@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

<http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-CostShareOptionCS-TEMPORARY-TRIAL-USE> a fhir:CodeSystem ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "usdf-CostShareOptionCS-TEMPORARY-TRIAL-USE"] ; # 
  fhir:language [ fhir:v "en"] ; # 
  fhir:text [
     fhir:status [ fhir:v "generated" ] ;
     fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CodeSystem usdf-CostShareOptionCS-TEMPORARY-TRIAL-USE</b></p><a name=\"usdf-CostShareOptionCS-TEMPORARY-TRIAL-USE\"> </a><a name=\"hcusdf-CostShareOptionCS-TEMPORARY-TRIAL-USE\"> </a><p>This case-sensitive code system <code>http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-CostShareOptionCS-TEMPORARY-TRIAL-USE</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\">after-deductible<a name=\"usdf-CostShareOptionCS-TEMPORARY-TRIAL-USE-after-deductible\"> </a></td><td>After Deductible</td><td>The consumer first pays the deductible, and after the deductible is met, the consumer is responsible only for the cost-share amount (this indicates that this benefit is subject to the deductible).</td></tr><tr><td style=\"white-space:nowrap\">before-deductible<a name=\"usdf-CostShareOptionCS-TEMPORARY-TRIAL-USE-before-deductible\"> </a></td><td>Before Deductible</td><td>The consumer first pays the cost share amount, and any net remaining allowed charges accrue to the deductible (this indicates that this benefit is subject to the deductible).</td></tr><tr><td style=\"white-space:nowrap\">no-charge<a name=\"usdf-CostShareOptionCS-TEMPORARY-TRIAL-USE-no-charge\"> </a></td><td>No Charge</td><td>No cost sharing is charged (this indicates that this benefit is not subject to the deductible).</td></tr><tr><td style=\"white-space:nowrap\">no-charge-after-deductible<a name=\"usdf-CostShareOptionCS-TEMPORARY-TRIAL-USE-no-charge-after-deductible\"> </a></td><td>No Charge After Deductible</td><td>The consumer first pays the deductible, and after the deductible is met, no cost share amount is charged (this indicates that this benefit is subject to the deductible).</td></tr><tr><td style=\"white-space:nowrap\">charge<a name=\"usdf-CostShareOptionCS-TEMPORARY-TRIAL-USE-charge\"> </a></td><td>Charge</td><td>The consumer always pays just the cost share amount and the issuer pays the remainder of allowed charges (this indicates that this benefit is not subject to the deductible).</td></tr><tr><td style=\"white-space:nowrap\">coinsurance-not-applicable<a name=\"usdf-CostShareOptionCS-TEMPORARY-TRIAL-USE-coinsurance-not-applicable\"> </a></td><td>Coinsurance Not Applicable</td><td>The consumer pays only a copay. Note: When using Not Applicable for coinsurance, Not Applicable cannot also be used for copay (unless the drug tier type is Medical Service Drugs).</td></tr><tr><td style=\"white-space:nowrap\">copay-not-applicable<a name=\"usdf-CostShareOptionCS-TEMPORARY-TRIAL-USE-copay-not-applicable\"> </a></td><td>Copay Not Applicable</td><td>Deductible is not applicable: Zero-deductible cost sharing represented by a co-pay value of 'Not applicable' and co-insurance value of 'No charge'.</td></tr><tr><td style=\"white-space:nowrap\">deductible-waived<a name=\"usdf-CostShareOptionCS-TEMPORARY-TRIAL-USE-deductible-waived\"> </a></td><td>Deductible Waived</td><td>The consumer pays the cost share amount with deductible requirement waived.</td></tr></table></div>"^^rdf:XMLLiteral ]
  ] ; # 
  fhir:extension ( [
     fhir:url [
       fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg"^^xsd:anyURI ;
       fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-wg>
     ] ;
     fhir:value [
       a fhir:Code ;
       fhir:v "phx"
     ]
  ] [
     fhir:url [
       fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"^^xsd:anyURI ;
       fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status>
     ] ;
     fhir:value [
       a fhir:Code ;
       fhir:v "trial-use" ;
       fhir:extension ( [
         fhir:url [
           fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom"^^xsd:anyURI ;
           fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom>
         ] ;
         fhir:value [
           a fhir:Canonical ;
