National Directory of Healthcare Providers & Services (NDH) Implementation Guide
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National Directory of Healthcare Providers & Services (NDH) Implementation Guide, published by HL7 International / Patient Administration. This guide is not an authorized publication; it is the continuous build for version 2.0.0-current built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-us-ndh/ and changes regularly. See the Directory of published versions

: Benefit Type Value Set

Page standards status: Trial-use Maturity Level: 4

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

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

<http://hl7.org/fhir/ValueSet/BenefitTypeVS> a fhir:ValueSet ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:Resource.id [ fhir:value "BenefitTypeVS"] ;
  fhir:Resource.language [ fhir:value "en"] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "extensions" ] ;
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ValueSet BenefitTypeVS</b></p><a name=\"BenefitTypeVS\"> </a><a name=\"hcBenefitTypeVS\"> </a><ul><li>Include these codes as defined in <a href=\"CodeSystem-insurance-benefit-type.html\"><code>http://terminology.hl7.org/CodeSystem/insurance-benefit-type</code></a><span title=\"Version is not explicitly stated, which means it is fixed to the version provided in this specification\"> version ?2.0.0-current</span><table class=\"none\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td><a href=\"CodeSystem-insurance-benefit-type.html#insurance-benefit-type-pcpov\">pcpov</a></td><td>Primary Care Visit to Treat an Injury or Illness</td><td>Benefit plan covers services rendered by a primary care physician during an office visit with the purpose to treat injury or illness, except for preventive care services.</td></tr><tr><td><a href=\"CodeSystem-insurance-benefit-type.html#insurance-benefit-type-specialistov\">specialistov</a></td><td>Specialist Office Visit</td><td>Covered healthcare service rendered to a patient by a specialty provider.</td></tr><tr><td><a href=\"CodeSystem-insurance-benefit-type.html#insurance-benefit-type-mlpov\">mlpov</a></td><td>Other Practitioner Office Visit (Nurse, Physician Assistant) - Mid Level Professional</td><td>Benefit plan covers covered health related services rendered by a practitioner other than MD or DO and referred to as other practitioner.</td></tr><tr><td><a href=\"CodeSystem-insurance-benefit-type.html#insurance-benefit-type-outpatient\">outpatient</a></td><td>Outpatient Facility Fee (e.g., Ambulatory Surgery Center)</td><td>Benefit plan covers health related services rendered to patient at an outpatient facility, outside of a facility that requires a patient admission.</td></tr><tr><td><a href=\"CodeSystem-insurance-benefit-type.html#insurance-benefit-type-outpatstx\">outpatstx</a></td><td>Outpatient Surgery Physician/Surgical Services</td><td>Benefit plan covers surgical services rendered to patient outside of a facility admission, referred to as outpatient.</td></tr><tr><td><a href=\"CodeSystem-insurance-benefit-type.html#insurance-benefit-type-hospserv\">hospserv</a></td><td>Hospice Services</td><td>Benefit plan covers hospice services.</td></tr><tr><td><a href=\"CodeSystem-insurance-benefit-type.html#insurance-benefit-type-routinedental\">routinedental</a></td><td>Routine Dental Services (Adult)</td><td>Benefit plan covers routine dental services.</td></tr><tr><td><a href=\"CodeSystem-insurance-benefit-type.html#insurance-benefit-type-infertilitytx\">infertilitytx</a></td><td>Infertility Treatment</td><td>Benefit plan covers eligible infertility treatment services.</td></tr><tr><td><a href=\"CodeSystem-insurance-benefit-type.html#insurance-benefit-type-ltnhc\">ltnhc</a></td><td>Long-Term/Custodial Nursing Home Care</td><td>Long-Term/Custodial Nursing Home Care.</td></tr><tr><td><a href=\"CodeSystem-insurance-benefit-type.html#insurance-benefit-type-privatenurse\">privatenurse</a></td><td>Private-Duty Nursing</td><td>Private-Duty Nursing.</td></tr><tr><td><a href=\"CodeSystem-insurance-benefit-type.html#insurance-benefit-type-routineeye\">routineeye</a></td><td>Routine Eye Exam (Adult)</td><td>Routine Eye Exam (Adult).</td></tr><tr><td><a href=\"CodeSystem-insurance-benefit-type.html#insurance-benefit-type-ucservice\">ucservice</a></td><td>Urgent Care Centers or Facilities</td><td>Urgent Care Centers or Facilities.</td></tr><tr><td><a href=\"CodeSystem-insurance-benefit-type.html#insurance-benefit-type-homehealth\">homehealth</a></td><td>Home Health</td><td>Home health services insurance coverage.