FHIR Cross-Version Extensions package for FHIR R4 from FHIR R5 - Version 0.0.1-snapshot-2. See the Directory of published versions
| Page standards status: Informative | Maturity Level: 0 |
{
"resourceType" : "CodeSystem",
"id" : "applicability",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>This 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=\"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=\"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=\"applicability-other\"> </a></td><td>Other</td><td>Other applicability</td></tr></table></div>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
"valueInteger" : 0
},
{
"extension" : [
{
"url" : "packageId",
"valueId" : "hl7.fhir.uv.xver-r5.r4"
},
{
"url" : "version",
"valueString" : "0.0.1-snapshot-2"
}
],
"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" : "0.1.0",
"name" : "BenefitCostApplicability",
"title" : "Benefit cost applicability",
"status" : "draft",
"experimental" : false,
"date" : "2018-06-06T00:06:02+10:00",
"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://terminology.hl7.org/ValueSet/insuranceplan-applicability|1.0.1",
"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"
}
]
}