HL7 Terminology (THO)
2.1.39 - Continuous Process Integration (ci build) [last update: UP-251]

HL7 Terminology (THO), published by HL7 International - Vocabulary Work Group. This is not an authorized publication; it is the continuous build for version 2.1.39). This version is based on the current content of https://github.com/HL7/UTG/ and changes regularly. See the Directory of published versions

ValueSet: ActCoverageQuantityLimitCode

Summary

Defining URL:http://terminology.hl7.org/ValueSet/v3-ActCoverageQuantityLimitCode
Version:2.0.0
Name:ActCoverageQuantityLimitCode
Status:Active as of 3/26/14
Definition:

Maximum amount paid or maximum number of services/products covered; or maximum amount or number covered during a specified time period under the policy or program.

OID:2.16.840.1.113883.1.11.19933 (for OID based terminology systems)
Source Resource:XML / JSON / Turtle

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)

This value set includes codes based on the following rules:

 

Expansion

This value set contains 6 concepts

Expansion based on ActCode v6.0.0 (CodeSystem)

All codes in this table are from the system http://terminology.hl7.org/CodeSystem/v3-ActCode

CodeDisplayDefinition
COVPRDcoverage periodCodes representing the time period during which coverage is available; or financial participation requirements are in effect.
NETAMTNet AmountMaximum net amount that will be covered for the product or service specified.
UNITPRICEUnit PriceMaximum unit price that will be covered for the authorized product or service.
UNITQTYUnit QuantityMaximum number of items that will be covered of the product or service specified.
_ActCoverageQuantityLimitCodeActCoverageQuantityLimitCodeMaximum amount paid or maximum number of services/products covered; or maximum amount or number covered during a specified time period under the policy or program.
LFEMXlife time maximum**Definition:** Maximum amount paid by payer or covered party; or maximum number of services or products covered under the policy or program during a covered party's lifetime.
PRDMXperiod maximum**Definition:** Maximum amount paid by payer or covered party; or maximum number of services/products covered under the policy or program by time period specified by the effective time on the act.

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
Source 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

DateActionAuthorCustodianComment
2020-05-06reviseTed KleinVocabulary WGMigrated to the UTG maintenance environment and publishing tooling.
2014-03-26reviseVocabulary (Woody Beeler) (no record of original request)2014T1_2014-03-26_001283 (RIM release ID)Lock all vaue sets untouched since 2014-03-26 to trackingId 2014T1_2014_03_26