
Must have either extensions or value[x], not both
exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])
unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Extensions are always sliced by (at least) url
R4: `Coverage.costToBeneficiary.type` (new:CodeableConcept)
Element `Coverage.costToBeneficiary.type` is part of an existing definition because parent element `Coverage.costToBeneficiary` requires a cross-version extension. Element `Coverage.costToBeneficiary.type` has a context of Coverage based on following the parent source element upwards and mapping to `Coverage`. Element `Coverage.costToBeneficiary.type` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). For example visit, specialist visits, emergency, inpatient care, etc.
Needed to identify the category associated with the amount for the patient. Element `Coverage.costToBeneficiary.type` is part of an existing definition because parent element `Coverage.costToBeneficiary` requires a cross-version extension. Element `Coverage.costToBeneficiary.type` has a context of Coverage based on following the parent source element upwards and mapping to `Coverage`. Element `Coverage.costToBeneficiary.type` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).
Additional Content defined by implementations
May be used to represent additional information that is not part of the basic definition of the element. In order 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.
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.
Source of the definition for the extension code - a logical name or a URL.
The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
The category of patient centric costs associated with treatment.
For example visit, specialist visits, emergency, inpatient care, etc.
The types of services to which patient copayments are specified.
R4: The amount or percentage due from the beneficiary (new)
R4: `Coverage.costToBeneficiary.value[x]` (new:Money, Quantity[SimpleQuantity])
Element `Coverage.costToBeneficiary.value[x]` is part of an existing definition because parent element `Coverage.costToBeneficiary` requires a cross-version extension. Element `Coverage.costToBeneficiary.value[x]` has a context of Coverage based on following the parent source element upwards and mapping to `Coverage`. Element `Coverage.costToBeneficiary.value[x]` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). Amount may be expressed as a percentage of the service/product cost or a fixed amount of currency.
Needed to identify the amount for the patient associated with the category. Element `Coverage.costToBeneficiary.value[x]` is part of an existing definition because parent element `Coverage.costToBeneficiary` requires a cross-version extension. Element `Coverage.costToBeneficiary.value[x]` has a context of Coverage based on following the parent source element upwards and mapping to `Coverage`. Element `Coverage.costToBeneficiary.value[x]` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).
The amount or percentage due from the beneficiary
The amount due from the patient for the cost category.
Amount may be expressed as a percentage of the service/product cost or a fixed amount of currency.
R4: Exceptions for patient payments (new)
R4: `Coverage.costToBeneficiary.exception` (new:BackboneElement)
Element `Coverage.costToBeneficiary.exception` is part of an existing definition because parent element `Coverage.costToBeneficiary` requires a cross-version extension. Element `Coverage.costToBeneficiary.exception` has a context of Coverage based on following the parent source element upwards and mapping to `Coverage`. Element `Coverage.costToBeneficiary.exception` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).
Required by providers to manage financial transaction with the patient. Element `Coverage.costToBeneficiary.exception` is part of an existing definition because parent element `Coverage.costToBeneficiary` requires a cross-version extension. Element `Coverage.costToBeneficiary.exception` has a context of Coverage based on following the parent source element upwards and mapping to `Coverage`. Element `Coverage.costToBeneficiary.exception` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).
R4: `Coverage.costToBeneficiary.exception.type` (new:CodeableConcept)
Element `Coverage.costToBeneficiary.exception.type` is part of an existing definition because parent element `Coverage.costToBeneficiary.exception` requires a cross-version extension. Element `Coverage.costToBeneficiary.exception.type` has a context of Coverage based on following the parent source element upwards and mapping to `Coverage`. Element `Coverage.costToBeneficiary.exception.type` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).
Needed to identify the exception associated with the amount for the patient. Element `Coverage.costToBeneficiary.exception.type` is part of an existing definition because parent element `Coverage.costToBeneficiary.exception` requires a cross-version extension. Element `Coverage.costToBeneficiary.exception.type` has a context of Coverage based on following the parent source element upwards and mapping to `Coverage`. Element `Coverage.costToBeneficiary.exception.type` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).
The types of exceptions from the part or full value of financial obligations such as copays.
R4: The effective period of the exception (new)
R4: `Coverage.costToBeneficiary.exception.period` (new:Period)
Element `Coverage.costToBeneficiary.exception.period` is part of an existing definition because parent element `Coverage.costToBeneficiary.exception` requires a cross-version extension. Element `Coverage.costToBeneficiary.exception.period` has a context of Coverage based on following the parent source element upwards and mapping to `Coverage`. Element `Coverage.costToBeneficiary.exception.period` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).
Needed to identify the applicable timeframe for the exception for the correct calculation of patient costs. Element `Coverage.costToBeneficiary.exception.period` is part of an existing definition because parent element `Coverage.costToBeneficiary.exception` requires a cross-version extension. Element `Coverage.costToBeneficiary.exception.period` has a context of Coverage based on following the parent source element upwards and mapping to `Coverage`. Element `Coverage.costToBeneficiary.exception.period` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).
The timeframe during when the exception is in force.
Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).