Extensions for Using Data Elements from FHIR R5 in FHIR STU3
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Extensions for Using Data Elements from FHIR R5 in FHIR STU3 - Downloaded Version null See the Directory of published versions

: R5ExBenefitcategoryForR3 - XML Representation

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<ValueSet xmlns="http://hl7.org/fhir">
  <id value="R5-ex-benefitcategory-for-R3"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: ValueSet R5-ex-benefitcategory-for-R3</b></p><a name="R5-ex-benefitcategory-for-R3"> </a><a name="hcR5-ex-benefitcategory-for-R3"> </a><p>This value set expansion contains 28 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="R5-ex-benefitcategory-for-R3-http://terminology.hl7.org/CodeSystem/ex-benefitcategory-1"> </a><code>http://terminology.hl7.org/CodeSystem/ex-benefitcategory</code></td><td>0.1.0</td><td style="white-space:nowrap">  <a href="CodeSystem-ex-benefitcategory.html#ex-benefitcategory-1">1</a></td><td>Medical Care</td><td>Medical Care.</td></tr><tr><td><a name="R5-ex-benefitcategory-for-R3-http://terminology.hl7.org/CodeSystem/ex-benefitcategory-14"> </a><code>http://terminology.hl7.org/CodeSystem/ex-benefitcategory</code></td><td>0.1.0</td><td style="white-space:nowrap">  <a href="CodeSystem-ex-benefitcategory.html#ex-benefitcategory-14">14</a></td><td>Renal Supplies</td><td>Renal Supplies excluding Dialysis.</td></tr><tr><td><a name="R5-ex-benefitcategory-for-R3-http://terminology.hl7.org/CodeSystem/ex-benefitcategory-2"> </a><code>http://terminology.hl7.org/CodeSystem/ex-benefitcategory</code></td><td>0.1.0</td><td style="white-space:nowrap">  <a href="CodeSystem-ex-benefitcategory.html#ex-benefitcategory-2">2</a></td><td>Surgical</td><td>Surgical.</td></tr><tr><td><a name="R5-ex-benefitcategory-for-R3-http://terminology.hl7.org/CodeSystem/ex-benefitcategory-23"> </a><code>http://terminology.hl7.org/CodeSystem/ex-benefitcategory</code></td><td>0.1.0</td><td style="white-space:nowrap">  <a href="CodeSystem-ex-benefitcategory.html#ex-benefitcategory-23">23</a></td><td>Diagnostic Dental</td><td>Diagnostic Dental.</td></tr><tr><td><a name="R5-ex-benefitcategory-for-R3-http://terminology.hl7.org/CodeSystem/ex-benefitcategory-24"> </a><code>http://terminology.hl7.org/CodeSystem/ex-benefitcategory</code></td><td>0.1.0</td><td style="white-space:nowrap">  <a href="CodeSystem-ex-benefitcategory.html#ex-benefitcategory-24">24</a></td><td>Periodontics</td><td>Periodontics.</td></tr><tr><td><a name="R5-ex-benefitcategory-for-R3-http://terminology.hl7.org/CodeSystem/ex-benefitcategory-25"> </a><code>http://terminology.hl7.org/CodeSystem/ex-benefitcategory</code></td><td>0.1.0</td><td style="white-space:nowrap">  <a href="CodeSystem-ex-benefitcategory.html#ex-benefitcategory-25">25</a></td><td>Restorative</td><td>Restorative.</td></tr><tr><td><a name="R5-ex-benefitcategory-for-R3-http://terminology.hl7.org/CodeSystem/ex-benefitcategory-26"> </a><code>http://terminology.hl7.org/CodeSystem/ex-benefitcategory</code></td><td>0.1.0</td><td style="white-space:nowrap">  <a href="CodeSystem-ex-benefitcategory.html#ex-benefitcategory-26">26</a></td><td>Endodontics</td><td>Endodontics.</td></tr><tr><td><a name="R5-ex-benefitcategory-for-R3-http://terminology.hl7.org/CodeSystem/ex-benefitcategory-27"> </a><code>http://terminology.hl7.org/CodeSystem/ex-benefitcategory</code></td><td>0.1.0</td><td style="white-space:nowrap">  <a href="CodeSystem-ex-benefitcategory.html#ex-benefitcategory-27">27</a></td><td>Maxillofacial Prosthetics</td><td>Maxillofacial Prosthetics.