FHIR IG analytics| Package | hl7.fhir.uv.xver-r4.r3 |
| Resource Type | StructureDefinition |
| Id | StructureDefinition-ext-R4-InsurancePlan.coverage.json |
| FHIR Version | R3 |
| Source | http://hl7.org/fhir/uv/xver-r4.r3/0.1.0/StructureDefinition-ext-R4-InsurancePlan.coverage.html |
| URL | http://hl7.org/fhir/4.0/StructureDefinition/extension-InsurancePlan.coverage |
| Version | 0.1.0 |
| Status | active |
| Date | 2026-03-17T21:02:03.8104715+00:00 |
| Name | ExtensionInsurancePlan_Coverage |
| Title | R4: Coverage details (new) |
| Realm | uv |
| Authority | hl7 |
| Description | R4: `InsurancePlan.coverage` (new:BackboneElement) |
| Purpose | This extension is part of the cross-version definitions generated to enable use of the element `InsurancePlan.coverage` as defined in FHIR R4 in FHIR STU3. The source element is defined as: `InsurancePlan.coverage` 0..* `BackboneElement` Following are the generation technical comments: Element `InsurancePlan.coverage` is not mapped to FHIR STU3, since FHIR R4 `InsurancePlan` is not mapped. Element `InsurancePlan.coverage` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). |
| Type | Extension |
| Kind | complex-type |
| ConceptMap | ||
| hl7.fhir.uv.xver-r4.r3#0.1.0 | R4-InsurancePlan-element-map-to-R3 | Cross-version mapping for FHIR R4 InsurancePlan to FHIR STU3 Basic |
| StructureDefinition | ||
| hl7.fhir.uv.xver-r4.r4b#0.1.0 | profile-Organization | Cross-version Profile for R4.Organization for use in FHIR R4B |
No extension usage examples found
Note: links and images are rebased to the (stated) source
Generated Narrative: StructureDefinition ext-R4-InsurancePlan.coverage
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  Extension | 0..* | Extension | R4: Coverage details (new) | |
  Slices for extension | 2..* | Extension | Extension Slice: Unordered, Open by value:url | |
   extension:type | 1..1 | Extension | R4: Type of coverage (new) | |
  url | 1..1 | uri | "type" | |
  value[x] | 1..1 | CodeableConcept | Type of coverage | |
| extension:network | 0..* | Extension | R4: What networks provide coverage (new) | |
| url | 1..1 | uri | "network" | |
 value[x] | 0..1 | Reference(Cross-version Profile for R4.Organization for use in FHIR STU3(0.1.0) | Organization) | What networks provide coverage | |
 extension:benefit | 1..* | Extension | R4: List of benefits (new) | |
 Slices for extension | 1..* | Extension | Extension Slice: Unordered, Open by value:url | |
 extension:type | 1..1 | Extension | R4: Type of benefit (new) | |
| url | 1..1 | uri | "type" | |
| value[x] | 1..1 | CodeableConcept | Type of benefit | |
| extension:requirement | 0..1 | Extension | R4: Referral requirements (new) | |
| url | 1..1 | uri | "requirement" | |
 value[x] | 0..1 | string | Referral requirements | |
| extension:limit | 0..* | Extension | R4: Benefit limits (new) | |
| Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| extension:value | 0..1 | Extension | R4: Maximum value allowed (new) | |
| url | 1..1 | uri | "value" | |
| value[x] | 0..1 | Quantity | Maximum value allowed | |
| extension:code | 0..1 | Extension | R4: Benefit limit details (new) | |
| url | 1..1 | uri | "code" | |
| value[x] | 0..1 | CodeableConcept | Benefit limit details | |
| url | 1..1 | uri | "limit" | |
| value[x] | 0..0 | Value of extension | ||
| url | 1..1 | uri | "benefit" | |
| value[x] | 0..0 | Value of extension | ||
| url | 1..1 | uri | "http://hl7.org/fhir/4.0/StructureDefinition/extension-InsurancePlan.coverage" | |
 value[x] | 0..0 | Value of extension | ||
| Documentation for this format | ||||
FHIR
FHIRsmith{
"resourceType": "StructureDefinition",
"id": "ext-R4-InsurancePlan.coverage",
"text": {
"status": "extensions",
"div": "<!-- snip (see above) -->"
},
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
"valueCode": "fhir"
},
{
"extension": [
{
"url": "packageId",
"valueId": "hl7.fhir.uv.xver-r4.r3"
},
{
"url": "version",
"valueString": "0.1.0"
},
{
"url": "uri",
"valueUri": "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r4.r3"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/package-source"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
"valueInteger": 0,
"_valueInteger": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
"valueUri": "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r4.r3"
}
]
}
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "trial-use",
"_valueCode": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
"valueUri": "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r4.r3"
}
]
}
}
],
"url": "http://hl7.org/fhir/4.0/StructureDefinition/extension-InsurancePlan.coverage",
"version": "0.1.0",
"name": "ExtensionInsurancePlan_Coverage",
"title": "R4: Coverage details (new)",
"status": "active",
"experimental": false,
"date": "2026-03-17T21:02:03.8104715+00:00",
"publisher": "FHIR Infrastructure",
"contact": [
{
"name": "FHIR Infrastructure",
"telecom": [
{
"system": "url",
"value": "http://www.hl7.org/Special/committees/fiwg"
}
]
}
],
"description": "R4: `InsurancePlan.coverage` (new:BackboneElement)",
"jurisdiction": [
{
"coding": [
{
"system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
"code": "001",
"display": "World"
}
]
}
],
"purpose": "This extension is part of the cross-version definitions generated to enable use of the\r\nelement `InsurancePlan.coverage` as defined in FHIR R4\r\nin FHIR STU3.\r\n\r\nThe source element is defined as:\r\n`InsurancePlan.coverage` 0..* `BackboneElement`\r\n\r\nFollowing are the generation technical comments:\r\nElement `InsurancePlan.coverage` is not mapped to FHIR STU3, since FHIR R4 `InsurancePlan` is not mapped.\nElement `InsurancePlan.coverage` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
"fhirVersion": "3.0.2",
"mapping": [
{
"identity": "rim",
"uri": "http://hl7.org/v3",
"name": "RIM Mapping"
}
],
"kind": "complex-type",
"abstract": false,
"contextType": "resource",
"context": [
"Basic"
],
"type": "Extension",
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/Extension",
"derivation": "constraint",
"snapshot": {
"element": [
{