           fhir:v "http://hl7.org/fhir/us/davinci-drug-formulary/ImplementationGuide/hl7.fhir.us.davinci-drug-formulary"^^xsd:anyURI ;
           fhir:l <http://hl7.org/fhir/us/davinci-drug-formulary/ImplementationGuide/hl7.fhir.us.davinci-drug-formulary>
         ]
       ] )
     ]
  ] ) ; # 
  fhir:url [
     fhir:v "http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-CostShareOptionCS-TEMPORARY-TRIAL-USE"^^xsd:anyURI ;
     fhir:l <http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-CostShareOptionCS-TEMPORARY-TRIAL-USE>
  ] ; # 
  fhir:identifier ( [
     fhir:system [
       fhir:v "urn:ietf:rfc:3986"^^xsd:anyURI ;
       fhir:l <urn:ietf:rfc:3986>
     ] ;
     fhir:value [ fhir:v "urn:oid:2.25.74595174031514506193398850787025340071.16.2" ]
  ] ) ; # 
  fhir:version [ fhir:v "2.1.0"] ; # 
  fhir:name [ fhir:v "CostShareOptionCS"] ; # 
  fhir:title [ fhir:v "Codes qualifying the type of cost share amount"] ; # 
  fhir:status [ fhir:v "active"] ; # 
  fhir:experimental [ fhir:v false] ; # 
  fhir:date [ fhir:v "2026-05-21T13:01:52+00:00"^^xsd:dateTime] ; # 
  fhir:publisher [ fhir:v "HL7 International / Pharmacy"] ; # 
  fhir:contact ( [
     fhir:name [ fhir:v "HL7 International / Pharmacy" ] ;
     fhir:telecom ( [
       fhir:system [ fhir:v "url" ] ;
       fhir:value [ fhir:v "http://www.hl7.org/Special/committees/medication" ]
     ] [
       fhir:system [ fhir:v "email" ] ;
       fhir:value [ fhir:v "pharmacy@lists.HL7.org" ]
     ] )
  ] ) ; # 
  fhir:description [ fhir:v "Codes for qualifier of copay amount"] ; # 
  fhir:jurisdiction ( [
     fhir:coding ( [
       fhir:system [
         fhir:v "urn:iso:std:iso:3166"^^xsd:anyURI ;
         fhir:l <urn:iso:std:iso:3166>
       ] ;
       fhir:code [ fhir:v "US" ]
     ] )
  ] ) ; # 
  fhir:caseSensitive [ fhir:v true] ; # 
  fhir:content [ fhir:v "complete"] ; # 
  fhir:count [ fhir:v "8"^^xsd:nonNegativeInteger] ; # 
  fhir:concept ( [
     fhir:code [ fhir:v "after-deductible" ] ;
     fhir:display [ fhir:v "After Deductible" ] ;
     fhir:definition [ fhir:v "The consumer first pays the deductible, and after the deductible is met, the consumer is responsible only for the cost-share amount (this indicates that this benefit is subject to the deductible)." ]
  ] [
     fhir:code [ fhir:v "before-deductible" ] ;
     fhir:display [ fhir:v "Before Deductible" ] ;
     fhir:definition [ fhir:v "The consumer first pays the cost share amount, and any net remaining allowed charges accrue to the deductible (this indicates that this benefit is subject to the deductible)." ]
  ] [
     fhir:code [ fhir:v "no-charge" ] ;
     fhir:display [ fhir:v "No Charge" ] ;
     fhir:definition [ fhir:v "No cost sharing is charged (this indicates that this benefit is not subject to the deductible)." ]
  ] [
     fhir:code [ fhir:v "no-charge-after-deductible" ] ;
     fhir:display [ fhir:v "No Charge After Deductible" ] ;
     fhir:definition [ fhir:v "The consumer first pays the deductible, and after the deductible is met, no cost share amount is charged (this indicates that this benefit is subject to the deductible)." ]
  ] [
     fhir:code [ fhir:v "charge" ] ;
     fhir:display [ fhir:v "Charge" ] ;
     fhir:definition [ fhir:v "The consumer always pays just the cost share amount and the issuer pays the remainder of allowed charges (this indicates that this benefit is not subject to the deductible)." ]
  ] [
     fhir:code [ fhir:v "coinsurance-not-applicable" ] ;
     fhir:display [ fhir:v "Coinsurance Not Applicable" ] ;
     fhir:definition [ fhir:v "The consumer pays only a copay. Note: When using Not Applicable for coinsurance, Not Applicable cannot also be used for copay (unless the drug tier type is Medical Service Drugs)." ]
  ] [
     fhir:code [ fhir:v "copay-not-applicable" ] ;
     fhir:display [ fhir:v "Copay Not Applicable" ] ;
     fhir:definition [ fhir:v "Deductible is not applicable: Zero-deductible cost sharing represented by a co-pay value of 'Not applicable' and co-insurance value of 'No charge'." ]
  ] [
     fhir:code [ fhir:v "deductible-waived" ] ;
     fhir:display [ fhir:v "Deductible Waived" ] ;
     fhir:definition [ fhir:v "The consumer pays the cost share amount with deductible requirement waived." ]
  ] ) . # 

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