Extensions for Using Data Elements from FHIR R4 in FHIR STU3
0.1.0 - STU International flag

Extensions for Using Data Elements from FHIR R4 in FHIR STU3 - Downloaded Version null See the Directory of published versions

: R4InsuranceplanApplicabilityForR3 - JSON Representation

Page standards status: Trial-use Maturity Level: 0

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{
  "resourceType" : "ValueSet",
  "id" : "R4-insuranceplan-applicability-for-R3",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ValueSet R4-insuranceplan-applicability-for-R3</b></p><a name=\"R4-insuranceplan-applicability-for-R3\"> </a><a name=\"hcR4-insuranceplan-applicability-for-R3\"> </a><p>This value set expansion contains 3 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-insuranceplan-applicability-for-R3-http://terminology.hl7.org/CodeSystem/applicability-in-network\"> </a><code>http://terminology.hl7.org/CodeSystem/applicability</code></td><td>4.0.1</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-insuranceplan-applicability.html#insuranceplan-applicability-in-network\">in-network</a></td><td>In Network</td><td>Provider is contracted with the health insurance company to provide services to plan members for specific pre-negotiated rates</td></tr><tr><td><a name=\"R4-insuranceplan-applicability-for-R3-http://terminology.hl7.org/CodeSystem/applicability-other\"> </a><code>http://terminology.hl7.org/CodeSystem/applicability</code></td><td>4.0.1</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-insuranceplan-applicability.html#insuranceplan-applicability-other\">other</a></td><td>Other</td><td>Other applicability</td></tr><tr><td><a name=\"R4-insuranceplan-applicability-for-R3-http://terminology.hl7.org/CodeSystem/applicability-out-of-network\"> </a><code>http://terminology.hl7.org/CodeSystem/applicability</code></td><td>4.0.1</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-insuranceplan-applicability.html#insuranceplan-applicability-out-of-network\">out-of-network</a></td><td>Out of Network</td><td>Provider is  not contracted with the health insurance company to provide services to plan members for specific pre-negotiated rates</td></tr></table></div>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
      "valueInteger" : 0
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode" : "pa"
    },
    {
      "extension" : [
        {
          "url" : "packageId",
          "valueId" : "hl7.fhir.uv.xver-r4.r3"
        },
        {
          "url" : "version",
          "valueString" : "0.1.0"
        },
        {
          "url" : "uri",
          "valueUri" : "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r4.r3"
        }
      ],
      "url" : "http://hl7.org/fhir/StructureDefinition/package-source"
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
      "valueCode" : "trial-use",
      "_valueCode" : {
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
            "valueUri" : "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r4.r3"
          }
        ]
      }
    }
  ],
  "url" : "http://hl7.org/fhir/uv/xver/ValueSet/R4-insuranceplan-applicability-for-R3",
  "version" : "0.1.0",
  "name" : "R4InsuranceplanApplicabilityForR3",
  "title" : "Cross-version ValueSet R4.BenefitCostApplicability for use in FHIR STU3",
  "status" : "active",
  "experimental" : false,
  "date" : "2026-03-17T21:02:03.8104715+00:00",
  "publisher" : "Patient Administration",
  "contact" : [
    {
      "name" : "Patient Administration",
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/pafm"
        }
      ]
    }
  ],
  "description" : "This cross-version ValueSet represents content from `http://hl7.org/fhir/ValueSet/insuranceplan-applicability|4.0.1` for use in FHIR STU3.",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code" : "001",
          "display" : "World"
        }
      ]
    }
  ],
  "purpose" : "This value set is part of the cross-version definitions generated to enable use of the\r\nvalue set `http://hl7.org/fhir/ValueSet/insuranceplan-applicability|4.0.1` as defined in FHIR R4\r\nin FHIR STU3.\r\n\r\nThe source value set is bound to the following FHIR R4 elements:\r\n* `InsurancePlan.plan.specificCost.benefit.cost.applicability`\r\n\r\nNote that all concepts are included in this cross-version definition because no concepts have compatible representations\r\n\r\nFollowing are the generation technical comments:\r\n\nFHIR ValueSet `http://hl7.org/fhir/ValueSet/insuranceplan-applicability|4.0.1`, defined in FHIR R4 does not have any mapping to FHIR STU3",
  "compose" : {
    "include" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/applicability",
        "version" : "4.0.1",
        "concept" : [
          {
            "code" : "in-network",
            "display" : "In Network"
          },
          {
            "code" : "other",
            "display" : "Other"
          },
          {
            "code" : "out-of-network",
            "display" : "Out of Network"
          }
        ]
      }
    ]
  },
  "expansion" : {
    "timestamp" : "2026-03-17T21:02:03.8104715+00:00",
    "contains" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/applicability",
        "version" : "4.0.1",
        "code" : "in-network",
        "display" : "In Network"
      },
      {
        "system" : "http://terminology.hl7.org/CodeSystem/applicability",
        "version" : "4.0.1",
        "code" : "other",
        "display" : "Other"
      },
      {
        "system" : "http://terminology.hl7.org/CodeSystem/applicability",
        "version" : "4.0.1",
        "code" : "out-of-network",
        "display" : "Out of Network"
      }
    ]
  }
}