HL7 Terminology (THO)
5.5.0 - Publication International flag

This page is part of the HL7 Terminology (v5.5.0: Release) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions

: Benefit Type Codes - TTL Representation

Draft as of 2024-03-09 Maturity Level: 1

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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 -------------------------------------------------------------------

 a fhir:CodeSystem ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "benefit-type"] ; # 
  fhir:meta [
fhir:lastUpdated [ fhir:v "2020-04-09T21:10:28.568+00:00"^^xsd:dateTime ] ;
    ( fhir:profile [
fhir:v "http://hl7.org/fhir/StructureDefinition/shareablecodesystem"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/StructureDefinition/shareablecodesystem>     ] )
  ] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><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>"
  ] ; # 
  fhir:extension ( [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg"^^xsd:anyURI ] ;
fhir:value [ fhir:v "fm" ]
  ] [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm"^^xsd:anyURI ] ;
fhir:value [ fhir:v "1"^^xsd:integer ]
  ] ) ; # 
  fhir:url [ fhir:v "http://terminology.hl7.org/CodeSystem/benefit-type"^^xsd:anyURI] ; # 
  fhir:identifier ( [
fhir:system [ fhir:v "urn:ietf:rfc:3986"^^xsd:anyURI ] ;
fhir:value [ fhir:v "urn:oid:2.16.840.1.113883.4.642.1.1176" ]
  ] ) ; # 
  fhir:version [ fhir:v "1.0.0"] ; # 
  fhir:name [ fhir:v "BenefitTypeCodes"] ; # 
  fhir:title [ fhir:v "Benefit Type Codes"] ; # 
  fhir:status [ fhir:v "draft"] ; # 
  fhir:experimental [ fhir:v "false"^^xsd:boolean] ; # 
  fhir:date [ fhir:v "2024-03-09T14:36:19-07:00"^^xsd:dateTime] ; # 
  fhir:publisher [ fhir:v "Health Level Seven International"] ; # 
  fhir:contact ( [
    ( fhir:telecom [
fhir:system [ fhir:v "url" ] ;
fhir:value [ fhir:v "http://hl7.org" ]     ] [
fhir:system [ fhir:v "email" ] ;
fhir:value [ fhir:v "hq@HL7.org" ]     ] )
  ] ) ; # 
  fhir:description [ fhir:v "This value set includes a smattering of Benefit type codes."] ; # 
  fhir:copyright [ fhir:v "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"] ; # 
  fhir:caseSensitive [ fhir:v "true"^^xsd:boolean] ; # 
  fhir:valueSet [
fhir:v "http://terminology.hl7.org/ValueSet/benefit-type"^^xsd:anyURI ;
fhir:link <http://terminology.hl7.org/ValueSet/benefit-type>
  ] ; # 
  fhir:content [ fhir:v "complete"] ; # 
  fhir:concept ( [
fhir:code [ fhir:v "benefit" ] ;
fhir:display [ fhir:v "Benefit" ] ;
fhir:definition [ fhir:v "Maximum benefit allowable." ]
  ] [
fhir:code [ fhir:v "deductible" ] ;
fhir:display [ fhir:v "Deductible" ] ;
fhir:definition [ fhir:v "Cost to be incurred before benefits are applied" ]
  ] [
fhir:code [ fhir:v "visit" ] ;
fhir:display [ fhir:v "Visit" ] ;
fhir:definition [ fhir:v "Service visit" ]
  ] [
fhir:code [ fhir:v "room" ] ;
fhir:display [ fhir:v "Room" ] ;
fhir:definition [ fhir:v "Type of room" ]
  ] [
fhir:code [ fhir:v "copay" ] ;
fhir:display [ fhir:v "Copayment per service" ] ;
fhir:definition [ fhir:v "Copayment per service" ]
  ] [
fhir:code [ fhir:v "copay-percent" ] ;
fhir:display [ fhir:v "Copayment Percent per service" ] ;
fhir:definition [ fhir:v "Copayment percentage per service" ]
  ] [
fhir:code [ fhir:v "copay-maximum" ] ;
fhir:display [ fhir:v "Copayment maximum per service" ] ;
fhir:definition [ fhir:v "Copayment maximum per service" ]
  ] [
fhir:code [ fhir:v "vision-exam" ] ;
fhir:display [ fhir:v "Vision Exam" ] ;
fhir:definition [ fhir:v "Vision Exam" ]
  ] [
fhir:code [ fhir:v "vision-glasses" ] ;
fhir:display [ fhir:v "Vision Glasses" ] ;
fhir:definition [ fhir:v "Frames and lenses" ]
  ] [
fhir:code [ fhir:v "vision-contacts" ] ;
fhir:display [ fhir:v "Vision Contacts Coverage" ] ;
fhir:definition [ fhir:v "Contact Lenses" ]
  ] [
fhir:code [ fhir:v "medical-primarycare" ] ;
fhir:display [ fhir:v "Medical Primary Health Coverage" ] ;
fhir:definition [ fhir:v "Medical Primary Health Coverage" ]
  ] [
fhir:code [ fhir:v "pharmacy-dispense" ] ;
fhir:display [ fhir:v "Pharmacy Dispense Coverage" ] ;
fhir:definition [ fhir:v "Pharmacy Dispense Coverage" ]
  ] ) . #