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" : "coverage-copay-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>Coverage Copay Type Codes</h2>\n \n <div>\n \n <p>This value set includes sample Coverage Copayment 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/coverage-copay-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\">gpvisit\n \n <a name=\"coverage-copay-type-gpvisit\"> </a>\n \n </td>\n \n <td>GP Office Visit</td>\n \n <td>An office visit for a general practitioner of a discipline.</td>\n \n </tr>\n \n <tr>\n \n <td style=\"white-space:nowrap\">spvisit\n \n <a name=\"coverage-copay-type-spvisit\"> </a>\n \n </td>\n \n <td>Specialist Office Visit</td>\n \n <td>An office visit for a specialist practitioner of a discipline</td>\n \n </tr>\n \n <tr>\n \n <td style=\"white-space:nowrap\">emergency\n \n <a name=\"coverage-copay-type-emergency\"> </a>\n \n </td>\n \n <td>Emergency</td>\n \n <td>An episode in an emergency department.</td>\n \n </tr>\n \n <tr>\n \n <td style=\"white-space:nowrap\">inpthosp\n \n <a name=\"coverage-copay-type-inpthosp\"> </a>\n \n </td>\n \n <td>Inpatient Hospital</td>\n \n <td>An episode of an Inpatient hospital stay.</td>\n \n </tr>\n \n <tr>\n \n <td style=\"white-space:nowrap\">televisit\n \n <a name=\"coverage-copay-type-televisit\"> </a>\n \n </td>\n \n <td>Tele-visit</td>\n \n <td>A visit held where the patient is remote relative to the practitioner, e.g. by phone, computer or video conference.</td>\n \n </tr>\n \n <tr>\n \n <td style=\"white-space:nowrap\">urgentcare\n \n <a name=\"coverage-copay-type-urgentcare\"> </a>\n \n </td>\n \n <td>Urgent Care</td>\n \n <td>A visit to an urgent care facility - typically a community care clinic.</td>\n \n </tr>\n \n <tr>\n \n <td style=\"white-space:nowrap\">copaypct\n \n <a name=\"coverage-copay-type-copaypct\"> </a>\n \n </td>\n \n <td>Copay Percentage</td>\n \n <td>A standard percentage applied to all classes or service or product not otherwise specified.</td>\n \n </tr>\n \n <tr>\n \n <td style=\"white-space:nowrap\">copay\n \n <a name=\"coverage-copay-type-copay\"> </a>\n \n </td>\n \n <td>Copay Amount</td>\n \n <td>A standard fixed currency amount applied to all classes or service or product not otherwise specified.</td>\n \n </tr>\n \n <tr>\n \n <td style=\"white-space:nowrap\">deductible\n \n <a name=\"coverage-copay-type-deductible\"> </a>\n \n </td>\n \n <td>Deductible</td>\n \n <td>The accumulated amount of patient payment before the coverage begins to pay for services.</td>\n \n </tr>\n \n <tr>\n \n <td style=\"white-space:nowrap\">maxoutofpocket\n \n <a name=\"coverage-copay-type-maxoutofpocket\"> </a>\n \n </td>\n \n <td>Maximum out of pocket</td>\n \n <td>The maximum amout of payment for services which a patient, or family, is expected to incur - typically annually.</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" : "trial-use"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
"valueInteger" : 2
}
],
"url" : "http://terminology.hl7.org/CodeSystem/coverage-copay-type",
"identifier" : [
{
"system" : "urn:ietf:rfc:3986",
"value" : "urn:oid:2.16.840.1.113883.4.642.1.1149"
}
],
"version" : "4.2.0",
"name" : "CoverageCopayTypeCodes",
"title" : "Coverage Copay 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"
}
]
},
{
"telecom" : [
{
"system" : "url",
"value" : "http://hl7.org/fhir"
}
]
}
],
"description" : "This value set includes sample Coverage Copayment Type codes.",
"copyright" : "This is an example set.",
"caseSensitive" : true,
"valueSet" : "http://terminology.hl7.org/ValueSet/coverage-copay-type",
"content" : "complete",
"concept" : [
{
"code" : "gpvisit",
"display" : "GP Office Visit",
"definition" : "An office visit for a general practitioner of a discipline."
},
{
"code" : "spvisit",
"display" : "Specialist Office Visit",
"definition" : "An office visit for a specialist practitioner of a discipline"
},
{
"code" : "emergency",
"display" : "Emergency",
"definition" : "An episode in an emergency department."
},
{
"code" : "inpthosp",
"display" : "Inpatient Hospital",
"definition" : "An episode of an Inpatient hospital stay."
},
{
"code" : "televisit",
"display" : "Tele-visit",
"definition" : "A visit held where the patient is remote relative to the practitioner, e.g. by phone, computer or video conference."
},
{
"code" : "urgentcare",
"display" : "Urgent Care",
"definition" : "A visit to an urgent care facility - typically a community care clinic."
},
{
"code" : "copaypct",
"display" : "Copay Percentage",
"definition" : "A standard percentage applied to all classes or service or product not otherwise specified."
},
{
"code" : "copay",
"display" : "Copay Amount",
"definition" : "A standard fixed currency amount applied to all classes or service or product not otherwise specified."
},
{
"code" : "deductible",
"display" : "Deductible",
"definition" : "The accumulated amount of patient payment before the coverage begins to pay for services."
},
{
"code" : "maxoutofpocket",
"display" : "Maximum out of pocket",
"definition" : "The maximum amout of payment for services which a patient, or family, is expected to incur - typically annually."
}
]
}
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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