"id": "Extension",
"path": "Extension",
"short": "R4: Coverage details (new)",
"definition": "R4: `InsurancePlan.coverage` (new:BackboneElement)",
"comment": "Element `InsurancePlan.coverage` is not mapped to FHIR STU3, since FHIR R4 `InsurancePlan` is not mapped.\nElement `InsurancePlan.coverage` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
"min": 0,
"max": "*",
"base": {
"path": "Extension",
"min": 0,
"max": "*"
},
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() | (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier": false
},
{
"id": "Extension.id",
"path": "Extension.id",
"representation": [
"xmlAttr"
],
"short": "xml:id (or equivalent in JSON)",
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min": 0,
"max": "1",
"base": {
"path": "Element.id",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Extension.extension",
"path": "Extension.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"description": "Extensions are always sliced by (at least) url",
"ordered": false,
"rules": "open"
},
"short": "Extension",
"definition": "An Extension",
"min": 2,
"max": "*",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
]
},
{
"id": "Extension.extension:type",
"path": "Extension.extension",
"sliceName": "type",
"short": "R4: Type of coverage (new)",
"definition": "R4: `InsurancePlan.coverage.type` (new:CodeableConcept)",
"comment": "Element `InsurancePlan.coverage.type` is part of an existing definition because parent element `InsurancePlan.coverage` requires a cross-version extension.\nElement `InsurancePlan.coverage.type` is not mapped to FHIR STU3, since FHIR R4 `InsurancePlan` is not mapped.\nElement `InsurancePlan.coverage.type` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
"requirements": "Element `InsurancePlan.coverage.type` is part of an existing definition because parent element `InsurancePlan.coverage` requires a cross-version extension.\nElement `InsurancePlan.coverage.type` is not mapped to FHIR STU3, since FHIR R4 `InsurancePlan` is not mapped.\nElement `InsurancePlan.coverage.type` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
"min": 1,
"max": "1",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
]
},
{
"id": "Extension.extension:type.id",
"path": "Extension.extension.id",
"representation": [
"xmlAttr"
],
"short": "xml:id (or equivalent in JSON)",
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min": 0,
"max": "1",
"base": {
"path": "Element.id",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Extension.extension:type.extension",
"path": "Extension.extension.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"description": "Extensions are always sliced by (at least) url",
"rules": "open"
},
"short": "Additional Content defined by implementations",
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Extension.extension:type.url",
"path": "Extension.extension.url",
"representation": [
"xmlAttr"
],
"short": "identifies the meaning of the extension",
"definition": "Source of the definition for the extension code - a logical name or a URL.",
"comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
"min": 1,
"max": "1",
"base": {
"path": "Extension.url",
"min": 1,
"max": "1"
},
"type": [
{
"code": "uri"
}
],
"fixedUri": "type",
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Extension.extension:type.value[x]",
"path": "Extension.extension.value[x]",
"short": "Type of coverage",
"definition": "Type of coverage (Medical; Dental; Mental Health; Substance Abuse; Vision; Drug; Short Term; Long Term Care; Hospice; Home Health).",
"min": 1,
"max": "1",
"base": {
"path": "Extension.value[x]",
"min": 0,
"max": "1"
},
"type": [
{
"code": "CodeableConcept"
}
],
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Extension.extension:network",
"path": "Extension.extension",
"sliceName": "network",
"short": "R4: What networks provide coverage (new)",
"definition": "R4: `InsurancePlan.coverage.network` (new:Reference(Organization))",
"comment": "Element `InsurancePlan.coverage.network` is part of an existing definition because parent element `InsurancePlan.coverage` requires a cross-version extension.\nElement `InsurancePlan.coverage.network` is not mapped to FHIR STU3, since FHIR R4 `InsurancePlan` is not mapped.\nElement `InsurancePlan.coverage.network` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).\nNetworks are represented as a hierarchy of organization resources.",
"requirements": "Element `InsurancePlan.coverage.network` is part of an existing definition because parent element `InsurancePlan.coverage` requires a cross-version extension.\nElement `InsurancePlan.coverage.network` is not mapped to FHIR STU3, since FHIR R4 `InsurancePlan` is not mapped.\nElement `InsurancePlan.coverage.network` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
"min": 0,
"max": "*",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
]
},
{
"id": "Extension.extension:network.id",
"path": "Extension.extension.id",
"representation": [
"xmlAttr"
],
"short": "xml:id (or equivalent in JSON)",
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min": 0,
"max": "1",
"base": {
"path": "Element.id",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Extension.extension:network.extension",
"path": "Extension.extension.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"description": "Extensions are always sliced by (at least) url",
"rules": "open"
},
"short": "Additional Content defined by implementations",
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Extension.extension:network.url",
"path": "Extension.extension.url",
"representation": [
"xmlAttr"
],
"short": "identifies the meaning of the extension",
"definition": "Source of the definition for the extension code - a logical name or a URL.",
"comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
"min": 1,
"max": "1",
"base": {
"path": "Extension.url",
"min": 1,
"max": "1"
},
"type": [
{
"code": "uri"
}
],
"fixedUri": "network",
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Extension.extension:network.value[x]",
"path": "Extension.extension.value[x]",
