Generated Narrative: StructureDefinition ext-R4-InsurancePlan.coverage Name Flags Card. Type Description & Constraints Extension 0..* Extension R4: Coverage details (new) #xD; Slices for extension 2..* Extension Extension Slice: Unordered, Open by value:url #xD; extension:type 1..1 Extension R4: Type of coverage (new) #xD; url 1..1 uri "type" #xD; value[x] 1..1 CodeableConcept Type of coverage #xD; extension:network 0..* Extension R4: What networks provide coverage (new) #xD; url 1..1 uri "network" #xD; value[x] 0..1 Reference(Cross-version Profile for R4.Organization for use in FHIR STU3(0.1.0) | Organization) What networks provide coverage #xD; extension:benefit 1..* Extension R4: List of benefits (new) #xD; Slices for extension 1..* Extension Extension Slice: Unordered, Open by value:url #xD; extension:type 1..1 Extension R4: Type of benefit (new) #xD; url 1..1 uri "type" #xD; value[x] 1..1 CodeableConcept Type of benefit #xD; extension:requirement 0..1 Extension R4: Referral requirements (new) #xD; url 1..1 uri "requirement" #xD; value[x] 0..1 string Referral requirements #xD; extension:limit 0..* Extension R4: Benefit limits (new) #xD; Slices for extension 0..* Extension Extension Slice: Unordered, Open by value:url #xD; extension:value 0..1 Extension R4: Maximum value allowed (new) #xD; url 1..1 uri "value" #xD; value[x] 0..1 Quantity Maximum value allowed #xD; extension:code 0..1 Extension R4: Benefit limit details (new) #xD; url 1..1 uri "code" #xD; value[x] 0..1 CodeableConcept Benefit limit details #xD; url 1..1 uri "limit" #xD; value[x] 0..0 Value of extension #xD; url 1..1 uri "benefit" #xD; value[x] 0..0 Value of extension #xD; url 1..1 uri "http://hl7.org/fhir/4.0/StructureDefinition/extension-InsurancePlan.coverage" #xD; value[x] 0..0 Value of extension #xD; Documentation for this format
R4: `InsurancePlan.coverage` (new:BackboneElement)
This extension is part of the cross-version definitions generated to enable use of the element `InsurancePlan.coverage` as defined in FHIR R4 in FHIR STU3. The source element is defined as: `InsurancePlan.coverage` 0..* `BackboneElement` Following are the generation technical comments: Element `InsurancePlan.coverage` is not mapped to FHIR STU3, since FHIR R4 `InsurancePlan` is not mapped. Element `InsurancePlan.coverage` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).
Element `InsurancePlan.coverage` is not mapped to FHIR STU3, since FHIR R4 `InsurancePlan` is not mapped. Element `InsurancePlan.coverage` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).
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: `InsurancePlan.coverage.type` (new:CodeableConcept)
Element `InsurancePlan.coverage.type` is part of an existing definition because parent element `InsurancePlan.coverage` requires a cross-version extension. Element `InsurancePlan.coverage.type` is not mapped to FHIR STU3, since FHIR R4 `InsurancePlan` is not mapped. Element `InsurancePlan.coverage.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.
Type of coverage (Medical; Dental; Mental Health; Substance Abuse; Vision; Drug; Short Term; Long Term Care; Hospice; Home Health).
R4: What networks provide coverage (new)
R4: `InsurancePlan.coverage.network` (new:Reference(Organization))
Element `InsurancePlan.coverage.network` is part of an existing definition because parent element `InsurancePlan.coverage` requires a cross-version extension. Element `InsurancePlan.coverage.network` is not mapped to FHIR STU3, since FHIR R4 `InsurancePlan` is not mapped. Element `InsurancePlan.coverage.network` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). Networks are represented as a hierarchy of organization resources.
Element `InsurancePlan.coverage.network` is part of an existing definition because parent element `InsurancePlan.coverage` requires a cross-version extension. Element `InsurancePlan.coverage.network` is not mapped to FHIR STU3, since FHIR R4 `InsurancePlan` is not mapped. Element `InsurancePlan.coverage.network` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).
