HL7 Terminology (THO)
7.1.0 - Continuous Process Integration (ci build)
HL7 Terminology (THO), published by HL7 International - Vocabulary Work Group. This guide is not an authorized publication; it is the continuous build for version 7.1.0 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
| Official URL: http://terminology.hl7.org/ValueSet/v3-ActCoverageQuantityLimitCode | Version: 3.0.0 | ||||
| Responsible: Health Level Seven International | Computable Name: ActCoverageQuantityLimitCode | ||||
| Other Identifiers: OID:2.16.840.1.113883.1.11.19933 | |||||
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.html |
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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.
References
This value set is not used here; it may be used elsewhere (e.g. specifications and/or implementations that use this content)
Language: en
This value set includes codes based on the following rules:
http://terminology.hl7.org/CodeSystem/v3-ActCode version 📦10.0.0| Code | Display | Definition |
| COVPRD | coverage period | Codes representing the time period during which coverage is available; or financial participation requirements are in effect. |
| NETAMT | Net Amount | Maximum net amount that will be covered for the product or service specified. |
| UNITPRICE | Unit Price | Maximum unit price that will be covered for the authorized product or service. |
| UNITQTY | Unit Quantity | Maximum number of items that will be covered of the product or service specified. |
http://terminology.hl7.org/CodeSystem/v3-ActCode version 📦10.0.0 where concept is-a _ActCoverageQuantityLimitCode
Expansion performed internally based on codesystem ActCode v10.0.0 (CodeSystem)
This value set contains 7 concepts
| System | Code | Display (en) | Definition | JSON | XML |
http://terminology.hl7.org/CodeSystem/v3-ActCode | COVPRD | coverage period | Codes representing the time period during which coverage is available; or financial participation requirements are in effect. | ||
http://terminology.hl7.org/CodeSystem/v3-ActCode | NETAMT | Net Amount | Maximum net amount that will be covered for the product or service specified. | ||
http://terminology.hl7.org/CodeSystem/v3-ActCode | UNITPRICE | Unit Price | Maximum unit price that will be covered for the authorized product or service. | ||
http://terminology.hl7.org/CodeSystem/v3-ActCode | UNITQTY | Unit Quantity | Maximum number of items that will be covered of the product or service specified. | ||
http://terminology.hl7.org/CodeSystem/v3-ActCode | _ActCoverageQuantityLimitCode | ActCoverageQuantityLimitCode | 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. | ||
http://terminology.hl7.org/CodeSystem/v3-ActCode | LFEMX | life 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. | ||
http://terminology.hl7.org/CodeSystem/v3-ActCode | PRDMX | period 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. |
Description of the above table(s).
History
| Date | Action | Custodian | Author | Comment |
| 2023-11-14 | revise | TSMG | Marc Duteau | Add standard copyright and contact to internal content; up-476 |
| 2022-10-18 | revise | TSMG | Marc Duteau | Fixing missing metadata; up-349 |
| 2020-05-06 | revise | Vocabulary WG | Ted Klein | Migrated to the UTG maintenance environment and publishing tooling. |
| 2014-03-26 | revise | 2014T1_2014-03-26_001283 (RIM release ID) | Vocabulary (Woody Beeler) (no record of original request) | Lock all vaue sets untouched since 2014-03-26 to trackingId 2014T1_2014_03_26 |