"short": "What networks provide coverage",
"definition": "Reference to the network that providing the type of coverage.",
"comment": "Networks are represented as a hierarchy of organization resources.",
"min": 0,
"max": "1",
"base": {
"path": "Extension.value[x]",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/4.0/StructureDefinition/profile-Organization|0.1.0"
},
{
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/Organization"
}
],
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Extension.extension:benefit",
"path": "Extension.extension",
"sliceName": "benefit",
"short": "R4: List of benefits (new)",
"definition": "R4: `InsurancePlan.coverage.benefit` (new:BackboneElement)",
"comment": "Element `InsurancePlan.coverage.benefit` is part of an existing definition because parent element `InsurancePlan.coverage` requires a cross-version extension.\nElement `InsurancePlan.coverage.benefit` is not mapped to FHIR STU3, since FHIR R4 `InsurancePlan` is not mapped.\nElement `InsurancePlan.coverage.benefit` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
"requirements": "Element `InsurancePlan.coverage.benefit` is part of an existing definition because parent element `InsurancePlan.coverage` requires a cross-version extension.\nElement `InsurancePlan.coverage.benefit` is not mapped to FHIR STU3, since FHIR R4 `InsurancePlan` is not mapped.\nElement `InsurancePlan.coverage.benefit` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
"min": 1,
"max": "*",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
]
},
{
"id": "Extension.extension:benefit.id",
"path": "Extension.extension.id",
"representation": [
"xmlAttr"
],
"short": "xml:id (or equivalent in JSON)",
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min": 0,
"max": "1",
"base": {
"path": "Element.id",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Extension.extension:benefit.extension",
"path": "Extension.extension.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"description": "Extensions are always sliced by (at least) url",
"ordered": false,
"rules": "open"
},
"short": "Extension",
"definition": "An Extension",
"min": 1,
"max": "*",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
]
},
{
"id": "Extension.extension:benefit.extension:type",
"path": "Extension.extension.extension",
"sliceName": "type",
"short": "R4: Type of benefit (new)",
"definition": "R4: `InsurancePlan.coverage.benefit.type` (new:CodeableConcept)",
"comment": "Element `InsurancePlan.coverage.benefit.type` is part of an existing definition because parent element `InsurancePlan.coverage.benefit` requires a cross-version extension.\nElement `InsurancePlan.coverage.benefit.type` is not mapped to FHIR STU3, since FHIR R4 `InsurancePlan` is not mapped.\nElement `InsurancePlan.coverage.benefit.type` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
"requirements": "Element `InsurancePlan.coverage.benefit.type` is part of an existing definition because parent element `InsurancePlan.coverage.benefit` requires a cross-version extension.\nElement `InsurancePlan.coverage.benefit.type` is not mapped to FHIR STU3, since FHIR R4 `InsurancePlan` is not mapped.\nElement `InsurancePlan.coverage.benefit.type` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
"min": 1,
"max": "1",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
]
},
{
"id": "Extension.extension:benefit.extension:type.id",
"path": "Extension.extension.extension.id",
"representation": [
"xmlAttr"
],
"short": "xml:id (or equivalent in JSON)",
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min": 0,
"max": "1",
"base": {
"path": "Element.id",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Extension.extension:benefit.extension:type.extension",
"path": "Extension.extension.extension.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"description": "Extensions are always sliced by (at least) url",
"rules": "open"
},
"short": "Additional Content defined by implementations",
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Extension.extension:benefit.extension:type.url",
"path": "Extension.extension.extension.url",
"representation": [
"xmlAttr"
],
"short": "identifies the meaning of the extension",
"definition": "Source of the definition for the extension code - a logical name or a URL.",
"comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
"min": 1,
"max": "1",
"base": {
"path": "Extension.url",
"min": 1,
"max": "1"
},
"type": [
{
"code": "uri"
}
],
"fixedUri": "type",
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Extension.extension:benefit.extension:type.value[x]",
"path": "Extension.extension.extension.value[x]",
"short": "Type of benefit",
"definition": "Type of benefit (primary care; speciality care; inpatient; outpatient).",
"min": 1,
"max": "1",
"base": {
"path": "Extension.value[x]",
"min": 0,
"max": "1"
},
"type": [
{
"code": "CodeableConcept"
}
],
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Extension.extension:benefit.extension:requirement",
"path": "Extension.extension.extension",
"sliceName": "requirement",
"short": "R4: Referral requirements (new)",
"definition": "R4: `InsurancePlan.coverage.benefit.requirement` (new:string)",
"comment": "Element `InsurancePlan.coverage.benefit.requirement` is part of an existing definition because parent element `InsurancePlan.coverage.benefit` requires a cross-version extension.\nElement `InsurancePlan.coverage.benefit.requirement` is not mapped to FHIR STU3, since FHIR R4 `InsurancePlan` is not mapped.\nElement `InsurancePlan.coverage.benefit.requirement` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
"requirements": "Element `InsurancePlan.coverage.benefit.requirement` is part of an existing definition because parent element `InsurancePlan.coverage.benefit` requires a cross-version extension.\nElement `InsurancePlan.coverage.benefit.requirement` is not mapped to FHIR STU3, since FHIR R4 `InsurancePlan` is not mapped.\nElement `InsurancePlan.coverage.benefit.requirement` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
"min": 0,
"max": "1",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
