ValueSet Comparison between http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591 vs http://hl7.org/fhir/ValueSet/coverage-type

Messages

Metadata

Name	Value		Comments
compose.inactive
compose.lockedDate
copyright		HL7 International.	Added the item 'HL7 International.'
date	2018-07-18T01:00:04-04:00	2019-11-01T09:29:23+11:00	Values Differ
description		This value set includes Coverage Type codes.	Added the item 'This value set includes Coverage Type codes.'
experimental		false	Added the item 'false'
immutable
jurisdiction
name	Payer	CoverageTypeAndSelf-PayCodes	Values Differ
publisher	HL7 Terminology	Financial Management	Values Differ
purpose
status	active	draft	Values Differ
title		Coverage Type and Self-Pay Codes	Added the item 'Coverage Type and Self-Pay Codes'
url	http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591	http://hl7.org/fhir/ValueSet/coverage-type	Values Differ
version	20180718	4.0.1	Values Differ

Definition

Item	Property		Value		Comments
include	https://nahdo.org/sopt		Version: 9.2		Removed Include
include		http://terminology.hl7.org/CodeSystem/coverage-selfpay			Added Include
include					Added Include

Expansion

System	Code	Display		Comments
https://nahdo.org/sopt	1	MEDICARE		Removed from expansion
https://nahdo.org/sopt	11	Medicare Managed Care (Includes Medicare Advantage Plans)		Removed from expansion
https://nahdo.org/sopt	111	Medicare HMO		Removed from expansion
https://nahdo.org/sopt	112	Medicare PPO		Removed from expansion
https://nahdo.org/sopt	113	Medicare POS		Removed from expansion
https://nahdo.org/sopt	119	Medicare Managed Care Other		Removed from expansion
https://nahdo.org/sopt	12	Medicare (Non-managed Care)		Removed from expansion
https://nahdo.org/sopt	121	Medicare FFS		Removed from expansion
https://nahdo.org/sopt	122	Medicare Drug Benefit		Removed from expansion
https://nahdo.org/sopt	123	Medicare Medical Savings Account (MSA)		Removed from expansion
https://nahdo.org/sopt	129	Medicare Non-managed Care Other		Removed from expansion
https://nahdo.org/sopt	13	Medicare Hospice		Removed from expansion
https://nahdo.org/sopt	14	Dual Eligibility Medicare/Medicaid Organization		Removed from expansion
https://nahdo.org/sopt	19	Medicare Other		Removed from expansion
https://nahdo.org/sopt	191	Medicare Pharmacy Benefit Manager		Removed from expansion
https://nahdo.org/sopt	2	MEDICAID		Removed from expansion
https://nahdo.org/sopt	21	Medicaid (Managed Care)		Removed from expansion
https://nahdo.org/sopt	211	Medicaid HMO		Removed from expansion
https://nahdo.org/sopt	212	Medicaid PPO		Removed from expansion
https://nahdo.org/sopt	213	Medicaid PCCM (Primary Care Case Management)		Removed from expansion
https://nahdo.org/sopt	219	Medicaid Managed Care Other		Removed from expansion
https://nahdo.org/sopt	22	Medicaid (Non-managed Care Plan)		Removed from expansion
https://nahdo.org/sopt	23	Medicaid/SCHIP		Removed from expansion
https://nahdo.org/sopt	25	Medicaid - Out of State		Removed from expansion
https://nahdo.org/sopt	26	Medicaid - Long Term Care		Removed from expansion
https://nahdo.org/sopt	29	Medicaid Other		Removed from expansion
https://nahdo.org/sopt	291	Medicaid Pharmacy Benefit Manager		Removed from expansion
https://nahdo.org/sopt	299	Medicaid - Dental		Removed from expansion
https://nahdo.org/sopt	3	OTHER GOVERNMENT (Federal/State/Local) (excluding Department of Corrections)		Removed from expansion
https://nahdo.org/sopt	31	Department of Defense		Removed from expansion
https://nahdo.org/sopt	311	TRICARE (CHAMPUS)		Removed from expansion
https://nahdo.org/sopt	3111	TRICARE Prime--HMO		Removed from expansion
https://nahdo.org/sopt	3112	TRICARE Extra--PPO		Removed from expansion
https://nahdo.org/sopt	3113	TRICARE Standard - Fee For Service		Removed from expansion
https://nahdo.org/sopt	3114	TRICARE For Life--Medicare Supplement		Removed from expansion
https://nahdo.org/sopt	3115	TRICARE Reserve Select		Removed from expansion
