Validated Healthcare Directory
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Validated Healthcare Directory, published by HL7 International / Patient Administration. This guide is not an authorized publication; it is the continuous build for version 1.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/VhDir/ and changes regularly. See the Directory of published versions

: VhDir Insurance Plan Code System - JSON Representation

Active as of 2018-02-21

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{
  "resourceType" : "CodeSystem",
  "id" : "insuranceplan",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CodeSystem insuranceplan</b></p><a name=\"insuranceplan\"> </a><a name=\"hcinsuranceplan\"> </a><a name=\"insuranceplan-en-US\"> </a><p>This case-sensitive code system <code>http://hl7.org/fhir/uv/vhdir/CodeSystem/insuranceplan</code> defines the following codes:</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td style=\"white-space:nowrap\">premium<a name=\"insuranceplan-premium\"> </a></td><td>Premium</td><td>Premium</td></tr><tr><td style=\"white-space:nowrap\">deductible<a name=\"insuranceplan-deductible\"> </a></td><td>Deductible</td><td>Deductible</td></tr><tr><td style=\"white-space:nowrap\">cap<a name=\"insuranceplan-cap\"> </a></td><td>Cap</td><td>Cap</td></tr><tr><td style=\"white-space:nowrap\">self<a name=\"insuranceplan-self\"> </a></td><td>Self</td><td>Self</td></tr><tr><td style=\"white-space:nowrap\">selfplusone<a name=\"insuranceplan-selfplusone\"> </a></td><td>Self plus one</td><td>Self plus one</td></tr><tr><td style=\"white-space:nowrap\">selfandfamily<a name=\"insuranceplan-selfandfamily\"> </a></td><td>Self and family</td><td>Self and family</td></tr><tr><td style=\"white-space:nowrap\">medical<a name=\"insuranceplan-medical\"> </a></td><td>Medical</td><td>Nedical</td></tr><tr><td style=\"white-space:nowrap\">dental<a name=\"insuranceplan-dental\"> </a></td><td>Dental</td><td>Dental</td></tr><tr><td style=\"white-space:nowrap\">vision<a name=\"insuranceplan-vision\"> </a></td><td>Vision</td><td>Vision</td></tr><tr><td style=\"white-space:nowrap\">drug<a name=\"insuranceplan-drug\"> </a></td><td>Drug</td><td>Drug</td></tr><tr><td style=\"white-space:nowrap\">mentalhealth<a name=\"insuranceplan-mentalhealth\"> </a></td><td>Mental health</td><td>Mental health</td></tr><tr><td style=\"white-space:nowrap\">substanceabuse<a name=\"insuranceplan-substanceabuse\"> </a></td><td>Substance abuse</td><td>Substance abuse</td></tr><tr><td style=\"white-space:nowrap\">hospicehomehealth<a name=\"insuranceplan-hospicehomehealth\"> </a></td><td>Hospice and home health</td><td>Hospice and home health</td></tr><tr><td style=\"white-space:nowrap\">preventative<a name=\"insuranceplan-preventative\"> </a></td><td>Preventative</td><td>Preventative</td></tr><tr><td style=\"white-space:nowrap\">primarycareov<a name=\"insuranceplan-primarycareov\"> </a></td><td>Primary care office visit</td><td>Primary care office visit</td></tr><tr><td style=\"white-space:nowrap\">specialityov<a name=\"insuranceplan-specialityov\"> </a></td><td>Speciality care office visit</td><td>Speciality care office visit</td></tr><tr><td style=\"white-space:nowrap\">hospitalization<a name=\"insuranceplan-hospitalization\"> </a></td><td>Hospitalization</td><td>Hospitalization</td></tr><tr><td style=\"white-space:nowrap\">emergencyroom<a name=\"insuranceplan-emergencyroom\"> </a></td><td>Emergency room</td><td>Emergency room</td></tr><tr><td style=\"white-space:nowrap\">urgentcare<a name=\"insuranceplan-urgentcare\"> </a></td><td>Urgent care</td><td>Urgent care</td></tr><tr><td style=\"white-space:nowrap\">copay<a name=\"insuranceplan-copay\"> </a></td><td>Copay</td><td>Copay</td></tr><tr><td style=\"white-space:nowrap\">individualcap<a name=\"insuranceplan-individualcap\"> </a></td><td>Individual cap</td><td>Individual cap</td></tr><tr><td style=\"white-space:nowrap\">familycap<a name=\"insuranceplan-familycap\"> </a></td><td>Family cap</td><td>Family cap</td></tr><tr><td style=\"white-space:nowrap\">coinsurance<a name=\"insuranceplan-coinsurance\"> </a></td><td>Coinsurance</td><td>Coinsurance</td></tr><tr><td style=\"white-space:nowrap\">in-network<a name=\"insuranceplan-in-network\"> </a></td><td>In-network</td><td>In-network</td></tr><tr><td style=\"white-space:nowrap\">out-of-network<a name=\"insuranceplan-out-of-network\"> </a></td><td>Out-of-network</td><td>Out-of-network</td></tr><tr><td style=\"white-space:nowrap\">other<a name=\"insuranceplan-other\"> </a></td><td>Other</td><td>Other</td></tr><tr><td style=\"white-space:nowrap\">q1<a name=\"insuranceplan-q1\"> </a></td><td>Cost Qualification</td><td>This is a sample cost qualification.</td></tr></table></div>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode" : "pa"
