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: 1 |
<ValueSet xmlns="http://hl7.org/fhir">
<id value="R4-ex-benefitcategory-for-R3"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: ValueSet R4-ex-benefitcategory-for-R3</b></p><a name="R4-ex-benefitcategory-for-R3"> </a><a name="hcR4-ex-benefitcategory-for-R3"> </a><p>This value set expansion contains 28 concepts.</p><table class="codes"><tr><td><b>System</b></td><td><b>Version</b></td><td style="white-space:nowrap"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td><a name="R4-ex-benefitcategory-for-R3-http://terminology.hl7.org/CodeSystem/ex-benefitcategory-1"> </a><code>http://terminology.hl7.org/CodeSystem/ex-benefitcategory</code></td><td>4.0.1</td><td style="white-space:nowrap"> <a href="CodeSystem-ex-benefitcategory.html#ex-benefitcategory-1">1</a></td><td>Medical Care</td><td>Medical Care.</td></tr><tr><td><a name="R4-ex-benefitcategory-for-R3-http://terminology.hl7.org/CodeSystem/ex-benefitcategory-14"> </a><code>http://terminology.hl7.org/CodeSystem/ex-benefitcategory</code></td><td>4.0.1</td><td style="white-space:nowrap"> <a href="CodeSystem-ex-benefitcategory.html#ex-benefitcategory-14">14</a></td><td>Renal Supplies</td><td>Renal Supplies excluding Dialysis.</td></tr><tr><td><a name="R4-ex-benefitcategory-for-R3-http://terminology.hl7.org/CodeSystem/ex-benefitcategory-2"> </a><code>http://terminology.hl7.org/CodeSystem/ex-benefitcategory</code></td><td>4.0.1</td><td style="white-space:nowrap"> <a href="CodeSystem-ex-benefitcategory.html#ex-benefitcategory-2">2</a></td><td>Surgical</td><td>Surgical.</td></tr><tr><td><a name="R4-ex-benefitcategory-for-R3-http://terminology.hl7.org/CodeSystem/ex-benefitcategory-23"> </a><code>http://terminology.hl7.org/CodeSystem/ex-benefitcategory</code></td><td>4.0.1</td><td style="white-space:nowrap"> <a href="CodeSystem-ex-benefitcategory.html#ex-benefitcategory-23">23</a></td><td>Diagnostic Dental</td><td>Diagnostic Dental.</td></tr><tr><td><a name="R4-ex-benefitcategory-for-R3-http://terminology.hl7.org/CodeSystem/ex-benefitcategory-24"> </a><code>http://terminology.hl7.org/CodeSystem/ex-benefitcategory</code></td><td>4.0.1</td><td style="white-space:nowrap"> <a href="CodeSystem-ex-benefitcategory.html#ex-benefitcategory-24">24</a></td><td>Periodontics</td><td>Periodontics.</td></tr><tr><td><a name="R4-ex-benefitcategory-for-R3-http://terminology.hl7.org/CodeSystem/ex-benefitcategory-25"> </a><code>http://terminology.hl7.org/CodeSystem/ex-benefitcategory</code></td><td>4.0.1</td><td style="white-space:nowrap"> <a href="CodeSystem-ex-benefitcategory.html#ex-benefitcategory-25">25</a></td><td>Restorative</td><td>Restorative.</td></tr><tr><td><a name="R4-ex-benefitcategory-for-R3-http://terminology.hl7.org/CodeSystem/ex-benefitcategory-26"> </a><code>http://terminology.hl7.org/CodeSystem/ex-benefitcategory</code></td><td>4.0.1</td><td style="white-space:nowrap"> <a href="CodeSystem-ex-benefitcategory.html#ex-benefitcategory-26">26</a></td><td>Endodontics</td><td>Endodontics.