Extensions for Using Data Elements from FHIR R4B in FHIR STU3 - Downloaded Version null See the Directory of published versions
| Page standards status: Trial-use | Maturity Level: 0 |
<CodeSystem xmlns="http://hl7.org/fhir">
<id value="insuranceplan-applicability"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<p>This code system http://hl7.org/fhir/insuranceplan-applicability 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>
</text>
<extension url="http://hl7.org/fhir/StructureDefinition/package-source">
<extension url="packageId">
<valueId value="hl7.fhir.uv.xver-r4b.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-r4b.r3"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
<valueCode value="pa"/>
</extension>
<url value="http://hl7.org/fhir/insuranceplan-applicability"/>
<version value="4.3.0"/>
<name value="BenefitCostApplicability"/>
<status value="draft"/>
<experimental value="false"/>
<date value="2018-06-05T09:06:02-05:00"/>
<publisher value="Patient Administration"/>
<contact>
<name value="Patient Administration"/>
<telecom>
<system value="url"/>
<value value="http://www.hl7.org/Special/committees/pafm"/>
</telecom>
</contact>
<description
value="Whether the cost applies to in-network or out-of-network providers."/>
<jurisdiction>
<coding>
<system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
<code value="001"/>
<display value="World"/>
</coding>
</jurisdiction>
<caseSensitive value="true"/>
<valueSet value="http://hl7.org/fhir/ValueSet/applicability"/>
<content value="complete"/>
<concept>
<code value="in-network"/>
<display value="In Network"/>
<definition
value="Provider is contracted with the health insurance company to provide services to plan members for specific pre-negotiated rates"/>
</concept>
<concept>
<code value="out-of-network"/>
<display value="Out of Network"/>
<definition
value="Provider is not contracted with the health insurance company to provide services to plan members for specific pre-negotiated rates"/>
</concept>
<concept>
<code value="other"/>
<display value="Other"/>
<definition value="Other applicability"/>
</concept>
</CodeSystem>