ext-R4-Coverage.costToBeneficiary
type: StructureDefinition
node role: treeRoot
id:
  v: ext-R4-Coverage.costToBeneficiary
text:
  status:
    v: extensions
  div:
    v: Generated Narrative: StructureDefinition ext-R4-Coverage.costToBeneficiary Name Flags Card. Type Description & Constraints<img src="[binary]" alt="doco" style="background-color: inherit"/> 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; <img src="[binary]" alt="doco" style="background-color: inherit"/> Documentation for this format
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-wg
    l: structuredefinition-wg
  value: Code
    v: fhir
extension:
  extension:
    url:
      v: packageId
      l: packageId
    value: Id
      v: hl7.fhir.uv.xver-r4.r3
  extension:
    url:
      v: version
      l: version
    value: String
      v: 0.1.0
  extension:
    url:
      v: uri
      l: uri
    value: Uri
      v: http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r4.r3
      l: hl7.fhir.uv.xver-r4.r3
  url:
    v: http://hl7.org/fhir/StructureDefinition/package-source
    l: package-source
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm
    l: structuredefinition-fmm
  value: Integer
    v: 0
    extension:
      url:
        v: http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom
        l: structuredefinition-conformance-derivedFrom
      value: Uri
        v: http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r4.r3
        l: hl7.fhir.uv.xver-r4.r3
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status
    l: structuredefinition-standards-status
  value: Code
    v: trial-use
    extension:
      url:
        v: http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom
        l: structuredefinition-conformance-derivedFrom
      value: Uri
        v: http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r4.r3
        l: hl7.fhir.uv.xver-r4.r3
url:
  v: http://hl7.org/fhir/4.0/StructureDefinition/extension-Coverage.costToBeneficiary
  l: extension-Coverage.costToBeneficiary
version:
  v: 0.1.0
name:
  v: ExtensionCoverage_CostToBeneficiary
title:
  v: R4: Patient payments for services/products (new)
status:
  v: active
experimental:
  v: false
date:
  v: 2026-03-17T21:02:03.8104715+00:00
publisher:
  v: FHIR Infrastructure
contact:
  name:
    v: FHIR Infrastructure
  telecom:
    system:
      v: url
    value:
      v: http://www.hl7.org/Special/committees/fiwg
description:
  v: R4: `Coverage.costToBeneficiary` (new:BackboneElement)
jurisdiction:
  coding:
    system:
      v: http://unstats.un.org/unsd/methods/m49/m49.htm
      l: m49.htm
    code:
      v: 001
    display:
      v: World
purpose:
  v: 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).
fhir version:
  v: 3.0.2
mapping:
  identity:
    v: rim
  uri:
    v: http://hl7.org/v3
    l: v3
  name:
    v: RIM Mapping
kind:
  v: complex-type
abstract:
  v: false
context type:
  v: resource
context:
  v: Coverage
type:
  v: Extension
base definition:
  v: http://hl7.org/fhir/StructureDefinition/Extension
  l: Extension
derivation:
  v: constraint
snapshot:
  element:
    id:
      v: Extension
    path:
      v: Extension
    short:
      v: R4: Patient payments for services/products (new)
    definition:
      v: R4: `Coverage.costToBeneficiary` (new:BackboneElement)
    comment:
      v: 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.
    min:
      v: 0
    max:
      v: *
    base:
      path:
        v: Extension
      min:
        v: 0
      max:
        v: *
    condition:
      v: ele-1
    constraint:
      key:
        v: ele-1
      severity:
        v: error
      human:
        v: All FHIR elements must have a @value or children
      expression:
        v: hasValue() | (children().count() > id.count())
      xpath:
        v: @value|f:*|h:div
      source:
        v: http://hl7.org/fhir/StructureDefinition/Element
        l: Element
    constraint:
      key:
        v: ext-1
      severity:
        v: error
      human:
        v: Must have either extensions or value[x], not both
      expression:
        v: extension.exists() != value.exists()
      xpath:
        v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])
      source:
        v: http://hl7.org/fhir/StructureDefinition/Extension
        l: Extension
    is modifier:
      v: false
  element:
    id:
      v: Extension.id
    path:
      v: Extension.id
    representation:
      v: xmlAttr
    short:
      v: xml:id (or equivalent in JSON)
    definition:
      v: unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
    min:
      v: 0
    max:
      v: 1
    base:
      path:
        v: Element.id
      min:
        v: 0
      max:
        v: 1

