Extensions for Using Data Elements from FHIR R4 in FHIR STU3 - Downloaded Version null See the Directory of published versions
| Page standards status: Trial-use | Maturity Level: 0 |
Definitions for the ext-R4-InsurancePlan.plan extension.
Guidance on how to interpret the contents of this table can be foundhere
| 0. Extension | |
| Definition | R4: Optional Extension Element - found in all resources. |
| Short | R4: Plan details (new)Optional Extensions Element |
| Comments | Element |
| Control | 0..* This element is affected by the following invariants: ele-1 |
| Is Modifier | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() | (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists())ele-1: All FHIR elements must have a @value or children (hasValue() | (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
| 2. Extension.extension | |
| Definition | An Extension 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. |
| Short | ExtensionAdditional Content defined by implementations |
| Comments | 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. |
| Control | 0..* |
| Type | Extension |
| Alternate Names | extensions, user content |
| Slicing | This element introduces a set of slices on Extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 4. Extension.extension:identifier | |
| Slice Name | identifier |
| Definition | R4: |
| Short | R4: Business Identifier for Product (new)Additional Content defined by implementations |
| Comments | Element |
| Control | 0..* |
| Type | Extension |
| Requirements | Element |
| 6. Extension.extension:identifier.url | |
| Definition | Source of the definition for the extension code - a logical name or a URL. |
| Short | identifies the meaning of the extension |
| Comments | 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. |
| Control | 1..1 |
| Type | uri |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | identifier |
| 8. Extension.extension:identifier.value[x] | |
| Definition | Business identifiers assigned to this health insurance plan which remain constant as the resource is updated and propagates from server to server. Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list). |
| Short | Business Identifier for ProductValue of extension |
| Control | 0..1 |
| Type | Identifier, date, dateTime, Meta, code, string, Address, Attachment, integer, oid, Count, instant, ContactPoint, HumanName, Money, Coding, markdown, SampledData, Ratio, id, positiveInt, Age, Distance, Reference, Period, Quantity, Duration, Range, uri, Annotation, boolean, base64Binary, Signature, unsignedInt, time, Timing, decimal, CodeableConcept |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| 10. Extension.extension:type | |
| Slice Name | type |
| Definition | R4: |
| Short | R4: Type of plan (new)Additional Content defined by implementations |
| Comments | Element |
| Control | 0..1* |
| Type | Extension |
| Requirements | Element |
| 12. Extension.extension:type.url | |
| Definition | Source of the definition for the extension code - a logical name or a URL. |
| Short | identifies the meaning of the extension |
| Comments | 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. |
| Control | 1..1 |
| Type | uri |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | type |
| 14. Extension.extension:type.value[x] | |
| Definition | Type of plan. For example, "Platinum" or "High Deductable". Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list). |
| Short | Type of planValue of extension |
| Control | 0..1 |
| Type | CodeableConcept, date, dateTime, Meta, code, string, Address, Attachment, integer, oid, Count, instant, ContactPoint, HumanName, Money, Identifier, Coding, markdown, SampledData, Ratio, id, positiveInt, Age, Distance, Reference, Period, Quantity, Duration, Range, uri, Annotation, boolean, base64Binary, Signature, unsignedInt, time, Timing, decimal |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| 16. Extension.extension:coverageArea | |
| Slice Name | coverageArea |
| Definition | R4: |
| Short | R4: Where product applies (new)Additional Content defined by implementations |
| Comments | Element |
| Control | 0..* |
| Type | Extension |
| Requirements | Element |
| 18. Extension.extension:coverageArea.url | |
| Definition | Source of the definition for the extension code - a logical name or a URL. |
| Short | identifies the meaning of the extension |
| Comments | 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. |
| Control | 1..1 |
| Type | uri |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | coverageArea |
| 20. Extension.extension:coverageArea.value[x] | |
| Definition | The geographic region in which a health insurance plan's benefits apply. Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list). |
| Short | Where product appliesValue of extension |
| Control | 0..1 |
| Type | Reference(Cross-version Profile for R4.Location for use in FHIR STU3, Location), date, dateTime, Meta, code, string, Address, Attachment, integer, oid, Count, instant, ContactPoint, HumanName, Money, Identifier, Coding, markdown, SampledData, Ratio, id, positiveInt, Age, Distance, Period, Quantity, Duration, Range, uri, Annotation, boolean, base64Binary, Signature, unsignedInt, time, Timing, decimal, CodeableConcept |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| 22. Extension.extension:network | |
| Slice Name | network |
| Definition | R4: |
| Short | R4: What networks provide coverage (new)Additional Content defined by implementations |
| Comments | Element |
| Control | 0..* |
| Type | Extension |
| Requirements | Element |
| 24. Extension.extension:network.url | |
| Definition | Source of the definition for the extension code - a logical name or a URL. |
| Short | identifies the meaning of the extension |
| Comments | 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. |
| Control | 1..1 |
| Type | uri |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | network |
| 26. Extension.extension:network.value[x] | |
| Definition | Reference to the network that providing the type of coverage. Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list). |
| Short | What networks provide coverageValue of extension |
| Comments | Networks are represented as a hierarchy of organization resources. |
| Control | 0..1 |
| Type | Reference(Cross-version Profile for R4.Organization for use in FHIR STU3, Organization), date, dateTime, Meta, code, string, Address, Attachment, integer, oid, Count, instant, ContactPoint, HumanName, Money, Identifier, Coding, markdown, SampledData, Ratio, id, positiveInt, Age, Distance, Period, Quantity, Duration, Range, uri, Annotation, boolean, base64Binary, Signature, unsignedInt, time, Timing, decimal, CodeableConcept |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| 28. Extension.extension:generalCost | |
| Slice Name | generalCost |
| Definition | R4: |
| Short | R4: Overall costs (new)Additional Content defined by implementations |
| Comments | Element |
| Control | 0..* |
| Type | Extension |
| Requirements | Element |
| 30. Extension.extension:generalCost.extension | |
| Definition | An Extension 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. |
| Short | ExtensionAdditional Content defined by implementations |
| Comments | 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. |
| Control | 0..* |
| Type | Extension |
| Alternate Names | extensions, user content |
| Slicing | This element introduces a set of slices on Extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 32. Extension.extension:generalCost.extension:type | |
| Slice Name | type |
| Definition | R4: |
| Short | R4: Type of cost (new)Additional Content defined by implementations |
| Comments | Element |
| Control | 0..1* |
| Type | Extension |
| Requirements | Element |
| 34. Extension.extension:generalCost.extension:type.url | |
| Definition | Source of the definition for the extension code - a logical name or a URL. |
| Short | identifies the meaning of the extension |
| Comments | 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. |
| Control | 1..1 |
| Type | uri |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | type |
| 36. Extension.extension:generalCost.extension:type.value[x] | |
| Definition | Type of cost. Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list). |
| Short | Type of costValue of extension |
| Control | 0..1 |
| Type | CodeableConcept, date, dateTime, Meta, code, string, Address, Attachment, integer, oid, Count, instant, ContactPoint, HumanName, Money, Identifier, Coding, markdown, SampledData, Ratio, id, positiveInt, Age, Distance, Reference, Period, Quantity, Duration, Range, uri, Annotation, boolean, base64Binary, Signature, unsignedInt, time, Timing, decimal |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| 38. Extension.extension:generalCost.extension:groupSize | |
| Slice Name | groupSize |
| Definition | R4: |
| Short | R4: Number of enrollees (new)Additional Content defined by implementations |
