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 - XML Representation

(back to description)

Raw xml

Source view

<ValueSet xmlns="http://hl7.org/fhir">
  <id value="v3-ActCoverageQuantityLimitCode"/>
  <language value="en"/>
  <text>
    <status value="generated"/>
    <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>
</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>
  </text>
  <url
       value="http://terminology.hl7.org/ValueSet/v3-ActCoverageQuantityLimitCode"/>
  <identifier>
    <system value="urn:ietf:rfc:3986"/>
    <value value="urn:oid:2.16.840.1.113883.1.11.19933"/>
  </identifier>
  <version value="2.0.0"/>
  <name value="ActCoverageQuantityLimitCode"/>
  <title value="ActCoverageQuantityLimitCode"/>
  <status value="active"/>
  <date value="2014-03-26T00:00:00-04:00"/>
  <description
               value="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 value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
      <concept>
        <code value="COVPRD"/>
      </concept>
      <concept>
        <code value="NETAMT"/>
      </concept>
      <concept>
        <code value="UNITPRICE"/>
      </concept>
      <concept>
        <code value="UNITQTY"/>
      </concept>
    </include>
    <include>
      <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
      <filter>
        <property value="concept"/>
        <op value="is-a"/>
        <value value="_ActCoverageQuantityLimitCode"/>
      </filter>
    </include>
  </compose>
</ValueSet>