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/UP-Manila-SILab/PhilHealth-NHDR-IG-Review/ and changes regularly. See the Directory of published versions
| 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 |
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A valueset representing different types of copayments associated with healthcare coverage
References
Language: en-US
This value set includes codes based on the following rules:
http://terminology.hl7.org/CodeSystem/coverage-copay-typehttps://nhdr.gov.ph/fhir/CodeSystem/CoverageCopayTypeLocalCS
Expansion performed internally based on:
This value set contains 12 concepts
| Code | System | Display (en-US) | Definition |
| gpvisit | http://terminology.hl7.org/CodeSystem/coverage-copay-type | GP Office Visit | An office visit for a general practitioner of a discipline. |
| spvisit | http://terminology.hl7.org/CodeSystem/coverage-copay-type | Specialist Office Visit | An office visit for a specialist practitioner of a discipline |
| emergency | http://terminology.hl7.org/CodeSystem/coverage-copay-type | Emergency | An episode in an emergency department. |
| inpthosp | http://terminology.hl7.org/CodeSystem/coverage-copay-type | Inpatient Hospital | An episode of an Inpatient hospital stay. |
| televisit | http://terminology.hl7.org/CodeSystem/coverage-copay-type | Tele-visit | A visit held where the patient is remote relative to the practitioner, e.g. by phone, computer or video conference. |
| urgentcare | http://terminology.hl7.org/CodeSystem/coverage-copay-type | Urgent Care | A visit to an urgent care facility - typically a community care clinic. |
| copaypct | http://terminology.hl7.org/CodeSystem/coverage-copay-type | Copay Percentage | A standard percentage applied to all classes or service or product not otherwise specified. |
| copay | http://terminology.hl7.org/CodeSystem/coverage-copay-type | Copay Amount | A standard fixed currency amount applied to all classes or service or product not otherwise specified. |
| deductible | http://terminology.hl7.org/CodeSystem/coverage-copay-type | Deductible | The accumulated amount of patient payment before the coverage begins to pay for services. |
| maxoutofpocket | http://terminology.hl7.org/CodeSystem/coverage-copay-type | Maximum out of pocket | The maximum amout of payment for services which a patient, or family, is expected to incur - typically annually. |
| nobalbill | https://nhdr.gov.ph/fhir/CodeSystem/CoverageCopayTypeLocalCS | No Balance Billing | Represents that the patient is not responsible for additional costs beyond PhilHealth coverage. |
| nocopay | https://nhdr.gov.ph/fhir/CodeSystem/CoverageCopayTypeLocalCS | 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 |