Extensions for Using Data Elements from FHIR R4 in FHIR R4B - Downloaded Version null See the Directory of published versions

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: BenefitCostApplicability - JSON Representation

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{
  "resourceType" : "CodeSystem",
  "id" : "insuranceplan-applicability",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CodeSystem insuranceplan-applicability</b></p><a name=\"insuranceplan-applicability\"> </a><a name=\"hcinsuranceplan-applicability\"> </a><p>This case-sensitive code system <code>http://terminology.hl7.org/CodeSystem/applicability</code> defines the following codes:</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td style=\"white-space:nowrap\">in-network<a name=\"insuranceplan-applicability-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 style=\"white-space:nowrap\">out-of-network<a name=\"insuranceplan-applicability-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><tr><td style=\"white-space:nowrap\">other<a name=\"insuranceplan-applicability-other\"> </a></td><td>Other</td><td>Other applicability</td></tr></table></div>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
      "valueCode" : "trial-use"
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
      "valueInteger" : 0
    },
    {
      "extension" : [
        {
          "url" : "packageId",
          "valueId" : "hl7.fhir.uv.xver-r4.r4b"
        },
        {
          "url" : "version",
          "valueString" : "0.1.0"
        },
        {
          "url" : "uri",
          "valueUri" : "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r4.r4b"
        }
      ],
      "url" : "http://hl7.org/fhir/StructureDefinition/package-source"
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode" : "pa"
    }
  ],
  "url" : "http://terminology.hl7.org/CodeSystem/applicability",
  "version" : "4.0.1",
  "name" : "BenefitCostApplicability",
  "title" : "Benefit cost applicability",
  "status" : "draft",
  "experimental" : false,
  "date" : "2018-06-05T09:06:02-05:00",
  "publisher" : "Patient Administration",
  "contact" : [
    {
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        },
        {
          "system" : "email",
          "value" : "fhir@lists.hl7.org"
        }
      ]
    },
    {
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        },
        {
          "system" : "email",
          "value" : "fhir@lists.hl7.org"
        }
      ]
    }
  ],
  "description" : "Whether the cost applies to in-network or out-of-network providers.",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code" : "001",
          "display" : "World"
        }
      ]
    }
  ],
  "caseSensitive" : true,
  "valueSet" : "http://hl7.org/fhir/ValueSet/insuranceplan-applicability|4.3.0",
  "content" : "complete",
  "concept" : [
    {
      "code" : "in-network",
      "display" : "In Network",
      "definition" : "Provider is contracted with the health insurance company to provide services to plan members for specific pre-negotiated rates"
    },
    {
      "code" : "out-of-network",
      "display" : "Out of Network",
      "definition" : "Provider is  not contracted with the health insurance company to provide services to plan members for specific pre-negotiated rates"
    },
    {
      "code" : "other",
      "display" : "Other",
      "definition" : "Other applicability"
    }
  ]
}