Extensions for Using Data Elements from FHIR R4B in FHIR STU3 - 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\">\n            <p>This code system http://hl7.org/fhir/insuranceplan-applicability defines the following codes:</p>\n            <table class=\"codes\">\n              <tr>\n                <td style=\"white-space:nowrap\">\n                  <b>Code</b>\n                </td>\n                <td>\n                  <b>Display</b>\n                </td>\n                <td>\n                  <b>Definition</b>\n                </td>\n              </tr>\n              <tr>\n                <td style=\"white-space:nowrap\">in-network\n                  <a name=\"insuranceplan-applicability-in-network\"> </a>\n                </td>\n                <td>In Network</td>\n                <td>Provider is contracted with the health insurance company to provide services to plan members for specific pre-negotiated rates</td>\n              </tr>\n              <tr>\n                <td style=\"white-space:nowrap\">out-of-network\n                  <a name=\"insuranceplan-applicability-out-of-network\"> </a>\n                </td>\n                <td>Out of Network</td>\n                <td>Provider is  not contracted with the health insurance company to provide services to plan members for specific pre-negotiated rates</td>\n              </tr>\n              <tr>\n                <td style=\"white-space:nowrap\">other\n                  <a name=\"insuranceplan-applicability-other\"> </a>\n                </td>\n                <td>Other</td>\n                <td>Other applicability</td>\n              </tr>\n            </table>\n          </div>"
  },
  "extension" : [
    {
      "extension" : [
        {
          "url" : "packageId",
          "valueId" : "hl7.fhir.uv.xver-r4b.r3"
        },
        {
          "url" : "version",
          "valueString" : "0.1.0"
        },
        {
          "url" : "uri",
          "valueUri" : "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r4b.r3"
        }
      ],
      "url" : "http://hl7.org/fhir/StructureDefinition/package-source"
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode" : "pa"
    }
  ],
  "url" : "http://hl7.org/fhir/insuranceplan-applicability",
  "version" : "4.3.0",
  "name" : "BenefitCostApplicability",
  "status" : "draft",
  "experimental" : false,
  "date" : "2018-06-05T09:06:02-05:00",
  "publisher" : "Patient Administration",
  "contact" : [
    {
      "name" : "Patient Administration",
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/pafm"
        }
      ]
    }
  ],
  "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/applicability",
  "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"
    }
  ]
}