</td></tr><tr><td><a href=\"CodeSystem-insurance-benefit-type.html#insurance-benefit-type-erservice\">erservice</a></td><td>Emergency Room Services</td><td>Emergency Room Services.</td></tr><tr><td><a href=\"CodeSystem-insurance-benefit-type.html#insurance-benefit-type-ambulance\">ambulance</a></td><td>Emergency Room Services</td><td>Emergency Room Services.</td></tr><tr><td><a href=\"CodeSystem-insurance-benefit-type.html#insurance-benefit-type-inpatienthospital\">inpatienthospital</a></td><td>Inpatient Hospital Services (e.g., Hospital Stay)</td><td>A person who is hospitalized for at least one night to receive treatment or participate in a study.</td></tr><tr><td><a href=\"CodeSystem-insurance-benefit-type.html#insurance-benefit-type-inpatientprovider\">inpatientprovider</a></td><td>Inpatient Physician and Surgical Services</td><td>A healthcare provider who is delivering healthcare services in a hospital environment.</td></tr><tr><td><a href=\"CodeSystem-insurance-benefit-type.html#insurance-benefit-type-bariatricsurg\">bariatricsurg</a></td><td>Bariatric Surgery</td><td>Bariatric surgery service Skilled nursing service (qualifier value).</td></tr><tr><td><a href=\"CodeSystem-insurance-benefit-type.html#insurance-benefit-type-cosmeticsurg\">cosmeticsurg</a></td><td>Cosmetic Surgery</td><td>Cosmetic surgery service Skilled nursing service (qualifier value).</td></tr><tr><td><a href=\"CodeSystem-insurance-benefit-type.html#insurance-benefit-type-skillednursing\">skillednursing</a></td><td>Skilled Nursing Facility</td><td>Skilled nursing service (qualifier value).</td></tr><tr><td><a href=\"CodeSystem-insurance-benefit-type.html#insurance-benefit-type-ppnatalcare\">ppnatalcare</a></td><td>Prenatal and Postnatal Care</td><td>Prenatal and Postnatal services.</td></tr><tr><td><a href=\"CodeSystem-insurance-benefit-type.html#insurance-benefit-type-maternitycare\">maternitycare</a></td><td>Delivery and All Inpatient Services for Maternity Care</td><td>All maternity care services.</td></tr><tr><td><a href=\"CodeSystem-insurance-benefit-type.html#insurance-benefit-type-menthlthoutp\">menthlthoutp</a></td><td>Mental/Behavioral Health Outpatient Services</td><td>Mental health service delivered in an outpatient setting.</td></tr><tr><td><a href=\"CodeSystem-insurance-benefit-type.html#insurance-benefit-type-menthlthinp\">menthlthinp</a></td><td>Mental/Behavioral Health Inpatient Services</td><td>Mental health service delivered in an hospital or inpatient facility setting.</td></tr><tr><td><a href=\"CodeSystem-insurance-benefit-type.html#insurance-benefit-type-sadoutp\">sadoutp</a></td><td>Substance Abuse Disorder Outpatient Services</td><td>Substance abuse related services delivered in a outpatient setting.</td></tr><tr><td><a href=\"CodeSystem-insurance-benefit-type.html#insurance-benefit-type-sadinp\">sadinp</a></td><td>Substance Abuse Disorder Inpatient Services</td><td>Substance abuse related services delivered in a inpatient setting.</td></tr><tr><td><a href=\"CodeSystem-insurance-benefit-type.html#insurance-benefit-type-drggenric\">drggenric</a></td><td>Generic Drugs</td><td>Generic drugs eligible benefits.</td></tr><tr><td><a href=\"CodeSystem-insurance-benefit-type.html#insurance-benefit-type-drgbrand\">drgbrand</a></td><td>Preferred Brand Drugs</td><td>Preferred brand drugs eligible benefits.</td></tr><tr><td><a href=\"CodeSystem-insurance-benefit-type.html#insurance-benefit-type-drgnonpreferred\">drgnonpreferred</a></td><td>Non-Preferred Brand Drugs</td><td>Non-Preferred drugs brands eligible benefits.</td></tr><tr><td><a href=\"CodeSystem-insurance-benefit-type.html#insurance-benefit-type-drgspecialty\">drgspecialty</a></td><td>Specialty Drugs</td><td>Benefit plan covers specialty drugs.</td></tr><tr><td><a href=\"CodeSystem-insurance-benefit-type.html#insurance-benefit-type-rehaboutp\">rehaboutp</a></td><td>Outpatient Rehabilitation Services</td><td>Benefit plan covers outpatient rehabilitation services.</td></tr><tr><td><a href=\"CodeSystem-insurance-benefit-type.html#insurance-benefit-type-servicehablitation\">servicehablitation</a></td><td>Habilitation Services</td><td>Habilitation Services.</td></tr><tr><td><a href=\"CodeSystem-insurance-benefit-type.html#insurance-benefit-type-chiro\">chiro</a></td><td>Chiropractic Care</td><td>Benefit plan covers chiropractor eligible benefits.</td></tr><tr><td><a href=\"CodeSystem-insurance-benefit-type.html#insurance-benefit-type-dme\">dme</a></td><td>Durable Medical Equipment</td><td>Benefit plan covers Durable medical equipment eligible benefits.