Administrative Incubator
0.1.0 - International flag

Administrative Incubator, published by HL7 International / Patient Administration. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/admin-incubator/ and changes regularly. See the Directory of published versions

: example-onc

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<InsurancePlan xmlns="http://hl7.org/fhir">
  <id value="example-onc"/>
  <language value="en"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml" xml:lang="en" lang="en"><p class="res-header-id"><b>Generated Narrative: InsurancePlan example-onc</b></p><a name="example-onc"> </a><a name="hcexample-onc"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Language: en</p></div><p><b>type</b>: <span title="Codes:">Standard</span></p><blockquote><p><b>generalCost</b></p><h3>Costs</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style="display: none">*</td><td>2000</td><td>United States dollar</td></tr></table></blockquote><blockquote><p><b>specificCost</b></p><p><b>category</b>: <span title="Codes:">Medical</span></p><blockquote><p><b>benefit</b></p><p><b>type</b>: <span title="Codes:">primary care office visit</span></p><blockquote><p><b>cost</b></p><p><b>type</b>: <span title="Codes:">copay</span></p><p><b>applicability</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/applicability in-network}">preferred</span></p><p><b>value</b>: 25 USD</p></blockquote><blockquote><p><b>cost</b></p><p><b>type</b>: <span title="Codes:">coinsurance</span></p><p><b>applicability</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/applicability in-network}">participating</span></p><p><b>value</b>: 35 %</p></blockquote><blockquote><p><b>cost</b></p><p><b>type</b>: <span title="Codes:">coinsurance</span></p><p><b>applicability</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/applicability out-of-network}">non-participating</span></p><p><b>value</b>: 35 %</p></blockquote></blockquote><blockquote><p><b>benefit</b></p><p><b>type</b>: <span title="Codes:">specialty care office visit</span></p><blockquote><p><b>cost</b></p><p><b>type</b>: <span title="Codes:">copay</span></p><p><b>applicability</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/applicability in-network}">preferred</span></p><p><b>value</b>: 35 USD</p></blockquote><blockquote><p><b>cost</b></p><p><b>type</b>: <span title="Codes:">coinsurance</span></p><p><b>applicability</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/applicability in-network}">participating</span></p><p><b>value</b>: 35 %</p></blockquote><blockquote><p><b>cost</b></p><p><b>type</b>: <span title="Codes:">coinsurance</span></p><p><b>applicability</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/applicability out-of-network}">non-participating</span></p><p><b>value</b>: 35 %</p></blockquote></blockquote></blockquote></div>
  </text>
  <type>
    <text value="Standard"/>
  </type>
  <generalCost>
    <cost>
      <value value="2000"/>
      <currency value="USD"/>
    </cost>
  </generalCost>
  <specificCost>
    <category>
      <text value="Medical"/>
    </category>
    <benefit>
      <type>
        <text value="primary care office visit"/>
      </type>
      <cost>
        <type>
          <text value="copay"/>
        </type>
        <applicability>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/applicability"/>
            <code value="in-network"/>
          </coding>
          <text value="preferred"/>
        </applicability>
        <value>
          <value value="25"/>
          <unit value="USD"/>
        </value>
      </cost>
      <cost>
        <type>
          <text value="coinsurance"/>
        </type>
        <applicability>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/applicability"/>
            <code value="in-network"/>
          </coding>
          <text value="participating"/>
        </applicability>
        <value>
          <value value="35"/>
          <unit value="%"/>
        </value>
      </cost>
      <cost>
        <type>
          <text value="coinsurance"/>
        </type>
        <applicability>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/applicability"/>
            <code value="out-of-network"/>
          </coding>
          <text value="non-participating"/>
        </applicability>
        <value>
          <value value="35"/>
          <unit value="%"/>
        </value>
      </cost>
    </benefit>
    <benefit>
      <type>
        <text value="specialty care office visit"/>
      </type>
      <cost>
        <type>
          <text value="copay"/>
        </type>
        <applicability>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/applicability"/>
            <code value="in-network"/>
          </coding>
          <text value="preferred"/>
        </applicability>
        <value>
          <value value="35"/>
          <unit value="USD"/>
        </value>
      </cost>
      <cost>
        <type>
          <text value="coinsurance"/>
        </type>
        <applicability>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/applicability"/>
            <code value="in-network"/>
          </coding>
          <text value="participating"/>
        </applicability>
        <value>
          <value value="35"/>
          <unit value="%"/>
        </value>
      </cost>
      <cost>
        <type>
          <text value="coinsurance"/>
        </type>
        <applicability>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/applicability"/>
            <code value="out-of-network"/>
          </coding>
          <text value="non-participating"/>
        </applicability>
        <value>
          <value value="35"/>
          <unit value="%"/>
        </value>
      </cost>
    </benefit>
  </specificCost>
</InsurancePlan>