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Codesystem-coverage-copay-type.json

Financial Management Work GroupMaturity Level: N/AStandards Status: Informative

Raw JSON (canonical form + also see JSON Format Specification)

Definition for Code System CoverageCopayTypeCodes

{
  "resourceType" : "CodeSystem",
  "id" : "coverage-copay-type",
  "meta" : {
    "lastUpdated" : "2019-09-21T00:52:31.458+00:00",
    "profile" : ["http://hl7.org/fhir/StructureDefinition/shareablecodesystem"]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div>!-- Snipped for Brevity --></div>"
  },
  "extension" : [{
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
    "valueCode" : "fm"
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
    "valueCode" : "trial-use"
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
    "valueInteger" : 2
  }],
  "url" : "http://terminology.hl7.org/CodeSystem/coverage-copay-type",
  "identifier" : [{
    "system" : "urn:ietf:rfc:3986",
    "value" : "urn:oid:2.16.840.1.113883.4.642.1.1149"
  }],
  "version" : "4.1.0",
  "name" : "CoverageCopayTypeCodes",
  "title" : "Coverage Copay Type Codes",
  "status" : "draft",
  "experimental" : false,
  "publisher" : "Financial Management",
  "contact" : [{
    "telecom" : [{
      "system" : "url",
      "value" : "http://hl7.org/fhir"
    }]
  },
  {
    "telecom" : [{
      "system" : "url",
      "value" : "http://hl7.org/fhir"
    }]
  }],
  "description" : "This value set includes sample Coverage Copayment Type codes.",
  "copyright" : "This is an example set.",
  "caseSensitive" : true,
  "valueSet" : "http://hl7.org/fhir/ValueSet/coverage-copay-type",
  "content" : "complete",
  "concept" : [{
    "code" : "gpvisit",
    "display" : "GP Office Visit",
    "definition" : "An office visit for a general practitioner of a discipline."
  },
  {
    "code" : "spvisit",
    "display" : "Specialist Office Visit",
    "definition" : "An office visit for a specialist practitioner of a discipline"
  },
  {
    "code" : "emergency",
    "display" : "Emergency",
    "definition" : "An episode in an emergency department."
  },
  {
    "code" : "inpthosp",
    "display" : "Inpatient Hospital",
    "definition" : "An episode of an Inpatient hospital stay."
  },
  {
    "code" : "televisit",
    "display" : "Tele-visit",
    "definition" : "A visit held where the patient is remote relative to the practitioner, e.g. by phone, computer or video conference."
  },
  {
    "code" : "urgentcare",
    "display" : "Urgent Care",
    "definition" : "A visit to an urgent care facility - typically a community care clinic."
  },
  {
    "code" : "copaypct",
    "display" : "Copay Percentage",
    "definition" : "A standard percentage applied to all classes or service or product not otherwise specified."
  },
  {
    "code" : "copay",
    "display" : "Copay Amount",
    "definition" : "A standard fixed currency amount applied to all classes or service or product not otherwise specified."
  },
  {
    "code" : "deductible",
    "display" : "Deductible",
    "definition" : "The accumulated amount of patient payment before the coverage begins to pay for services."
  },
  {
    "code" : "maxoutofpocket",
    "display" : "Maximum out of pocket",
    "definition" : "The maximum amout of payment for services which a patient, or family, is expected to incur - typically annually."
  }]
}

Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.