</td></tr><tr><td><a href=\"CodeSystem-insurance-benefit-type.html#insurance-benefit-type-hearingaids\">hearingaids</a></td><td>Hearing Aids</td><td>Benefit plan covers hearing aids.</td></tr><tr><td><a href=\"CodeSystem-insurance-benefit-type.html#insurance-benefit-type-imgctpetmri\">imgctpetmri</a></td><td>Imaging (CT/PET Scans, MRIs)</td><td>Benefit plan covers advances imaging techniques services (CT/PET Scans, MRIs) eligible services.</td></tr><tr><td><a href=\"CodeSystem-insurance-benefit-type.html#insurance-benefit-type-prev\">prev</a></td><td>Preventive Care/Screening/Immunization</td><td>Routine healthcare services to prevent health related problems eligible benefits.</td></tr><tr><td><a href=\"CodeSystem-insurance-benefit-type.html#insurance-benefit-type-rtnpod\">rtnpod</a></td><td>Routine Foot Care</td><td>Routine Foot Care.</td></tr><tr><td><a href=\"CodeSystem-insurance-benefit-type.html#insurance-benefit-type-acupuncture\">acupuncture</a></td><td>Acupuncture</td><td>Benefit plan covers acupuncture treatment.</td></tr><tr><td><a href=\"CodeSystem-insurance-benefit-type.html#insurance-benefit-type-weightloss\">weightloss</a></td><td>Weight Loss Programs</td><td>Benefit plan covers weight loss services eligible benefits.</td></tr><tr><td><a href=\"CodeSystem-insurance-benefit-type.html#insurance-benefit-type-rtneyechld\">rtneyechld</a></td><td>Routine Eye Exam for Children</td><td>Routine eye exam for children eligible benefits.</td></tr><tr><td><a href=\"CodeSystem-insurance-benefit-type.html#insurance-benefit-type-glasseschld\">glasseschld</a></td><td>Eye Glasses for Children</td><td>Eye glasses children eligible benefits.</td></tr><tr><td><a href=\"CodeSystem-insurance-benefit-type.html#insurance-benefit-type-rtndntlchld\">rtndntlchld</a></td><td>Dental Check-Up for Children</td><td>Dental Check-Up for Children.</td></tr><tr><td><a href=\"CodeSystem-insurance-benefit-type.html#insurance-benefit-type-speachthpy\">speachthpy</a></td><td>Rehabilitative Speech Therapy</td><td>Benefit plan covers rehabilitative speech therapy eligible benefits.</td></tr><tr><td><a href=\"CodeSystem-insurance-benefit-type.html#insurance-benefit-type-rehaboccandpt\">rehaboccandpt</a></td><td>Rehabilitative Occupational and Rehabilitative Physical Therapy</td><td>Benefit plan covers rehabilitative occupational and rehabilitative physical eligible benefits.</td></tr><tr><td><a href=\"CodeSystem-insurance-benefit-type.html#insurance-benefit-type-wellbaby\">wellbaby</a></td><td>Well Baby Visits and Care</td><td>Regularly scheduled, preventive care services, including immunizations, provided to children up to an age as specified by a health insurance company or mandated by a government agency.</td></tr><tr><td><a href=\"CodeSystem-insurance-benefit-type.html#insurance-benefit-type-laboutp\">laboutp</a></td><td>Laboratory Outpatient and Professional Services</td><td>Benefit plan covers laboratory testing and related professional services received as outpatient.</td></tr><tr><td><a href=\"CodeSystem-insurance-benefit-type.html#insurance-benefit-type-imagingdx\">imagingdx</a></td><td>X-rays and Diagnostic Imaging</td><td>Benefit plan covers diagnostic imaging procedures that produce images of internal structures of the human body and uses radiation to diagnose and treat diseases.</td></tr><tr><td><a href=\"CodeSystem-insurance-benefit-type.html#insurance-benefit-type-dntlbaschld\">dntlbaschld</a></td><td>Basic Dental Care - Child</td><td>Benefit plan covers diagnostic basic dental care.</td></tr><tr><td><a href=\"CodeSystem-insurance-benefit-type.html#insurance-benefit-type-orthochld\">orthochld</a></td><td>Orthodontia - Child</td><td>Benefit plan covers orthodontia for children.</td></tr><tr><td><a href=\"CodeSystem-insurance-benefit-type.html#insurance-benefit-type-dntlmajchld\">dntlmajchld</a></td><td>Major Dental Care - Child</td><td>Benefit plan covers major dental care for children.</td></tr><tr><td><a href=\"CodeSystem-insurance-benefit-type.html#insurance-benefit-type-dntlbasadlt\">dntlbasadlt</a></td><td>Basic Dental Care - Adult</td><td>Benefit plan covers basic dental care for adults.</td></tr><tr><td><a href=\"CodeSystem-insurance-benefit-type.html#insurance-benefit-type-orthodadlt\">orthodadlt</a></td><td>Orthodontia - Adult</td><td>Benefits plan covers services provided that are required for orthodontic purposes for an adult.