Cross-Version Extension for ExplanationOfBenefit.insurance.focal in R4

Context of Use

This extension may be used in the following contexts:

• element ExplanationOfBenefit.insurance (For version R3)
• extension http://hl7.org/fhir/3.0/StructureDefinition/extension-ExplanationOfBenefit.insurance
• extension http://hl7.org/fhir/4.0/StructureDefinition/extension-ExplanationOfBenefit.insurance

Name	Flags	Card.	Type	Description & Constraints
Extension		1..1	Extension	Coverage to be used for adjudication
extension		..0
value[x]		1..	boolean
url				"http://hl7.org/fhir/4.0/StructureDefinition/extension-ExplanationOfBenefit.insurance.focal"
Documentation for this format

{
  "resourceType" : "StructureDefinition",
  "id" : "xv-r4-eob.ins.focal",
  "url" : "http://hl7.org/fhir/4.0/StructureDefinition/extension-ExplanationOfBenefit.insurance.focal",
  "name" : "XVerExtensionExplanationOfBenefit.insurance.focalR4",
  "title" : "Cross-Version Extension for ExplanationOfBenefit.insurance.focal in R4",
  "status" : "active",
  "experimental" : false,
  "publisher" : "Health Level Seven International (Financial Management)",
  "contact" : [{
    "telecom" : [{
      "system" : "url",
      "value" : "http://hl7.org/fhir"
    }]
  },
  {
    "telecom" : [{
      "system" : "url",
      "value" : "http://www.hl7.org/Special/committees/fm/index.cfm"
    }]
  }],
  "description" : "Cross-Version Extension for ExplanationOfBenefit.insurance.focal. Valid in versions R2, R3\r\n\r\nThis is a valid cross-version extension because it's counted as a new element",
  "jurisdiction" : [{
    "coding" : [{
      "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
      "code" : "001"
    }]
  }],
  "fhirVersion" : "5.0.0",
  "kind" : "complex-type",
  "abstract" : false,
  "context" : [{
    "extension" : [{
      "extension" : [{
        "url" : "startFhirVersion",
        "valueCode" : "3.0"
      },
      {
        "url" : "endFhirVersion",
        "valueCode" : "3.0"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/version-specific-use"
    }],
    "type" : "element",
    "expression" : "ExplanationOfBenefit.insurance"
  },
  {
    "type" : "extension",
    "expression" : "http://hl7.org/fhir/3.0/StructureDefinition/extension-ExplanationOfBenefit.insurance"
  },
  {
    "type" : "extension",
    "expression" : "http://hl7.org/fhir/4.0/StructureDefinition/extension-ExplanationOfBenefit.insurance"
  }],
  "type" : "Extension",
  "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/Extension",
  "derivation" : "constraint",
  "differential" : {
    "element" : [{
      "path" : "Extension",
      "short" : "Coverage to be used for adjudication",
      "definition" : "A flag to indicate that this Coverage is to be used for adjudication of this claim when set to true.",
      "comment" : "A patient may (will) have multiple insurance policies which provide reimbursement for healthcare services and products. For example, a person may also be covered by their spouse's policy and both appear in the list (and may be from the same insurer). This flag will be set to true for only one of the listed policies and that policy will be used for adjudicating this claim. Other claims would be created to request adjudication against the other listed policies.",
      "requirements" : "To identify which coverage in the list is being used to adjudicate this claim.",
      "min" : 1,
      "max" : "1",
      "isModifier" : false
    },
    {
      "path" : "Extension.extension",
      "max" : "0"
    },
    {
      "path" : "Extension.value[x]",
      "min" : 1,
      "type" : [{
        "code" : "boolean"
      }]
    },
    {
      "path" : "Extension.url",
      "fixedUri" : "http://hl7.org/fhir/4.0/StructureDefinition/extension-ExplanationOfBenefit.insurance.focal"
    }]
  }
}