Validated Healthcare Directory
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Validated Healthcare Directory, published by HL7 International - Patient Administration Work Group. This guide is not an authorized publication; it is the continuous build for version 0.2.0 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 - XML Representation

Active as of 2018-02-21

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<CodeSystem xmlns="http://hl7.org/fhir">
  <id value="insuranceplan"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><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>
  </text>
  <url value="http://hl7.org/fhir/uv/vhdir/CodeSystem/insuranceplan"/>
  <version value="0.2.0"/>
  <name value="VhDirinsuranceplan"/>
  <title value="VhDir Insurance Plan Code System"/>
  <status value="active"/>
  <date value="2018-02-21"/>
  <publisher value="HL7 International - Patient Administration Work Group"/>
  <contact>
    <name value="HL7 International - Patient Administration Work Group"/>
    <telecom>
      <system value="url"/>
      <value value="http://www.hl7.org/Special/committees/pafm"/>
    </telecom>
    <telecom>
      <system value="email"/>
      <value value="pafm@lists.HL7.org"/>
    </telecom>
  </contact>
  <description
               value="This code system contains codes for documenting the various attributes of an Insurance Plan"/>
  <jurisdiction>
    <coding>
      <system value="urn:iso:std:iso:3166"/>
      <code value="US"/>
    </coding>
  </jurisdiction>
  <copyright
             value="Used by permission of HL7 International all rights reserved Creative Commons License"/>
  <caseSensitive value="true"/>
  <content value="complete"/>
  <concept>
    <code value="premium"/>
    <display value="Premium"/>
    <definition value="Premium"/>
  </concept>
  <concept>
    <code value="deductible"/>
    <display value="Deductible"/>
    <definition value="Deductible"/>
  </concept>
  <concept>
    <code value="cap"/>
    <display value="Cap"/>
    <definition value="Cap"/>
  </concept>
  <concept>
    <code value="self"/>
    <display value="Self"/>
    <definition value="Self"/>
  </concept>
  <concept>
    <code value="selfplusone"/>
    <display value="Self plus one"/>
    <definition value="Self plus one"/>
  </concept>
  <concept>
    <code value="selfandfamily"/>
    <display value="Self and family"/>
    <definition value="Self and family"/>
  </concept>
  <concept>
    <code value="medical"/>
    <display value="Medical"/>
    <definition value="Nedical"/>
  </concept>
  <concept>
    <code value="dental"/>
    <display value="Dental"/>
    <definition value="Dental"/>
  </concept>
  <concept>
    <code value="vision"/>
    <display value="Vision"/>
    <definition value="Vision"/>
  </concept>
  <concept>
    <code value="drug"/>
    <display value="Drug"/>
    <definition value="Drug"/>
  </concept>
  <concept>
    <code value="mentalhealth"/>
    <display value="Mental health"/>
    <definition value="Mental health"/>
  </concept>
  <concept>
    <code value="substanceabuse"/>
    <display value="Substance abuse"/>
    <definition value="Substance abuse"/>
  </concept>
  <concept>
    <code value="hospicehomehealth"/>
    <display value="Hospice and home health"/>
    <definition value="Hospice and home health"/>
  </concept>
  <concept>
    <code value="preventative"/>
    <display value="Preventative"/>
    <definition value="Preventative"/>
  </concept>
  <concept>
    <code value="primarycareov"/>
    <display value="Primary care office visit"/>
    <definition value="Primary care office visit"/>
  </concept>
  <concept>
    <code value="specialityov"/>
    <display value="Speciality care office visit"/>
    <definition value="Speciality care office visit"/>
  </concept>
  <concept>
    <code value="hospitalization"/>
    <display value="Hospitalization"/>
    <definition value="Hospitalization"/>
  </concept>
  <concept>
    <code value="emergencyroom"/>
    <display value="Emergency room"/>
    <definition value="Emergency room"/>
  </concept>
  <concept>
    <code value="urgentcare"/>
    <display value="Urgent care"/>
    <definition value="Urgent care"/>
  </concept>
  <concept>
    <code value="copay"/>
    <display value="Copay"/>
    <definition value="Copay"/>
  </concept>
  <concept>
    <code value="individualcap"/>
    <display value="Individual cap"/>
    <definition value="Individual cap"/>
  </concept>
  <concept>
    <code value="familycap"/>
    <display value="Family cap"/>
    <definition value="Family cap"/>
  </concept>
  <concept>
    <code value="coinsurance"/>
    <display value="Coinsurance"/>
    <definition value="Coinsurance"/>
  </concept>
  <concept>
    <code value="in-network"/>
    <display value="In-network"/>
    <definition value="In-network"/>
  </concept>
  <concept>
    <code value="out-of-network"/>
    <display value="Out-of-network"/>
    <definition value="Out-of-network"/>
  </concept>
  <concept>
    <code value="other"/>
    <display value="Other"/>
    <definition value="Other"/>
  </concept>
  <concept>
    <code value="q1"/>
    <display value="Cost Qualification"/>
    <definition value="This is a sample cost qualification."/>
  </concept>
</CodeSystem>