https://nahdo.org/sopt	3116	Uniformed Services Family Health Plan (USFHP) -- HMO		Removed from expansion
https://nahdo.org/sopt	3119	Department of Defense - (other)		Removed from expansion
https://nahdo.org/sopt	312	Military Treatment Facility		Removed from expansion
https://nahdo.org/sopt	3121	Enrolled Prime--HMO		Removed from expansion
https://nahdo.org/sopt	3122	Non-enrolled Space Available		Removed from expansion
https://nahdo.org/sopt	3123	TRICARE For Life (TFL)		Removed from expansion
https://nahdo.org/sopt	313	Dental --Stand Alone		Removed from expansion
https://nahdo.org/sopt	32	Department of Veterans Affairs		Removed from expansion
https://nahdo.org/sopt	321	Veteran care-Care provided to Veterans		Removed from expansion
https://nahdo.org/sopt	3211	Direct Care-Care provided in VA facilities		Removed from expansion
https://nahdo.org/sopt	3212	Indirect Care-Care provided outside VA facilities		Removed from expansion
https://nahdo.org/sopt	32121	Fee Basis		Removed from expansion
https://nahdo.org/sopt	32122	Foreign Fee/Foreign Medical Program (FMP)		Removed from expansion
https://nahdo.org/sopt	32123	Contract Nursing Home/Community Nursing Home		Removed from expansion
https://nahdo.org/sopt	32124	State Veterans Home		Removed from expansion
https://nahdo.org/sopt	32125	Sharing Agreements		Removed from expansion
https://nahdo.org/sopt	32126	Other Federal Agency		Removed from expansion
https://nahdo.org/sopt	32127	Dental Care		Removed from expansion
https://nahdo.org/sopt	32128	Vision Care		Removed from expansion
https://nahdo.org/sopt	322	Non-veteran care		Removed from expansion
https://nahdo.org/sopt	3221	Civilian Health and Medical Program for the VA (CHAMPVA)		Removed from expansion
https://nahdo.org/sopt	3222	Spina Bifida Health Care Program (SB)		Removed from expansion
https://nahdo.org/sopt	3223	Children of Women Vietnam Veterans (CWVV)		Removed from expansion
https://nahdo.org/sopt	3229	Other non-veteran care		Removed from expansion
https://nahdo.org/sopt	33	Indian Health Service or Tribe		Removed from expansion
https://nahdo.org/sopt	331	Indian Health Service - Regular		Removed from expansion
https://nahdo.org/sopt	332	Indian Health Service - Contract		Removed from expansion
https://nahdo.org/sopt	333	Indian Health Service - Managed Care		Removed from expansion
https://nahdo.org/sopt	334	Indian Tribe - Sponsored Coverage		Removed from expansion
https://nahdo.org/sopt	34	HRSA Program		Removed from expansion
https://nahdo.org/sopt	341	Title V (MCH Block Grant)		Removed from expansion
https://nahdo.org/sopt	342	Migrant Health Program		Removed from expansion
https://nahdo.org/sopt	343	Ryan White Act		Removed from expansion
https://nahdo.org/sopt	349	Other		Removed from expansion
https://nahdo.org/sopt	35	Black Lung		Removed from expansion
https://nahdo.org/sopt	36	State Government		Removed from expansion
https://nahdo.org/sopt	361	State SCHIP program (codes for individual states)		Removed from expansion
https://nahdo.org/sopt	362	Specific state programs (list/ local code)		Removed from expansion
https://nahdo.org/sopt	369	State, not otherwise specified (other state)		Removed from expansion
https://nahdo.org/sopt	37	Local Government		Removed from expansion
https://nahdo.org/sopt	371	Local - Managed care		Removed from expansion
https://nahdo.org/sopt	3711	HMO		Removed from expansion
https://nahdo.org/sopt	3712	PPO		Removed from expansion
https://nahdo.org/sopt	3713	POS		Removed from expansion
https://nahdo.org/sopt	372	FFS/Indemnity		Removed from expansion
https://nahdo.org/sopt	379	Local, not otherwise specified (other local, county)		Removed from expansion
https://nahdo.org/sopt	38	Other Government (Federal, State, Local not specified)		Removed from expansion
https://nahdo.org/sopt	381	Federal, State, Local not specified managed care		Removed from expansion
https://nahdo.org/sopt	3811	Federal, State, Local not specified - HMO		Removed from expansion
https://nahdo.org/sopt	3812	Federal, State, Local not specified - PPO		Removed from expansion