| Comments | Element |
| Control | 0..1* |
| Type | Extension |
| Requirements | Element |
| 40. Extension.extension:generalCost.extension:groupSize.url | |
| Definition | Source of the definition for the extension code - a logical name or a URL. |
| Short | identifies the meaning of the extension |
| Comments | 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. |
| Control | 1..1 |
| Type | uri |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | groupSize |
| 42. Extension.extension:generalCost.extension:groupSize.value[x] | |
| Definition | Number of participants enrolled in the plan. Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list). |
| Short | Number of enrolleesValue of extension |
| Control | 0..1 |
| Type | positiveInt, date, dateTime, Meta, code, string, Address, Attachment, integer, oid, Count, instant, ContactPoint, HumanName, Money, Identifier, Coding, markdown, SampledData, Ratio, id, Age, Distance, Reference, Period, Quantity, Duration, Range, uri, Annotation, boolean, base64Binary, Signature, unsignedInt, time, Timing, decimal, CodeableConcept |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 44. Extension.extension:generalCost.extension:cost | |
| Slice Name | cost |
| Definition | R4: |
| Short | R4: Cost value (new)Additional Content defined by implementations |
| Comments | Element |
| Control | 0..1* |
| Type | Extension |
| Requirements | Element |
| 46. Extension.extension:generalCost.extension:cost.url | |
| Definition | Source of the definition for the extension code - a logical name or a URL. |
| Short | identifies the meaning of the extension |
| Comments | 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. |
| Control | 1..1 |
| Type | uri |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | cost |
| 48. Extension.extension:generalCost.extension:cost.value[x] | |
| Definition | Value of the cost. Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list). |
| Short | Cost valueValue of extension |
| Control | 0..1 |
| Type | Money, date, dateTime, Meta, code, string, Address, Attachment, integer, oid, Count, instant, ContactPoint, HumanName, Identifier, Coding, markdown, SampledData, Ratio, id, positiveInt, Age, Distance, Reference, Period, Quantity, Duration, Range, uri, Annotation, boolean, base64Binary, Signature, unsignedInt, time, Timing, decimal, CodeableConcept |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| 50. Extension.extension:generalCost.extension:comment | |
| Slice Name | comment |
| Definition | R4: |
| Short | R4: Additional cost information (new)Additional Content defined by implementations |
| Comments | Element |
| Control | 0..1* |
| Type | Extension |
| Requirements | Element |
| 52. Extension.extension:generalCost.extension:comment.url | |
| Definition | Source of the definition for the extension code - a logical name or a URL. |
| Short | identifies the meaning of the extension |
| Comments | 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. |
| Control | 1..1 |
| Type | uri |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | comment |
| 54. Extension.extension:generalCost.extension:comment.value[x] | |
| Definition | Additional information about the general costs associated with this plan. Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list). |
| Short | Additional cost informationValue of extension |
| Control | 0..1 |
| Type | string, date, dateTime, Meta, code, Address, Attachment, integer, oid, Count, instant, ContactPoint, HumanName, Money, Identifier, Coding, markdown, SampledData, Ratio, id, positiveInt, Age, Distance, Reference, Period, Quantity, Duration, Range, uri, Annotation, boolean, base64Binary, Signature, unsignedInt, time, Timing, decimal, CodeableConcept |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 56. Extension.extension:generalCost.url | |
| Definition | Source of the definition for the extension code - a logical name or a URL. |
| Short | identifies the meaning of the extension |
| Comments | 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. |
| Control | 1..1 |
| Type | uri |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | generalCost |
| 58. Extension.extension:generalCost.value[x] | |
| Definition | Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list). |
| Short | Value of extension |
| Control | 0..01 |
| Type | Choice of: base64Binary, boolean, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, Meta |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 60. Extension.extension:specificCost | |
| Slice Name | specificCost |
| Definition | R4: |
| Short | R4: Specific costs (new)Additional Content defined by implementations |
| Comments | Element |
| Control | 0..* |
| Type | Extension |
| Requirements | Element |
| 62. Extension.extension:specificCost.extension | |
| Definition | An Extension 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. |
| Short | ExtensionAdditional Content defined by implementations |
| Comments | 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. |
| Control | 10..* |
| Type | Extension |
| Alternate Names | extensions, user content |
| Slicing | This element introduces a set of slices on Extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 64. Extension.extension:specificCost.extension:category | |
| Slice Name | category |
| Definition | R4: |
| Short | R4: General category of benefit (new)Additional Content defined by implementations |
| Comments | Element |
| Control | 10..1* |
| Type | Extension |
| Requirements | Element |
| 66. Extension.extension:specificCost.extension:category.url | |
| Definition | Source of the definition for the extension code - a logical name or a URL. |
| Short | identifies the meaning of the extension |
| Comments | 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. |
| Control | 1..1 |
| Type | uri |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | category |
| 68. Extension.extension:specificCost.extension:category.value[x] | |
| Definition | General category of benefit (Medical; Dental; Vision; Drug; Mental Health; Substance Abuse; Hospice, Home Health). Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list). |
| Short | General category of benefitValue of extension |
| Control | 10..1 |
| Type | CodeableConcept, date, dateTime, Meta, code, string, Address, Attachment, integer, oid, Count, instant, ContactPoint, HumanName, Money, Identifier, Coding, markdown, SampledData, Ratio, id, positiveInt, Age, Distance, Reference, Period, Quantity, Duration, Range, uri, Annotation, boolean, base64Binary, Signature, unsignedInt, time, Timing, decimal |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| 70. Extension.extension:specificCost.extension:benefit | |
| Slice Name | benefit |
| Definition | R4: |
| Short | R4: Benefits list (new)Additional Content defined by implementations |
| Comments | Element |
| Control | 0..* |
| Type | Extension |
| Requirements | Element |
| 72. Extension.extension:specificCost.extension:benefit.extension | |
| Definition | An Extension 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. |
| Short | ExtensionAdditional Content defined by implementations |
| Comments | 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. |
| Control | 10..* |
| Type | Extension |
| Alternate Names | extensions, user content |
| Slicing | This element introduces a set of slices on Extension.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 74. Extension.extension:specificCost.extension:benefit.extension:type | |
| Slice Name | type |
| Definition | R4: |
| Short | R4: Type of specific benefit (new)Additional Content defined by implementations |
| Comments | Element |
| Control | 10..1* |
| Type | Extension |
| Requirements | Element |
| 76. Extension.extension:specificCost.extension:benefit.extension:type.url | |
| Definition | Source of the definition for the extension code - a logical name or a URL. |
| Short | identifies the meaning of the extension |
| Comments | 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. |
| Control | 1..1 |
| Type | uri |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | type |
| 78. Extension.extension:specificCost.extension:benefit.extension:type.value[x] | |
| Definition | Type of specific benefit (preventative; primary care office visit; speciality office visit; hospitalization; emergency room; urgent care). Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list). |
| Short | Type of specific benefitValue of extension |
| Control | 10..1 |
| Type | CodeableConcept, date, dateTime, Meta, code, string, Address, Attachment, integer, oid, Count, instant, ContactPoint, HumanName, Money, Identifier, Coding, markdown, SampledData, Ratio, id, positiveInt, Age, Distance, Reference, Period, Quantity, Duration, Range, uri, Annotation, boolean, base64Binary, Signature, unsignedInt, time, Timing, decimal |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| 80. Extension.extension:specificCost.extension:benefit.extension:cost | |
| Slice Name | cost |
