AU eRequesting Implementation Guide
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AU eRequesting Implementation Guide, published by HL7 Australia. This guide is not an authorized publication; it is the continuous build for version 0.3.0-ci-build built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7au/au-fhir-erequesting/ and changes regularly. See the Directory of published versions

: AU eRequesting Coverage Type and Self-Pay Codes - JSON Representation

Page standards status: Draft Maturity Level: 0

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{
  "resourceType" : "ValueSet",
  "id" : "au-erequesting-coverage-type",
  "meta" : {
    "profile" : [
      🔗 "http://hl7.org/fhir/StructureDefinition/shareablevalueset"
    ]
  },
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ValueSet au-erequesting-coverage-type</b></p><a name=\"au-erequesting-coverage-type\"> </a><a name=\"hcau-erequesting-coverage-type\"> </a><a name=\"au-erequesting-coverage-type-en-AU\"> </a><p>This value set includes codes based on the following rules:</p><ul><li>Include these codes as defined in <a href=\"http://terminology.hl7.org/6.1.0/CodeSystem-coverage-selfpay.html\"><code>http://terminology.hl7.org/CodeSystem/coverage-selfpay</code></a><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=\"http://terminology.hl7.org/6.1.0/CodeSystem-coverage-selfpay.html#coverage-selfpay-pay\">pay</a></td><td style=\"color: #cccccc\">Pay</td><td>An individual or organization is paying directly for goods and services.</td></tr><tr><td><a href=\"http://terminology.hl7.org/6.1.0/CodeSystem-coverage-selfpay.html#coverage-selfpay-payconc\">payconc</a></td><td style=\"color: #cccccc\">Concession</td><td>An individual or organization is paying directly a concessional fee for goods and services.</td></tr></table></li><li>Include these codes as defined in <a href=\"http://terminology.hl7.org/6.1.0/CodeSystem-v3-ActCode.html\"><code>http://terminology.hl7.org/CodeSystem/v3-ActCode</code></a><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=\"http://terminology.hl7.org/6.1.0/CodeSystem-v3-ActCode.html#v3-ActCode-PUBLICPOL\">PUBLICPOL</a></td><td style=\"color: #cccccc\">public healthcare</td><td>Insurance policy funded by a public health system such as a provincial or national health plan. Examples include BC MSP (British Columbia Medical Services Plan) OHIP (Ontario Health Insurance Plan), NHS (National Health Service).</td></tr><tr><td><a href=\"http://terminology.hl7.org/6.1.0/CodeSystem-v3-ActCode.html#v3-ActCode-VET\">VET</a></td><td style=\"color: #cccccc\">veteran health program</td><td>**Definition:** Services provided directly and through contracted and operated veteran health programs.</td></tr></table></li></ul></div>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
      "valueInteger" : 0
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
      "valueCode" : "draft",
      "_valueCode" : {
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
            "valueCanonical" : "http://hl7.org.au/fhir/ereq/ImplementationGuide/hl7.fhir.au.ereq"
          }
        ]
      }
    }
  ],
  "url" : "http://hl7.org.au/fhir/ereq/ValueSet/au-erequesting-coverage-type",
  "version" : "0.3.0-ci-build",
  "name" : "AUeRequestingCoverageTypeAndSelf-PayCodes",
  "title" : "AU eRequesting Coverage Type and Self-Pay Codes",
  "status" : "draft",
  "experimental" : false,
  "date" : "2024-10-31",
  "publisher" : "HL7 Australia",
  "contact" : [
    {
      "name" : "HL7 Australia",
      "telecom" : [
        {
          "system" : "url",
          "value" : "https://confluence.hl7.org/display/HAFWG"
        }
      ]
    },
    {
      "name" : "HL7 Australia FHIR Work Group",
      "telecom" : [
        {
          "system" : "url",
          "value" : "https://confluence.hl7.org/display/HAFWG",
          "use" : "work"
        }
      ]
    }
  ],
  "description" : "Coverage type and self-pay codes typically used in the Australian eRequesting context.",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "urn:iso:std:iso:3166",
          "code" : "AU"
        }
      ]
    }
  ],
  "copyright" : "HL7 International",
  "compose" : {
    "include" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/coverage-selfpay",
        "concept" : [
          {
            "code" : "pay"
          },
          {
            "code" : "payconc"
          }
        ]
      },
      {
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "concept" : [
          {
            "code" : "PUBLICPOL"
          },
          {
            "code" : "VET"
          }
        ]
      }
    ]
  }
}