</td></tr><tr><td><a href=\"CodeSystem-insurance-benefit-type.html#insurance-benefit-type-dntlmajadlt\">dntlmajadlt</a></td><td>Major Dental Care - Adult</td><td>Benefit plan covers major dental care for adult.</td></tr><tr><td><a href=\"CodeSystem-insurance-benefit-type.html#insurance-benefit-type-abortion\">abortion</a></td><td>Abortion for Which Public Funding is Prohibited</td><td>Benefit plan covers services for abortion for which public funding is prohibited.</td></tr><tr><td><a href=\"CodeSystem-insurance-benefit-type.html#insurance-benefit-type-transplant\">transplant</a></td><td>Transplant</td><td>Benefit plan covers transplant related services.</td></tr><tr><td><a href=\"CodeSystem-insurance-benefit-type.html#insurance-benefit-type-accdntl\">accdntl</a></td><td>Accidental Dental</td><td>Benefit plan covers dental care services related to an accident.</td></tr><tr><td><a href=\"CodeSystem-insurance-benefit-type.html#insurance-benefit-type-dialysis\">dialysis</a></td><td>Dialysis</td><td>The plan benefit covers services used to treat end stage renal disease.</td></tr><tr><td><a href=\"CodeSystem-insurance-benefit-type.html#insurance-benefit-type-testallrgy\">testallrgy</a></td><td>Allergy Testing</td><td>The plan benefits covers services for diagnostic procedures ordered or performed to evaluate whether a sensitivity to a substance is present. This test may be associated with specimen collection and/or substance administration challenge activities.</td></tr><tr><td><a href=\"CodeSystem-insurance-benefit-type.html#insurance-benefit-type-chemotherapy\">chemotherapy</a></td><td>Chemotherapy</td><td>The plan benefits cover services the use of drugs and approved chemicals to treat disease.</td></tr><tr><td><a href=\"CodeSystem-insurance-benefit-type.html#insurance-benefit-type-radiation\">radiation</a></td><td>Radiation</td><td>The plan benefits cover services the use radiation to treat disease.</td></tr><tr><td><a href=\"CodeSystem-insurance-benefit-type.html#insurance-benefit-type-edudiab\">edudiab</a></td><td>Diabetes Education</td><td>The plan benefits cover services related to instruction or training that encourages behaviors most likely to optimize health potentials through information about diabetes; facilitates the prevention of diabetes.</td></tr><tr><td><a href=\"CodeSystem-insurance-benefit-type.html#insurance-benefit-type-prosthetic\">prosthetic</a></td><td>Prosthetic Devices</td><td>Plan benefit covers services related to prosthesis devices.</td></tr><tr><td><a href=\"CodeSystem-insurance-benefit-type.html#insurance-benefit-type-infusiontx\">infusiontx</a></td><td>Infusion Therapy</td><td>Plan benefit covers services related to infusion therapy.</td></tr><tr><td><a href=\"CodeSystem-insurance-benefit-type.html#insurance-benefit-type-tmjtx\">tmjtx</a></td><td>Treatment for Temporomandibular Joint Disorders</td><td>Plan benefit covers services related to treatment of Temporomandibular Joint disorder.</td></tr><tr><td><a href=\"CodeSystem-insurance-benefit-type.html#insurance-benefit-type-nutrition\">nutrition</a></td><td>Nutritional Counseling</td><td>Nutritional Counseling.</td></tr><tr><td><a href=\"CodeSystem-insurance-benefit-type.html#insurance-benefit-type-reconsurg\">reconsurg</a></td><td>Reconstructive Surgery</td><td>Plan benefit covers services related to reconstructive surgery.</td></tr></table></li></ul></div>"
  ] ;
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     fhir:index -1 ;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm" ] ;
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       fhir:value "4"^^xsd:integer ;
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         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom" ] ;
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           fhir:link <http://hl7.org/fhir/us/ndh/ImplementationGuide/hl7.fhir.us.ndh>
         ]
       ]
     ]
  ] ;
  fhir:ValueSet.url [ fhir:value "http://hl7.org/fhir/us/ndh/ValueSet/BenefitTypeVS"] ;
  fhir:ValueSet.identifier [
     fhir:index -1 ;
     fhir:Identifier.system [ fhir:value "urn:ietf:rfc:3986" ] ;
     fhir:Identifier.value [ fhir:value "urn:oid:2.999.1.2.3.4.48.4" ]
  ] ;
  fhir:ValueSet.version [ fhir:value "2.0.0-current"] ;
  fhir:ValueSet.name [ fhir:value "BenefitTypeVS"] ;
  fhir:ValueSet.title [ fhir:value "Benefit Type Value Set"] ;
  fhir:ValueSet.status [ fhir:value "active"] ;
  fhir:ValueSet.experimental [ fhir:value "false"^^xsd:boolean] ;
  fhir:ValueSet.date [ fhir:value "2026-06-25T23:39:34+00:00"^^xsd:dateTime] ;
  fhir:ValueSet.publisher [ fhir:value "HL7 International / Patient Administration"] ;
  fhir:ValueSet.contact [
     fhir:index -1 ;
     fhir:ContactDetail.name [ fhir:value "HL7 International / Patient Administration" ] ;
     fhir:ContactDetail.telecom [
       fhir:index -1 ;
       fhir:ContactPoint.system [ fhir:value "url" ] ;
       fhir:ContactPoint.value [ fhir:value "http://www.hl7.org/Special/committees/pafm" ]
     ], [
       fhir:index -1 ;
       fhir:ContactPoint.system [ fhir:value "email" ] ;
       fhir:ContactPoint.value [ fhir:value "pafm@lists.hl7.org" ]
     ]
  ] ;
  fhir:ValueSet.description [ fhir:value "This value set defines insurance benefit-type concepts used to classify covered services and benefit categories for plan comparison and eligibility interpretation."] ;
  fhir:ValueSet.jurisdiction [
     fhir:index -1 ;
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       fhir:Coding.system [ fhir:value "urn:iso:std:iso:3166" ] ;
       fhir:Coding.code [ fhir:value "US" ] ;
       fhir:Coding.display [ fhir:value "United States of America" ]
     ]
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       fhir:ValueSet.compose.include.concept [
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       ], [
         fhir:index -1 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "specialistov" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Specialist Office Visit" ]
       ], [
         fhir:index -1 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "mlpov" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Other Practitioner Office Visit (Nurse, Physician Assistant) - Mid Level Professional" ]
       ], [
         fhir:index -1 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "outpatient" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Outpatient Facility Fee (e.g., Ambulatory Surgery Center)" ]
       ], [
         fhir:index -1 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "outpatstx" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Outpatient Surgery Physician/Surgical Services" ]
       ], [
         fhir:index -1 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "hospserv" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Hospice Services" ]
       ], [
         fhir:index -1 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "routinedental" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Routine Dental Services (Adult)" ]
       ], [
         fhir:index -1 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "infertilitytx" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Infertility Treatment" ]
       ], [
         fhir:index -1 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "ltnhc" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Long-Term/Custodial Nursing Home Care" ]
       ], [
         fhir:index -1 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "privatenurse" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Private-Duty Nursing" ]
       ], [
         fhir:index -1 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "routineeye" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Routine Eye Exam (Adult)" ]
       ], [
         fhir:index -1 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "ucservice" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Urgent Care Centers or Facilities" ]
       ], [
         fhir:index -1 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "homehealth" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Home Health" ]
       ], [
         fhir:index -1 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "erservice" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Emergency Room Services" ]
       ], [
         fhir:index -1 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "ambulance" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Emergency Room Services" ]
       ], [
         fhir:index -1 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "inpatienthospital" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Inpatient Hospital Services (e.g., Hospital Stay)" ]
       ], [
         fhir:index -1 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "inpatientprovider" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Inpatient Physician and Surgical Services" ]
       ], [
         fhir:index -1 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "bariatricsurg" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Bariatric Surgery" ]
       ], [
         fhir:index -1 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "cosmeticsurg" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Cosmetic Surgery" ]