| Definition | R4: |
| Short | R4: List of the costs (new)Additional Content defined by implementations |
| Comments | Element |
| Control | 0..* |
| Type | Extension |
| Requirements | Element |
| 82. Extension.extension:specificCost.extension:benefit.extension:cost.extension | |
| Definition | An Extension 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. |
| Short | ExtensionAdditional Content defined by implementations |
| Comments | 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. |
| Control | 10..* |
| Type | Extension |
| Alternate Names | extensions, user content |
| Slicing | This element introduces a set of slices on Extension.extension.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 84. Extension.extension:specificCost.extension:benefit.extension:cost.extension:type | |
| Slice Name | type |
| Definition | R4: |
| Short | R4: Type of cost (new)Additional Content defined by implementations |
| Comments | Element |
| Control | 10..1* |
| Type | Extension |
| Requirements | Element |
| 86. Extension.extension:specificCost.extension:benefit.extension:cost.extension:type.url | |
| Definition | Source of the definition for the extension code - a logical name or a URL. |
| Short | identifies the meaning of the extension |
| Comments | 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. |
| Control | 1..1 |
| Type | uri |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | type |
| 88. Extension.extension:specificCost.extension:benefit.extension:cost.extension:type.value[x] | |
| Definition | Type of cost (copay; individual cap; family cap; coinsurance; deductible). Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list). |
| Short | Type of costValue of extension |
| Control | 10..1 |
| Type | CodeableConcept, date, dateTime, Meta, code, string, Address, Attachment, integer, oid, Count, instant, ContactPoint, HumanName, Money, Identifier, Coding, markdown, SampledData, Ratio, id, positiveInt, Age, Distance, Reference, Period, Quantity, Duration, Range, uri, Annotation, boolean, base64Binary, Signature, unsignedInt, time, Timing, decimal |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| 90. Extension.extension:specificCost.extension:benefit.extension:cost.extension:applicability | |
| Slice Name | applicability |
| Definition | R4: |
| Short | R4: in-network | out-of-network | other (new)Additional Content defined by implementations |
| Comments | Element |
| Control | 0..1* |
| Type | Extension |
| Requirements | Element |
| 92. Extension.extension:specificCost.extension:benefit.extension:cost.extension:applicability.url | |
| Definition | Source of the definition for the extension code - a logical name or a URL. |
| Short | identifies the meaning of the extension |
| Comments | 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. |
| Control | 1..1 |
| Type | uri |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | applicability |
| 94. Extension.extension:specificCost.extension:benefit.extension:cost.extension:applicability.value[x] | |
| Definition | Whether the cost applies to in-network or out-of-network providers (in-network; out-of-network; other). Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list). |
| Short | in-network | out-of-network | otherValue of extension |
| Control | 0..1 |
| Binding | The codes SHALL be taken from For codes, see R4InsuranceplanApplicabilityForR3 (0.1.0) (required to http://hl7.org/fhir/uv/xver/ValueSet/R4-insuranceplan-applicability-for-R3|0.1.0)Whether the cost applies to in-network or out-of-network providers. |
| Type | CodeableConcept, date, dateTime, Meta, code, string, Address, Attachment, integer, oid, Count, instant, ContactPoint, HumanName, Money, Identifier, Coding, markdown, SampledData, Ratio, id, positiveInt, Age, Distance, Reference, Period, Quantity, Duration, Range, uri, Annotation, boolean, base64Binary, Signature, unsignedInt, time, Timing, decimal |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| 96. Extension.extension:specificCost.extension:benefit.extension:cost.extension:qualifiers | |
| Slice Name | qualifiers |
| Definition | R4: |
| Short | R4: Additional information about the cost (new)Additional Content defined by implementations |
| Comments | Element |
| Control | 0..* |
| Type | Extension |
| Requirements | Element |
| 98. Extension.extension:specificCost.extension:benefit.extension:cost.extension:qualifiers.url | |
| Definition | Source of the definition for the extension code - a logical name or a URL. |
| Short | identifies the meaning of the extension |
| Comments | 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. |
| Control | 1..1 |
| Type | uri |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | qualifiers |
| 100. Extension.extension:specificCost.extension:benefit.extension:cost.extension:qualifiers.value[x] | |
| Definition | Additional information about the cost, such as information about funding sources (e.g. HSA, HRA, FSA, RRA). Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list). |
| Short | Additional information about the costValue of extension |
| Control | 0..1 |
| Type | CodeableConcept, date, dateTime, Meta, code, string, Address, Attachment, integer, oid, Count, instant, ContactPoint, HumanName, Money, Identifier, Coding, markdown, SampledData, Ratio, id, positiveInt, Age, Distance, Reference, Period, Quantity, Duration, Range, uri, Annotation, boolean, base64Binary, Signature, unsignedInt, time, Timing, decimal |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| 102. Extension.extension:specificCost.extension:benefit.extension:cost.extension:value | |
| Slice Name | value |
| Definition | R4: |
| Short | R4: The actual cost value (new)Additional Content defined by implementations |
| Comments | Element |
| Control | 0..1* |
| Type | Extension |
| Requirements | Element |
| 104. Extension.extension:specificCost.extension:benefit.extension:cost.extension:value.url | |
| Definition | Source of the definition for the extension code - a logical name or a URL. |
| Short | identifies the meaning of the extension |
| Comments | 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. |
| Control | 1..1 |
| Type | uri |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | value |
| 106. Extension.extension:specificCost.extension:benefit.extension:cost.extension:value.value[x] | |
| Definition | The actual cost value. (some of the costs may be represented as percentages rather than currency, e.g. 10% coinsurance). Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list). |
| Short | The actual cost valueValue of extension |
| Control | 0..1 |
| Type | Quantity, date, dateTime, Meta, code, string, Address, Attachment, integer, oid, Count, instant, ContactPoint, HumanName, Money, Identifier, Coding, markdown, SampledData, Ratio, id, positiveInt, Age, Distance, Reference, Period, Duration, Range, uri, Annotation, boolean, base64Binary, Signature, unsignedInt, time, Timing, decimal, CodeableConcept |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| 108. Extension.extension:specificCost.extension:benefit.extension:cost.url | |
| Definition | Source of the definition for the extension code - a logical name or a URL. |
| Short | identifies the meaning of the extension |
| Comments | 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. |
| Control | 1..1 |
| Type | uri |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | cost |
| 110. Extension.extension:specificCost.extension:benefit.extension:cost.value[x] | |
| Definition | Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list). |
| Short | Value of extension |
| Control | 0..01 |
| Type | Choice of: base64Binary, boolean, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, Meta |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 112. Extension.extension:specificCost.extension:benefit.url | |
| Definition | Source of the definition for the extension code - a logical name or a URL. |
| Short | identifies the meaning of the extension |
| Comments | 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. |
| Control | 1..1 |
| Type | uri |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | benefit |
| 114. Extension.extension:specificCost.extension:benefit.value[x] | |
| Definition | Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list). |
| Short | Value of extension |
| Control | 0..01 |
| Type | Choice of: base64Binary, boolean, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, Meta |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 116. Extension.extension:specificCost.url | |
| Definition | Source of the definition for the extension code - a logical name or a URL. |
| Short | identifies the meaning of the extension |
| Comments | 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. |
| Control | 1..1 |
| Type | uri |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | specificCost |
| 118. Extension.extension:specificCost.value[x] | |
| Definition | Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list). |