</td></tr><tr><td><a name="R4-ex-benefitcategory-for-R3-http://terminology.hl7.org/CodeSystem/ex-benefitcategory-27"> </a><code>http://terminology.hl7.org/CodeSystem/ex-benefitcategory</code></td><td>4.0.1</td><td style="white-space:nowrap"> <a href="CodeSystem-ex-benefitcategory.html#ex-benefitcategory-27">27</a></td><td>Maxillofacial Prosthetics</td><td>Maxillofacial Prosthetics.</td></tr><tr><td><a name="R4-ex-benefitcategory-for-R3-http://terminology.hl7.org/CodeSystem/ex-benefitcategory-28"> </a><code>http://terminology.hl7.org/CodeSystem/ex-benefitcategory</code></td><td>4.0.1</td><td style="white-space:nowrap"> <a href="CodeSystem-ex-benefitcategory.html#ex-benefitcategory-28">28</a></td><td>Adjunctive Dental Services</td><td>Adjunctive Dental Services.</td></tr><tr><td><a name="R4-ex-benefitcategory-for-R3-http://terminology.hl7.org/CodeSystem/ex-benefitcategory-3"> </a><code>http://terminology.hl7.org/CodeSystem/ex-benefitcategory</code></td><td>4.0.1</td><td style="white-space:nowrap"> <a href="CodeSystem-ex-benefitcategory.html#ex-benefitcategory-3">3</a></td><td>Consultation</td><td>Consultation.</td></tr><tr><td><a name="R4-ex-benefitcategory-for-R3-http://terminology.hl7.org/CodeSystem/ex-benefitcategory-30"> </a><code>http://terminology.hl7.org/CodeSystem/ex-benefitcategory</code></td><td>4.0.1</td><td style="white-space:nowrap"> <a href="CodeSystem-ex-benefitcategory.html#ex-benefitcategory-30">30</a></td><td>Health Benefit Plan Coverage</td><td>Health Benefit Plan Coverage.</td></tr><tr><td><a name="R4-ex-benefitcategory-for-R3-http://terminology.hl7.org/CodeSystem/ex-benefitcategory-35"> </a><code>http://terminology.hl7.org/CodeSystem/ex-benefitcategory</code></td><td>4.0.1</td><td style="white-space:nowrap"> <a href="CodeSystem-ex-benefitcategory.html#ex-benefitcategory-35">35</a></td><td>Dental Care</td><td>Dental Care.</td></tr><tr><td><a name="R4-ex-benefitcategory-for-R3-http://terminology.hl7.org/CodeSystem/ex-benefitcategory-36"> </a><code>http://terminology.hl7.org/CodeSystem/ex-benefitcategory</code></td><td>4.0.1</td><td style="white-space:nowrap"> <a href="CodeSystem-ex-benefitcategory.html#ex-benefitcategory-36">36</a></td><td>Dental Crowns</td><td>Dental Crowns.</td></tr><tr><td><a name="R4-ex-benefitcategory-for-R3-http://terminology.hl7.org/CodeSystem/ex-benefitcategory-37"> </a><code>http://terminology.hl7.org/CodeSystem/ex-benefitcategory</code></td><td>4.0.1</td><td style="white-space:nowrap"> <a href="CodeSystem-ex-benefitcategory.html#ex-benefitcategory-37">37</a></td><td>Dental Accident</td><td>Dental Accident.</td></tr><tr><td><a name="R4-ex-benefitcategory-for-R3-http://terminology.hl7.org/CodeSystem/ex-benefitcategory-4"> </a><code>http://terminology.hl7.org/CodeSystem/ex-benefitcategory</code></td><td>4.0.1</td><td style="white-space:nowrap"> <a href="CodeSystem-ex-benefitcategory.html#ex-benefitcategory-4">4</a></td><td>Diagnostic XRay</td><td>Diagnostic XRay.</td></tr><tr><td><a name="R4-ex-benefitcategory-for-R3-http://terminology.hl7.org/CodeSystem/ex-benefitcategory-49"> </a><code>http://terminology.hl7.org/CodeSystem/ex-benefitcategory</code></td><td>4.0.1</td><td style="white-space:nowrap"> <a href="CodeSystem-ex-benefitcategory.html#ex-benefitcategory-49">49</a></td><td>Hospital Room and Board</td><td>Hospital Room and Board.