https://nahdo.org/sopt	3813	Federal, State, Local not specified - POS		Removed from expansion
https://nahdo.org/sopt	3819	Federal, State, Local not specified - not specified managed care		Removed from expansion
https://nahdo.org/sopt	382	Federal, State, Local not specified - FFS		Removed from expansion
https://nahdo.org/sopt	389	Federal, State, Local not specified - Other		Removed from expansion
https://nahdo.org/sopt	39	Other Federal		Removed from expansion
https://nahdo.org/sopt	391	Federal Employee Health Plan - Use when known		Removed from expansion
https://nahdo.org/sopt	4	DEPARTMENTS OF CORRECTIONS		Removed from expansion
https://nahdo.org/sopt	41	Corrections Federal		Removed from expansion
https://nahdo.org/sopt	42	Corrections State		Removed from expansion
https://nahdo.org/sopt	43	Corrections Local		Removed from expansion
https://nahdo.org/sopt	44	Corrections Unknown Level		Removed from expansion
https://nahdo.org/sopt	5	PRIVATE HEALTH INSURANCE		Removed from expansion
https://nahdo.org/sopt	51	Managed Care (Private)		Removed from expansion
https://nahdo.org/sopt	511	Commercial Managed Care - HMO		Removed from expansion
https://nahdo.org/sopt	512	Commercial Managed Care - PPO		Removed from expansion
https://nahdo.org/sopt	513	Commercial Managed Care - POS		Removed from expansion
https://nahdo.org/sopt	514	Exclusive Provider Organization		Removed from expansion
https://nahdo.org/sopt	515	Gatekeeper PPO (GPPO)		Removed from expansion
https://nahdo.org/sopt	516	Commercial Managed Care - Pharmacy Benefit Manager		Removed from expansion
https://nahdo.org/sopt	517	Commercial Managed Care - Dental		Removed from expansion
https://nahdo.org/sopt	519	Managed Care, Other (non HMO)		Removed from expansion
https://nahdo.org/sopt	52	Private Health Insurance - Indemnity		Removed from expansion
https://nahdo.org/sopt	521	Commercial Indemnity		Removed from expansion
https://nahdo.org/sopt	522	Self-insured (ERISA) Administrative Services Only (ASO) plan		Removed from expansion
https://nahdo.org/sopt	523	Medicare supplemental policy (as second payer)		Removed from expansion
https://nahdo.org/sopt	524	Indemnity Insurance - Dental		Removed from expansion
https://nahdo.org/sopt	529	Private health insurance--other commercial Indemnity		Removed from expansion
https://nahdo.org/sopt	53	Managed Care (private) or private health insurance (indemnity), not otherwise specified		Removed from expansion
https://nahdo.org/sopt	54	Organized Delivery System		Removed from expansion
https://nahdo.org/sopt	55	Small Employer Purchasing Group		Removed from expansion
https://nahdo.org/sopt	56	Specialized Stand-Alone Plan		Removed from expansion
https://nahdo.org/sopt	561	Dental		Removed from expansion
https://nahdo.org/sopt	562	Vision		Removed from expansion
https://nahdo.org/sopt	59	Other Private Insurance		Removed from expansion
https://nahdo.org/sopt	6	BLUE CROSS/BLUE SHIELD		Removed from expansion
https://nahdo.org/sopt	61	BC Managed Care		Removed from expansion
https://nahdo.org/sopt	611	BC Managed Care - HMO		Removed from expansion
https://nahdo.org/sopt	612	BC Managed Care - PPO		Removed from expansion
https://nahdo.org/sopt	613	BC Managed Care - POS		Removed from expansion
https://nahdo.org/sopt	614	BC Managed Care - Dental		Removed from expansion
https://nahdo.org/sopt	619	BC Managed Care - Other		Removed from expansion
https://nahdo.org/sopt	62	BC Insurance Indemnity		Removed from expansion
https://nahdo.org/sopt	621	BC Indemnity		Removed from expansion
https://nahdo.org/sopt	622	BC Self-insured (ERISA) Administrative Services Only (ASO)Plan		Removed from expansion
https://nahdo.org/sopt	623	BC Medicare Supplemental Plan		Removed from expansion
https://nahdo.org/sopt	629	BC Indemnity - Dental		Removed from expansion
https://nahdo.org/sopt	7	MANAGED CARE, UNSPECIFIED (to be used only if one can't distinguish public from private)		Removed from expansion
https://nahdo.org/sopt	71	HMO		Removed from expansion
https://nahdo.org/sopt	72	PPO		Removed from expansion