code:
  v: string
  l: string

identity:
  v: rim
map:
  v: n/a

id:
  v: Extension.extension
path:
  v: Extension.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  ordered:
    v: false
  rules:
    v: open
short:
  v: Extension
definition:
  v: An Extension
min:
  v: 1
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension

id:
  v: Extension.extension:type
path:
  v: Extension.extension
slice name:
  v: type
short:
  v: R4: Cost category (new)
definition:
  v: R4: `Coverage.costToBeneficiary.type` (new:CodeableConcept)
comment:
  v: 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.
requirements:
  v: 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).
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension

id:
  v: Extension.extension:type.id
path:
  v: Extension.extension.id
representation:
  v: xmlAttr
short:
  v: xml:id (or equivalent in JSON)
definition:
  v: unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Extension.extension:type.extension
path:
  v: Extension.extension.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  rules:
    v: open
short:
  v: Additional Content defined by implementations
definition:
  v: 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.
comment:
  v: 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.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Extension.extension:type.url
path:
  v: Extension.extension.url
representation:
  v: xmlAttr
short:
  v: identifies the meaning of the extension
definition:
  v: Source of the definition for the extension code - a logical name or a URL.
comment:
  v: 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.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Extension.url
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: uri
    l: uri
fixed: Uri
  v: type
  l: type
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Extension.extension:type.value[x]
path:
  v: Extension.extension.value[x]
short:
  v: Cost category
definition:
  v: The category of patient centric costs associated with treatment.
comment:
  v: For example visit, specialist visits, emergency, inpatient care, etc.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Extension.value[x]
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
binding:
  strength:
    v: extensible
  description:
    v: The types of services to which patient copayments are specified.
  value set: Uri
    v: http://hl7.org/fhir/uv/xver/ValueSet/R4-coverage-copay-type-for-R3|0.1.0
    l: http://hl7.org/fhir/uv/xver/ValueSet/R4-coverage-copay-type-for-R3
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Extension.extension:value
path:
  v: Extension.extension
slice name:
  v: value
short:
  v: R4: The amount or percentage due from the beneficiary (new)
definition:
  v: R4: `Coverage.costToBeneficiary.value[x]` (new:Money, Quantity[SimpleQuantity])
comment:
  v: 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.
requirements:
  v: 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).
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension

id:
  v: Extension.extension:value.id
path:
  v: Extension.extension.id
representation:
  v: xmlAttr
short:
  v: xml:id (or equivalent in JSON)
definition:
  v: unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Extension.extension:value.extension
path:
  v: Extension.extension.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  rules:
    v: open
short:
  v: Additional Content defined by implementations
definition:
  v: 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.
comment:
  v: 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.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Extension.extension:value.url
path:
  v: Extension.extension.url
representation:
  v: xmlAttr
short:
  v: identifies the meaning of the extension
definition:
  v: Source of the definition for the extension code - a logical name or a URL.
comment:
  v: 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.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Extension.url
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: uri
    l: uri
fixed: Uri
  v: value
  l: value
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Extension.extension:value.value[x]
path:
  v: Extension.extension.value[x]
short:
  v: The amount or percentage due from the beneficiary
definition:
  v: The amount due from the patient for the cost category.
comment:
  v: Amount may be expressed as a percentage of the service/product cost or a fixed amount of currency.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Extension.value[x]
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Quantity
    l: Quantity
  profile:
    v: http://hl7.org/fhir/StructureDefinition/SimpleQuantity
    l: SimpleQuantity
type:
  code:
    v: Money
    l: Money
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Extension.extension:exception
path:
  v: Extension.extension
slice name:
  v: exception
short:
  v: R4: Exceptions for patient payments (new)
definition:
  v: R4: `Coverage.costToBeneficiary.exception` (new:BackboneElement)
comment:
  v: 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).
requirements:
  v: 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).
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension

id:
  v: Extension.extension:exception.id
path:
  v: Extension.extension.id
representation:
  v: xmlAttr
short:
  v: xml:id (or equivalent in JSON)
definition:
  v: unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Extension.extension:exception.extension
path:
  v: Extension.extension.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  ordered:
    v: false
  rules:
    v: open
short:
  v: Extension
definition:
  v: An Extension
min:
  v: 1
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension

id:
  v: Extension.extension:exception.extension:type
path:
  v: Extension.extension.extension
slice name:
  v: type
short:
  v: R4: Exception category (new)
definition:
  v: R4: `Coverage.costToBeneficiary.exception.type` (new:CodeableConcept)
comment:
  v: 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).
requirements:
  v: 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).
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension

id:
  v: Extension.extension:exception.extension:type.id
path:
  v: Extension.extension.extension.id
representation:
  v: xmlAttr
short:
  v: xml:id (or equivalent in JSON)
definition:
  v: unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Extension.extension:exception.extension:type.extension
path:
  v: Extension.extension.extension.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  rules:
    v: open
short:
  v: Additional Content defined by implementations
definition:
  v: 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.
comment:
  v: 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.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Extension.extension:exception.extension:type.url
path:
  v: Extension.extension.extension.url
representation:
  v: xmlAttr
short:
  v: identifies the meaning of the extension
definition:
  v: Source of the definition for the extension code - a logical name or a URL.
comment:
  v: 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.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Extension.url
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: uri
    l: uri
fixed: Uri
  v: type
  l: type
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Extension.extension:exception.extension:type.value[x]
path:
  v: Extension.extension.extension.value[x]
short:
  v: Exception category
definition:
  v: The code for the specific exception.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Extension.value[x]
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
binding:
  strength:
    v: example
  description:
    v: The types of exceptions from the part or full value of financial obligations such as copays.
  value set: Uri
    v: http://hl7.org/fhir/uv/xver/ValueSet/R4-coverage-financial-exception-for-R3|0.1.0
    l: http://hl7.org/fhir/uv/xver/ValueSet/R4-coverage-financial-exception-for-R3
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Extension.extension:exception.extension:period
path:
  v: Extension.extension.extension
slice name:
  v: period
short:
  v: R4: The effective period of the exception (new)
definition:
  v: R4: `Coverage.costToBeneficiary.exception.period` (new:Period)
comment:
  v: 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).
requirements:
  v: 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).
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension

id:
  v: Extension.extension:exception.extension:period.id
path:
  v: Extension.extension.extension.id
representation:
  v: xmlAttr
short:
  v: xml:id (or equivalent in JSON)
definition:
  v: unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Extension.extension:exception.extension:period.extension
path:
  v: Extension.extension.extension.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  rules:
    v: open
short:
  v: Additional Content defined by implementations
definition:
  v: 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.
comment:
  v: 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.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Extension.extension:exception.extension:period.url
path:
  v: Extension.extension.extension.url
representation:
  v: xmlAttr
short:
  v: identifies the meaning of the extension
definition:
  v: Source of the definition for the extension code - a logical name or a URL.
comment:
  v: 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.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Extension.url
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: uri
    l: uri
fixed: Uri
  v: period
  l: period
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Extension.extension:exception.extension:period.value[x]
path:
  v: Extension.extension.extension.value[x]
short:
  v: The effective period of the exception
definition:
  v: The timeframe during when the exception is in force.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Extension.value[x]
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Period
    l: Period
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Extension.extension:exception.url
path:
  v: Extension.extension.url
representation:
  v: xmlAttr
short:
  v: identifies the meaning of the extension
definition:
  v: Source of the definition for the extension code - a logical name or a URL.
comment:
  v: 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.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Extension.url
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: uri
    l: uri
fixed: Uri
  v: exception
  l: exception
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Extension.extension:exception.value[x]
path:
  v: Extension.extension.value[x]
short:
  v: Value of extension
definition:
  v: Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).
min:
  v: 0
max:
  v: 0
base:
  path:
    v: Extension.value[x]
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: base64Binary
    l: base64Binary
type:
  code:
    v: boolean
    l: boolean
type:
  code:
    v: code
    l: code
type:
  code:
    v: date
    l: date
type:
  code:
    v: dateTime
    l: dateTime
type:
  code:
    v: decimal
    l: decimal
type:
  code:
    v: id
    l: id
type:
  code:
    v: instant
    l: instant
type:
  code:
    v: integer
    l: integer
type:
  code:
    v: markdown
    l: markdown
type:
  code:
    v: oid
    l: oid
type:
  code:
    v: positiveInt
    l: positiveInt
type:
  code:
    v: string
    l: string
type:
  code:
    v: time
    l: time
type:
  code:
    v: unsignedInt
    l: unsignedInt
type:
  code:
    v: uri
    l: uri
type:
  code:
    v: Address
    l: Address
type:
  code:
    v: Age
    l: Age
type:
  code:
    v: Annotation
    l: Annotation
type:
  code:
    v: Attachment
    l: Attachment
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
type:
  code:
    v: Coding
    l: Coding
type:
  code:
    v: ContactPoint
    l: ContactPoint
type:
  code:
    v: Count
    l: Count
type:
  code:
    v: Distance
    l: Distance
type:
  code:
    v: Duration
    l: Duration
type:
  code:
    v: HumanName
    l: HumanName
type:
  code:
    v: Identifier
    l: Identifier
type:
  code:
    v: Money
    l: Money
type:
  code:
    v: Period
    l: Period
type:
  code:
    v: Quantity
    l: Quantity
type:
  code:
    v: Range
    l: Range
type:
  code:
    v: Ratio
    l: Ratio
type:
  code:
    v: Reference
    l: Reference
type:
  code:
    v: SampledData
    l: SampledData
type:
  code:
    v: Signature
    l: Signature
type:
  code:
    v: Timing
    l: Timing
type:
  code:
    v: Meta
    l: Meta
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Extension.url
path:
  v: Extension.url
representation:
  v: xmlAttr
short:
  v: identifies the meaning of the extension
definition:
  v: Source of the definition for the extension code - a logical name or a URL.
comment:
  v: 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.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Extension.url
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: uri
    l: uri
fixed: Uri
  v: http://hl7.org/fhir/4.0/StructureDefinition/extension-Coverage.costToBeneficiary
  l: extension-Coverage.costToBeneficiary
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Extension.value[x]
path:
  v: Extension.value[x]
short:
  v: Value of extension
definition:
  v: Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).
min:
  v: 0
max:
  v: 0
base:
  path:
    v: Extension.value[x]
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: base64Binary
    l: base64Binary
type:
  code:
    v: boolean
    l: boolean
type:
  code:
    v: code
    l: code
type:
  code:
    v: date
    l: date
type:
  code:
    v: dateTime
    l: dateTime
type:
  code:
    v: decimal
    l: decimal
type:
  code:
    v: id
    l: id
type:
  code:
    v: instant
    l: instant
type:
  code:
    v: integer
    l: integer
type:
  code:
    v: markdown
    l: markdown
type:
  code:
    v: oid
    l: oid
type:
  code:
    v: positiveInt
    l: positiveInt
type:
  code:
    v: string
    l: string
type:
  code:
    v: time
    l: time
type:
  code:
    v: unsignedInt
    l: unsignedInt
type:
  code:
    v: uri
    l: uri
type:
  code:
    v: Address
    l: Address
type:
  code:
    v: Age
    l: Age
type:
  code:
    v: Annotation
    l: Annotation
type:
  code:
    v: Attachment
    l: Attachment
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
type:
  code:
    v: Coding
    l: Coding
type:
  code:
    v: ContactPoint
    l: ContactPoint
type:
  code:
    v: Count
    l: Count
type:
  code:
    v: Distance
    l: Distance
type:
  code:
    v: Duration
    l: Duration
type:
  code:
    v: HumanName
    l: HumanName
type:
  code:
    v: Identifier
    l: Identifier
type:
  code:
    v: Money
    l: Money
type:
  code:
    v: Period
    l: Period
type:
  code:
    v: Quantity
    l: Quantity
type:
  code:
    v: Range
    l: Range
type:
  code:
    v: Ratio
    l: Ratio
type:
  code:
    v: Reference
    l: Reference
type:
  code:
    v: SampledData
    l: SampledData
type:
  code:
    v: Signature
    l: Signature
type:
  code:
    v: Timing
    l: Timing
type:
  code:
    v: Meta
    l: Meta
mapping:
  identity:
    v: rim
  map:
    v: N/A