</td></tr><tr><td><a name="R4-ex-benefitcategory-for-R3-http://terminology.hl7.org/CodeSystem/ex-benefitcategory-5"> </a><code>http://terminology.hl7.org/CodeSystem/ex-benefitcategory</code></td><td>4.0.1</td><td style="white-space:nowrap"> <a href="CodeSystem-ex-benefitcategory.html#ex-benefitcategory-5">5</a></td><td>Diagnostic Lab</td><td>Diagnostic Lab.</td></tr><tr><td><a name="R4-ex-benefitcategory-for-R3-http://terminology.hl7.org/CodeSystem/ex-benefitcategory-55"> </a><code>http://terminology.hl7.org/CodeSystem/ex-benefitcategory</code></td><td>4.0.1</td><td style="white-space:nowrap"> <a href="CodeSystem-ex-benefitcategory.html#ex-benefitcategory-55">55</a></td><td>Major Medical</td><td>Major Medical.</td></tr><tr><td><a name="R4-ex-benefitcategory-for-R3-http://terminology.hl7.org/CodeSystem/ex-benefitcategory-56"> </a><code>http://terminology.hl7.org/CodeSystem/ex-benefitcategory</code></td><td>4.0.1</td><td style="white-space:nowrap"> <a href="CodeSystem-ex-benefitcategory.html#ex-benefitcategory-56">56</a></td><td>Medically Related Transportation</td><td>Medically Related Transportation.</td></tr><tr><td><a name="R4-ex-benefitcategory-for-R3-http://terminology.hl7.org/CodeSystem/ex-benefitcategory-61"> </a><code>http://terminology.hl7.org/CodeSystem/ex-benefitcategory</code></td><td>4.0.1</td><td style="white-space:nowrap"> <a href="CodeSystem-ex-benefitcategory.html#ex-benefitcategory-61">61</a></td><td>In-vitro Fertilization</td><td>In-vitro Fertilization.</td></tr><tr><td><a name="R4-ex-benefitcategory-for-R3-http://terminology.hl7.org/CodeSystem/ex-benefitcategory-62"> </a><code>http://terminology.hl7.org/CodeSystem/ex-benefitcategory</code></td><td>4.0.1</td><td style="white-space:nowrap"> <a href="CodeSystem-ex-benefitcategory.html#ex-benefitcategory-62">62</a></td><td>MRI Scan</td><td>MRI Scan.</td></tr><tr><td><a name="R4-ex-benefitcategory-for-R3-http://terminology.hl7.org/CodeSystem/ex-benefitcategory-63"> </a><code>http://terminology.hl7.org/CodeSystem/ex-benefitcategory</code></td><td>4.0.1</td><td style="white-space:nowrap"> <a href="CodeSystem-ex-benefitcategory.html#ex-benefitcategory-63">63</a></td><td>Donor Procedures</td><td>Donor Procedures such as organ harvest.</td></tr><tr><td><a name="R4-ex-benefitcategory-for-R3-http://terminology.hl7.org/CodeSystem/ex-benefitcategory-69"> </a><code>http://terminology.hl7.org/CodeSystem/ex-benefitcategory</code></td><td>4.0.1</td><td style="white-space:nowrap"> <a href="CodeSystem-ex-benefitcategory.html#ex-benefitcategory-69">69</a></td><td>Maternity</td><td>Maternity.</td></tr><tr><td><a name="R4-ex-benefitcategory-for-R3-http://terminology.hl7.org/CodeSystem/ex-benefitcategory-76"> </a><code>http://terminology.hl7.org/CodeSystem/ex-benefitcategory</code></td><td>4.0.1</td><td style="white-space:nowrap"> <a href="CodeSystem-ex-benefitcategory.html#ex-benefitcategory-76">76</a></td><td>Renal Dialysis</td><td>Renal dialysis.