</td></tr><tr><td><a name="R5-ex-benefitcategory-for-R3-http://terminology.hl7.org/CodeSystem/ex-benefitcategory-28"> </a><code>http://terminology.hl7.org/CodeSystem/ex-benefitcategory</code></td><td>0.1.0</td><td style="white-space:nowrap">  <a href="CodeSystem-ex-benefitcategory.html#ex-benefitcategory-28">28</a></td><td>Adjunctive Dental Services</td><td>Adjunctive Dental Services.</td></tr><tr><td><a name="R5-ex-benefitcategory-for-R3-http://terminology.hl7.org/CodeSystem/ex-benefitcategory-3"> </a><code>http://terminology.hl7.org/CodeSystem/ex-benefitcategory</code></td><td>0.1.0</td><td style="white-space:nowrap">  <a href="CodeSystem-ex-benefitcategory.html#ex-benefitcategory-3">3</a></td><td>Consultation</td><td>Consultation.</td></tr><tr><td><a name="R5-ex-benefitcategory-for-R3-http://terminology.hl7.org/CodeSystem/ex-benefitcategory-30"> </a><code>http://terminology.hl7.org/CodeSystem/ex-benefitcategory</code></td><td>0.1.0</td><td style="white-space:nowrap">  <a href="CodeSystem-ex-benefitcategory.html#ex-benefitcategory-30">30</a></td><td>Health Benefit Plan Coverage</td><td>Health Benefit Plan Coverage.</td></tr><tr><td><a name="R5-ex-benefitcategory-for-R3-http://terminology.hl7.org/CodeSystem/ex-benefitcategory-35"> </a><code>http://terminology.hl7.org/CodeSystem/ex-benefitcategory</code></td><td>0.1.0</td><td style="white-space:nowrap">  <a href="CodeSystem-ex-benefitcategory.html#ex-benefitcategory-35">35</a></td><td>Dental Care</td><td>Dental Care.</td></tr><tr><td><a name="R5-ex-benefitcategory-for-R3-http://terminology.hl7.org/CodeSystem/ex-benefitcategory-36"> </a><code>http://terminology.hl7.org/CodeSystem/ex-benefitcategory</code></td><td>0.1.0</td><td style="white-space:nowrap">  <a href="CodeSystem-ex-benefitcategory.html#ex-benefitcategory-36">36</a></td><td>Dental Crowns</td><td>Dental Crowns.</td></tr><tr><td><a name="R5-ex-benefitcategory-for-R3-http://terminology.hl7.org/CodeSystem/ex-benefitcategory-37"> </a><code>http://terminology.hl7.org/CodeSystem/ex-benefitcategory</code></td><td>0.1.0</td><td style="white-space:nowrap">  <a href="CodeSystem-ex-benefitcategory.html#ex-benefitcategory-37">37</a></td><td>Dental Accident</td><td>Dental Accident.</td></tr><tr><td><a name="R5-ex-benefitcategory-for-R3-http://terminology.hl7.org/CodeSystem/ex-benefitcategory-4"> </a><code>http://terminology.hl7.org/CodeSystem/ex-benefitcategory</code></td><td>0.1.0</td><td style="white-space:nowrap">  <a href="CodeSystem-ex-benefitcategory.html#ex-benefitcategory-4">4</a></td><td>Diagnostic XRay</td><td>Diagnostic XRay.</td></tr><tr><td><a name="R5-ex-benefitcategory-for-R3-http://terminology.hl7.org/CodeSystem/ex-benefitcategory-49"> </a><code>http://terminology.hl7.org/CodeSystem/ex-benefitcategory</code></td><td>0.1.0</td><td style="white-space:nowrap">  <a href="CodeSystem-ex-benefitcategory.html#ex-benefitcategory-49">49</a></td><td>Hospital Room and Board</td><td>Hospital Room and Board.</td></tr><tr><td><a name="R5-ex-benefitcategory-for-R3-http://terminology.hl7.org/CodeSystem/ex-benefitcategory-5"> </a><code>http://terminology.hl7.org/CodeSystem/ex-benefitcategory</code></td><td>0.1.0</td><td style="white-space:nowrap">  <a href="CodeSystem-ex-benefitcategory.html#ex-benefitcategory-5">5</a></td><td>Diagnostic Lab</td><td>Diagnostic Lab.