HL7 Terminology
1.0.0 - Publication
HL7 Terminology
1.0.0 - Publication
This page is part of the HL7 Terminology (v1.0.0: Release) based on FHIR R4. The current version which supercedes this version is 5.2.0. For a full list of available versions, see the Directory of published versions 
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{
"resourceType" : "CodeSystem",
"id" : "benefit-type",
"meta" : {
"lastUpdated" : "2020-04-09T17:10:28.568-04:00",
"profile" : [
"http://hl7.org/fhir/StructureDefinition/shareablecodesystem"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n \n <h2>Benefit Type Codes</h2>\n \n <div>\n \n <p>This value set includes a smattering of Benefit type codes.</p>\n\n \n </div>\n \n <p>\n \n <b>Copyright Statement:</b> This is an example set.\n \n </p>\n \n <p>This code system http://terminology.hl7.org/CodeSystem/benefit-type defines the following codes:</p>\n \n <table class=\"codes\">\n \n <tr>\n \n <td style=\"white-space:nowrap\">\n \n <b>Code</b>\n \n </td>\n \n <td>\n \n <b>Display</b>\n \n </td>\n \n <td>\n \n <b>Definition</b>\n \n </td>\n \n </tr>\n \n <tr>\n \n <td style=\"white-space:nowrap\">benefit\n \n <a name=\"benefit-type-benefit\"> </a>\n \n </td>\n \n <td>Benefit</td>\n \n <td>Maximum benefit allowable.</td>\n \n </tr>\n \n <tr>\n \n <td style=\"white-space:nowrap\">deductible\n \n <a name=\"benefit-type-deductible\"> </a>\n \n </td>\n \n <td>Deductible</td>\n \n <td>Cost to be incurred before benefits are applied</td>\n \n </tr>\n \n <tr>\n \n <td style=\"white-space:nowrap\">visit\n \n <a name=\"benefit-type-visit\"> </a>\n \n </td>\n \n <td>Visit</td>\n \n <td>Service visit</td>\n \n </tr>\n \n <tr>\n \n <td style=\"white-space:nowrap\">room\n \n <a name=\"benefit-type-room\"> </a>\n \n </td>\n \n <td>Room</td>\n \n <td>Type of room</td>\n \n </tr>\n \n <tr>\n \n <td style=\"white-space:nowrap\">copay\n \n <a name=\"benefit-type-copay\"> </a>\n \n </td>\n \n <td>Copayment per service</td>\n \n <td>Copayment per service</td>\n \n </tr>\n \n <tr>\n \n <td style=\"white-space:nowrap\">copay-percent\n \n <a name=\"benefit-type-copay-percent\"> </a>\n \n </td>\n \n <td>Copayment Percent per service</td>\n \n <td>Copayment percentage per service</td>\n \n </tr>\n \n <tr>\n \n <td style=\"white-space:nowrap\">copay-maximum\n \n <a name=\"benefit-type-copay-maximum\"> </a>\n \n </td>\n \n <td>Copayment maximum per service</td>\n \n <td>Copayment maximum per service</td>\n \n </tr>\n \n <tr>\n \n <td style=\"white-space:nowrap\">vision-exam\n \n <a name=\"benefit-type-vision-exam\"> </a>\n \n </td>\n \n <td>Vision Exam</td>\n \n <td>Vision Exam</td>\n \n </tr>\n \n <tr>\n \n <td style=\"white-space:nowrap\">vision-glasses\n \n <a name=\"benefit-type-vision-glasses\"> </a>\n \n </td>\n \n <td>Vision Glasses</td>\n \n <td>Frames and lenses</td>\n \n </tr>\n \n <tr>\n \n <td style=\"white-space:nowrap\">vision-contacts\n \n <a name=\"benefit-type-vision-contacts\"> </a>\n \n </td>\n \n <td>Vision Contacts Coverage</td>\n \n <td>Contact Lenses</td>\n \n </tr>\n \n <tr>\n \n <td style=\"white-space:nowrap\">medical-primarycare\n \n <a name=\"benefit-type-medical-primarycare\"> </a>\n \n </td>\n \n <td>Medical Primary Health Coverage</td>\n \n <td>Medical Primary Health Coverage</td>\n \n </tr>\n \n <tr>\n \n <td style=\"white-space:nowrap\">pharmacy-dispense\n \n <a name=\"benefit-type-pharmacy-dispense\"> </a>\n \n </td>\n \n <td>Pharmacy Dispense Coverage</td>\n \n <td>Pharmacy Dispense Coverage</td>\n \n </tr>\n \n </table>\n \n </div>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
"valueCode" : "fm"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode" : "draft"
},
{
"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" : "4.2.0",
"name" : "BenefitTypeCodes",
"title" : "Benefit Type Codes",
"status" : "draft",
"experimental" : false,
"date" : "2020-05-09T12:49:00-04:00",
"publisher" : "Financial Management",
"contact" : [
{
"telecom" : [
{
"system" : "url",
"value" : "http://hl7.org/fhir"
}
]
}
],
"description" : "This value set includes a smattering of Benefit type codes.",
"copyright" : "This is an example set.",
"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#1.0.0 based on FHIR 4.0.1. Generated 2020-05-09
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