| Short | Value of extension |
| Control | 0..01 |
| Type | Choice of: base64Binary, boolean, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, Meta |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 120. Extension.url | |
| Definition | Source of the definition for the extension code - a logical name or a URL. |
| Short | identifies the meaning of the extension |
| Comments | 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. |
| Control | 1..1 |
| Type | uri |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | http://hl7.org/fhir/4.0/StructureDefinition/extension-InsurancePlan.plan |
| 122. Extension.value[x] | |
| Definition | Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list). |
| Short | Value of extension |
| Control | 0..01 |
| Type | Choice of: base64Binary, boolean, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, Meta |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Guidance on how to interpret the contents of this table can be foundhere
| 0. Extension | |
| Definition | R4: |
| Short | R4: Plan details (new) |
| Comments | Element |
| Control | 0..* |
| Is Modifier | false |
| 2. Extension.extension | |
| Control | 0..* |
| Slicing | This element introduces a set of slices on Extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 4. Extension.extension:identifier | |
| Slice Name | identifier |
| Definition | R4: |
| Short | R4: Business Identifier for Product (new) |
| Comments | Element |
| Control | 0..* |
| Requirements | Element |
| 6. Extension.extension:identifier.url | |
| Control | 1..1 |
| Fixed Value | identifier |
| 8. Extension.extension:identifier.value[x] | |
| Definition | Business identifiers assigned to this health insurance plan which remain constant as the resource is updated and propagates from server to server. |
| Short | Business Identifier for Product |
| Control | 0..1 |
| Type | Identifier |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| 10. Extension.extension:type | |
| Slice Name | type |
| Definition | R4: |
| Short | R4: Type of plan (new) |
| Comments | Element |
| Control | 0..1 |
| Requirements | Element |
| 12. Extension.extension:type.url | |
| Control | 1..1 |
| Fixed Value | type |
| 14. Extension.extension:type.value[x] | |
| Definition | Type of plan. For example, "Platinum" or "High Deductable". |
| Short | Type of plan |
| Control | 0..1 |
| Type | CodeableConcept |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| 16. Extension.extension:coverageArea | |
| Slice Name | coverageArea |
| Definition | R4: |
| Short | R4: Where product applies (new) |
| Comments | Element |
| Control | 0..* |
| Requirements | Element |
| 18. Extension.extension:coverageArea.url | |
| Control | 1..1 |
| Fixed Value | coverageArea |
| 20. Extension.extension:coverageArea.value[x] | |
| Definition | The geographic region in which a health insurance plan's benefits apply. |
| Short | Where product applies |
| Control | 0..1 |
| Type | Reference(Cross-version Profile for R4.Location for use in FHIR STU3, Location) |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| 22. Extension.extension:network | |
| Slice Name | network |
| Definition | R4: |
| Short | R4: What networks provide coverage (new) |
| Comments | Element |
| Control | 0..* |
| Requirements | Element |
| 24. Extension.extension:network.url | |
| Control | 1..1 |
| Fixed Value | network |
| 26. Extension.extension:network.value[x] | |
| Definition | Reference to the network that providing the type of coverage. |
| Short | What networks provide coverage |
| Comments | Networks are represented as a hierarchy of organization resources. |
| Control | 0..1 |
| Type | Reference(Cross-version Profile for R4.Organization for use in FHIR STU3, Organization) |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| 28. Extension.extension:generalCost | |
| Slice Name | generalCost |
| Definition | R4: |
| Short | R4: Overall costs (new) |
| Comments | Element |
| Control | 0..* |
| Requirements | Element |
| 30. Extension.extension:generalCost.extension | |
| Control | 0..* |
| Slicing | This element introduces a set of slices on Extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 32. Extension.extension:generalCost.extension:type | |
| Slice Name | type |
| Definition | R4: |
| Short | R4: Type of cost (new) |
| Comments | Element |
| Control | 0..1 |
| Requirements | Element |
| 34. Extension.extension:generalCost.extension:type.url | |
| Control | 1..1 |
| Fixed Value | type |
| 36. Extension.extension:generalCost.extension:type.value[x] | |
| Definition | Type of cost. |
| Short | Type of cost |
| Control | 0..1 |
| Type | CodeableConcept |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| 38. Extension.extension:generalCost.extension:groupSize | |
| Slice Name | groupSize |
| Definition | R4: |
| Short | R4: Number of enrollees (new) |
| Comments | Element |
| Control | 0..1 |
| Requirements | Element |
| 40. Extension.extension:generalCost.extension:groupSize.url | |
| Control | 1..1 |
| Fixed Value | groupSize |
| 42. Extension.extension:generalCost.extension:groupSize.value[x] | |
| Definition | Number of participants enrolled in the plan. |
| Short | Number of enrollees |
| Control | 0..1 |
| Type | positiveInt |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 44. Extension.extension:generalCost.extension:cost | |
| Slice Name | cost |
| Definition | R4: |
| Short | R4: Cost value (new) |
| Comments | Element |
| Control | 0..1 |
| Requirements | Element |
| 46. Extension.extension:generalCost.extension:cost.url | |
| Control | 1..1 |
| Fixed Value | cost |
| 48. Extension.extension:generalCost.extension:cost.value[x] | |
| Definition | Value of the cost. |
| Short | Cost value |
| Control | 0..1 |
| Type | Money |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| 50. Extension.extension:generalCost.extension:comment | |
| Slice Name | comment |
| Definition | R4: |
| Short | R4: Additional cost information (new) |
| Comments | Element |
| Control | 0..1 |
| Requirements | Element |
| 52. Extension.extension:generalCost.extension:comment.url | |
| Control | 1..1 |
| Fixed Value | comment |
| 54. Extension.extension:generalCost.extension:comment.value[x] | |
| Definition | Additional information about the general costs associated with this plan. |
| Short | Additional cost information |
| Control | 0..1 |
| Type | string |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 56. Extension.extension:generalCost.url | |
| Control | 1..1 |
| Fixed Value | generalCost |
| 58. Extension.extension:generalCost.value[x] | |
| Control | 0..0 |
| 60. Extension.extension:specificCost | |
| Slice Name | specificCost |
| Definition | R4: |
| Short | R4: Specific costs (new) |
| Comments | Element |
| Control | 0..* |
| Requirements | Element |
| 62. Extension.extension:specificCost.extension | |
| Control | 1..* |
| Slicing | This element introduces a set of slices on Extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 64. Extension.extension:specificCost.extension:category | |
| Slice Name | category |
| Definition | R4: |
| Short | R4: General category of benefit (new) |
| Comments | Element |
| Control | 1..1 |
| Requirements | Element |
| 66. Extension.extension:specificCost.extension:category.url | |
| Control | 1..1 |
| Fixed Value | category |
| 68. Extension.extension:specificCost.extension:category.value[x] | |
| Definition | General category of benefit (Medical; Dental; Vision; Drug; Mental Health; Substance Abuse; Hospice, Home Health). |
| Short | General category of benefit |
| Control | 1..1 |
| Type | CodeableConcept |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| 70. Extension.extension:specificCost.extension:benefit | |
| Slice Name | benefit |
| Definition | R4: |
| Short | R4: Benefits list (new) |
| Comments | Element |
| Control | 0..* |
| Requirements | Element |
| 72. Extension.extension:specificCost.extension:benefit.extension | |
| Control | 1..* |
| Slicing | This element introduces a set of slices on Extension.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 74. Extension.extension:specificCost.extension:benefit.extension:type | |
| Slice Name | type |
| Definition | R4: |
| Short | R4: Type of specific benefit (new) |
| Comments | Element |
| Control | 1..1 |
| Requirements | Element |
| 76. Extension.extension:specificCost.extension:benefit.extension:type.url | |
| Control | 1..1 |
| Fixed Value | type |
| 78. Extension.extension:specificCost.extension:benefit.extension:type.value[x] | |
| Definition | Type of specific benefit (preventative; primary care office visit; speciality office visit; hospitalization; emergency room; urgent care). |
| Short | Type of specific benefit |
| Control | 1..1 |
| Type | CodeableConcept |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| 80. Extension.extension:specificCost.extension:benefit.extension:cost | |
| Slice Name | cost |
| Definition | R4: |
| Short | R4: List of the costs (new) |