https://nahdo.org/sopt	73	POS		Removed from expansion
https://nahdo.org/sopt	79	Other Managed Care		Removed from expansion
https://nahdo.org/sopt	8	NO PAYMENT from an Organization/Agency/Program/Private Payer Listed		Removed from expansion
https://nahdo.org/sopt	81	Self-pay (Includes applicants for insurance and Medicaid applicants)		Removed from expansion
https://nahdo.org/sopt	82	No Charge		Removed from expansion
https://nahdo.org/sopt	821	Charity		Removed from expansion
https://nahdo.org/sopt	822	Professional Courtesy		Removed from expansion
https://nahdo.org/sopt	823	Research/Clinical Trial		Removed from expansion
https://nahdo.org/sopt	83	Refusal to Pay/Bad Debt		Removed from expansion
https://nahdo.org/sopt	84	Hill Burton Free Care		Removed from expansion
https://nahdo.org/sopt	85	Research/Donor		Removed from expansion
https://nahdo.org/sopt	89	No Payment, Other		Removed from expansion
https://nahdo.org/sopt	9	MISCELLANEOUS/OTHER		Removed from expansion
https://nahdo.org/sopt	91	Foreign National		Removed from expansion
https://nahdo.org/sopt	92	Other (Non-government)		Removed from expansion
https://nahdo.org/sopt	93	Disability Insurance		Removed from expansion
https://nahdo.org/sopt	94	Long-term Care Insurance		Removed from expansion
https://nahdo.org/sopt	95	Worker's Compensation		Removed from expansion
https://nahdo.org/sopt	951	Worker's Comp HMO		Removed from expansion
https://nahdo.org/sopt	953	Worker's Comp Fee-for-Service		Removed from expansion
https://nahdo.org/sopt	954	Worker's Comp Other Managed Care		Removed from expansion
https://nahdo.org/sopt	959	Worker's Comp, Other unspecified		Removed from expansion
https://nahdo.org/sopt	96	Auto Insurance (includes no fault)		Removed from expansion
https://nahdo.org/sopt	97	Legal Liability / Liability Insurance		Removed from expansion
https://nahdo.org/sopt	98	Other specified but not otherwise classifiable (includes Hospice - Unspecified plan)		Removed from expansion
https://nahdo.org/sopt	99	No Typology Code available for payment source		Removed from expansion
https://nahdo.org/sopt	9999	Unavailable / No Payer Specified / Blank		Removed from expansion
http://terminology.hl7.org/CodeSystem/coverage-selfpay	pay		Pay	Added to expansion
http://terminology.hl7.org/CodeSystem/v3-ActCode	_ActCoverageTypeCode		ActCoverageTypeCode	Added to expansion
http://terminology.hl7.org/CodeSystem/v3-ActCode	_ActInsurancePolicyCode		ActInsurancePolicyCode	Added to expansion
http://terminology.hl7.org/CodeSystem/v3-ActCode	EHCPOL		extended healthcare	Added to expansion
http://terminology.hl7.org/CodeSystem/v3-ActCode	HSAPOL		health spending account	Added to expansion
http://terminology.hl7.org/CodeSystem/v3-ActCode	AUTOPOL		automobile	Added to expansion
http://terminology.hl7.org/CodeSystem/v3-ActCode	COL		collision coverage policy	Added to expansion
http://terminology.hl7.org/CodeSystem/v3-ActCode	UNINSMOT		uninsured motorist policy	Added to expansion
http://terminology.hl7.org/CodeSystem/v3-ActCode	PUBLICPOL		public healthcare	Added to expansion
http://terminology.hl7.org/CodeSystem/v3-ActCode	DENTPRG		dental program	Added to expansion
http://terminology.hl7.org/CodeSystem/v3-ActCode	DISEASEPRG		public health program	Added to expansion
http://terminology.hl7.org/CodeSystem/v3-ActCode	CANPRG		women's cancer detection program	Added to expansion
http://terminology.hl7.org/CodeSystem/v3-ActCode	ENDRENAL		end renal program	Added to expansion
http://terminology.hl7.org/CodeSystem/v3-ActCode	HIVAIDS		HIV-AIDS program	Added to expansion
http://terminology.hl7.org/CodeSystem/v3-ActCode	MANDPOL		mandatory health program	Added to expansion
http://terminology.hl7.org/CodeSystem/v3-ActCode	MENTPRG		mental health program	Added to expansion
http://terminology.hl7.org/CodeSystem/v3-ActCode	SAFNET		safety net clinic program	Added to expansion
http://terminology.hl7.org/CodeSystem/v3-ActCode	SUBPRG		substance use program	Added to expansion
http://terminology.hl7.org/CodeSystem/v3-ActCode	SUBSIDIZ		subsidized health program	Added to expansion
