Summary of Benefits and Coverage (SBC) FHIR Implementation Guide
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Summary of Benefits and Coverage (SBC) FHIR Implementation Guide, published by SBC FHIR Project. 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/jdjkelly/fhir-sbc/ and changes regularly. See the Directory of published versions

Extension: Excluded Services Extension

Official URL: http://flexpa.com/fhir/sbc/StructureDefinition/excluded-services Version: 0.1.0
Draft as of 2025-11-10 Computable Name: ExcludedServices

Extension for documenting services that are not covered by the health insurance plan, as required in SBC 'Excluded Services & Other Covered Services' section

Context of Use

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

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Extension 0..* Extension Excluded Services Extension
... Slices for extension Content/Rules for all slices
.... extension:service 0..* Extension Excluded Service
..... extension 1..* Extension Extension
..... Slices for extension Content/Rules for all slices
...... extension:serviceType 1..1 Extension Service Type
....... extension 0..0 Extension
....... url 1..1 uri "serviceType"
....... value[x] 0..1 CodeableConcept Value of extension
...... extension:description 0..1 Extension Description
....... extension 0..0 Extension
....... url 1..1 uri "description"
....... value[x] 0..1 string Value of extension
..... url 1..1 uri "service"
..... value[x] 0..0 Value of extension
... url 1..1 uri "http://flexpa.com/fhir/sbc/StructureDefinition/excluded-services"
... value[x] 0..0 Value of extension

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Extension 0..* Extension Excluded Services Extension
... id 0..1 string Unique id for inter-element referencing
... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... extension:service 0..* Extension Excluded Service
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:serviceType 1..1 Extension Service Type
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..0 Extension
Slice: Unordered, Open by value:url
....... url 1..1 uri "serviceType"
....... value[x] 0..1 CodeableConcept Value of extension
...... extension:description 0..1 Extension Description
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..0 Extension
Slice: Unordered, Open by value:url
....... url 1..1 uri "description"
....... value[x] 0..1 string Value of extension
..... url 1..1 uri "service"
... url 1..1 uri "http://flexpa.com/fhir/sbc/StructureDefinition/excluded-services"

doco Documentation for this format

This structure is derived from Extension

Summary

Complex Extension: Extension for documenting services that are not covered by the health insurance plan, as required in SBC 'Excluded Services & Other Covered Services' section

  • serviceType: CodeableConcept: The type of service that is excluded
  • description: string: Additional description or context about the exclusion

Differential View

This structure is derived from Extension

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Extension 0..* Extension Excluded Services Extension
... Slices for extension Content/Rules for all slices
.... extension:service 0..* Extension Excluded Service
..... extension 1..* Extension Extension
..... Slices for extension Content/Rules for all slices
...... extension:serviceType 1..1 Extension Service Type
....... extension 0..0 Extension
....... url 1..1 uri "serviceType"
....... value[x] 0..1 CodeableConcept Value of extension
...... extension:description 0..1 Extension Description
....... extension 0..0 Extension
....... url 1..1 uri "description"
....... value[x] 0..1 string Value of extension
..... url 1..1 uri "service"
..... value[x] 0..0 Value of extension
... url 1..1 uri "http://flexpa.com/fhir/sbc/StructureDefinition/excluded-services"
... value[x] 0..0 Value of extension

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Extension 0..* Extension Excluded Services Extension
... id 0..1 string Unique id for inter-element referencing
... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... extension:service 0..* Extension Excluded Service
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:serviceType 1..1 Extension Service Type
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..0 Extension
Slice: Unordered, Open by value:url
....... url 1..1 uri "serviceType"
....... value[x] 0..1 CodeableConcept Value of extension
...... extension:description 0..1 Extension Description
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..0 Extension
Slice: Unordered, Open by value:url
....... url 1..1 uri "description"
....... value[x] 0..1 string Value of extension
..... url 1..1 uri "service"
... url 1..1 uri "http://flexpa.com/fhir/sbc/StructureDefinition/excluded-services"

doco Documentation for this format

This structure is derived from Extension

Summary

Complex Extension: Extension for documenting services that are not covered by the health insurance plan, as required in SBC 'Excluded Services & Other Covered Services' section

  • serviceType: CodeableConcept: The type of service that is excluded
  • description: string: Additional description or context about the exclusion

 

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()