</td></tr><tr><td><a name="R4-ex-benefitcategory-for-R3-http://terminology.hl7.org/CodeSystem/ex-benefitcategory-F1"> </a><code>http://terminology.hl7.org/CodeSystem/ex-benefitcategory</code></td><td>4.0.1</td><td style="white-space:nowrap"> <a href="CodeSystem-ex-benefitcategory.html#ex-benefitcategory-F1">F1</a></td><td>Medical Coverage</td><td>Medical Coverage.</td></tr><tr><td><a name="R4-ex-benefitcategory-for-R3-http://terminology.hl7.org/CodeSystem/ex-benefitcategory-F3"> </a><code>http://terminology.hl7.org/CodeSystem/ex-benefitcategory</code></td><td>4.0.1</td><td style="white-space:nowrap"> <a href="CodeSystem-ex-benefitcategory.html#ex-benefitcategory-F3">F3</a></td><td>Dental Coverage</td><td>Dental Coverage.</td></tr><tr><td><a name="R4-ex-benefitcategory-for-R3-http://terminology.hl7.org/CodeSystem/ex-benefitcategory-F4"> </a><code>http://terminology.hl7.org/CodeSystem/ex-benefitcategory</code></td><td>4.0.1</td><td style="white-space:nowrap"> <a href="CodeSystem-ex-benefitcategory.html#ex-benefitcategory-F4">F4</a></td><td>Hearing Coverage</td><td>Hearing Coverage.</td></tr><tr><td><a name="R4-ex-benefitcategory-for-R3-http://terminology.hl7.org/CodeSystem/ex-benefitcategory-F6"> </a><code>http://terminology.hl7.org/CodeSystem/ex-benefitcategory</code></td><td>4.0.1</td><td style="white-space:nowrap"> <a href="CodeSystem-ex-benefitcategory.html#ex-benefitcategory-F6">F6</a></td><td>Vision Coverage</td><td>Vision Coverage.</td></tr></table></div>
</text>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
<valueInteger value="1"/>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
<valueCode value="fm"/>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/package-source">
<extension url="packageId">
<valueId value="hl7.fhir.uv.xver-r4.r3"/>
</extension>
<extension url="version">
<valueString value="0.1.0"/>
</extension>
<extension url="uri">
<valueUri
value="http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r4.r3"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
<valueCode value="trial-use">
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom">
<valueUri
value="http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r4.r3"/>
</extension>
</valueCode>
</extension>
<url
value="http://hl7.org/fhir/uv/xver/ValueSet/R4-ex-benefitcategory-for-R3"/>
<version value="0.1.0"/>
<name value="R4ExBenefitcategoryForR3"/>
<title
value="Cross-version ValueSet R4.BenefitCategoryCodes for use in FHIR STU3"/>
<status value="active"/>
<experimental value="false"/>
<date value="2026-03-17T21:02:03.8104715+00:00"/>
<publisher value="Financial Management"/>
<contact>
<name value="Financial Management"/>
<telecom>
<system value="url"/>
<value value="http://www.hl7.org/Special/committees/fm"/>
</telecom>
</contact>
<description
value="This cross-version ValueSet represents content from `http://hl7.org/fhir/ValueSet/ex-benefitcategory|4.0.1` for use in FHIR STU3."/>
<jurisdiction>
<coding>
<system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
<code value="001"/>
<display value="World"/>
</coding>
</jurisdiction>
<purpose
value="This value set is part of the cross-version definitions generated to enable use of the
value set `http://hl7.org/fhir/ValueSet/ex-benefitcategory|4.0.1` as defined in FHIR R4
in FHIR STU3.