element:
  id:
    v: Extension
  path:
    v: Extension
  short:
    v: R4: Patient payments for services/products (new)
  definition:
    v: R4: `Coverage.costToBeneficiary` (new:BackboneElement)
  comment:
    v: 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.
  min:
    v: 0
  max:
    v: *
  base:
    path:
      v: Extension
    min:
      v: 0
    max:
      v: *
  is modifier:
    v: false
element:
  id:
    v: Extension.extension
  path:
    v: Extension.extension
  slicing:
    discriminator:
      type:
        v: value
      path:
        v: url
    ordered:
      v: false
    rules:
      v: open
  min:
    v: 1
  max:
    v: *
  base:
    path:
      v: Extension.extension
    min:
      v: 0
    max:
      v: *
element:
  id:
    v: Extension.extension:type
  path:
    v: Extension.extension
  slice name:
    v: type
  short:
    v: R4: Cost category (new)
  definition:
    v: R4: `Coverage.costToBeneficiary.type` (new:CodeableConcept)
  comment:
    v: 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.
  requirements:
    v: 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).
  min:
    v: 0
  max:
    v: 1
  base:
    path:
      v: Extension.extension
    min:
      v: 0
    max:
      v: *
element:
  id:
    v: Extension.extension:type.url
  path:
    v: Extension.extension.url
  min:
    v: 1
  max:
    v: 1
  base:
    path:
      v: Extension.url
    min:
      v: 1
    max:
      v: 1
  fixed: Uri
    v: type
    l: type
element:
  id:
    v: Extension.extension:type.value[x]
  path:
    v: Extension.extension.value[x]
  short:
    v: Cost category
  definition:
    v: The category of patient centric costs associated with treatment.
  comment:
    v: For example visit, specialist visits, emergency, inpatient care, etc.
  min:
    v: 0
  max:
    v: 1
  base:
    path:
      v: Extension.value[x]
    min:
      v: 0
    max:
      v: 1
  type:
    code:
      v: CodeableConcept
      l: CodeableConcept
  binding:
    strength:
      v: extensible
    description:
      v: The types of services to which patient copayments are specified.
    value set: Uri
      v: http://hl7.org/fhir/uv/xver/ValueSet/R4-coverage-copay-type-for-R3|0.1.0
      l: http://hl7.org/fhir/uv/xver/ValueSet/R4-coverage-copay-type-for-R3
element:
  id:
    v: Extension.extension:value
  path:
    v: Extension.extension
  slice name:
    v: value
  short:
    v: R4: The amount or percentage due from the beneficiary (new)
  definition:
    v: R4: `Coverage.costToBeneficiary.value[x]` (new:Money, Quantity[SimpleQuantity])
  comment:
    v: 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.
  requirements:
    v: 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).
  min:
    v: 1
  max:
    v: 1
  base:
    path:
      v: Extension.extension
    min:
      v: 0
    max:
      v: *
element:
  id:
    v: Extension.extension:value.url
  path:
    v: Extension.extension.url
  min:
    v: 1
  max:
    v: 1
  base:
    path:
      v: Extension.url
    min:
      v: 1
    max:
      v: 1
  fixed: Uri
    v: value
    l: value
element:
  id:
    v: Extension.extension:value.value[x]
  path:
    v: Extension.extension.value[x]
  short:
    v: The amount or percentage due from the beneficiary
  definition:
    v: The amount due from the patient for the cost category.
  comment:
    v: Amount may be expressed as a percentage of the service/product cost or a fixed amount of currency.
  min:
    v: 1
  max:
    v: 1
  base:
    path:
      v: Extension.value[x]
    min:
      v: 0
    max:
      v: 1
  type:
    code:
      v: Quantity
      l: Quantity
    profile:
      v: http://hl7.org/fhir/StructureDefinition/SimpleQuantity
      l: SimpleQuantity