| Comments | Element |
| Control | 0..* |
| Requirements | Element |
| 82. Extension.extension:specificCost.extension:benefit.extension:cost.extension | |
| Control | 1..* |
| Slicing | This element introduces a set of slices on Extension.extension.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 84. Extension.extension:specificCost.extension:benefit.extension:cost.extension:type | |
| Slice Name | type |
| Definition | R4: |
| Short | R4: Type of cost (new) |
| Comments | Element |
| Control | 1..1 |
| Requirements | Element |
| 86. Extension.extension:specificCost.extension:benefit.extension:cost.extension:type.url | |
| Control | 1..1 |
| Fixed Value | type |
| 88. Extension.extension:specificCost.extension:benefit.extension:cost.extension:type.value[x] | |
| Definition | Type of cost (copay; individual cap; family cap; coinsurance; deductible). |
| Short | Type of cost |
| Control | 1..1 |
| Type | CodeableConcept |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| 90. Extension.extension:specificCost.extension:benefit.extension:cost.extension:applicability | |
| Slice Name | applicability |
| Definition | R4: |
| Short | R4: in-network | out-of-network | other (new) |
| Comments | Element |
| Control | 0..1 |
| Requirements | Element |
| 92. Extension.extension:specificCost.extension:benefit.extension:cost.extension:applicability.url | |
| Control | 1..1 |
| Fixed Value | applicability |
| 94. Extension.extension:specificCost.extension:benefit.extension:cost.extension:applicability.value[x] | |
| Definition | Whether the cost applies to in-network or out-of-network providers (in-network; out-of-network; other). |
| Short | in-network | out-of-network | other |
| Control | 0..1 |
| Binding | The codes SHALL be taken from R4InsuranceplanApplicabilityForR3 (0.1.0) (required to http://hl7.org/fhir/uv/xver/ValueSet/R4-insuranceplan-applicability-for-R3|0.1.0)Whether the cost applies to in-network or out-of-network providers. |
| Type | CodeableConcept |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| 96. Extension.extension:specificCost.extension:benefit.extension:cost.extension:qualifiers | |
| Slice Name | qualifiers |
| Definition | R4: |
| Short | R4: Additional information about the cost (new) |
| Comments | Element |
| Control | 0..* |
| Requirements | Element |
| 98. Extension.extension:specificCost.extension:benefit.extension:cost.extension:qualifiers.url | |
| Control | 1..1 |
| Fixed Value | qualifiers |
| 100. Extension.extension:specificCost.extension:benefit.extension:cost.extension:qualifiers.value[x] | |
| Definition | Additional information about the cost, such as information about funding sources (e.g. HSA, HRA, FSA, RRA). |
| Short | Additional information about the cost |
| Control | 0..1 |
| Type | CodeableConcept |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| 102. Extension.extension:specificCost.extension:benefit.extension:cost.extension:value | |
| Slice Name | value |
| Definition | R4: |
| Short | R4: The actual cost value (new) |
| Comments | Element |
| Control | 0..1 |
| Requirements | Element |
| 104. Extension.extension:specificCost.extension:benefit.extension:cost.extension:value.url | |
| Control | 1..1 |
| Fixed Value | value |
| 106. Extension.extension:specificCost.extension:benefit.extension:cost.extension:value.value[x] | |
| Definition | The actual cost value. (some of the costs may be represented as percentages rather than currency, e.g. 10% coinsurance). |
| Short | The actual cost value |
| Control | 0..1 |
| Type | Quantity |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| 108. Extension.extension:specificCost.extension:benefit.extension:cost.url | |
| Control | 1..1 |
| Fixed Value | cost |
| 110. Extension.extension:specificCost.extension:benefit.extension:cost.value[x] | |
| Control | 0..0 |
| 112. Extension.extension:specificCost.extension:benefit.url | |
| Control | 1..1 |
| Fixed Value | benefit |
| 114. Extension.extension:specificCost.extension:benefit.value[x] | |
| Control | 0..0 |
| 116. Extension.extension:specificCost.url | |
| Control | 1..1 |
| Fixed Value | specificCost |
| 118. Extension.extension:specificCost.value[x] | |
| Control | 0..0 |
| 120. Extension.url | |
| Control | 1..1 |
| Fixed Value | http://hl7.org/fhir/4.0/StructureDefinition/extension-InsurancePlan.plan |
| 122. Extension.value[x] | |
| Control | 0..0 |
Guidance on how to interpret the contents of this table can be foundhere
| 0. Extension | |
| Definition | R4: |
| Short | R4: Plan details (new) |
| Comments | Element |
| Control | 0..* This element is affected by the following invariants: ele-1 |
| Is Modifier | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() | (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) |
| 2. Extension.id | |
| Definition | unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
| Short | xml:id (or equivalent in JSON) |
| Control | 0..1 |
| Type | string |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| 4. Extension.extension | |
| Definition | An Extension |
| Short | Extension |
| Control | 0..* |
| Type | Extension |
| Slicing | This element introduces a set of slices on Extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 6. Extension.extension:identifier | |
| Slice Name | identifier |
| Definition | R4: |
| Short | R4: Business Identifier for Product (new) |
| Comments | Element |
| Control | 0..* |
| Type | Extension |
| Requirements | Element |
| 8. Extension.extension:identifier.id | |
| Definition | unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
| Short | xml:id (or equivalent in JSON) |
| Control | 0..1 |
| Type | string |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| 10. Extension.extension:identifier.extension | |
| Definition | 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. |
| Short | Additional Content defined by implementations |
| Comments | 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. |
| Control | 0..* |
| Type | Extension |
| Alternate Names | extensions, user content |
| Slicing | This element introduces a set of slices on Extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 12. Extension.extension:identifier.url | |
| Definition | Source of the definition for the extension code - a logical name or a URL. |
| Short | identifies the meaning of the extension |
| Comments | 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. |
| Control | 1..1 |
| Type | uri |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | identifier |
| 14. Extension.extension:identifier.value[x] | |
| Definition | Business identifiers assigned to this health insurance plan which remain constant as the resource is updated and propagates from server to server. |
| Short | Business Identifier for Product |
| Control | 0..1 |
| Type | Identifier |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| 16. Extension.extension:type | |
| Slice Name | type |
| Definition | R4: |
| Short | R4: Type of plan (new) |
| Comments | Element |
| Control | 0..1 |
| Type | Extension |
| Requirements | Element |
| 18. Extension.extension:type.id | |
| Definition | unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
| Short | xml:id (or equivalent in JSON) |
| Control | 0..1 |
| Type | string |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| 20. Extension.extension:type.extension | |
| Definition | 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. |
| Short | Additional Content defined by implementations |
| Comments | 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. |
| Control | 0..* |
| Type | Extension |
| Alternate Names | extensions, user content |
| Slicing | This element introduces a set of slices on Extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 22. Extension.extension:type.url | |
| Definition | Source of the definition for the extension code - a logical name or a URL. |
| Short | identifies the meaning of the extension |
| Comments | 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. |
| Control | 1..1 |
| Type | uri |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | type |
| 24. Extension.extension:type.value[x] | |
| Definition | Type of plan. For example, "Platinum" or "High Deductable". |
| Short | Type of plan |
| Control | 0..1 |
| Type | CodeableConcept |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| 26. Extension.extension:coverageArea | |
| Slice Name | coverageArea |
| Definition | R4: |
| Short | R4: Where product applies (new) |
| Comments | Element |
| Control | 0..* |
| Type | Extension |
| Requirements | Element |
| 28. Extension.extension:coverageArea.id | |
| Definition | unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
| Short | xml:id (or equivalent in JSON) |
| Control | 0..1 |
| Type | string |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| 30. Extension.extension:coverageArea.extension | |
| Definition | 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. |
| Short | Additional Content defined by implementations |