</td></tr><tr><td><a name="R5-ex-benefitcategory-for-R3-http://terminology.hl7.org/CodeSystem/ex-benefitcategory-55"> </a><code>http://terminology.hl7.org/CodeSystem/ex-benefitcategory</code></td><td>0.1.0</td><td style="white-space:nowrap">  <a href="CodeSystem-ex-benefitcategory.html#ex-benefitcategory-55">55</a></td><td>Major Medical</td><td>Major Medical.</td></tr><tr><td><a name="R5-ex-benefitcategory-for-R3-http://terminology.hl7.org/CodeSystem/ex-benefitcategory-56"> </a><code>http://terminology.hl7.org/CodeSystem/ex-benefitcategory</code></td><td>0.1.0</td><td style="white-space:nowrap">  <a href="CodeSystem-ex-benefitcategory.html#ex-benefitcategory-56">56</a></td><td>Medically Related Transportation</td><td>Medically Related Transportation.</td></tr><tr><td><a name="R5-ex-benefitcategory-for-R3-http://terminology.hl7.org/CodeSystem/ex-benefitcategory-61"> </a><code>http://terminology.hl7.org/CodeSystem/ex-benefitcategory</code></td><td>0.1.0</td><td style="white-space:nowrap">  <a href="CodeSystem-ex-benefitcategory.html#ex-benefitcategory-61">61</a></td><td>In-vitro Fertilization</td><td>In-vitro Fertilization.</td></tr><tr><td><a name="R5-ex-benefitcategory-for-R3-http://terminology.hl7.org/CodeSystem/ex-benefitcategory-62"> </a><code>http://terminology.hl7.org/CodeSystem/ex-benefitcategory</code></td><td>0.1.0</td><td style="white-space:nowrap">  <a href="CodeSystem-ex-benefitcategory.html#ex-benefitcategory-62">62</a></td><td>MRI Scan</td><td>MRI Scan.</td></tr><tr><td><a name="R5-ex-benefitcategory-for-R3-http://terminology.hl7.org/CodeSystem/ex-benefitcategory-63"> </a><code>http://terminology.hl7.org/CodeSystem/ex-benefitcategory</code></td><td>0.1.0</td><td style="white-space:nowrap">  <a href="CodeSystem-ex-benefitcategory.html#ex-benefitcategory-63">63</a></td><td>Donor Procedures</td><td>Donor Procedures such as organ harvest.</td></tr><tr><td><a name="R5-ex-benefitcategory-for-R3-http://terminology.hl7.org/CodeSystem/ex-benefitcategory-69"> </a><code>http://terminology.hl7.org/CodeSystem/ex-benefitcategory</code></td><td>0.1.0</td><td style="white-space:nowrap">  <a href="CodeSystem-ex-benefitcategory.html#ex-benefitcategory-69">69</a></td><td>Maternity</td><td>Maternity.</td></tr><tr><td><a name="R5-ex-benefitcategory-for-R3-http://terminology.hl7.org/CodeSystem/ex-benefitcategory-76"> </a><code>http://terminology.hl7.org/CodeSystem/ex-benefitcategory</code></td><td>0.1.0</td><td style="white-space:nowrap">  <a href="CodeSystem-ex-benefitcategory.html#ex-benefitcategory-76">76</a></td><td>Renal Dialysis</td><td>Renal dialysis.</td></tr><tr><td><a name="R5-ex-benefitcategory-for-R3-http://terminology.hl7.org/CodeSystem/ex-benefitcategory-F1"> </a><code>http://terminology.hl7.org/CodeSystem/ex-benefitcategory</code></td><td>0.1.0</td><td style="white-space:nowrap">  <a href="CodeSystem-ex-benefitcategory.html#ex-benefitcategory-F1">F1</a></td><td>Medical Coverage</td><td>Medical Coverage.</td></tr><tr><td><a name="R5-ex-benefitcategory-for-R3-http://terminology.hl7.org/CodeSystem/ex-benefitcategory-F3"> </a><code>http://terminology.hl7.org/CodeSystem/ex-benefitcategory</code></td><td>0.1.0</td><td style="white-space:nowrap">  <a href="CodeSystem-ex-benefitcategory.html#ex-benefitcategory-F3">F3</a></td><td>Dental Coverage</td><td>Dental Coverage.</td></tr><tr><td><a name="R5-ex-benefitcategory-for-R3-http://terminology.hl7.org/CodeSystem/ex-benefitcategory-F4"> </a><code>http://terminology.hl7.org/CodeSystem/ex-benefitcategory</code></td><td>0.1.0</td><td style="white-space:nowrap">  <a href="CodeSystem-ex-benefitcategory.html#ex-benefitcategory-F4">F4</a></td><td>Hearing Coverage</td><td>Hearing Coverage.</td></tr><tr><td><a name="R5-ex-benefitcategory-for-R3-http://terminology.hl7.org/CodeSystem/ex-benefitcategory-F6"> </a><code>http://terminology.hl7.org/CodeSystem/ex-benefitcategory</code></td><td>0.1.0</td><td style="white-space:nowrap">  <a href="CodeSystem-ex-benefitcategory.html#ex-benefitcategory-F6">F6</a></td><td>Vision Coverage</td><td>Vision Coverage.</td></tr></table></div>