Reference to the network that providing the type of coverage.
Networks are represented as a hierarchy of organization resources.
R4: `InsurancePlan.coverage.benefit` (new:BackboneElement)
Element `InsurancePlan.coverage.benefit` is part of an existing definition because parent element `InsurancePlan.coverage` requires a cross-version extension. Element `InsurancePlan.coverage.benefit` is not mapped to FHIR STU3, since FHIR R4 `InsurancePlan` is not mapped. Element `InsurancePlan.coverage.benefit` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).
R4: `InsurancePlan.coverage.benefit.type` (new:CodeableConcept)
Element `InsurancePlan.coverage.benefit.type` is part of an existing definition because parent element `InsurancePlan.coverage.benefit` requires a cross-version extension. Element `InsurancePlan.coverage.benefit.type` is not mapped to FHIR STU3, since FHIR R4 `InsurancePlan` is not mapped. Element `InsurancePlan.coverage.benefit.type` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).
Type of benefit (primary care; speciality care; inpatient; outpatient).
R4: `InsurancePlan.coverage.benefit.requirement` (new:string)
Element `InsurancePlan.coverage.benefit.requirement` is part of an existing definition because parent element `InsurancePlan.coverage.benefit` requires a cross-version extension. Element `InsurancePlan.coverage.benefit.requirement` is not mapped to FHIR STU3, since FHIR R4 `InsurancePlan` is not mapped. Element `InsurancePlan.coverage.benefit.requirement` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).
The referral requirements to have access/coverage for this benefit.
R4: `InsurancePlan.coverage.benefit.limit` (new:BackboneElement)
Element `InsurancePlan.coverage.benefit.limit` is part of an existing definition because parent element `InsurancePlan.coverage.benefit` requires a cross-version extension. Element `InsurancePlan.coverage.benefit.limit` is not mapped to FHIR STU3, since FHIR R4 `InsurancePlan` is not mapped. Element `InsurancePlan.coverage.benefit.limit` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).
R4: `InsurancePlan.coverage.benefit.limit.value` (new:Quantity)
Element `InsurancePlan.coverage.benefit.limit.value` is part of an existing definition because parent element `InsurancePlan.coverage.benefit.limit` requires a cross-version extension. Element `InsurancePlan.coverage.benefit.limit.value` is not mapped to FHIR STU3, since FHIR R4 `InsurancePlan` is not mapped. Element `InsurancePlan.coverage.benefit.limit.value` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). May also be called “eligible expense,” “payment allowance,” or “negotiated rate.”.
Element `InsurancePlan.coverage.benefit.limit.value` is part of an existing definition because parent element `InsurancePlan.coverage.benefit.limit` requires a cross-version extension. Element `InsurancePlan.coverage.benefit.limit.value` is not mapped to FHIR STU3, since FHIR R4 `InsurancePlan` is not mapped. Element `InsurancePlan.coverage.benefit.limit.value` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).
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 “eligible expense,” “payment allowance,” or “negotiated rate.”.
R4: `InsurancePlan.coverage.benefit.limit.code` (new:CodeableConcept)
Element `InsurancePlan.coverage.benefit.limit.code` is part of an existing definition because parent element `InsurancePlan.coverage.benefit.limit` requires a cross-version extension. Element `InsurancePlan.coverage.benefit.limit.code` is not mapped to FHIR STU3, since FHIR R4 `InsurancePlan` is not mapped. Element `InsurancePlan.coverage.benefit.limit.code` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). Use `CodeableConcept.text` element if the data is free (uncoded) text.
Element `InsurancePlan.coverage.benefit.limit.code` is part of an existing definition because parent element `InsurancePlan.coverage.benefit.limit` requires a cross-version extension. Element `InsurancePlan.coverage.benefit.limit.code` is not mapped to FHIR STU3, since FHIR R4 `InsurancePlan` is not mapped. Element `InsurancePlan.coverage.benefit.limit.code` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).
Use `CodeableConcept.text` element if the data is free (uncoded) text.
Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).