]
},
{
"id": "Extension.extension:benefit.extension:requirement.id",
"path": "Extension.extension.extension.id",
"representation": [
"xmlAttr"
],
"short": "xml:id (or equivalent in JSON)",
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min": 0,
"max": "1",
"base": {
"path": "Element.id",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Extension.extension:benefit.extension:requirement.extension",
"path": "Extension.extension.extension.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"description": "Extensions are always sliced by (at least) url",
"rules": "open"
},
"short": "Additional Content defined by implementations",
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Extension.extension:benefit.extension:requirement.url",
"path": "Extension.extension.extension.url",
"representation": [
"xmlAttr"
],
"short": "identifies the meaning of the extension",
"definition": "Source of the definition for the extension code - a logical name or a URL.",
"comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
"min": 1,
"max": "1",
"base": {
"path": "Extension.url",
"min": 1,
"max": "1"
},
"type": [
{
"code": "uri"
}
],
"fixedUri": "requirement",
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Extension.extension:benefit.extension:requirement.value[x]",
"path": "Extension.extension.extension.value[x]",
"short": "Referral requirements",
"definition": "The referral requirements to have access/coverage for this benefit.",
"min": 0,
"max": "1",
"base": {
"path": "Extension.value[x]",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Extension.extension:benefit.extension:limit",
"path": "Extension.extension.extension",
"sliceName": "limit",
"short": "R4: Benefit limits (new)",
"definition": "R4: `InsurancePlan.coverage.benefit.limit` (new:BackboneElement)",
"comment": "Element `InsurancePlan.coverage.benefit.limit` is part of an existing definition because parent element `InsurancePlan.coverage.benefit` requires a cross-version extension.\nElement `InsurancePlan.coverage.benefit.limit` is not mapped to FHIR STU3, since FHIR R4 `InsurancePlan` is not mapped.\nElement `InsurancePlan.coverage.benefit.limit` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
"requirements": "Element `InsurancePlan.coverage.benefit.limit` is part of an existing definition because parent element `InsurancePlan.coverage.benefit` requires a cross-version extension.\nElement `InsurancePlan.coverage.benefit.limit` is not mapped to FHIR STU3, since FHIR R4 `InsurancePlan` is not mapped.\nElement `InsurancePlan.coverage.benefit.limit` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
"min": 0,
"max": "*",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
]
},
{
"id": "Extension.extension:benefit.extension:limit.id",
"path": "Extension.extension.extension.id",
"representation": [
"xmlAttr"
],
"short": "xml:id (or equivalent in JSON)",
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min": 0,
"max": "1",
"base": {
"path": "Element.id",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Extension.extension:benefit.extension:limit.extension",
"path": "Extension.extension.extension.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"description": "Extensions are always sliced by (at least) url",
"ordered": false,
"rules": "open"
},
"short": "Extension",
"definition": "An Extension",
"min": 0,
"max": "*",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
]
},
{
"id": "Extension.extension:benefit.extension:limit.extension:value",
"path": "Extension.extension.extension.extension",
"sliceName": "value",
"short": "R4: Maximum value allowed (new)",
"definition": "R4: `InsurancePlan.coverage.benefit.limit.value` (new:Quantity)",
"comment": "Element `InsurancePlan.coverage.benefit.limit.value` is part of an existing definition because parent element `InsurancePlan.coverage.benefit.limit` requires a cross-version extension.\nElement `InsurancePlan.coverage.benefit.limit.value` is not mapped to FHIR STU3, since FHIR R4 `InsurancePlan` is not mapped.\nElement `InsurancePlan.coverage.benefit.limit.value` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).\nMay also be called “eligible expense,” “payment allowance,” or “negotiated rate.”.",
"requirements": "Element `InsurancePlan.coverage.benefit.limit.value` is part of an existing definition because parent element `InsurancePlan.coverage.benefit.limit` requires a cross-version extension.\nElement `InsurancePlan.coverage.benefit.limit.value` is not mapped to FHIR STU3, since FHIR R4 `InsurancePlan` is not mapped.\nElement `InsurancePlan.coverage.benefit.limit.value` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
"min": 0,
"max": "1",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
]
},
{
"id": "Extension.extension:benefit.extension:limit.extension:value.id",
"path": "Extension.extension.extension.extension.id",
"representation": [
"xmlAttr"
],
"short": "xml:id (or equivalent in JSON)",
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min": 0,
"max": "1",
"base": {
"path": "Element.id",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Extension.extension:benefit.extension:limit.extension:value.extension",
"path": "Extension.extension.extension.extension.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"description": "Extensions are always sliced by (at least) url",
"rules": "open"
},
"short": "Additional Content defined by implementations",
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Extension.extension:benefit.extension:limit.extension:value.url",
"path": "Extension.extension.extension.extension.url",
"representation": [
"xmlAttr"
],
"short": "identifies the meaning of the extension",
"definition": "Source of the definition for the extension code - a logical name or a URL.",
"comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
"min": 1,
"max": "1",
"base": {
"path": "Extension.url",
"min": 1,
"max": "1"
},
"type": [
{
"code": "uri"
}
],
"fixedUri": "value",
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Extension.extension:benefit.extension:limit.extension:value.value[x]",