  </text>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
    <valueInteger value="1"/>
  </extension>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
    <valueCode value="fm"/>
  </extension>
  <extension url="http://hl7.org/fhir/StructureDefinition/package-source">
    <extension url="packageId">
      <valueId value="hl7.fhir.uv.xver-r5.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-r5.r3"/>
    </extension>
  </extension>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
    <valueCode value="trial-use">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom">
        <valueUri
                  value="http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r5.r3"/>
      </extension>
    </valueCode>
  </extension>
  <url
       value="http://hl7.org/fhir/uv/xver/ValueSet/R5-ex-benefitcategory-for-R3"/>
  <version value="0.1.0"/>
  <name value="R5ExBenefitcategoryForR3"/>
  <title
         value="Cross-version ValueSet R5.BenefitCategoryCodes for use in FHIR STU3"/>
  <status value="active"/>
  <experimental value="false"/>
  <date value="2026-03-17T21:02:03.8104715+00:00"/>
  <publisher value="Financial Management"/>
  <contact>
    <name value="Financial Management"/>
    <telecom>
      <system value="url"/>
      <value value="http://www.hl7.org/Special/committees/fm"/>
    </telecom>
  </contact>
  <description
               value="This cross-version ValueSet represents content from `http://hl7.org/fhir/ValueSet/ex-benefitcategory|5.0.0` for use in FHIR STU3."/>
  <jurisdiction>
    <coding>
      <system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
      <code value="001"/>
      <display value="World"/>
    </coding>
  </jurisdiction>
  <purpose
           value="This value set is part of the cross-version definitions generated to enable use of the
value set `http://hl7.org/fhir/ValueSet/ex-benefitcategory|5.0.0` as defined in FHIR R5
in FHIR STU3.

The source value set is bound to the following FHIR R5 elements:
* `Claim.item.category` as Example
* `Claim.item.detail.category` as Example
* `Claim.item.detail.subDetail.category` as Example
* `Coverage.costToBeneficiary.category` as Example
* `CoverageEligibilityRequest.item.category` as Example
* `CoverageEligibilityResponse.insurance.item.category` as Example
* `ExplanationOfBenefit.benefitBalance.category` as Example
* `ExplanationOfBenefit.item.category` as Example
* `ExplanationOfBenefit.item.detail.category` as Example
* `ExplanationOfBenefit.item.detail.subDetail.category` as Example

Across FHIR versions, the value set has been mapped as:
* `http://hl7.org/fhir/ValueSet/ex-benefitcategory|5.0.0`
* `http://hl7.org/fhir/ValueSet/ex-benefitcategory|4.3.0`
* `http://hl7.org/fhir/ValueSet/ex-benefitcategory|4.0.1`

Note that all concepts are included in this cross-version definition because no concepts have compatible representations

Following are the generation technical comments:
All concepts in the comparison are listed as identical.