| Comments | 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. |
| Control | 0..* |
| Type | Extension |
| Alternate Names | extensions, user content |
| Slicing | This element introduces a set of slices on Extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 32. Extension.extension:coverageArea.url | |
| Definition | Source of the definition for the extension code - a logical name or a URL. |
| Short | identifies the meaning of the extension |
| Comments | 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. |
| Control | 1..1 |
| Type | uri |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | coverageArea |
| 34. Extension.extension:coverageArea.value[x] | |
| Definition | The geographic region in which a health insurance plan's benefits apply. |
| Short | Where product applies |
| Control | 0..1 |
| Type | Reference(Cross-version Profile for R4.Location for use in FHIR STU3, Location) |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| 36. Extension.extension:network | |
| Slice Name | network |
| Definition | R4: |
| Short | R4: What networks provide coverage (new) |
| Comments | Element |
| Control | 0..* |
| Type | Extension |
| Requirements | Element |
| 38. Extension.extension:network.id | |
| Definition | unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
| Short | xml:id (or equivalent in JSON) |
| Control | 0..1 |
| Type | string |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| 40. Extension.extension:network.extension | |
| Definition | 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. |
| Short | Additional Content defined by implementations |
| Comments | 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. |
| Control | 0..* |
| Type | Extension |
| Alternate Names | extensions, user content |
| Slicing | This element introduces a set of slices on Extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 42. Extension.extension:network.url | |
| Definition | Source of the definition for the extension code - a logical name or a URL. |
| Short | identifies the meaning of the extension |
| Comments | 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. |
| Control | 1..1 |
| Type | uri |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | network |
| 44. Extension.extension:network.value[x] | |
| Definition | Reference to the network that providing the type of coverage. |
| Short | What networks provide coverage |
| Comments | Networks are represented as a hierarchy of organization resources. |
| Control | 0..1 |
| Type | Reference(Cross-version Profile for R4.Organization for use in FHIR STU3, Organization) |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| 46. Extension.extension:generalCost | |
| Slice Name | generalCost |
| Definition | R4: |
| Short | R4: Overall costs (new) |
| Comments | Element |
| Control | 0..* |
| Type | Extension |
| Requirements | Element |
| 48. Extension.extension:generalCost.id | |
| Definition | unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
| Short | xml:id (or equivalent in JSON) |
| Control | 0..1 |
| Type | string |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| 50. Extension.extension:generalCost.extension | |
| Definition | An Extension |
| Short | Extension |
| Control | 0..* |
| Type | Extension |
| Slicing | This element introduces a set of slices on Extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 52. Extension.extension:generalCost.extension:type | |
| Slice Name | type |
| Definition | R4: |
| Short | R4: Type of cost (new) |
| Comments | Element |
| Control | 0..1 |
| Type | Extension |
| Requirements | Element |
| 54. Extension.extension:generalCost.extension:type.id | |
| Definition | unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
| Short | xml:id (or equivalent in JSON) |
| Control | 0..1 |
| Type | string |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| 56. Extension.extension:generalCost.extension:type.extension | |
| Definition | 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. |
| Short | Additional Content defined by implementations |
| Comments | 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. |
| Control | 0..* |
| Type | Extension |
| Alternate Names | extensions, user content |
| Slicing | This element introduces a set of slices on Extension.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 58. Extension.extension:generalCost.extension:type.url | |
| Definition | Source of the definition for the extension code - a logical name or a URL. |
| Short | identifies the meaning of the extension |
| Comments | 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. |
| Control | 1..1 |
| Type | uri |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | type |
| 60. Extension.extension:generalCost.extension:type.value[x] | |
| Definition | Type of cost. |
| Short | Type of cost |
| Control | 0..1 |
| Type | CodeableConcept |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| 62. Extension.extension:generalCost.extension:groupSize | |
| Slice Name | groupSize |
| Definition | R4: |
| Short | R4: Number of enrollees (new) |
| Comments | Element |
| Control | 0..1 |
| Type | Extension |
| Requirements | Element |
| 64. Extension.extension:generalCost.extension:groupSize.id | |
| Definition | unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
| Short | xml:id (or equivalent in JSON) |
| Control | 0..1 |
| Type | string |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| 66. Extension.extension:generalCost.extension:groupSize.extension | |
| Definition | 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. |
| Short | Additional Content defined by implementations |
| Comments | 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. |
| Control | 0..* |
| Type | Extension |
| Alternate Names | extensions, user content |
| Slicing | This element introduces a set of slices on Extension.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 68. Extension.extension:generalCost.extension:groupSize.url | |
| Definition | Source of the definition for the extension code - a logical name or a URL. |
| Short | identifies the meaning of the extension |
| Comments | 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. |
| Control | 1..1 |
| Type | uri |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | groupSize |
| 70. Extension.extension:generalCost.extension:groupSize.value[x] | |
| Definition | Number of participants enrolled in the plan. |
| Short | Number of enrollees |
| Control | 0..1 |
| Type | positiveInt |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 72. Extension.extension:generalCost.extension:cost | |
| Slice Name | cost |
| Definition | R4: |
| Short | R4: Cost value (new) |
| Comments | Element |
| Control | 0..1 |
| Type | Extension |
| Requirements | Element |
| 74. Extension.extension:generalCost.extension:cost.id | |
| Definition | unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
| Short | xml:id (or equivalent in JSON) |
| Control | 0..1 |
| Type | string |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| 76. Extension.extension:generalCost.extension:cost.extension | |
| Definition | 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. |
| Short | Additional Content defined by implementations |
| Comments | 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. |
| Control | 0..* |
| Type | Extension |
| Alternate Names | extensions, user content |
| Slicing | This element introduces a set of slices on Extension.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 78. Extension.extension:generalCost.extension:cost.url | |
| Definition | Source of the definition for the extension code - a logical name or a URL. |
| Short | identifies the meaning of the extension |
| Comments | 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. |
| Control | 1..1 |
| Type | uri |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | cost |
| 80. Extension.extension:generalCost.extension:cost.value[x] | |
| Definition | Value of the cost. |
| Short | Cost value |
| Control | 0..1 |
| Type | Money |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| 82. Extension.extension:generalCost.extension:comment | |
| Slice Name | comment |
| Definition | R4: |
| Short | R4: Additional cost information (new) |
| Comments | Element |
| Control | 0..1 |
| Type | Extension |
| Requirements | Element |
| 84. Extension.extension:generalCost.extension:comment.id | |
| Definition | unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
| Short | xml:id (or equivalent in JSON) |
| Control | 0..1 |
| Type | string |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| 86. Extension.extension:generalCost.extension:comment.extension | |
| Definition | 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. |
| Short | Additional Content defined by implementations |
| Comments | 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. |
| Control | 0..* |
| Type | Extension |
| Alternate Names | extensions, user content |
