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

ActCoverageQuantityLimitCode - JSON Representation

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{
  "resourceType" : "ValueSet",
  "id" : "v3-ActCoverageQuantityLimitCode",
  "language" : "en",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"en\" lang=\"en\"><h2>ActCoverageQuantityLimitCode</h2><div><p>Maximum amount paid or maximum number of services/products covered; or maximum amount or number covered during a specified time period under the policy or program.</p>\n</div><p>This value set includes codes based on the following rules:</p><ul><li>Include these codes as defined in <a href=\"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></tr><tr><td><a href=\"CodeSystem-v3-ActCode.html#v3-ActCode-COVPRD\">COVPRD</a></td><td>coverage period</td><td>Codes representing the time period during which coverage is available; or financial participation requirements are in effect.</td></tr><tr><td><a href=\"CodeSystem-v3-ActCode.html#v3-ActCode-NETAMT\">NETAMT</a></td><td>Net Amount</td><td>Maximum net amount that will be covered for the product or service specified.</td></tr><tr><td><a href=\"CodeSystem-v3-ActCode.html#v3-ActCode-UNITPRICE\">UNITPRICE</a></td><td>Unit Price</td><td>Maximum unit price that will be covered for the authorized product or service.</td></tr><tr><td><a href=\"CodeSystem-v3-ActCode.html#v3-ActCode-UNITQTY\">UNITQTY</a></td><td>Unit Quantity</td><td>Maximum number of items that will be covered of the product or service specified.</td></tr></table></li><li>Include codes from <a href=\"CodeSystem-v3-ActCode.html\"><code>http://terminology.hl7.org/CodeSystem/v3-ActCode</code></a> where concept  is-a  <a href=\"CodeSystem-v3-ActCode.html#v3-ActCode-_ActCoverageQuantityLimitCode\">_ActCoverageQuantityLimitCode</a></li></ul></div>"
  },
  "url" : "http://terminology.hl7.org/ValueSet/v3-ActCoverageQuantityLimitCode",
  "identifier" : [
    {
      "system" : "urn:ietf:rfc:3986",
      "value" : "urn:oid:2.16.840.1.113883.1.11.19933"
    }
  ],
  "version" : "2.0.0",
  "name" : "ActCoverageQuantityLimitCode",
  "title" : "ActCoverageQuantityLimitCode",
  "status" : "active",
  "date" : "2014-03-26T00:00:00-04:00",
  "description" : "Maximum amount paid or maximum number of services/products covered; or maximum amount or number covered during a specified time period under the policy or program.",
  "compose" : {
    "include" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "concept" : [
          {
            "code" : "COVPRD"
          },
          {
            "code" : "NETAMT"
          },
          {
            "code" : "UNITPRICE"
          },
          {
            "code" : "UNITQTY"
          }
        ]
      },
      {
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "filter" : [
          {
            "property" : "concept",
            "op" : "is-a",
            "value" : "_ActCoverageQuantityLimitCode"
          }
        ]
      }
    ]
  }
}