"path": "Extension.extension.extension.extension.value[x]",
"short": "Maximum value allowed",
"definition": "The maximum amount of a service item a plan will pay for a covered benefit. For examples. wellness visits, or eyeglasses.",
"comment": "May also be called “eligible expense,” “payment allowance,” or “negotiated rate.”.",
"min": 0,
"max": "1",
"base": {
"path": "Extension.value[x]",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Quantity"
}
],
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Extension.extension:benefit.extension:limit.extension:code",
"path": "Extension.extension.extension.extension",
"sliceName": "code",
"short": "R4: Benefit limit details (new)",
"definition": "R4: `InsurancePlan.coverage.benefit.limit.code` (new:CodeableConcept)",
"comment": "Element `InsurancePlan.coverage.benefit.limit.code` is part of an existing definition because parent element `InsurancePlan.coverage.benefit.limit` requires a cross-version extension.\nElement `InsurancePlan.coverage.benefit.limit.code` is not mapped to FHIR STU3, since FHIR R4 `InsurancePlan` is not mapped.\nElement `InsurancePlan.coverage.benefit.limit.code` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).\nUse `CodeableConcept.text` element if the data is free (uncoded) text.",
"requirements": "Element `InsurancePlan.coverage.benefit.limit.code` is part of an existing definition because parent element `InsurancePlan.coverage.benefit.limit` requires a cross-version extension.\nElement `InsurancePlan.coverage.benefit.limit.code` is not mapped to FHIR STU3, since FHIR R4 `InsurancePlan` is not mapped.\nElement `InsurancePlan.coverage.benefit.limit.code` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
"min": 0,
"max": "1",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
]
},
{
"id": "Extension.extension:benefit.extension:limit.extension:code.id",
"path": "Extension.extension.extension.extension.id",
"representation": [
"xmlAttr"
],
"short": "xml:id (or equivalent in JSON)",
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min": 0,
"max": "1",
"base": {
"path": "Element.id",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Extension.extension:benefit.extension:limit.extension:code.extension",
"path": "Extension.extension.extension.extension.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"description": "Extensions are always sliced by (at least) url",
"rules": "open"
},
"short": "Additional Content defined by implementations",
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Extension.extension:benefit.extension:limit.extension:code.url",
"path": "Extension.extension.extension.extension.url",
"representation": [
"xmlAttr"
],
"short": "identifies the meaning of the extension",
"definition": "Source of the definition for the extension code - a logical name or a URL.",
"comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
"min": 1,
"max": "1",
"base": {
"path": "Extension.url",
"min": 1,
"max": "1"
},
"type": [
{
"code": "uri"
}
],
"fixedUri": "code",
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Extension.extension:benefit.extension:limit.extension:code.value[x]",
"path": "Extension.extension.extension.extension.value[x]",
"short": "Benefit limit details",
"definition": "The specific limit on the benefit.",
"comment": "Use `CodeableConcept.text` element if the data is free (uncoded) text.",
"min": 0,
"max": "1",
"base": {
"path": "Extension.value[x]",
"min": 0,
"max": "1"
},
"type": [
{
"code": "CodeableConcept"
}
],
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Extension.extension:benefit.extension:limit.url",
"path": "Extension.extension.extension.url",
"representation": [
"xmlAttr"
],
"short": "identifies the meaning of the extension",
"definition": "Source of the definition for the extension code - a logical name or a URL.",
"comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
"min": 1,
"max": "1",
"base": {
"path": "Extension.url",
"min": 1,
"max": "1"
},
"type": [
{
"code": "uri"
}
],
"fixedUri": "limit",
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Extension.extension:benefit.extension:limit.value[x]",
"path": "Extension.extension.extension.value[x]",
"short": "Value of extension",
"definition": "Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).",
"min": 0,
"max": "0",
"base": {
"path": "Extension.value[x]",
"min": 0,
"max": "1"
},
"type": [
{
"code": "base64Binary"
},
{
"code": "boolean"
},
{
"code": "code"
},
{
"code": "date"
},
{
"code": "dateTime"
},
{
"code": "decimal"
},
{
"code": "id"
},
{
"code": "instant"
},
{
"code": "integer"
},
{
"code": "markdown"
},
{
"code": "oid"
},
{
"code": "positiveInt"
},
{
"code": "string"
},
{
"code": "time"
},
{
"code": "unsignedInt"
},
{
"code": "uri"
},
{
"code": "Address"
},
{
"code": "Age"
},
{
"code": "Annotation"
},
{
"code": "Attachment"
},
{
"code": "CodeableConcept"
},
{
"code": "Coding"
},
{
"code": "ContactPoint"
},
{
"code": "Count"
},
{
"code": "Distance"
},
{
"code": "Duration"
},
{
"code": "HumanName"
},
{
"code": "Identifier"
},
{
"code": "Money"
},
{
"code": "Period"
},
{
"code": "Quantity"
},
{
"code": "Range"
},
{
"code": "Ratio"
},
{
"code": "Reference"
},
{
"code": "SampledData"
},
{
"code": "Signature"
},
{
"code": "Timing"
},
{
"code": "Meta"
}
],
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Extension.extension:benefit.url",
"path": "Extension.extension.url",
"representation": [
"xmlAttr"
],
"short": "identifies the meaning of the extension",
"definition": "Source of the definition for the extension code - a logical name or a URL.",
"comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
"min": 1,
"max": "1",
"base": {
"path": "Extension.url",
"min": 1,
"max": "1"
},
"type": [
{
"code": "uri"
}
],
"fixedUri": "benefit",
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Extension.extension:benefit.value[x]",
"path": "Extension.extension.value[x]",
"short": "Value of extension",
"definition": "Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).",
"min": 0,
"max": "0",
"base": {
"path": "Extension.value[x]",
"min": 0,
"max": "1"
},
"type": [
{
"code": "base64Binary"
},
{
"code": "boolean"