| Slicing | This element introduces a set of slices on Extension.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 88. Extension.extension:generalCost.extension:comment.url | |
| Definition | Source of the definition for the extension code - a logical name or a URL. |
| Short | identifies the meaning of the extension |
| Comments | 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. |
| Control | 1..1 |
| Type | uri |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | comment |
| 90. Extension.extension:generalCost.extension:comment.value[x] | |
| Definition | Additional information about the general costs associated with this plan. |
| Short | Additional cost information |
| Control | 0..1 |
| Type | string |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 92. Extension.extension:generalCost.url | |
| Definition | Source of the definition for the extension code - a logical name or a URL. |
| Short | identifies the meaning of the extension |
| Comments | 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. |
| Control | 1..1 |
| Type | uri |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | generalCost |
| 94. Extension.extension:generalCost.value[x] | |
| Definition | Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list). |
| Short | Value of extension |
| Control | 0..0 |
| Type | Choice of: base64Binary, boolean, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, Meta |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 96. Extension.extension:specificCost | |
| Slice Name | specificCost |
| Definition | R4: |
| Short | R4: Specific costs (new) |
| Comments | Element |
| Control | 0..* |
| Type | Extension |
| Requirements | Element |
| 98. Extension.extension:specificCost.id | |
| Definition | unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
| Short | xml:id (or equivalent in JSON) |
| Control | 0..1 |
| Type | string |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| 100. Extension.extension:specificCost.extension | |
| Definition | An Extension |
| Short | Extension |
| Control | 1..* |
| Type | Extension |
| Slicing | This element introduces a set of slices on Extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 102. Extension.extension:specificCost.extension:category | |
| Slice Name | category |
| Definition | R4: |
| Short | R4: General category of benefit (new) |
| Comments | Element |
| Control | 1..1 |
| Type | Extension |
| Requirements | Element |
| 104. Extension.extension:specificCost.extension:category.id | |
| Definition | unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
| Short | xml:id (or equivalent in JSON) |
| Control | 0..1 |
| Type | string |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| 106. Extension.extension:specificCost.extension:category.extension | |
| Definition | 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. |
| Short | Additional Content defined by implementations |
| Comments | 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. |
| Control | 0..* |
| Type | Extension |
| Alternate Names | extensions, user content |
| Slicing | This element introduces a set of slices on Extension.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 108. Extension.extension:specificCost.extension:category.url | |
| Definition | Source of the definition for the extension code - a logical name or a URL. |
| Short | identifies the meaning of the extension |
| Comments | 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. |
| Control | 1..1 |
| Type | uri |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | category |
| 110. Extension.extension:specificCost.extension:category.value[x] | |
| Definition | General category of benefit (Medical; Dental; Vision; Drug; Mental Health; Substance Abuse; Hospice, Home Health). |
| Short | General category of benefit |
| Control | 1..1 |
| Type | CodeableConcept |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| 112. Extension.extension:specificCost.extension:benefit | |
| Slice Name | benefit |
| Definition | R4: |
| Short | R4: Benefits list (new) |
| Comments | Element |
| Control | 0..* |
| Type | Extension |
| Requirements | Element |
| 114. Extension.extension:specificCost.extension:benefit.id | |
| Definition | unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
| Short | xml:id (or equivalent in JSON) |
| Control | 0..1 |
| Type | string |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| 116. Extension.extension:specificCost.extension:benefit.extension | |
| Definition | An Extension |
| Short | Extension |
| Control | 1..* |
| Type | Extension |
| Slicing | This element introduces a set of slices on Extension.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 118. Extension.extension:specificCost.extension:benefit.extension:type | |
| Slice Name | type |
| Definition | R4: |
| Short | R4: Type of specific benefit (new) |
| Comments | Element |
| Control | 1..1 |
| Type | Extension |
| Requirements | Element |
| 120. Extension.extension:specificCost.extension:benefit.extension:type.id | |
| Definition | unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
| Short | xml:id (or equivalent in JSON) |
| Control | 0..1 |
| Type | string |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| 122. Extension.extension:specificCost.extension:benefit.extension:type.extension | |
| Definition | 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. |
| Short | Additional Content defined by implementations |
| Comments | 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. |
| Control | 0..* |
| Type | Extension |
| Alternate Names | extensions, user content |
| Slicing | This element introduces a set of slices on Extension.extension.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 124. Extension.extension:specificCost.extension:benefit.extension:type.url | |
| Definition | Source of the definition for the extension code - a logical name or a URL. |
| Short | identifies the meaning of the extension |
| Comments | 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. |
| Control | 1..1 |
| Type | uri |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | type |
| 126. Extension.extension:specificCost.extension:benefit.extension:type.value[x] | |
| Definition | Type of specific benefit (preventative; primary care office visit; speciality office visit; hospitalization; emergency room; urgent care). |
| Short | Type of specific benefit |
| Control | 1..1 |
| Type | CodeableConcept |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| 128. Extension.extension:specificCost.extension:benefit.extension:cost | |
| Slice Name | cost |
| Definition | R4: |
| Short | R4: List of the costs (new) |
| Comments | Element |
| Control | 0..* |
| Type | Extension |
| Requirements | Element |
| 130. Extension.extension:specificCost.extension:benefit.extension:cost.id | |
| Definition | unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
| Short | xml:id (or equivalent in JSON) |
| Control | 0..1 |
| Type | string |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| 132. Extension.extension:specificCost.extension:benefit.extension:cost.extension | |
| Definition | An Extension |
| Short | Extension |
| Control | 1..* |
| Type | Extension |
| Slicing | This element introduces a set of slices on Extension.extension.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 134. Extension.extension:specificCost.extension:benefit.extension:cost.extension:type | |
| Slice Name | type |
| Definition | R4: |
| Short | R4: Type of cost (new) |
| Comments | Element |
| Control | 1..1 |
| Type | Extension |
| Requirements | Element |
| 136. Extension.extension:specificCost.extension:benefit.extension:cost.extension:type.id | |
| Definition | unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
| Short | xml:id (or equivalent in JSON) |
| Control | 0..1 |
| Type | string |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| 138. Extension.extension:specificCost.extension:benefit.extension:cost.extension:type.extension | |
| Definition | 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. |
| Short | Additional Content defined by implementations |
| Comments | 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. |
| Control | 0..* |
| Type | Extension |
| Alternate Names | extensions, user content |
| Slicing | This element introduces a set of slices on Extension.extension.extension.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 140. Extension.extension:specificCost.extension:benefit.extension:cost.extension:type.url | |
| Definition | Source of the definition for the extension code - a logical name or a URL. |
| Short | identifies the meaning of the extension |
| Comments | 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. |
| Control | 1..1 |
| Type | uri |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | type |
| 142. Extension.extension:specificCost.extension:benefit.extension:cost.extension:type.value[x] | |
| Definition | Type of cost (copay; individual cap; family cap; coinsurance; deductible). |
| Short | Type of cost |