       ], [
         fhir:index -1 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "skillednursing" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Skilled Nursing Facility" ]
       ], [
         fhir:index -1 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "ppnatalcare" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Prenatal and Postnatal Care" ]
       ], [
         fhir:index -1 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "maternitycare" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Delivery and All Inpatient Services for Maternity Care" ]
       ], [
         fhir:index -1 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "menthlthoutp" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Mental/Behavioral Health Outpatient Services" ]
       ], [
         fhir:index -1 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "menthlthinp" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Mental/Behavioral Health Inpatient Services" ]
       ], [
         fhir:index -1 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "sadoutp" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Substance Abuse Disorder Outpatient Services" ]
       ], [
         fhir:index -1 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "sadinp" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Substance Abuse Disorder Inpatient Services" ]
       ], [
         fhir:index -1 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "drggenric" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Generic Drugs" ]
       ], [
         fhir:index -1 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "drgbrand" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Preferred Brand Drugs" ]
       ], [
         fhir:index -1 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "drgnonpreferred" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Non-Preferred Brand Drugs" ]
       ], [
         fhir:index -1 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "drgspecialty" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Specialty Drugs" ]
       ], [
         fhir:index -1 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "rehaboutp" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Outpatient Rehabilitation Services" ]
       ], [
         fhir:index -1 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "servicehablitation" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Habilitation Services" ]
       ], [
         fhir:index -1 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "chiro" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Chiropractic Care" ]
       ], [
         fhir:index -1 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "dme" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Durable Medical Equipment" ]
       ], [
         fhir:index -1 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "hearingaids" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Hearing Aids" ]
       ], [
         fhir:index -1 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "imgctpetmri" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Imaging (CT/PET Scans, MRIs)" ]
       ], [
         fhir:index -1 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "prev" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Preventive Care/Screening/Immunization" ]
       ], [
         fhir:index -1 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "rtnpod" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Routine Foot Care" ]
       ], [
         fhir:index -1 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "acupuncture" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Acupuncture" ]
       ], [
         fhir:index -1 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "weightloss" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Weight Loss Programs" ]
       ], [
         fhir:index -1 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "rtneyechld" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Routine Eye Exam for Children" ]
       ], [
         fhir:index -1 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "glasseschld" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Eye Glasses for Children" ]
       ], [
         fhir:index -1 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "rtndntlchld" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Dental Check-Up for Children" ]
       ], [
