CARIN Digital Insurance Card
2.0.0 - STU 2.0 United States of America flag

CARIN Digital Insurance Card, published by HL7 International / Payer/Provider Information Exchange Work Group. This guide is not an authorized publication; it is the continuous build for version 2.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/carin-digital-insurance-card/ and changes regularly. See the Directory of published versions

Extension: Benefit Limitation Extension (Experimental)

Official URL: http://hl7.org/fhir/us/insurance-card/StructureDefinition/benefit-limitation Version: 2.0.0
Standards status: Informative Computable Name: BenefitLimitation

Extension for documenting limitations and exceptions that apply to specific benefits in the SBC

Context of Use

This extension may be used on the following element(s):

  • Element ID InsurancePlan.coverage.benefit
  • Element ID InsurancePlan.plan.specificCost.benefit

Usage info

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Extension Content

Description of Profiles, Differentials, Snapshots, and how the XML and JSON presentations work.

This structure is derived from Extension

Summary

Simple Extension with the type string: Extension for documenting limitations and exceptions that apply to specific benefits in the SBC

This structure is derived from Extension

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Extension 0..* Extension Benefit Limitation Extension
... extension 0..0 Extension
... url 1..1 uri "http://hl7.org/fhir/us/insurance-card/StructureDefinition/benefit-limitation"
... value[x] 0..1 string Limitation or Exception

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Extension 0..* Extension Benefit Limitation Extension
... id 0..1 string Unique id for inter-element referencing
... extension 0..0 Extension
Slice: Unordered, Open by value:url
... url 1..1 uri "http://hl7.org/fhir/us/insurance-card/StructureDefinition/benefit-limitation"

doco Documentation for this format

This structure is derived from Extension

Summary

Simple Extension with the type string: Extension for documenting limitations and exceptions that apply to specific benefits in the SBC

Differential View

This structure is derived from Extension

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Extension 0..* Extension Benefit Limitation Extension
... extension 0..0 Extension
... url 1..1 uri "http://hl7.org/fhir/us/insurance-card/StructureDefinition/benefit-limitation"
... value[x] 0..1 string Limitation or Exception

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Extension 0..* Extension Benefit Limitation Extension
... id 0..1 string Unique id for inter-element referencing
... extension 0..0 Extension
Slice: Unordered, Open by value:url
... url 1..1 uri "http://hl7.org/fhir/us/insurance-card/StructureDefinition/benefit-limitation"

doco Documentation for this format

 

Other representations of profile: CSV, Excel, Schematron

Constraints

Id Grade Path(s) Description Expression
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()