The source and target value sets have the same number of active concepts (28).
All concepts in the comparison are listed as identical.
The source and target value sets have the same number of active concepts (28).
FHIR ValueSet `http://hl7.org/fhir/ValueSet/ex-benefitcategory|5.0.0`, defined in FHIR R5 does not have any mapping to FHIR STU3"/>
  <compose>
    <include>
      <system
              value="http://terminology.hl7.org/CodeSystem/ex-benefitcategory"/>
      <version value="0.1.0"/>
      <concept>
        <code value="1"/>
        <display value="Medical Care"/>
      </concept>
      <concept>
        <code value="14"/>
        <display value="Renal Supplies"/>
      </concept>
      <concept>
        <code value="2"/>
        <display value="Surgical"/>
      </concept>
      <concept>
        <code value="23"/>
        <display value="Diagnostic Dental"/>
      </concept>
      <concept>
        <code value="24"/>
        <display value="Periodontics"/>
      </concept>
      <concept>
        <code value="25"/>
        <display value="Restorative"/>
      </concept>
      <concept>
        <code value="26"/>
        <display value="Endodontics"/>
      </concept>
      <concept>
        <code value="27"/>
        <display value="Maxillofacial Prosthetics"/>
      </concept>
      <concept>
        <code value="28"/>
        <display value="Adjunctive Dental Services"/>
      </concept>
      <concept>
        <code value="3"/>
        <display value="Consultation"/>
      </concept>
      <concept>
        <code value="30"/>
        <display value="Health Benefit Plan Coverage"/>
      </concept>
      <concept>
        <code value="35"/>
        <display value="Dental Care"/>
      </concept>
      <concept>
        <code value="36"/>
        <display value="Dental Crowns"/>
      </concept>
      <concept>
        <code value="37"/>
        <display value="Dental Accident"/>
      </concept>
      <concept>
        <code value="4"/>
        <display value="Diagnostic XRay"/>
      </concept>
      <concept>
        <code value="49"/>
        <display value="Hospital Room and Board"/>
      </concept>
      <concept>
        <code value="5"/>
        <display value="Diagnostic Lab"/>
      </concept>
      <concept>
        <code value="55"/>
        <display value="Major Medical"/>
      </concept>
      <concept>
        <code value="56"/>
        <display value="Medically Related Transportation"/>
      </concept>
      <concept>
        <code value="61"/>
        <display value="In-vitro Fertilization"/>
      </concept>
      <concept>
        <code value="62"/>
        <display value="MRI Scan"/>
      </concept>
      <concept>
        <code value="63"/>
        <display value="Donor Procedures"/>
      </concept>
      <concept>
        <code value="69"/>
        <display value="Maternity"/>
      </concept>
      <concept>
        <code value="76"/>
        <display value="Renal Dialysis"/>
      </concept>
      <concept>
        <code value="F1"/>
        <display value="Medical Coverage"/>
      </concept>
      <concept>
        <code value="F3"/>
        <display value="Dental Coverage"/>
      </concept>
      <concept>
        <code value="F4"/>
        <display value="Hearing Coverage"/>
      </concept>
      <concept>
        <code value="F6"/>
        <display value="Vision Coverage"/>
      </concept>
    </include>
  </compose>
  <expansion>
    <timestamp value="2026-03-17T21:02:03.8104715+00:00"/>
    <contains>
      <system
              value="http://terminology.hl7.org/CodeSystem/ex-benefitcategory"/>
      <version value="0.1.0"/>
      <code value="1"/>
      <display value="Medical Care"/>
    </contains>
    <contains>
      <system
              value="http://terminology.hl7.org/CodeSystem/ex-benefitcategory"/>
      <version value="0.1.0"/>
      <code value="14"/>
      <display value="Renal Supplies"/>
    </contains>
    <contains>
      <system
              value="http://terminology.hl7.org/CodeSystem/ex-benefitcategory"/>
      <version value="0.1.0"/>
      <code value="2"/>
      <display value="Surgical"/>