code:
  v: Money
  l: Money

id:
  v: Extension.extension:exception
path:
  v: Extension.extension
slice name:
  v: exception
short:
  v: R4: Exceptions for patient payments (new)
definition:
  v: R4: `Coverage.costToBeneficiary.exception` (new:BackboneElement)
comment:
  v: 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).
requirements:
  v: 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).
min:
  v: 0
max:
  v: *
base:
  path:
    v: Extension.extension
  min:
    v: 0
  max:
    v: *

id:
  v: Extension.extension:exception.extension
path:
  v: Extension.extension.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  ordered:
    v: false
  rules:
    v: open
min:
  v: 1
max:
  v: *
base:
  path:
    v: Extension.extension
  min:
    v: 0
  max:
    v: *

id:
  v: Extension.extension:exception.extension:type
path:
  v: Extension.extension.extension
slice name:
  v: type
short:
  v: R4: Exception category (new)
definition:
  v: R4: `Coverage.costToBeneficiary.exception.type` (new:CodeableConcept)
comment:
  v: 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).
requirements:
  v: 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).
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Extension.extension
  min:
    v: 0
  max:
    v: *

id:
  v: Extension.extension:exception.extension:type.url
path:
  v: Extension.extension.extension.url
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Extension.url
  min:
    v: 1
  max:
    v: 1
fixed: Uri
  v: type
  l: type

id:
  v: Extension.extension:exception.extension:type.value[x]
path:
  v: Extension.extension.extension.value[x]
short:
  v: Exception category
definition:
  v: The code for the specific exception.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Extension.value[x]
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
binding:
  strength:
    v: example
  description:
    v: The types of exceptions from the part or full value of financial obligations such as copays.
  value set: Uri
    v: http://hl7.org/fhir/uv/xver/ValueSet/R4-coverage-financial-exception-for-R3|0.1.0
    l: http://hl7.org/fhir/uv/xver/ValueSet/R4-coverage-financial-exception-for-R3

id:
  v: Extension.extension:exception.extension:period
path:
  v: Extension.extension.extension
slice name:
  v: period
short:
  v: R4: The effective period of the exception (new)
definition:
  v: R4: `Coverage.costToBeneficiary.exception.period` (new:Period)
comment:
  v: 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).
requirements:
  v: 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).
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Extension.extension
  min:
    v: 0
  max:
    v: *

id:
  v: Extension.extension:exception.extension:period.url
path:
  v: Extension.extension.extension.url
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Extension.url
  min:
    v: 1
  max:
    v: 1
fixed: Uri
  v: period
  l: period

id:
  v: Extension.extension:exception.extension:period.value[x]
path:
  v: Extension.extension.extension.value[x]
short:
  v: The effective period of the exception
definition:
  v: The timeframe during when the exception is in force.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Extension.value[x]
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Period
    l: Period

id:
  v: Extension.extension:exception.url
path:
  v: Extension.extension.url
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Extension.url
  min:
    v: 1
  max:
    v: 1
fixed: Uri
  v: exception
  l: exception

id:
  v: Extension.extension:exception.value[x]
path:
  v: Extension.extension.value[x]
min:
  v: 0
max:
  v: 0
base:
  path:
    v: Extension.value[x]
  min:
    v: 0
  max:
    v: 1

id:
  v: Extension.url
path:
  v: Extension.url
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Extension.url
  min:
    v: 1
  max:
    v: 1
fixed: Uri
  v: http://hl7.org/fhir/4.0/StructureDefinition/extension-Coverage.costToBeneficiary
  l: extension-Coverage.costToBeneficiary

id:
  v: Extension.value[x]
path:
  v: Extension.value[x]
min:
  v: 0
max:
  v: 0
base:
  path:
    v: Extension.value[x]
  min:
    v: 0
  max:
    v: 1