Extensions for Using Data Elements from FHIR R4B in FHIR STU3
0.1.0 - STU International flag

Extensions for Using Data Elements from FHIR R4B in FHIR STU3 - Downloaded Version null See the Directory of published versions

: BenefitCostApplicability - XML Representation

Page standards status: Trial-use Maturity Level: 0

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<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>