Generated Narrative: StructureDefinition ext-R4-InsurancePlan.plan Name Flags Card. Type Description & Constraints Extension 0..* Extension R4: Plan details (new) #xD; Slices for extension 0..* Extension Extension Slice: Unordered, Open by value:url #xD; extension:identifier 0..* Extension R4: Business Identifier for Product (new) #xD; url 1..1 uri "identifier" #xD; value[x] 0..1 Identifier Business Identifier for Product #xD; extension:type 0..1 Extension R4: Type of plan (new) #xD; url 1..1 uri "type" #xD; value[x] 0..1 CodeableConcept Type of plan #xD; extension:coverageArea 0..* Extension R4: Where product applies (new) #xD; url 1..1 uri "coverageArea" #xD; value[x] 0..1 Reference(Cross-version Profile for R4.Location for use in FHIR STU3(0.1.0) | Location) Where product applies #xD; extension:network 0..* Extension R4: What networks provide coverage (new) #xD; url 1..1 uri "network" #xD; value[x] 0..1 Reference(Cross-version Profile for R4.Organization for use in FHIR STU3(0.1.0) | Organization) What networks provide coverage #xD; extension:generalCost 0..* Extension R4: Overall costs (new) #xD; Slices for extension 0..* Extension Extension Slice: Unordered, Open by value:url #xD; extension:type 0..1 Extension R4: Type of cost (new) #xD; url 1..1 uri "type" #xD; value[x] 0..1 CodeableConcept Type of cost #xD; extension:groupSize 0..1 Extension R4: Number of enrollees (new) #xD; url 1..1 uri "groupSize" #xD; value[x] 0..1 positiveInt Number of enrollees #xD; extension:cost 0..1 Extension R4: Cost value (new) #xD; url 1..1 uri "cost" #xD; value[x] 0..1 Money Cost value #xD; extension:comment 0..1 Extension R4: Additional cost information (new) #xD; url 1..1 uri "comment" #xD; value[x] 0..1 string Additional cost information #xD; url 1..1 uri "generalCost" #xD; value[x] 0..0 Value of extension #xD; extension:specificCost 0..* Extension R4: Specific costs (new) #xD; Slices for extension 1..* Extension Extension Slice: Unordered, Open by value:url #xD; extension:category 1..1 Extension R4: General category of benefit (new) #xD; url 1..1 uri "category" #xD; value[x] 1..1 CodeableConcept General category of benefit #xD; extension:benefit 0..* Extension R4: Benefits list (new) #xD; Slices for extension 1..* Extension Extension Slice: Unordered, Open by value:url #xD; extension:type 1..1 Extension R4: Type of specific benefit (new) #xD; url 1..1 uri "type" #xD; value[x] 1..1 CodeableConcept Type of specific benefit #xD; extension:cost 0..* Extension R4: List of the costs (new) #xD; Slices for extension 1..* Extension Extension Slice: Unordered, Open by value:url #xD; extension:type 1..1 Extension R4: Type of cost (new) #xD; url 1..1 uri "type" #xD; value[x] 1..1 CodeableConcept Type of cost #xD; extension:applicability 0..1 Extension R4: in-network | out-of-network | other (new) #xD; url 1..1 uri "applicability" #xD; value[x] 0..1 CodeableConcept in-network | out-of-network | other Binding: R4InsuranceplanApplicabilityForR3 (0.1.0) (required): Whether the cost applies to in-network or out-of-network providers. #xD; extension:qualifiers 0..* Extension R4: Additional information about the cost (new) #xD; url 1..1 uri "qualifiers" #xD; value[x] 0..1 CodeableConcept Additional information about the cost #xD; extension:value 0..1 Extension R4: The actual cost value (new) #xD; url 1..1 uri "value" #xD; value[x] 0..1 Quantity The actual cost value #xD; url 1..1 uri "cost" #xD; value[x] 0..0 Value of extension #xD; url 1..1 uri "benefit" #xD; value[x] 0..0 Value of extension #xD; url 1..1 uri "specificCost" #xD; value[x] 0..0 Value of extension #xD; url 1..1 uri "http://hl7.org/fhir/4.0/StructureDefinition/extension-InsurancePlan.plan" #xD; value[x] 0..0 Value of extension #xD; Documentation for this format
R4: `InsurancePlan.plan` (new:BackboneElement)
This extension is part of the cross-version definitions generated to enable use of the element `InsurancePlan.plan` as defined in FHIR R4 in FHIR STU3. The source element is defined as: `InsurancePlan.plan` 0..* `BackboneElement` Following are the generation technical comments: Element `InsurancePlan.plan` is not mapped to FHIR STU3, since FHIR R4 `InsurancePlan` is not mapped. Element `InsurancePlan.plan` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).
Element `InsurancePlan.plan` is not mapped to FHIR STU3, since FHIR R4 `InsurancePlan` is not mapped. Element `InsurancePlan.plan` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).
