<status value="active" /> <experimental value="false" /> <description value="Information related to the calculation of the deductible for this particular coverage for this recipient for this coverage period" /> <fhirVersion value="5.0.0" /> <mapping> <identity value="BPCS" /> <name value="Internal BPCS API" /> </mapping> <kind value="complex-type" /> <abstract value="false" /> <context> <type value="element" /> <expression value="Coverage.costToBeneficiary" /> </context> <contextInvariant value="type.coding.exists(system='http://terminology.hl7.org/CodeSystem/coverage-copay-type' and code='deductible')" /> <type value="Extension" /> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension" /> <derivation value="constraint" /> <differential> <element id="Extension"> <path value="Extension" /> <short value="Deductible calculation information" /> <definition value="Information related to the calculation of the deductible for this particular coverage for this recipient for this coverage period" /> <max value="1" /> </element> <element id="Extension.extension"> <path value="Extension.extension" /> <min value="3" /> <mustSupport value="true" /> </element> <element id="Extension.extension:createdDate"> <path value="Extension.extension" /> <sliceName value="createdDate" /> <short value="When deductible available to system" /> <definition value="The date on which this current version of the deductible information became available to the system" /> <max value="1" /> <mustSupport value="true" /> </element> <element id="Extension.extension:createdDate.url"> <path value="Extension.extension.url" /> <fixedUri value="createdDate" /> </element> <element id="Extension.extension:createdDate.value[x]"> <path value="Extension.extension.value[x]" /> <min value="1" /> <type> <code value="instant" /> </type> <mustSupport value="true" /> <mapping> <identity value="BPCS" /> <map value="RecipientDeductibleDTO.recCreateCustomTimestamp" /> </mapping> </element> <element id="Extension.extension:createdBy"> <path value="Extension.extension" /> <sliceName value="createdBy" /> <short value="Deductible createdBy timestamp" /> <definition value="The user responsible for setting the dedictible information" /> <max value="1" /> <mustSupport value="true" /> </element> <element id="Extension.extension:createdBy.url"> <path value="Extension.extension.url" /> <fixedUri value="createdBy" /> </element> <element id="Extension.extension:createdBy.value[x]"> <path value="Extension.extension.value[x]" /> <min value="1" /> <type> <code value="string" /> </type> <mustSupport value="true" /> <mapping> <identity value="BPCS" /> <map value="RecipientDeductibleDTO.recCreateUserId" /> </mapping> </element> <element id="Extension.extension:established"> <path value="Extension.extension" /> <sliceName value="established" /> <short value="Deductible established timestamp" /> <definition value="The specific time that the dedictible information was last captured" /> <max value="1" /> <mustSupport value="true" /> </element> <element id="Extension.extension:established.url"> <path value="Extension.extension.url" /> <fixedUri value="established" /> </element> <element id="Extension.extension:established.value[x]"> <path value="Extension.extension.value[x]" /> <min value="1" /> <type> <code value="instant" /> </type> <mustSupport value="true" /> <mapping> <identity value="BPCS" /> <map value="RecipientDeductibleDTO.deductibleEstablishedTimestamp" /> </mapping> </element> <element id="Extension.extension:base"> <path value="Extension.extension" /> <sliceName value="base" /> <short value="Base deductible value" /> <definition value="The default deductible value for this type of coverage for the specified period, before any adjustments" /> <min value="1" /> <max value="1" /> <mustSupport value="true" /> </element> <element id="Extension.extension:base.url"> <path value="Extension.extension.url" /> <fixedUri value="base" /> </element> <element id="Extension.extension:base.value[x]"> <path value="Extension.extension.value[x]" /> <min value="1" /> <type> <code value="Money" /> <profile value="https://bpcs.exchange/fhir/StructureDefinition/profile-Money-CAD" /> </type> <mustSupport value="true" /> <mapping> <identity value="BPCS" /> <map value="RecipientDeductibleDTO.annualDeductibleAmount" /> </mapping> </element> <element id="Extension.extension:proratedAdjustment"> <path value="Extension.extension" /> <sliceName value="proratedAdjustment" /> <short value="Adjustment to prorate for partial year coverage" /> <definition value="For coverages that do not cover the full coverage period (e.g. started part-way through the year), represents an amount to reduce the base deductible by to account for the fact the patient is only covered for part of the year." /> <comment value="This will always be either 0 or a negative value." /> <min value="1" /> <max value="1" /> <mustSupport value="true" /> </element> <element id="Extension.extension:proratedAdjustment.url"> <path value="Extension.extension.url" /> <fixedUri value="proratedAdjustment" /> </element> <element id="Extension.extension:proratedAdjustment.value[x]"> <path value="Extension.extension.value[x]" /> <min value="1" /> <type> <code value="Money" /> <profile value="https://bpcs.exchange/fhir/StructureDefinition/profile-Money-CAD" /> </type> <mustSupport value="true" /> <mapping> <identity value="BPCS" /> <map value="RecipientDeductibleDTO.proratedDedectibleAdjustmentAmount" /> </mapping> </element> <element id="Extension.extension:proratedAdjustment.value[x].value"> <path value="Extension.extension.value[x].value" /> <maxValueDecimal value="0" /> </element> <element id="Extension.extension:otherAdjustment"> <path value="Extension.extension" /> <sliceName value="otherAdjustment" /> <short value="Other deductible adjustments" /> <definition value="Additional adjustments to the base deductible (could be positive or negative)." /> <min value="1" /> <max value="1" /> <mustSupport value="true" /> </element> <element id="Extension.extension:otherAdjustment.url"> <path value="Extension.extension.url" /> <fixedUri value="otherAdjustment" /> </element> <element id="Extension.extension:otherAdjustment.value[x]"> <path value="Extension.extension.value[x]" /> <min value="1" /> <type> <code value="Money" /> <profile value="https://bpcs.exchange/fhir/StructureDefinition/profile-Money-CAD" /> </type> <mustSupport value="true" /> <mapping> <identity value="BPCS" /> <map value="RecipientDeductibleDTO.deductibleAdjustmentAmount" /> </mapping> </element> <element id="Extension.url"> <path value="Extension.url" /> <fixedUri value="https://bpcs.exchange/fhir/StructureDefinition/ext-Coverage-DeductibleCalculation" /> </element> <element id="Extension.value[x]"> <path value="Extension.value[x]" /> <max value="0" /> </element> </differential> </StructureDefinition>