| Control | 1..1 |
| Type | CodeableConcept |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| 144. Extension.extension:specificCost.extension:benefit.extension:cost.extension:applicability | |
| Slice Name | applicability |
| Definition | R4: |
| Short | R4: in-network | out-of-network | other (new) |
| Comments | Element |
| Control | 0..1 |
| Type | Extension |
| Requirements | Element |
| 146. Extension.extension:specificCost.extension:benefit.extension:cost.extension:applicability.id | |
| Definition | unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
| Short | xml:id (or equivalent in JSON) |
| Control | 0..1 |
| Type | string |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| 148. Extension.extension:specificCost.extension:benefit.extension:cost.extension:applicability.extension | |
| Definition | 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. |
| Short | Additional Content defined by implementations |
| Comments | 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. |
| Control | 0..* |
| Type | Extension |
| Alternate Names | extensions, user content |
| Slicing | This element introduces a set of slices on Extension.extension.extension.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 150. Extension.extension:specificCost.extension:benefit.extension:cost.extension:applicability.url | |
| Definition | Source of the definition for the extension code - a logical name or a URL. |
| Short | identifies the meaning of the extension |
| Comments | 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. |
| Control | 1..1 |
| Type | uri |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | applicability |
| 152. Extension.extension:specificCost.extension:benefit.extension:cost.extension:applicability.value[x] | |
| Definition | Whether the cost applies to in-network or out-of-network providers (in-network; out-of-network; other). |
| Short | in-network | out-of-network | other |
| Control | 0..1 |
| Binding | The codes SHALL be taken from R4InsuranceplanApplicabilityForR3 (0.1.0) (required to http://hl7.org/fhir/uv/xver/ValueSet/R4-insuranceplan-applicability-for-R3|0.1.0)Whether the cost applies to in-network or out-of-network providers. |
| Type | CodeableConcept |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| 154. Extension.extension:specificCost.extension:benefit.extension:cost.extension:qualifiers | |
| Slice Name | qualifiers |
| Definition | R4: |
| Short | R4: Additional information about the cost (new) |
| Comments | Element |
| Control | 0..* |
| Type | Extension |
| Requirements | Element |
| 156. Extension.extension:specificCost.extension:benefit.extension:cost.extension:qualifiers.id | |
| Definition | unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
| Short | xml:id (or equivalent in JSON) |
| Control | 0..1 |
| Type | string |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| 158. Extension.extension:specificCost.extension:benefit.extension:cost.extension:qualifiers.extension | |
| Definition | 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. |
| Short | Additional Content defined by implementations |
| Comments | 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. |
| Control | 0..* |
| Type | Extension |
| Alternate Names | extensions, user content |
| Slicing | This element introduces a set of slices on Extension.extension.extension.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 160. Extension.extension:specificCost.extension:benefit.extension:cost.extension:qualifiers.url | |
| Definition | Source of the definition for the extension code - a logical name or a URL. |
| Short | identifies the meaning of the extension |
| Comments | 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. |
| Control | 1..1 |
| Type | uri |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | qualifiers |
| 162. Extension.extension:specificCost.extension:benefit.extension:cost.extension:qualifiers.value[x] | |
| Definition | Additional information about the cost, such as information about funding sources (e.g. HSA, HRA, FSA, RRA). |
| Short | Additional information about the cost |
| Control | 0..1 |
| Type | CodeableConcept |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| 164. Extension.extension:specificCost.extension:benefit.extension:cost.extension:value | |
| Slice Name | value |
| Definition | R4: |
| Short | R4: The actual cost value (new) |
| Comments | Element |
| Control | 0..1 |
| Type | Extension |
| Requirements | Element |
| 166. Extension.extension:specificCost.extension:benefit.extension:cost.extension:value.id | |
| Definition | unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
| Short | xml:id (or equivalent in JSON) |
| Control | 0..1 |
| Type | string |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| 168. Extension.extension:specificCost.extension:benefit.extension:cost.extension:value.extension | |
| Definition | 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. |
| Short | Additional Content defined by implementations |
| Comments | 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. |
| Control | 0..* |
| Type | Extension |
| Alternate Names | extensions, user content |
| Slicing | This element introduces a set of slices on Extension.extension.extension.extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 170. Extension.extension:specificCost.extension:benefit.extension:cost.extension:value.url | |
| Definition | Source of the definition for the extension code - a logical name or a URL. |
| Short | identifies the meaning of the extension |
| Comments | 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. |
| Control | 1..1 |
| Type | uri |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | value |
| 172. Extension.extension:specificCost.extension:benefit.extension:cost.extension:value.value[x] | |
| Definition | The actual cost value. (some of the costs may be represented as percentages rather than currency, e.g. 10% coinsurance). |
| Short | The actual cost value |
| Control | 0..1 |
| Type | Quantity |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| 174. Extension.extension:specificCost.extension:benefit.extension:cost.url | |
| Definition | Source of the definition for the extension code - a logical name or a URL. |
| Short | identifies the meaning of the extension |
| Comments | 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. |
| Control | 1..1 |
| Type | uri |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | cost |
| 176. Extension.extension:specificCost.extension:benefit.extension:cost.value[x] | |
| Definition | Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list). |
| Short | Value of extension |
| Control | 0..0 |
| Type | Choice of: base64Binary, boolean, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, Meta |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 178. Extension.extension:specificCost.extension:benefit.url | |
| Definition | Source of the definition for the extension code - a logical name or a URL. |
| Short | identifies the meaning of the extension |
| Comments | 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. |
| Control | 1..1 |
| Type | uri |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | benefit |
| 180. Extension.extension:specificCost.extension:benefit.value[x] | |
| Definition | Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list). |
| Short | Value of extension |
| Control | 0..0 |
| Type | Choice of: base64Binary, boolean, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, Meta |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 182. Extension.extension:specificCost.url | |
| Definition | Source of the definition for the extension code - a logical name or a URL. |
| Short | identifies the meaning of the extension |
| Comments | 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. |
| Control | 1..1 |
| Type | uri |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | specificCost |
| 184. Extension.extension:specificCost.value[x] | |
| Definition | Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list). |
| Short | Value of extension |
| Control | 0..0 |
| Type | Choice of: base64Binary, boolean, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, Meta |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 186. Extension.url | |
| Definition | Source of the definition for the extension code - a logical name or a URL. |
| Short | identifies the meaning of the extension |
| Comments | 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. |
| Control | 1..1 |
| Type | uri |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | http://hl7.org/fhir/4.0/StructureDefinition/extension-InsurancePlan.plan |
| 188. Extension.value[x] | |
| Definition | Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list). |
| Short | Value of extension |
| Control | 0..0 |
| Type | Choice of: base64Binary, boolean, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, Meta |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |