HL7 Terminology
2.1.0 - Publication

This page is part of the HL7 Terminology (v2.1.0: 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

ValueSet: Coverage Copay Type Codes


Defining URL:http://terminology.hl7.org/ValueSet/coverage-copay-type
Title:Coverage Copay Type Codes
Status:Draft as of 2020-02-24T12:41:39+11:00 (Standards Status: Trial Use)

This value set includes sample Coverage Copayment Type codes.

Publisher:Financial Management
Committee:Financial Management

This is an example set.

OID:2.16.840.1.113883.4.642.3.527 (for OID based terminology systems)
Source Resource:XML / JSON / Turtle


This value set is not used here; it may be used elsewhere (e.g. specifications and/or implementations that use this content)

Logical Definition (CLD)



This value set contains 10 concepts

Expansion based on Coverage Copay Type Codes v0.1.0 (CodeSystem)

All codes from system http://terminology.hl7.org/CodeSystem/coverage-copay-type

gpvisitGP Office VisitAn office visit for a general practitioner of a discipline.
spvisitSpecialist Office VisitAn office visit for a specialist practitioner of a discipline
emergencyEmergencyAn episode in an emergency department.
inpthospInpatient HospitalAn episode of an Inpatient hospital stay.
televisitTele-visitA visit held where the patient is remote relative to the practitioner, e.g. by phone, computer or video conference.
urgentcareUrgent CareA visit to an urgent care facility - typically a community care clinic.
copaypctCopay PercentageA standard percentage applied to all classes or service or product not otherwise specified.
copayCopay AmountA standard fixed currency amount applied to all classes or service or product not otherwise specified.
deductibleDeductibleThe accumulated amount of patient payment before the coverage begins to pay for services.
maxoutofpocketMaximum out of pocketThe maximum amout of payment for services which a patient, or family, is expected to incur - typically annually.

Explanation of the columns that may appear on this page:

Level A few code lists that FHIR defines are hierarchical - each code is assigned a level. In this scheme, some codes are under other codes, and imply that the code they are under also applies
Source The source of the definition of the code (when the value set draws in codes defined elsewhere)
Code The code (used as the code in the resource instance)
Display The display (used in the display element of a Coding). If there is no display, implementers should not simply display the code, but map the concept into their application
Definition An explanation of the meaning of the concept
Comments Additional notes about how to use the code


2020-10-14reviseGrahame GrieveVocabulary WGReset Version after migration to UTG
2020-05-06reviseTed KleinVocabulary WGMigrated to the UTG maintenance environment and publishing tooling.