The source value set is bound to the following FHIR R4 elements:
* `Claim.item.category`
* `Claim.item.detail.category`
* `Claim.item.detail.subDetail.category`
* `CoverageEligibilityRequest.item.category`
* `CoverageEligibilityResponse.insurance.item.category`
* `ExplanationOfBenefit.benefitBalance.category`
* `ExplanationOfBenefit.item.category`
* `ExplanationOfBenefit.item.detail.category`
* `ExplanationOfBenefit.item.detail.subDetail.category`
Note that all concepts are included in this cross-version definition because no concepts have compatible representations
Following are the generation technical comments:
FHIR ValueSet `http://hl7.org/fhir/ValueSet/ex-benefitcategory|4.0.1`, defined in FHIR R4 does not have any mapping to FHIR STU3"/>
<compose>
<include>
<system
value="http://terminology.hl7.org/CodeSystem/ex-benefitcategory"/>
<version value="4.0.1"/>
<concept>
<code value="1"/>
<display value="Medical Care"/>
</concept>
<concept>
<code value="14"/>
<display value="Renal Supplies"/>
</concept>
<concept>
<code value="2"/>
<display value="Surgical"/>
</concept>
<concept>
<code value="23"/>
<display value="Diagnostic Dental"/>
</concept>
<concept>
<code value="24"/>
<display value="Periodontics"/>
</concept>
<concept>
<code value="25"/>
<display value="Restorative"/>
</concept>
<concept>
<code value="26"/>
<display value="Endodontics"/>
</concept>
<concept>
<code value="27"/>
<display value="Maxillofacial Prosthetics"/>
</concept>
<concept>
<code value="28"/>
<display value="Adjunctive Dental Services"/>
</concept>
<concept>
<code value="3"/>
<display value="Consultation"/>
</concept>
<concept>
<code value="30"/>
<display value="Health Benefit Plan Coverage"/>
</concept>
<concept>
<code value="35"/>
<display value="Dental Care"/>
</concept>
<concept>
<code value="36"/>
<display value="Dental Crowns"/>
</concept>
<concept>
<code value="37"/>
<display value="Dental Accident"/>
</concept>
<concept>
<code value="4"/>
<display value="Diagnostic XRay"/>
</concept>
<concept>
<code value="49"/>
<display value="Hospital Room and Board"/>
</concept>
<concept>
<code value="5"/>
<display value="Diagnostic Lab"/>
</concept>
<concept>
<code value="55"/>
<display value="Major Medical"/>
</concept>
<concept>
<code value="56"/>
<display value="Medically Related Transportation"/>
</concept>
<concept>
<code value="61"/>
<display value="In-vitro Fertilization"/>
</concept>
<concept>
<code value="62"/>
<display value="MRI Scan"/>
</concept>
<concept>
<code value="63"/>
<display value="Donor Procedures"/>
</concept>
<concept>
<code value="69"/>
<display value="Maternity"/>
</concept>
<concept>
<code value="76"/>
<display value="Renal Dialysis"/>
</concept>
<concept>
<code value="F1"/>
<display value="Medical Coverage"/>
</concept>
<concept>
<code value="F3"/>
<display value="Dental Coverage"/>
</concept>
<concept>
<code value="F4"/>
<display value="Hearing Coverage"/>
</concept>
<concept>
<code value="F6"/>
<display value="Vision Coverage"/>
</concept>
</include>
</compose>
<expansion>
<timestamp value="2026-03-17T21:02:03.8104715+00:00"/>
<contains>
<system
value="http://terminology.hl7.org/CodeSystem/ex-benefitcategory"/>
<version value="4.0.1"/>
<code value="1"/>
<display value="Medical Care"/>
</contains>
<contains>
<system
value="http://terminology.hl7.org/CodeSystem/ex-benefitcategory"/>
<version value="4.0.1"/>
<code value="14"/>
<display value="Renal Supplies"/>
</contains>
<contains>
<system
value="http://terminology.hl7.org/CodeSystem/ex-benefitcategory"/>
<version value="4.0.1"/>
<code value="2"/>
<display value="Surgical"/>
</contains>
<contains>
<system
value="http://terminology.hl7.org/CodeSystem/ex-benefitcategory"/>
<version value="4.0.1"/>
<code value="23"/>
<display value="Diagnostic Dental"/>
</contains>
<contains>
<system
value="http://terminology.hl7.org/CodeSystem/ex-benefitcategory"/>
<version value="4.0.1"/>
<code value="24"/>
<display value="Periodontics"/>
</contains>
<contains>
<system
value="http://terminology.hl7.org/CodeSystem/ex-benefitcategory"/>