    </contains>
    <contains>
      <system
              value="http://terminology.hl7.org/CodeSystem/ex-benefitcategory"/>
      <version value="0.1.0"/>
      <code value="23"/>
      <display value="Diagnostic Dental"/>
    </contains>
    <contains>
      <system
              value="http://terminology.hl7.org/CodeSystem/ex-benefitcategory"/>
      <version value="0.1.0"/>
      <code value="24"/>
      <display value="Periodontics"/>
    </contains>
    <contains>
      <system
              value="http://terminology.hl7.org/CodeSystem/ex-benefitcategory"/>
      <version value="0.1.0"/>
      <code value="25"/>
      <display value="Restorative"/>
    </contains>
    <contains>
      <system
              value="http://terminology.hl7.org/CodeSystem/ex-benefitcategory"/>
      <version value="0.1.0"/>
      <code value="26"/>
      <display value="Endodontics"/>
    </contains>
    <contains>
      <system
              value="http://terminology.hl7.org/CodeSystem/ex-benefitcategory"/>
      <version value="0.1.0"/>
      <code value="27"/>
      <display value="Maxillofacial Prosthetics"/>
    </contains>
    <contains>
      <system
              value="http://terminology.hl7.org/CodeSystem/ex-benefitcategory"/>
      <version value="0.1.0"/>
      <code value="28"/>
      <display value="Adjunctive Dental Services"/>
    </contains>
    <contains>
      <system
              value="http://terminology.hl7.org/CodeSystem/ex-benefitcategory"/>
      <version value="0.1.0"/>
      <code value="3"/>
      <display value="Consultation"/>
    </contains>
    <contains>
      <system
              value="http://terminology.hl7.org/CodeSystem/ex-benefitcategory"/>
      <version value="0.1.0"/>
      <code value="30"/>
      <display value="Health Benefit Plan Coverage"/>
    </contains>
    <contains>
      <system
              value="http://terminology.hl7.org/CodeSystem/ex-benefitcategory"/>
      <version value="0.1.0"/>
      <code value="35"/>
      <display value="Dental Care"/>
    </contains>
    <contains>
      <system
              value="http://terminology.hl7.org/CodeSystem/ex-benefitcategory"/>
      <version value="0.1.0"/>
      <code value="36"/>
      <display value="Dental Crowns"/>
    </contains>
    <contains>
      <system
              value="http://terminology.hl7.org/CodeSystem/ex-benefitcategory"/>
      <version value="0.1.0"/>
      <code value="37"/>
      <display value="Dental Accident"/>
    </contains>
    <contains>
      <system
              value="http://terminology.hl7.org/CodeSystem/ex-benefitcategory"/>
      <version value="0.1.0"/>
      <code value="4"/>
      <display value="Diagnostic XRay"/>
    </contains>
    <contains>
      <system
              value="http://terminology.hl7.org/CodeSystem/ex-benefitcategory"/>
      <version value="0.1.0"/>
      <code value="49"/>
      <display value="Hospital Room and Board"/>
    </contains>
    <contains>
      <system
              value="http://terminology.hl7.org/CodeSystem/ex-benefitcategory"/>
      <version value="0.1.0"/>
      <code value="5"/>
      <display value="Diagnostic Lab"/>
    </contains>
    <contains>
      <system
              value="http://terminology.hl7.org/CodeSystem/ex-benefitcategory"/>
      <version value="0.1.0"/>
      <code value="55"/>
      <display value="Major Medical"/>
    </contains>
    <contains>
      <system
              value="http://terminology.hl7.org/CodeSystem/ex-benefitcategory"/>
      <version value="0.1.0"/>
      <code value="56"/>
      <display value="Medically Related Transportation"/>
    </contains>
    <contains>
      <system
              value="http://terminology.hl7.org/CodeSystem/ex-benefitcategory"/>
      <version value="0.1.0"/>
      <code value="61"/>
      <display value="In-vitro Fertilization"/>
    </contains>
    <contains>
      <system
              value="http://terminology.hl7.org/CodeSystem/ex-benefitcategory"/>
      <version value="0.1.0"/>
      <code value="62"/>
      <display value="MRI Scan"/>
    </contains>
    <contains>
      <system
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