},
{
"code": "code"
},
{
"code": "date"
},
{
"code": "dateTime"
},
{
"code": "decimal"
},
{
"code": "id"
},
{
"code": "instant"
},
{
"code": "integer"
},
{
"code": "markdown"
},
{
"code": "oid"
},
{
"code": "positiveInt"
},
{
"code": "string"
},
{
"code": "time"
},
{
"code": "unsignedInt"
},
{
"code": "uri"
},
{
"code": "Address"
},
{
"code": "Age"
},
{
"code": "Annotation"
},
{
"code": "Attachment"
},
{
"code": "CodeableConcept"
},
{
"code": "Coding"
},
{
"code": "ContactPoint"
},
{
"code": "Count"
},
{
"code": "Distance"
},
{
"code": "Duration"
},
{
"code": "HumanName"
},
{
"code": "Identifier"
},
{
"code": "Money"
},
{
"code": "Period"
},
{
"code": "Quantity"
},
{
"code": "Range"
},
{
"code": "Ratio"
},
{
"code": "Reference"
},
{
"code": "SampledData"
},
{
"code": "Signature"
},
{
"code": "Timing"
},
{
"code": "Meta"
}
],
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Extension.url",
"path": "Extension.url",
"representation": [
"xmlAttr"
],
"short": "identifies the meaning of the extension",
"definition": "Source of the definition for the extension code - a logical name or a URL.",
"comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
"min": 1,
"max": "1",
"base": {
"path": "Extension.url",
"min": 1,
"max": "1"
},
"type": [
{
"code": "uri"
}
],
"fixedUri": "http://hl7.org/fhir/4.0/StructureDefinition/extension-InsurancePlan.coverage",
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Extension.value[x]",
"path": "Extension.value[x]",
"short": "Value of extension",
"definition": "Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).",
"min": 0,
"max": "0",
"base": {
"path": "Extension.value[x]",
"min": 0,
"max": "1"
},
"type": [
{
"code": "base64Binary"
},
{
"code": "boolean"
},
{
"code": "code"
},
{
"code": "date"
},
{
"code": "dateTime"
},
{
"code": "decimal"
},
{
"code": "id"
},
{
"code": "instant"
},
{
"code": "integer"
},
{
"code": "markdown"
},
{
"code": "oid"
},
{
"code": "positiveInt"
},
{
"code": "string"
},
{
"code": "time"
},
{
"code": "unsignedInt"
},
{
"code": "uri"
},
{
"code": "Address"
},
{
"code": "Age"
},
{
"code": "Annotation"
},
{
"code": "Attachment"
},
{
"code": "CodeableConcept"
},
{
"code": "Coding"
},
{
"code": "ContactPoint"
},
{
"code": "Count"
},
{
"code": "Distance"
},
{
"code": "Duration"
},
{
"code": "HumanName"
},
{
"code": "Identifier"
},
{
"code": "Money"
},
{
"code": "Period"
},
{
"code": "Quantity"
},
{
"code": "Range"
},
{
"code": "Ratio"
},
{
"code": "Reference"
},
{
"code": "SampledData"
},
{
"code": "Signature"
},
{
"code": "Timing"
},
{
"code": "Meta"
}
],
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
}
]
},
"differential": {
"element": [
{
"id": "Extension",
"path": "Extension",
"short": "R4: Coverage details (new)",
"definition": "R4: `InsurancePlan.coverage` (new:BackboneElement)",
"comment": "Element `InsurancePlan.coverage` is not mapped to FHIR STU3, since FHIR R4 `InsurancePlan` is not mapped.\nElement `InsurancePlan.coverage` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
"min": 0,
"max": "*",
"base": {
"path": "Extension",
"min": 0,
"max": "*"
},
"isModifier": false
},
{
"id": "Extension.extension",
"path": "Extension.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"ordered": false,
"rules": "open"
},
"min": 2,
"max": "*",
"base": {
"path": "Extension.extension",
"min": 0,
"max": "*"
}
},
{
"id": "Extension.extension:type",
"path": "Extension.extension",
"sliceName": "type",
"short": "R4: Type of coverage (new)",
"definition": "R4: `InsurancePlan.coverage.type` (new:CodeableConcept)",
"comment": "Element `InsurancePlan.coverage.type` is part of an existing definition because parent element `InsurancePlan.coverage` requires a cross-version extension.\nElement `InsurancePlan.coverage.type` is not mapped to FHIR STU3, since FHIR R4 `InsurancePlan` is not mapped.\nElement `InsurancePlan.coverage.type` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
"requirements": "Element `InsurancePlan.coverage.type` is part of an existing definition because parent element `InsurancePlan.coverage` requires a cross-version extension.\nElement `InsurancePlan.coverage.type` is not mapped to FHIR STU3, since FHIR R4 `InsurancePlan` is not mapped.\nElement `InsurancePlan.coverage.type` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
"min": 1,
"max": "1",
"base": {
"path": "Extension.extension",
"min": 0,
"max": "*"
}
},
{
"id": "Extension.extension:type.url",
"path": "Extension.extension.url",
"min": 1,
"max": "1",
"base": {
"path": "Extension.url",
"min": 1,
"max": "1"
},
"fixedUri": "type"
},
{
"id": "Extension.extension:type.value[x]",
"path": "Extension.extension.value[x]",
"short": "Type of coverage",
"definition": "Type of coverage (Medical; Dental; Mental Health; Substance Abuse; Vision; Drug; Short Term; Long Term Care; Hospice; Home Health).",
"min": 1,
"max": "1",
"base": {
"path": "Extension.value[x]",
"min": 0,
"max": "1"
},
"type": [
{
"code": "CodeableConcept"
}
]
},
{
"id": "Extension.extension:network",
"path": "Extension.extension",
"sliceName": "network",
"short": "R4: What networks provide coverage (new)",
"definition": "R4: `InsurancePlan.coverage.network` (new:Reference(Organization))",
"comment": "Element `InsurancePlan.coverage.network` is part of an existing definition because parent element `InsurancePlan.coverage` requires a cross-version extension.\nElement `InsurancePlan.coverage.network` is not mapped to FHIR STU3, since FHIR R4 `InsurancePlan` is not mapped.\nElement `InsurancePlan.coverage.network` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).\nNetworks are represented as a hierarchy of organization resources.",
"requirements": "Element `InsurancePlan.coverage.network` is part of an existing definition because parent element `InsurancePlan.coverage` requires a cross-version extension.\nElement `InsurancePlan.coverage.network` is not mapped to FHIR STU3, since FHIR R4 `InsurancePlan` is not mapped.\nElement `InsurancePlan.coverage.network` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
"min": 0,
"max": "*",
"base": {
"path": "Extension.extension",
"min": 0,