All FHIR elements must have a @value or children
hasValue() | (children().count() > id.count())
Must have either extensions or value[x], not both
exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])
unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Extensions are always sliced by (at least) url
R4: Business Identifier for Product (new)
R4: `InsurancePlan.plan.identifier` (new:Identifier)
Element `InsurancePlan.plan.identifier` is part of an existing definition because parent element `InsurancePlan.plan` requires a cross-version extension. Element `InsurancePlan.plan.identifier` is not mapped to FHIR STU3, since FHIR R4 `InsurancePlan` is not mapped. Element `InsurancePlan.plan.identifier` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).
Additional Content defined by implementations
May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Source of the definition for the extension code - a logical name or a URL.
The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Business identifiers assigned to this health insurance plan which remain constant as the resource is updated and propagates from server to server.
R4: `InsurancePlan.plan.type` (new:CodeableConcept)
Element `InsurancePlan.plan.type` is part of an existing definition because parent element `InsurancePlan.plan` requires a cross-version extension. Element `InsurancePlan.plan.type` is not mapped to FHIR STU3, since FHIR R4 `InsurancePlan` is not mapped. Element `InsurancePlan.plan.type` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).
Type of plan. For example, "Platinum" or "High Deductable".
R4: `InsurancePlan.plan.coverageArea` (new:Reference(Location))
Element `InsurancePlan.plan.coverageArea` is part of an existing definition because parent element `InsurancePlan.plan` requires a cross-version extension. Element `InsurancePlan.plan.coverageArea` is not mapped to FHIR STU3, since FHIR R4 `InsurancePlan` is not mapped. Element `InsurancePlan.plan.coverageArea` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).
The geographic region in which a health insurance plan's benefits apply.
R4: What networks provide coverage (new)
R4: `InsurancePlan.plan.network` (new:Reference(Organization))
Element `InsurancePlan.plan.network` is part of an existing definition because parent element `InsurancePlan.plan` requires a cross-version extension. Element `InsurancePlan.plan.network` is not mapped to FHIR STU3, since FHIR R4 `InsurancePlan` is not mapped. Element `InsurancePlan.plan.network` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). Networks are represented as a hierarchy of organization resources.
Element `InsurancePlan.plan.network` is part of an existing definition because parent element `InsurancePlan.plan` requires a cross-version extension. Element `InsurancePlan.plan.network` is not mapped to FHIR STU3, since FHIR R4 `InsurancePlan` is not mapped. Element `InsurancePlan.plan.network` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).
Reference to the network that providing the type of coverage.
Networks are represented as a hierarchy of organization resources.
R4: `InsurancePlan.plan.generalCost` (new:BackboneElement)
Element `InsurancePlan.plan.generalCost` is part of an existing definition because parent element `InsurancePlan.plan` requires a cross-version extension. Element `InsurancePlan.plan.generalCost` is not mapped to FHIR STU3, since FHIR R4 `InsurancePlan` is not mapped. Element `InsurancePlan.plan.generalCost` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).
R4: `InsurancePlan.plan.generalCost.type` (new:CodeableConcept)
Element `InsurancePlan.plan.generalCost.type` is part of an existing definition because parent element `InsurancePlan.plan.generalCost` requires a cross-version extension. Element `InsurancePlan.plan.generalCost.type` is not mapped to FHIR STU3, since FHIR R4 `InsurancePlan` is not mapped. Element `InsurancePlan.plan.generalCost.type` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).
R4: `InsurancePlan.plan.generalCost.groupSize` (new:positiveInt)
Element `InsurancePlan.plan.generalCost.groupSize` is part of an existing definition because parent element `InsurancePlan.plan.generalCost` requires a cross-version extension. Element `InsurancePlan.plan.generalCost.groupSize` is not mapped to FHIR STU3, since FHIR R4 `InsurancePlan` is not mapped. Element `InsurancePlan.plan.generalCost.groupSize` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).
Number of participants enrolled in the plan.
R4: `InsurancePlan.plan.generalCost.cost` (new:Money)
Element `InsurancePlan.plan.generalCost.cost` is part of an existing definition because parent element `InsurancePlan.plan.generalCost` requires a cross-version extension. Element `InsurancePlan.plan.generalCost.cost` is not mapped to FHIR STU3, since FHIR R4 `InsurancePlan` is not mapped. Element `InsurancePlan.plan.generalCost.cost` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).
R4: `InsurancePlan.plan.generalCost.comment` (new:string)
Element `InsurancePlan.plan.generalCost.comment` is part of an existing definition because parent element `InsurancePlan.plan.generalCost` requires a cross-version extension. Element `InsurancePlan.plan.generalCost.comment` is not mapped to FHIR STU3, since FHIR R4 `InsurancePlan` is not mapped. Element `InsurancePlan.plan.generalCost.comment` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).
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).
R4: `InsurancePlan.plan.specificCost` (new:BackboneElement)
Element `InsurancePlan.plan.specificCost` is part of an existing definition because parent element `InsurancePlan.plan` requires a cross-version extension. Element `InsurancePlan.plan.specificCost` is not mapped to FHIR STU3, since FHIR R4 `InsurancePlan` is not mapped. Element `InsurancePlan.plan.specificCost` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).