<version value="4.0.1"/>
<code value="25"/>
<display value="Restorative"/>
</contains>
<contains>
<system
value="http://terminology.hl7.org/CodeSystem/ex-benefitcategory"/>
<version value="4.0.1"/>
<code value="26"/>
<display value="Endodontics"/>
</contains>
<contains>
<system
value="http://terminology.hl7.org/CodeSystem/ex-benefitcategory"/>
<version value="4.0.1"/>
<code value="27"/>
<display value="Maxillofacial Prosthetics"/>
</contains>
<contains>
<system
value="http://terminology.hl7.org/CodeSystem/ex-benefitcategory"/>
<version value="4.0.1"/>
<code value="28"/>
<display value="Adjunctive Dental Services"/>
</contains>
<contains>
<system
value="http://terminology.hl7.org/CodeSystem/ex-benefitcategory"/>
<version value="4.0.1"/>
<code value="3"/>
<display value="Consultation"/>
</contains>
<contains>
<system
value="http://terminology.hl7.org/CodeSystem/ex-benefitcategory"/>
<version value="4.0.1"/>
<code value="30"/>
<display value="Health Benefit Plan Coverage"/>
</contains>
<contains>
<system
value="http://terminology.hl7.org/CodeSystem/ex-benefitcategory"/>
<version value="4.0.1"/>
<code value="35"/>
<display value="Dental Care"/>
</contains>
<contains>
<system
value="http://terminology.hl7.org/CodeSystem/ex-benefitcategory"/>
<version value="4.0.1"/>
<code value="36"/>
<display value="Dental Crowns"/>
</contains>
<contains>
<system
value="http://terminology.hl7.org/CodeSystem/ex-benefitcategory"/>
<version value="4.0.1"/>
<code value="37"/>
<display value="Dental Accident"/>
</contains>
<contains>
<system
value="http://terminology.hl7.org/CodeSystem/ex-benefitcategory"/>
<version value="4.0.1"/>
<code value="4"/>
<display value="Diagnostic XRay"/>
</contains>
<contains>
<system
value="http://terminology.hl7.org/CodeSystem/ex-benefitcategory"/>
<version value="4.0.1"/>
<code value="49"/>
<display value="Hospital Room and Board"/>
</contains>
<contains>
<system
value="http://terminology.hl7.org/CodeSystem/ex-benefitcategory"/>
<version value="4.0.1"/>
<code value="5"/>
<display value="Diagnostic Lab"/>
</contains>
<contains>
<system
value="http://terminology.hl7.org/CodeSystem/ex-benefitcategory"/>
<version value="4.0.1"/>
<code value="55"/>
<display value="Major Medical"/>
</contains>
<contains>
<system
value="http://terminology.hl7.org/CodeSystem/ex-benefitcategory"/>
<version value="4.0.1"/>
<code value="56"/>
<display value="Medically Related Transportation"/>
</contains>
<contains>
<system
value="http://terminology.hl7.org/CodeSystem/ex-benefitcategory"/>
<version value="4.0.1"/>
<code value="61"/>
<display value="In-vitro Fertilization"/>
</contains>
<contains>
<system
value="http://terminology.hl7.org/CodeSystem/ex-benefitcategory"/>
<version value="4.0.1"/>
<code value="62"/>
<display value="MRI Scan"/>
</contains>
<contains>
<system
value="http://terminology.hl7.org/CodeSystem/ex-benefitcategory"/>
<version value="4.0.1"/>
<code value="63"/>
<display value="Donor Procedures"/>
</contains>
<contains>
<system
value="http://terminology.hl7.org/CodeSystem/ex-benefitcategory"/>
<version value="4.0.1"/>
<code value="69"/>
<display value="Maternity"/>
</contains>
<contains>
<system
value="http://terminology.hl7.org/CodeSystem/ex-benefitcategory"/>
<version value="4.0.1"/>
<code value="76"/>
<display value="Renal Dialysis"/>
</contains>
<contains>
<system
value="http://terminology.hl7.org/CodeSystem/ex-benefitcategory"/>
<version value="4.0.1"/>
<code value="F1"/>
<display value="Medical Coverage"/>
</contains>
<contains>
<system
value="http://terminology.hl7.org/CodeSystem/ex-benefitcategory"/>
<version value="4.0.1"/>
<code value="F3"/>
<display value="Dental Coverage"/>
</contains>
<contains>
<system
value="http://terminology.hl7.org/CodeSystem/ex-benefitcategory"/>
<version value="4.0.1"/>
<code value="F4"/>
<display value="Hearing Coverage"/>
</contains>
<contains>
<system
value="http://terminology.hl7.org/CodeSystem/ex-benefitcategory"/>
<version value="4.0.1"/>
<code value="F6"/>
<display value="Vision Coverage"/>
</contains>
</expansion>
</ValueSet>