"max": "*"
}
},
{
"id": "Extension.extension:network.url",
"path": "Extension.extension.url",
"min": 1,
"max": "1",
"base": {
"path": "Extension.url",
"min": 1,
"max": "1"
},
"fixedUri": "network"
},
{
"id": "Extension.extension:network.value[x]",
"path": "Extension.extension.value[x]",
"short": "What networks provide coverage",
"definition": "Reference to the network that providing the type of coverage.",
"comment": "Networks are represented as a hierarchy of organization resources.",
"min": 0,
"max": "1",
"base": {
"path": "Extension.value[x]",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/4.0/StructureDefinition/profile-Organization|0.1.0"
},
{
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/Organization"
}
]
},
{
"id": "Extension.extension:benefit",
"path": "Extension.extension",
"sliceName": "benefit",
"short": "R4: List of benefits (new)",
"definition": "R4: `InsurancePlan.coverage.benefit` (new:BackboneElement)",
"comment": "Element `InsurancePlan.coverage.benefit` is part of an existing definition because parent element `InsurancePlan.coverage` requires a cross-version extension.\nElement `InsurancePlan.coverage.benefit` is not mapped to FHIR STU3, since FHIR R4 `InsurancePlan` is not mapped.\nElement `InsurancePlan.coverage.benefit` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
"requirements": "Element `InsurancePlan.coverage.benefit` is part of an existing definition because parent element `InsurancePlan.coverage` requires a cross-version extension.\nElement `InsurancePlan.coverage.benefit` is not mapped to FHIR STU3, since FHIR R4 `InsurancePlan` is not mapped.\nElement `InsurancePlan.coverage.benefit` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
"min": 1,
"max": "*",
"base": {
"path": "Extension.extension",
"min": 0,
"max": "*"
}
},
{
"id": "Extension.extension:benefit.extension",
"path": "Extension.extension.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"ordered": false,
"rules": "open"
},
"min": 1,
"max": "*",
"base": {
"path": "Extension.extension",
"min": 0,
"max": "*"
}
},
{
"id": "Extension.extension:benefit.extension:type",
"path": "Extension.extension.extension",
"sliceName": "type",
"short": "R4: Type of benefit (new)",
"definition": "R4: `InsurancePlan.coverage.benefit.type` (new:CodeableConcept)",
"comment": "Element `InsurancePlan.coverage.benefit.type` is part of an existing definition because parent element `InsurancePlan.coverage.benefit` requires a cross-version extension.\nElement `InsurancePlan.coverage.benefit.type` is not mapped to FHIR STU3, since FHIR R4 `InsurancePlan` is not mapped.\nElement `InsurancePlan.coverage.benefit.type` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
"requirements": "Element `InsurancePlan.coverage.benefit.type` is part of an existing definition because parent element `InsurancePlan.coverage.benefit` requires a cross-version extension.\nElement `InsurancePlan.coverage.benefit.type` is not mapped to FHIR STU3, since FHIR R4 `InsurancePlan` is not mapped.\nElement `InsurancePlan.coverage.benefit.type` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
"min": 1,
"max": "1",
"base": {
"path": "Extension.extension",
"min": 0,
"max": "*"
}
},
{
"id": "Extension.extension:benefit.extension:type.url",
"path": "Extension.extension.extension.url",
"min": 1,
"max": "1",
"base": {
"path": "Extension.url",
"min": 1,
"max": "1"
},
"fixedUri": "type"
},
{
"id": "Extension.extension:benefit.extension:type.value[x]",
"path": "Extension.extension.extension.value[x]",
"short": "Type of benefit",
"definition": "Type of benefit (primary care; speciality care; inpatient; outpatient).",
"min": 1,
"max": "1",
"base": {
"path": "Extension.value[x]",
"min": 0,
"max": "1"
},
"type": [
{
"code": "CodeableConcept"
}
]
},
{
"id": "Extension.extension:benefit.extension:requirement",
"path": "Extension.extension.extension",
"sliceName": "requirement",
"short": "R4: Referral requirements (new)",
"definition": "R4: `InsurancePlan.coverage.benefit.requirement` (new:string)",
"comment": "Element `InsurancePlan.coverage.benefit.requirement` is part of an existing definition because parent element `InsurancePlan.coverage.benefit` requires a cross-version extension.\nElement `InsurancePlan.coverage.benefit.requirement` is not mapped to FHIR STU3, since FHIR R4 `InsurancePlan` is not mapped.\nElement `InsurancePlan.coverage.benefit.requirement` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
"requirements": "Element `InsurancePlan.coverage.benefit.requirement` is part of an existing definition because parent element `InsurancePlan.coverage.benefit` requires a cross-version extension.\nElement `InsurancePlan.coverage.benefit.requirement` is not mapped to FHIR STU3, since FHIR R4 `InsurancePlan` is not mapped.\nElement `InsurancePlan.coverage.benefit.requirement` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
"min": 0,
"max": "1",
"base": {
"path": "Extension.extension",
"min": 0,
"max": "*"
}
},
{
"id": "Extension.extension:benefit.extension:requirement.url",
"path": "Extension.extension.extension.url",
"min": 1,
"max": "1",
"base": {
"path": "Extension.url",
"min": 1,
"max": "1"
},
"fixedUri": "requirement"
},
{
"id": "Extension.extension:benefit.extension:requirement.value[x]",
"path": "Extension.extension.extension.value[x]",
"short": "Referral requirements",
"definition": "The referral requirements to have access/coverage for this benefit.",
"min": 0,
"max": "1",
"base": {
"path": "Extension.value[x]",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
]
},
{
"id": "Extension.extension:benefit.extension:limit",
"path": "Extension.extension.extension",
"sliceName": "limit",
"short": "R4: Benefit limits (new)",
"definition": "R4: `InsurancePlan.coverage.benefit.limit` (new:BackboneElement)",
"comment": "Element `InsurancePlan.coverage.benefit.limit` is part of an existing definition because parent element `InsurancePlan.coverage.benefit` requires a cross-version extension.\nElement `InsurancePlan.coverage.benefit.limit` is not mapped to FHIR STU3, since FHIR R4 `InsurancePlan` is not mapped.\nElement `InsurancePlan.coverage.benefit.limit` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
"requirements": "Element `InsurancePlan.coverage.benefit.limit` is part of an existing definition because parent element `InsurancePlan.coverage.benefit` requires a cross-version extension.\nElement `InsurancePlan.coverage.benefit.limit` is not mapped to FHIR STU3, since FHIR R4 `InsurancePlan` is not mapped.\nElement `InsurancePlan.coverage.benefit.limit` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
"min": 0,
"max": "*",
"base": {
"path": "Extension.extension",
"min": 0,
"max": "*"
}
},
{
"id": "Extension.extension:benefit.extension:limit.extension",
"path": "Extension.extension.extension.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"ordered": false,
"rules": "open"
},
"min": 0,
"max": "*",
"base": {
"path": "Extension.extension",
"min": 0,
"max": "*"
}
},
{
"id": "Extension.extension:benefit.extension:limit.extension:value",
"path": "Extension.extension.extension.extension",
"sliceName": "value",
"short": "R4: Maximum value allowed (new)",
"definition": "R4: `InsurancePlan.coverage.benefit.limit.value` (new:Quantity)",
"comment": "Element `InsurancePlan.coverage.benefit.limit.value` is part of an existing definition because parent element `InsurancePlan.coverage.benefit.limit` requires a cross-version extension.\nElement `InsurancePlan.coverage.benefit.limit.value` is not mapped to FHIR STU3, since FHIR R4 `InsurancePlan` is not mapped.\nElement `InsurancePlan.coverage.benefit.limit.value` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).\nMay also be called “eligible expense,” “payment allowance,” or “negotiated rate.”.",
"requirements": "Element `InsurancePlan.coverage.benefit.limit.value` is part of an existing definition because parent element `InsurancePlan.coverage.benefit.limit` requires a cross-version extension.\nElement `InsurancePlan.coverage.benefit.limit.value` is not mapped to FHIR STU3, since FHIR R4 `InsurancePlan` is not mapped.\nElement `InsurancePlan.coverage.benefit.limit.value` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
"min": 0,
"max": "1",
"base": {
"path": "Extension.extension",
"min": 0,
"max": "*"
}
},
{
"id": "Extension.extension:benefit.extension:limit.extension:value.url",
"path": "Extension.extension.extension.extension.url",
"min": 1,
"max": "1",
"base": {
"path": "Extension.url",
"min": 1,
"max": "1"
},
"fixedUri": "value"
},
{
"id": "Extension.extension:benefit.extension:limit.extension:value.value[x]",
"path": "Extension.extension.extension.extension.value[x]",
"short": "Maximum value allowed",
"definition": "The maximum amount of a service item a plan will pay for a covered benefit. For examples. wellness visits, or eyeglasses.",
"comment": "May also be called “eligible expense,” “payment allowance,” or “negotiated rate.”.",
"min": 0,
"max": "1",
"base": {
"path": "Extension.value[x]",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Quantity"
}
]
},
{
"id": "Extension.extension:benefit.extension:limit.extension:code",
"path": "Extension.extension.extension.extension",
"sliceName": "code",
"short": "R4: Benefit limit details (new)",
"definition": "R4: `InsurancePlan.coverage.benefit.limit.code` (new:CodeableConcept)",
"comment": "Element `InsurancePlan.coverage.benefit.limit.code` is part of an existing definition because parent element `InsurancePlan.coverage.benefit.limit` requires a cross-version extension.\nElement `InsurancePlan.coverage.benefit.limit.code` is not mapped to FHIR STU3, since FHIR R4 `InsurancePlan` is not mapped.\nElement `InsurancePlan.coverage.benefit.limit.code` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).\nUse `CodeableConcept.text` element if the data is free (uncoded) text.",
"requirements": "Element `InsurancePlan.coverage.benefit.limit.code` is part of an existing definition because parent element `InsurancePlan.coverage.benefit.limit` requires a cross-version extension.\nElement `InsurancePlan.coverage.benefit.limit.code` is not mapped to FHIR STU3, since FHIR R4 `InsurancePlan` is not mapped.\nElement `InsurancePlan.coverage.benefit.limit.code` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
"min": 0,
"max": "1",
"base": {
"path": "Extension.extension",
"min": 0,
"max": "*"
}
},
{
"id": "Extension.extension:benefit.extension:limit.extension:code.url",
"path": "Extension.extension.extension.extension.url",
"min": 1,
"max": "1",
"base": {
"path": "Extension.url",
"min": 1,
"max": "1"
},
"fixedUri": "code"
},
{
"id": "Extension.extension:benefit.extension:limit.extension:code.value[x]",
"path": "Extension.extension.extension.extension.value[x]",
"short": "Benefit limit details",
"definition": "The specific limit on the benefit.",
"comment": "Use `CodeableConcept.text` element if the data is free (uncoded) text.",
"min": 0,
"max": "1",
"base": {
"path": "Extension.value[x]",
"min": 0,
"max": "1"
},
"type": [
{
"code": "CodeableConcept"
}
]
},
{
"id": "Extension.extension:benefit.extension:limit.url",
"path": "Extension.extension.extension.url",
"min": 1,
"max": "1",
"base": {
"path": "Extension.url",
"min": 1,
"max": "1"
},
"fixedUri": "limit"
},
{
"id": "Extension.extension:benefit.extension:limit.value[x]",
"path": "Extension.extension.extension.value[x]",
"min": 0,
"max": "0",
"base": {
"path": "Extension.value[x]",
"min": 0,
"max": "1"
}
},
{
"id": "Extension.extension:benefit.url",
"path": "Extension.extension.url",
"min": 1,
"max": "1",
"base": {
"path": "Extension.url",
"min": 1,
"max": "1"
},
"fixedUri": "benefit"
},
{
"id": "Extension.extension:benefit.value[x]",
"path": "Extension.extension.value[x]",
"min": 0,
"max": "0",
"base": {
"path": "Extension.value[x]",
"min": 0,
"max": "1"
}
},
{
"id": "Extension.url",
"path": "Extension.url",
"min": 1,
"max": "1",
"base": {
"path": "Extension.url",
"min": 1,
"max": "1"
},
"fixedUri": "http://hl7.org/fhir/4.0/StructureDefinition/extension-InsurancePlan.coverage"
},
{
"id": "Extension.value[x]",
"path": "Extension.value[x]",
"min": 0,
"max": "0",
"base": {
"path": "Extension.value[x]",
"min": 0,
"max": "1"
}
}
]
}
}