Summary of Benefits and Coverage (SBC) FHIR Implementation Guide
0.1.0 - ci-build
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
| 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)
InsurancePlan
Usage info
Usages:
You can also check for usages in the FHIR IG Statistics
Description of Profiles, Differentials, Snapshots, and how the XML and JSON presentations work.
This structure is derived from Extension
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
|---|---|---|---|---|
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0..* | Extension | Excluded Services Extension | |
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Content/Rules for all slices | |||
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0..* | Extension | Excluded Service | |
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1..* | Extension | Extension | |
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Content/Rules for all slices | |||
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1..1 | Extension | Service Type | |
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0..0 | Extension | ||
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1..1 | uri | "serviceType" | |
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0..1 | CodeableConcept | Value of extension | |
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0..1 | Extension | Description | |
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0..0 | Extension | ||
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1..1 | uri | "description" | |
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0..1 | string | Value of extension | |
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1..1 | uri | "service" | |
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0..0 | Value of extension | ||
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1..1 | uri | "http://flexpa.com/fhir/sbc/StructureDefinition/excluded-services" | |
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0..0 | Value of extension | ||
Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
|---|---|---|---|---|
![]() |
0..* | Extension | Excluded Services Extension | |
![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |
![]() ![]() |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
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0..* | Extension | Excluded Service | |
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0..1 | string | Unique id for inter-element referencing | |
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1..* | Extension | Extension Slice: Unordered, Open by value:url | |
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1..1 | Extension | Service Type | |
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |
![]() ![]() ![]() ![]() ![]() ![]() |
0..0 | Extension Slice: Unordered, Open by value:url | ||
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1..1 | uri | "serviceType" | |
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0..1 | CodeableConcept | Value of extension | |
![]() ![]() ![]() ![]() ![]() |
0..1 | Extension | Description | |
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |
![]() ![]() ![]() ![]() ![]() ![]() |
0..0 | Extension Slice: Unordered, Open by value:url | ||
![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | uri | "description" | |
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | string | Value of extension | |
![]() ![]() ![]() ![]() |
1..1 | uri | "service" | |
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1..1 | uri | "http://flexpa.com/fhir/sbc/StructureDefinition/excluded-services" | |
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
Differential View
This structure is derived from Extension
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
|---|---|---|---|---|
![]() |
0..* | Extension | Excluded Services Extension | |
![]() ![]() |
Content/Rules for all slices | |||
![]() ![]() ![]() |
0..* | Extension | Excluded Service | |
![]() ![]() ![]() ![]() |
1..* | Extension | Extension | |
![]() ![]() ![]() ![]() |
Content/Rules for all slices | |||
![]() ![]() ![]() ![]() ![]() |
1..1 | Extension | Service Type | |
![]() ![]() ![]() ![]() ![]() ![]() |
0..0 | Extension | ||
![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | uri | "serviceType" | |
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Value of extension | |
![]() ![]() ![]() ![]() ![]() |
0..1 | Extension | Description | |
![]() ![]() ![]() ![]() ![]() ![]() |
0..0 | Extension | ||
![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | uri | "description" | |
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | string | Value of extension | |
![]() ![]() ![]() ![]() |
1..1 | uri | "service" | |
![]() ![]() ![]() ![]() |
0..0 | Value of extension | ||
![]() ![]() |
1..1 | uri | "http://flexpa.com/fhir/sbc/StructureDefinition/excluded-services" | |
![]() ![]() |
0..0 | Value of extension | ||
Documentation for this format | ||||
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
|---|---|---|---|---|
![]() |
0..* | Extension | Excluded Services Extension | |
![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |
![]() ![]() |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
![]() ![]() ![]() |
0..* | Extension | Excluded Service | |
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |
![]() ![]() ![]() ![]() |
1..* | Extension | Extension Slice: Unordered, Open by value:url | |
![]() ![]() ![]() ![]() ![]() |
1..1 | Extension | Service Type | |
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |
![]() ![]() ![]() ![]() ![]() ![]() |
0..0 | Extension Slice: Unordered, Open by value:url | ||
![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | uri | "serviceType" | |
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Value of extension | |
![]() ![]() ![]() ![]() ![]() |
0..1 | Extension | Description | |
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |
![]() ![]() ![]() ![]() ![]() ![]() |
0..0 | Extension Slice: Unordered, Open by value:url | ||
![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | uri | "description" | |
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | string | Value of extension | |
![]() ![]() ![]() ![]() |
1..1 | uri | "service" | |
![]() ![]() |
1..1 | uri | "http://flexpa.com/fhir/sbc/StructureDefinition/excluded-services" | |
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
Other representations of profile: CSV, Excel, Schematron
| 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()
|