Cumuluz Translate Implementation Guide - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
Logical Model: Logical Model: Coverage Cost To Beneficiary
| Official URL: https://translate-ig.cumuluz.dev/ig/StructureDefinition/logical-coverage-cost-to-beneficiary | Version: 0.1.0 | |||
| Draft as of 2026-07-11 | Computable Name: LogicalCoverageCostToBeneficiary | |||
Cost-sharing amount and exceptions applicable to a beneficiary.
Usages:
- Use this Logical Model: Logical Model: Coverage
You can also check for usages in the FHIR IG Statistics
Formal Views of Profile Content
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Naam | Markeringen | Kard. | Type | Omschrijving & constraints Filter:   |
|---|---|---|---|---|
  logical-coverage-cost-to-beneficiary |
C | 0..* | Element | Logical Model: Coverage Cost To Beneficiary Elementen gedefinieerd in ancestors:@id, extension Constraints: logical-coverage-beneficiary-value-choice |
  @id |
0..1 | string | Unique id for inter-element referencing | |
 extension |
0..* | Extension | Additional content defined by implementations Slice: Zonder volgorde, Open op value:url | |
 type |
0..1 | CodeableConcept | Cost category. | |
  (Keuze uit één) |
0..1 | |||
  valueMoney |
0..1 | Money | Monetary beneficiary cost. | |
 valueQuantity |
0..1 | Quantity | Quantity or percentage beneficiary cost. | |
  exception |
0..* | logical-coverage-cost-exception | Exceptions to this cost. | |
| Documentatie voor dit formaat | ||||
Constrains
| Id | Grade | Pad(en) | Omschrijving | Expressie |
| 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()
|
| logical-coverage-beneficiary-value-choice | error | logical-coverage-cost-to-beneficiary | Only one beneficiary cost value may be present. |
(valueMoney | valueQuantity).count() <= 1
|
This structure is derived from Element
| Naam | Markeringen | Kard. | Type | Omschrijving & constraints Filter: |
|---|---|---|---|---|
| logical-coverage-cost-to-beneficiary |
C | 0..* | Element | Logical Model: Coverage Cost To Beneficiary Elementen gedefinieerd in ancestors:@id, extension Constraints: logical-coverage-beneficiary-value-choice |
| type |
0..1 | CodeableConcept | Cost category. | |
| (Keuze uit één) |
0..1 | |||
| valueMoney |
0..1 | Money | Monetary beneficiary cost. | |
| valueQuantity |
0..1 | Quantity | Quantity or percentage beneficiary cost. | |
| exception |
0..* | logical-coverage-cost-exception | Exceptions to this cost. | |
| Documentatie voor dit formaat | ||||
Constrains
| Id | Grade | Pad(en) | Omschrijving | Expressie |
| logical-coverage-beneficiary-value-choice | error | logical-coverage-cost-to-beneficiary | Only one beneficiary cost value may be present. |
(valueMoney | valueQuantity).count() <= 1
|
| Naam | Markeringen | Kard. | Type | Omschrijving & constraints Filter: |
|---|---|---|---|---|
| logical-coverage-cost-to-beneficiary |
C | 0..* | Element | Logical Model: Coverage Cost To Beneficiary Elementen gedefinieerd in ancestors:@id, extension Constraints: logical-coverage-beneficiary-value-choice |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Zonder volgorde, Open op value:url | |
| type |
0..1 | CodeableConcept | Cost category. | |
| (Keuze uit één) |
0..1 | |||
| valueMoney |
0..1 | Money | Monetary beneficiary cost. | |
| valueQuantity |
0..1 | Quantity | Quantity or percentage beneficiary cost. | |
| exception |
0..* | logical-coverage-cost-exception | Exceptions to this cost. | |
| Documentatie voor dit formaat | ||||
Constrains
| Id | Grade | Pad(en) | Omschrijving | Expressie |
| 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()
|
| logical-coverage-beneficiary-value-choice | error | logical-coverage-cost-to-beneficiary | Only one beneficiary cost value may be present. |
(valueMoney | valueQuantity).count() <= 1
|
This structure is derived from Element
Key Elements View
| Naam | Markeringen | Kard. | Type | Omschrijving & constraints Filter: |
|---|---|---|---|---|
| logical-coverage-cost-to-beneficiary |
C | 0..* | Element | Logical Model: Coverage Cost To Beneficiary Elementen gedefinieerd in ancestors:@id, extension Constraints: logical-coverage-beneficiary-value-choice |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Zonder volgorde, Open op value:url | |
| type |
0..1 | CodeableConcept | Cost category. | |
| (Keuze uit één) |
0..1 | |||
| valueMoney |
0..1 | Money | Monetary beneficiary cost. | |
| valueQuantity |
0..1 | Quantity | Quantity or percentage beneficiary cost. | |
| exception |
0..* | logical-coverage-cost-exception | Exceptions to this cost. | |
| Documentatie voor dit formaat | ||||
Constrains
| Id | Grade | Pad(en) | Omschrijving | Expressie |
| 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()
|
| logical-coverage-beneficiary-value-choice | error | logical-coverage-cost-to-beneficiary | Only one beneficiary cost value may be present. |
(valueMoney | valueQuantity).count() <= 1
|
Differential View
This structure is derived from Element
| Naam | Markeringen | Kard. | Type | Omschrijving & constraints Filter: |
|---|---|---|---|---|
| logical-coverage-cost-to-beneficiary |
C | 0..* | Element | Logical Model: Coverage Cost To Beneficiary Elementen gedefinieerd in ancestors:@id, extension Constraints: logical-coverage-beneficiary-value-choice |
| type |
0..1 | CodeableConcept | Cost category. | |
| (Keuze uit één) |
0..1 | |||
| valueMoney |
0..1 | Money | Monetary beneficiary cost. | |
| valueQuantity |
0..1 | Quantity | Quantity or percentage beneficiary cost. | |
| exception |
0..* | logical-coverage-cost-exception | Exceptions to this cost. | |
| Documentatie voor dit formaat | ||||
Constrains
| Id | Grade | Pad(en) | Omschrijving | Expressie |
| logical-coverage-beneficiary-value-choice | error | logical-coverage-cost-to-beneficiary | Only one beneficiary cost value may be present. |
(valueMoney | valueQuantity).count() <= 1
|
Snapshot View
| Naam | Markeringen | Kard. | Type | Omschrijving & constraints Filter: |
|---|---|---|---|---|
| logical-coverage-cost-to-beneficiary |
C | 0..* | Element | Logical Model: Coverage Cost To Beneficiary Elementen gedefinieerd in ancestors:@id, extension Constraints: logical-coverage-beneficiary-value-choice |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Zonder volgorde, Open op value:url | |
| type |
0..1 | CodeableConcept | Cost category. | |
| (Keuze uit één) |
0..1 | |||
| valueMoney |
0..1 | Money | Monetary beneficiary cost. | |
| valueQuantity |
0..1 | Quantity | Quantity or percentage beneficiary cost. | |
| exception |
0..* | logical-coverage-cost-exception | Exceptions to this cost. | |
| Documentatie voor dit formaat | ||||
Constrains
| Id | Grade | Pad(en) | Omschrijving | Expressie |
| 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()
|
| logical-coverage-beneficiary-value-choice | error | logical-coverage-cost-to-beneficiary | Only one beneficiary cost value may be present. |
(valueMoney | valueQuantity).count() <= 1
|
This structure is derived from Element