R4: `InsurancePlan.plan.specificCost.category` (new:CodeableConcept)
Element `InsurancePlan.plan.specificCost.category` is part of an existing definition because parent element `InsurancePlan.plan.specificCost` requires a cross-version extension. Element `InsurancePlan.plan.specificCost.category` is not mapped to FHIR STU3, since FHIR R4 `InsurancePlan` is not mapped. Element `InsurancePlan.plan.specificCost.category` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).
General category of benefit (Medical; Dental; Vision; Drug; Mental Health; Substance Abuse; Hospice, Home Health).
R4: `InsurancePlan.plan.specificCost.benefit` (new:BackboneElement)
Element `InsurancePlan.plan.specificCost.benefit` is part of an existing definition because parent element `InsurancePlan.plan.specificCost` requires a cross-version extension. Element `InsurancePlan.plan.specificCost.benefit` is not mapped to FHIR STU3, since FHIR R4 `InsurancePlan` is not mapped. Element `InsurancePlan.plan.specificCost.benefit` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).
R4: `InsurancePlan.plan.specificCost.benefit.type` (new:CodeableConcept)
Element `InsurancePlan.plan.specificCost.benefit.type` is part of an existing definition because parent element `InsurancePlan.plan.specificCost.benefit` requires a cross-version extension. Element `InsurancePlan.plan.specificCost.benefit.type` is not mapped to FHIR STU3, since FHIR R4 `InsurancePlan` is not mapped. Element `InsurancePlan.plan.specificCost.benefit.type` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).
Type of specific benefit (preventative; primary care office visit; speciality office visit; hospitalization; emergency room; urgent care).
R4: `InsurancePlan.plan.specificCost.benefit.cost` (new:BackboneElement)
Element `InsurancePlan.plan.specificCost.benefit.cost` is part of an existing definition because parent element `InsurancePlan.plan.specificCost.benefit` requires a cross-version extension. Element `InsurancePlan.plan.specificCost.benefit.cost` is not mapped to FHIR STU3, since FHIR R4 `InsurancePlan` is not mapped. Element `InsurancePlan.plan.specificCost.benefit.cost` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).
R4: `InsurancePlan.plan.specificCost.benefit.cost.type` (new:CodeableConcept)
Element `InsurancePlan.plan.specificCost.benefit.cost.type` is part of an existing definition because parent element `InsurancePlan.plan.specificCost.benefit.cost` requires a cross-version extension. Element `InsurancePlan.plan.specificCost.benefit.cost.type` is not mapped to FHIR STU3, since FHIR R4 `InsurancePlan` is not mapped. Element `InsurancePlan.plan.specificCost.benefit.cost.type` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).
Type of cost (copay; individual cap; family cap; coinsurance; deductible).
R4: in-network | out-of-network | other (new)
R4: `InsurancePlan.plan.specificCost.benefit.cost.applicability` (new:CodeableConcept)
Element `InsurancePlan.plan.specificCost.benefit.cost.applicability` is part of an existing definition because parent element `InsurancePlan.plan.specificCost.benefit.cost` requires a cross-version extension. Element `InsurancePlan.plan.specificCost.benefit.cost.applicability` is not mapped to FHIR STU3, since FHIR R4 `InsurancePlan` is not mapped. Element `InsurancePlan.plan.specificCost.benefit.cost.applicability` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).
Whether the cost applies to in-network or out-of-network providers (in-network; out-of-network; other).
Whether the cost applies to in-network or out-of-network providers.
R4: Additional information about the cost (new)
R4: `InsurancePlan.plan.specificCost.benefit.cost.qualifiers` (new:CodeableConcept)
Element `InsurancePlan.plan.specificCost.benefit.cost.qualifiers` is part of an existing definition because parent element `InsurancePlan.plan.specificCost.benefit.cost` requires a cross-version extension. Element `InsurancePlan.plan.specificCost.benefit.cost.qualifiers` is not mapped to FHIR STU3, since FHIR R4 `InsurancePlan` is not mapped. Element `InsurancePlan.plan.specificCost.benefit.cost.qualifiers` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).
Additional information about the cost, such as information about funding sources (e.g. HSA, HRA, FSA, RRA).
R4: `InsurancePlan.plan.specificCost.benefit.cost.value` (new:Quantity)
Element `InsurancePlan.plan.specificCost.benefit.cost.value` is part of an existing definition because parent element `InsurancePlan.plan.specificCost.benefit.cost` requires a cross-version extension. Element `InsurancePlan.plan.specificCost.benefit.cost.value` is not mapped to FHIR STU3, since FHIR R4 `InsurancePlan` is not mapped. Element `InsurancePlan.plan.specificCost.benefit.cost.value` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).
The actual cost value. (some of the costs may be represented as percentages rather than currency, e.g. 10% coinsurance).