NHDR Implementation Guide Release 1.0
0.1.0 - ci-build

NHDR Implementation Guide Release 1.0, published by NHDR. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/PROJ-PHILHEALTH-EA-NHDR/nhdr-fhir-ig-review-project-2/ and changes regularly. See the Directory of published versions

## ValueSet: Coverage Copay Type

Official URL: https://nhdr.gov.ph/fhir/ValueSet/CoverageCoPayTypeVS | Version: 0.1.0
Standards status: Draft | Computable Name: CoverageCopayTypeVS
Copyright/Legal: Used by permission of HL7 International, all rights reserved Creative Commons License

A valueset representing different types of copayments associated with healthcare coverage

References

- PH Coverage

### Logical Definition (CLD)

Language: en-US

This value set includes codes based on the following rules:

- Include all codes defined in `http://terminology.hl7.org/CodeSystem/coverage-copay-type` version 📦1.0.1
- Include all codes defined in `https://nhdr.gov.ph/fhir/CodeSystem/CoverageCopayTypeLocalCS` version 📦0.1.0

### Expansion

Expansion performed internally based on:

- codesystem Coverage Copay Type Codes v1.0.1 (CodeSystem)
- codesystem Coverage Co-Payment Type - Local v0.1.0 (CodeSystem)

This value set contains 12 concepts

System | Code | Display (en-US) | Definition | JSON | XML
`http://terminology.hl7.org/CodeSystem/coverage-copay-type` | gpvisit | GP Office Visit | An office visit for a general practitioner of a discipline. |  |
`http://terminology.hl7.org/CodeSystem/coverage-copay-type` | spvisit | Specialist Office Visit | An office visit for a specialist practitioner of a discipline |  |
`http://terminology.hl7.org/CodeSystem/coverage-copay-type` | emergency | Emergency | An episode in an emergency department. |  |
`http://terminology.hl7.org/CodeSystem/coverage-copay-type` | inpthosp | Inpatient Hospital | An episode of an Inpatient hospital stay. |  |
`http://terminology.hl7.org/CodeSystem/coverage-copay-type` | televisit | Tele-visit | A visit held where the patient is remote relative to the practitioner, e.g. by phone, computer or video conference. |  |
`http://terminology.hl7.org/CodeSystem/coverage-copay-type` | urgentcare | Urgent Care | A visit to an urgent care facility - typically a community care clinic. |  |
`http://terminology.hl7.org/CodeSystem/coverage-copay-type` | copaypct | Copay Percentage | A standard percentage applied to all classes or service or product not otherwise specified. |  |
`http://terminology.hl7.org/CodeSystem/coverage-copay-type` | copay | Copay Amount | A standard fixed currency amount applied to all classes or service or product not otherwise specified. |  |
`http://terminology.hl7.org/CodeSystem/coverage-copay-type` | deductible | Deductible | The accumulated amount of patient payment before the coverage begins to pay for services. |  |
`http://terminology.hl7.org/CodeSystem/coverage-copay-type` | maxoutofpocket | Maximum out of pocket | The maximum amout of payment for services which a patient, or family, is expected to incur - typically annually. |  |
`https://nhdr.gov.ph/fhir/CodeSystem/CoverageCopayTypeLocalCS` | nobalbill | No Balance Billing | Represents that the patient is not responsible for additional costs beyond PhilHealth coverage. |  |
`https://nhdr.gov.ph/fhir/CodeSystem/CoverageCopayTypeLocalCS` | nocopay | No Co-pay | Indicates the absence of any additional payment required from the patient. |  |

Explanation of the columns that may appear on this page:

Level | A few code lists that FHIR defines are hierarchical - each code is assigned a level. In this scheme, some codes are under other codes, and imply that the code they are under also applies
System | The source of the definition of the code (when the value set draws in codes defined elsewhere)
Code | The code (used as the code in the resource instance)
Display | The display (used in the display element of a Coding). If there is no display, implementers should not simply display the code, but map the concept into their application
Definition | An explanation of the meaning of the concept
Comments | Additional notes about how to use the code