http://terminology.hl7.org/CodeSystem/v3-ActCode	SUBSIDMC		subsidized managed care program	Added to expansion
http://terminology.hl7.org/CodeSystem/v3-ActCode	SUBSUPP		subsidized supplemental health program	Added to expansion
http://terminology.hl7.org/CodeSystem/v3-ActCode	WCBPOL		worker's compensation	Added to expansion
http://terminology.hl7.org/CodeSystem/v3-ActCode	_ActInsuranceTypeCode		ActInsuranceTypeCode	Added to expansion
http://terminology.hl7.org/CodeSystem/v3-ActCode	_ActHealthInsuranceTypeCode		ActHealthInsuranceTypeCode	Added to expansion
http://terminology.hl7.org/CodeSystem/v3-ActCode	DENTAL		dental care policy	Added to expansion
http://terminology.hl7.org/CodeSystem/v3-ActCode	DISEASE		disease specific policy	Added to expansion
http://terminology.hl7.org/CodeSystem/v3-ActCode	DRUGPOL		drug policy	Added to expansion
http://terminology.hl7.org/CodeSystem/v3-ActCode	HIP		health insurance plan policy	Added to expansion
http://terminology.hl7.org/CodeSystem/v3-ActCode	LTC		long term care policy	Added to expansion
http://terminology.hl7.org/CodeSystem/v3-ActCode	MCPOL		managed care policy	Added to expansion
http://terminology.hl7.org/CodeSystem/v3-ActCode	POS		point of service policy	Added to expansion
http://terminology.hl7.org/CodeSystem/v3-ActCode	HMO		health maintenance organization policy	Added to expansion
http://terminology.hl7.org/CodeSystem/v3-ActCode	PPO		preferred provider organization policy	Added to expansion
http://terminology.hl7.org/CodeSystem/v3-ActCode	MENTPOL		mental health policy	Added to expansion
http://terminology.hl7.org/CodeSystem/v3-ActCode	SUBPOL		substance use policy	Added to expansion
http://terminology.hl7.org/CodeSystem/v3-ActCode	VISPOL		vision care policy	Added to expansion
http://terminology.hl7.org/CodeSystem/v3-ActCode	DIS		disability insurance policy	Added to expansion
http://terminology.hl7.org/CodeSystem/v3-ActCode	EWB		employee welfare benefit plan policy	Added to expansion
http://terminology.hl7.org/CodeSystem/v3-ActCode	FLEXP		flexible benefit plan policy	Added to expansion
http://terminology.hl7.org/CodeSystem/v3-ActCode	LIFE		life insurance policy	Added to expansion
http://terminology.hl7.org/CodeSystem/v3-ActCode	ANNU		annuity policy	Added to expansion
http://terminology.hl7.org/CodeSystem/v3-ActCode	TLIFE		term life insurance policy	Added to expansion
http://terminology.hl7.org/CodeSystem/v3-ActCode	ULIFE		universal life insurance policy	Added to expansion
http://terminology.hl7.org/CodeSystem/v3-ActCode	PNC		property and casualty insurance policy	Added to expansion
http://terminology.hl7.org/CodeSystem/v3-ActCode	REI		reinsurance policy	Added to expansion
http://terminology.hl7.org/CodeSystem/v3-ActCode	SURPL		surplus line insurance policy	Added to expansion
http://terminology.hl7.org/CodeSystem/v3-ActCode	UMBRL		umbrella liability insurance policy	Added to expansion
http://terminology.hl7.org/CodeSystem/v3-ActCode	_ActProgramTypeCode		ActProgramTypeCode	Added to expansion
http://terminology.hl7.org/CodeSystem/v3-ActCode	CHAR		charity program	Added to expansion
http://terminology.hl7.org/CodeSystem/v3-ActCode	CRIME		crime victim program	Added to expansion
http://terminology.hl7.org/CodeSystem/v3-ActCode	EAP		employee assistance program	Added to expansion
http://terminology.hl7.org/CodeSystem/v3-ActCode	GOVEMP		government employee health program	Added to expansion
http://terminology.hl7.org/CodeSystem/v3-ActCode	HIRISK		high risk pool program	Added to expansion
http://terminology.hl7.org/CodeSystem/v3-ActCode	IND		indigenous peoples health program	Added to expansion
http://terminology.hl7.org/CodeSystem/v3-ActCode	MILITARY		military health program	Added to expansion
http://terminology.hl7.org/CodeSystem/v3-ActCode	RETIRE		retiree health program	Added to expansion
http://terminology.hl7.org/CodeSystem/v3-ActCode	SOCIAL		social service program	Added to expansion
http://terminology.hl7.org/CodeSystem/v3-ActCode	VET		veteran health program	Added to expansion