HL7 Terminology (THO)
6.1.0 - Publication
HL7 Terminology (THO)
6.1.0 - Publication
This page is part of the HL7 Terminology (v6.1.0: Release) based on FHIR (HL7® FHIR® Standard) v5.0.0. This is the current published version. For a full list of available versions, see the Directory of published versions
| Active as of 2024-11-17 | Maturity Level: 1 |
{
"resourceType" : "CodeSystem",
"id" : "benefit-type",
"meta" : {
"lastUpdated" : "2024-04-24T00:00:00+00:00",
"profile" : [
🔗 "http://hl7.org/fhir/StructureDefinition/shareablecodesystem"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CodeSystem benefit-type</b></p><a name=\"benefit-type\"> </a><a name=\"hcbenefit-type\"> </a><a name=\"benefit-type-en-US\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Last updated: 2024-04-24 00:00:00+0000</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/R5/shareablecodesystem.html\">Shareable CodeSystem</a></p></div><p>This case-sensitive code system <code>http://terminology.hl7.org/CodeSystem/benefit-type</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\">benefit<a name=\"benefit-type-benefit\"> </a></td><td>Benefit</td><td>Maximum benefit allowable.</td></tr><tr><td style=\"white-space:nowrap\">deductible<a name=\"benefit-type-deductible\"> </a></td><td>Deductible</td><td>Cost to be incurred before benefits are applied</td></tr><tr><td style=\"white-space:nowrap\">visit<a name=\"benefit-type-visit\"> </a></td><td>Visit</td><td>Service visit</td></tr><tr><td style=\"white-space:nowrap\">room<a name=\"benefit-type-room\"> </a></td><td>Room</td><td>Type of room</td></tr><tr><td style=\"white-space:nowrap\">copay<a name=\"benefit-type-copay\"> </a></td><td>Copayment per service</td><td>Copayment per service</td></tr><tr><td style=\"white-space:nowrap\">copay-percent<a name=\"benefit-type-copay-percent\"> </a></td><td>Copayment Percent per service</td><td>Copayment percentage per service</td></tr><tr><td style=\"white-space:nowrap\">copay-maximum<a name=\"benefit-type-copay-maximum\"> </a></td><td>Copayment maximum per service</td><td>Copayment maximum per service</td></tr><tr><td style=\"white-space:nowrap\">vision-exam<a name=\"benefit-type-vision-exam\"> </a></td><td>Vision Exam</td><td>Vision Exam</td></tr><tr><td style=\"white-space:nowrap\">vision-glasses<a name=\"benefit-type-vision-glasses\"> </a></td><td>Vision Glasses</td><td>Frames and lenses</td></tr><tr><td style=\"white-space:nowrap\">vision-contacts<a name=\"benefit-type-vision-contacts\"> </a></td><td>Vision Contacts Coverage</td><td>Contact Lenses</td></tr><tr><td style=\"white-space:nowrap\">medical-primarycare<a name=\"benefit-type-medical-primarycare\"> </a></td><td>Medical Primary Health Coverage</td><td>Medical Primary Health Coverage</td></tr><tr><td style=\"white-space:nowrap\">pharmacy-dispense<a name=\"benefit-type-pharmacy-dispense\"> </a></td><td>Pharmacy Dispense Coverage</td><td>Pharmacy Dispense Coverage</td></tr></table></div>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
"valueCode" : "fm"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
"valueInteger" : 1
}
],
"url" : "http://terminology.hl7.org/CodeSystem/benefit-type",
"identifier" : [
{
"system" : "urn:ietf:rfc:3986",
"value" : "urn:oid:2.16.840.1.113883.4.642.1.1176"
}
],
"version" : "1.0.1",
"name" : "BenefitTypeCodes",
"title" : "Benefit Type Codes",
"status" : "active",
"experimental" : false,
"date" : "2024-11-17T12:23:22-07:00",
"publisher" : "Health Level Seven International",
"contact" : [
{
"telecom" : [
{
"system" : "url",
"value" : "http://hl7.org"
},
{
"system" : "email",
"value" : "hq@HL7.org"
}
]
}
],
"description" : "This value set includes a smattering of Benefit type codes.",
"copyright" : "This material derives from the HL7 Terminology (THO). THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license",
"caseSensitive" : true,
"valueSet" : "http://terminology.hl7.org/ValueSet/benefit-type",
"content" : "complete",
"concept" : [
{
"code" : "benefit",
"display" : "Benefit",
"definition" : "Maximum benefit allowable."
},
{
"code" : "deductible",
"display" : "Deductible",
"definition" : "Cost to be incurred before benefits are applied"
},
{
"code" : "visit",
"display" : "Visit",
"definition" : "Service visit"
},
{
"code" : "room",
"display" : "Room",
"definition" : "Type of room"
},
{
"code" : "copay",
"display" : "Copayment per service",
"definition" : "Copayment per service"
},
{
"code" : "copay-percent",
"display" : "Copayment Percent per service",
"definition" : "Copayment percentage per service"
},
{
"code" : "copay-maximum",
"display" : "Copayment maximum per service",
"definition" : "Copayment maximum per service"
},
{
"code" : "vision-exam",
"display" : "Vision Exam",
"definition" : "Vision Exam"
},
{
"code" : "vision-glasses",
"display" : "Vision Glasses",
"definition" : "Frames and lenses"
},
{
"code" : "vision-contacts",
"display" : "Vision Contacts Coverage",
"definition" : "Contact Lenses"
},
{
"code" : "medical-primarycare",
"display" : "Medical Primary Health Coverage",
"definition" : "Medical Primary Health Coverage"
},
{
"code" : "pharmacy-dispense",
"display" : "Pharmacy Dispense Coverage",
"definition" : "Pharmacy Dispense Coverage"
}
]
}
IG © 2020+ HL7 International - Vocabulary Work Group. Package hl7.terminology#6.1.0 based on FHIR 5.0.0. Generated 2024-11-17
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