    }
  ],
  "url" : "http://hl7.org/fhir/uv/vhdir/CodeSystem/insuranceplan",
  "version" : "1.0.0",
  "name" : "VhDirinsuranceplan",
  "title" : "VhDir Insurance Plan Code System",
  "status" : "active",
  "experimental" : false,
  "date" : "2018-02-21",
  "publisher" : "HL7 International / Patient Administration",
  "contact" : [
    {
      "name" : "HL7 International / Patient Administration",
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/pafm"
        },
        {
          "system" : "email",
          "value" : "pafm@lists.HL7.org"
        }
      ]
    }
  ],
  "description" : "This code system contains codes for documenting the various attributes of an Insurance Plan",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code" : "001",
          "display" : "World"
        }
      ]
    }
  ],
  "copyright" : "Used by permission of HL7 International all rights reserved Creative Commons License",
  "caseSensitive" : true,
  "content" : "complete",
  "concept" : [
    {
      "code" : "premium",
      "display" : "Premium",
      "definition" : "Premium"
    },
    {
      "code" : "deductible",
      "display" : "Deductible",
      "definition" : "Deductible"
    },
    {
      "code" : "cap",
      "display" : "Cap",
      "definition" : "Cap"
    },
    {
      "code" : "self",
      "display" : "Self",
      "definition" : "Self"
    },
    {
      "code" : "selfplusone",
      "display" : "Self plus one",
      "definition" : "Self plus one"
    },
    {
      "code" : "selfandfamily",
      "display" : "Self and family",
      "definition" : "Self and family"
    },
    {
      "code" : "medical",
      "display" : "Medical",
      "definition" : "Nedical"
    },
    {
      "code" : "dental",
      "display" : "Dental",
      "definition" : "Dental"
    },
    {
      "code" : "vision",
      "display" : "Vision",
      "definition" : "Vision"
    },
    {
      "code" : "drug",
      "display" : "Drug",
      "definition" : "Drug"
    },
    {
      "code" : "mentalhealth",
      "display" : "Mental health",
      "definition" : "Mental health"
    },
    {
      "code" : "substanceabuse",
      "display" : "Substance abuse",
      "definition" : "Substance abuse"
    },
    {
      "code" : "hospicehomehealth",
      "display" : "Hospice and home health",
      "definition" : "Hospice and home health"
    },
    {
      "code" : "preventative",
      "display" : "Preventative",
      "definition" : "Preventative"
    },
    {
      "code" : "primarycareov",
      "display" : "Primary care office visit",
      "definition" : "Primary care office visit"
    },
    {
      "code" : "specialityov",
      "display" : "Speciality care office visit",
      "definition" : "Speciality care office visit"
    },
    {
      "code" : "hospitalization",
      "display" : "Hospitalization",
      "definition" : "Hospitalization"
    },
    {
      "code" : "emergencyroom",
      "display" : "Emergency room",
      "definition" : "Emergency room"
    },
    {
      "code" : "urgentcare",
      "display" : "Urgent care",
      "definition" : "Urgent care"
    },
    {
      "code" : "copay",
      "display" : "Copay",
      "definition" : "Copay"
    },
    {
      "code" : "individualcap",
      "display" : "Individual cap",
      "definition" : "Individual cap"
    },
    {
      "code" : "familycap",
      "display" : "Family cap",
      "definition" : "Family cap"
    },
    {
      "code" : "coinsurance",
      "display" : "Coinsurance",
      "definition" : "Coinsurance"
    },
    {
      "code" : "in-network",
      "display" : "In-network",
      "definition" : "In-network"
    },
    {
      "code" : "out-of-network",
      "display" : "Out-of-network",
      "definition" : "Out-of-network"
    },
    {
      "code" : "other",
      "display" : "Other",
      "definition" : "Other"
    },
    {
      "code" : "q1",
      "display" : "Cost Qualification",
      "definition" : "This is a sample cost qualification."
    }
  ]
}