Coverage Copay Type Codes - HL7 Terminology (THO) v5.5.0

HL7 Terminology (THO)
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HL7 Terminology (THO), published by HL7 International - Vocabulary Work Group. This guide is not an authorized publication; it is the continuous build for version 5.5.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/UTG/ and changes regularly. See the Directory of published versions

ValueSet: Coverage Copay Type Codes

Official URL: http://terminology.hl7.org/ValueSet/coverage-copay-type			Version: 1.0.0
Draft as of 2020-02-24	Maturity Level: 2	Responsible: Health Level Seven International	Computable Name: CoverageCopayTypeCodes
Other Identifiers: urn:ietf:rfc:3986#Uniform Resource Identifier (URI)#urn:oid:2.16.840.1.113883.4.642.3.527
Copyright/Legal: This material derives from the HL7 Terminology THO. THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license

This value set includes sample Coverage Copayment Type codes.

References

This value set is not used here; it may be used elsewhere (e.g. specifications and/or implementations that use this content)

Logical Definition (CLD)

Include all codes defined in http://terminology.hl7.org/CodeSystem/coverage-copay-type

Expansion

Expansion based on codesystem Coverage Copay Type Codes v1.0.0 (CodeSystem)

This value set contains 10 concepts.

Code	System	Display	Definition
gpvisit	http://terminology.hl7.org/CodeSystem/coverage-copay-type	GP Office Visit	An office visit for a general practitioner of a discipline.
spvisit	http://terminology.hl7.org/CodeSystem/coverage-copay-type	Specialist Office Visit	An office visit for a specialist practitioner of a discipline
emergency	http://terminology.hl7.org/CodeSystem/coverage-copay-type	Emergency	An episode in an emergency department.
inpthosp	http://terminology.hl7.org/CodeSystem/coverage-copay-type	Inpatient Hospital	An episode of an Inpatient hospital stay.
televisit	http://terminology.hl7.org/CodeSystem/coverage-copay-type	Tele-visit	A visit held where the patient is remote relative to the practitioner, e.g. by phone, computer or video conference.
urgentcare	http://terminology.hl7.org/CodeSystem/coverage-copay-type	Urgent Care	A visit to an urgent care facility - typically a community care clinic.
copaypct	http://terminology.hl7.org/CodeSystem/coverage-copay-type	Copay Percentage	A standard percentage applied to all classes or service or product not otherwise specified.
copay	http://terminology.hl7.org/CodeSystem/coverage-copay-type	Copay Amount	A standard fixed currency amount applied to all classes or service or product not otherwise specified.
deductible	http://terminology.hl7.org/CodeSystem/coverage-copay-type	Deductible	The accumulated amount of patient payment before the coverage begins to pay for services.
maxoutofpocket	http://terminology.hl7.org/CodeSystem/coverage-copay-type	Maximum out of pocket	The maximum amout of payment for services which a patient, or family, is expected to incur - typically annually.

Explanation of the columns that may appear on this page:

Level

A few code lists that FHIR defines are hierarchical - each code is assigned a level. In this scheme, some codes are under other codes, and imply that the code they are under also applies

System

The source of the definition of the code (when the value set draws in codes defined elsewhere)

Code

The code (used as the code in the resource instance)

Display

The display (used in the display element of a Coding). If there is no display, implementers should not simply display the code, but map the concept into their application

Definition

An explanation of the meaning of the concept

Comments

Additional notes about how to use the code

History

Date

Action

Custodian

Author

Comment

2023-11-14

revise