         fhir:index -1 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "speachthpy" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Rehabilitative Speech Therapy" ]
       ], [
         fhir:index -1 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "rehaboccandpt" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Rehabilitative Occupational and Rehabilitative Physical Therapy" ]
       ], [
         fhir:index -1 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "wellbaby" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Well Baby Visits and Care" ]
       ], [
         fhir:index -1 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "laboutp" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Laboratory Outpatient and Professional Services" ]
       ], [
         fhir:index -1 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "imagingdx" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "X-rays and Diagnostic Imaging" ]
       ], [
         fhir:index -1 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "dntlbaschld" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Basic Dental Care - Child" ]
       ], [
         fhir:index -1 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "orthochld" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Orthodontia - Child" ]
       ], [
         fhir:index -1 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "dntlmajchld" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Major Dental Care - Child" ]
       ], [
         fhir:index -1 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "dntlbasadlt" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Basic Dental Care - Adult" ]
       ], [
         fhir:index -1 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "orthodadlt" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Orthodontia - Adult" ]
       ], [
         fhir:index -1 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "dntlmajadlt" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Major Dental Care - Adult" ]
       ], [
         fhir:index -1 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "abortion" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Abortion for Which Public Funding is Prohibited" ]
       ], [
         fhir:index -1 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "transplant" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Transplant" ]
       ], [
         fhir:index -1 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "accdntl" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Accidental Dental" ]
       ], [
         fhir:index -1 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "dialysis" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Dialysis" ]
       ], [
         fhir:index -1 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "testallrgy" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Allergy Testing" ]
       ], [
         fhir:index -1 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "chemotherapy" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Chemotherapy" ]
       ], [
         fhir:index -1 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "radiation" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Radiation" ]
       ], [
         fhir:index -1 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "edudiab" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Diabetes Education" ]
       ], [
         fhir:index -1 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "prosthetic" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Prosthetic Devices" ]
       ], [
         fhir:index -1 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "infusiontx" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Infusion Therapy" ]
       ], [
         fhir:index -1 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "tmjtx" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Treatment for Temporomandibular Joint Disorders" ]
       ], [
         fhir:index -1 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "nutrition" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Nutritional Counseling" ]
       ], [
         fhir:index -1 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "reconsurg" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Reconstructive Surgery" ]
       ]
     ]
  ] .

# - ontology header ------------------------------------------------------------

<http://hl7.org/fhir/ValueSet/BenefitTypeVS.ttl> a owl:Ontology ;
  owl:imports fhir:fhir.ttl ;
  owl:versionIRI <http://build.fhir.org/ValueSet/BenefitTypeVS.ttl> .