HL7 Terminology (THO)
4.0.0 - Publication International flag

This page is part of the HL7 Terminology (v4.0.0: 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

: Coverage Copay Type Codes - TTL Representation

Page standards status: Trial-use Maturity Level: 2

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:CodeSystem;
  fhir:nodeRole fhir:treeRoot;
  fhir:Resource.id [ fhir:value "coverage-copay-type"];
  fhir:Resource.meta [
     fhir:Meta.lastUpdated [ fhir:value "2020-04-09T21:10:28.568+00:00"^^xsd:dateTime ];
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/StructureDefinition/shareablecodesystem";
       fhir:index 0;
       fhir:link <http://hl7.org/fhir/StructureDefinition/shareablecodesystem>     ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>This code system <code>http://terminology.hl7.org/CodeSystem/coverage-copay-type</code> defines the following codes:</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td style=\"white-space:nowrap\">gpvisit<a name=\"coverage-copay-type-gpvisit\"> </a></td><td>GP Office Visit</td><td>An office visit for a general practitioner of a discipline.</td></tr><tr><td style=\"white-space:nowrap\">spvisit<a name=\"coverage-copay-type-spvisit\"> </a></td><td>Specialist Office Visit</td><td>An office visit for a specialist practitioner of a discipline</td></tr><tr><td style=\"white-space:nowrap\">emergency<a name=\"coverage-copay-type-emergency\"> </a></td><td>Emergency</td><td>An episode in an emergency department.</td></tr><tr><td style=\"white-space:nowrap\">inpthosp<a name=\"coverage-copay-type-inpthosp\"> </a></td><td>Inpatient Hospital</td><td>An episode of an Inpatient hospital stay.</td></tr><tr><td style=\"white-space:nowrap\">televisit<a name=\"coverage-copay-type-televisit\"> </a></td><td>Tele-visit</td><td>A visit held where the patient is remote relative to the practitioner, e.g. by phone, computer or video conference.</td></tr><tr><td style=\"white-space:nowrap\">urgentcare<a name=\"coverage-copay-type-urgentcare\"> </a></td><td>Urgent Care</td><td>A visit to an urgent care facility - typically a community care clinic.</td></tr><tr><td style=\"white-space:nowrap\">copaypct<a name=\"coverage-copay-type-copaypct\"> </a></td><td>Copay Percentage</td><td>A standard percentage applied to all classes or service or product not otherwise specified.</td></tr><tr><td style=\"white-space:nowrap\">copay<a name=\"coverage-copay-type-copay\"> </a></td><td>Copay Amount</td><td>A standard fixed currency amount applied to all classes or service or product not otherwise specified.</td></tr><tr><td style=\"white-space:nowrap\">deductible<a name=\"coverage-copay-type-deductible\"> </a></td><td>Deductible</td><td>The accumulated amount of patient payment before the coverage begins to pay for services.</td></tr><tr><td style=\"white-space:nowrap\">maxoutofpocket<a name=\"coverage-copay-type-maxoutofpocket\"> </a></td><td>Maximum out of pocket</td><td>The maximum amout of payment for services which a patient, or family, is expected to incur - typically annually.</td></tr></table></div>"
  ];
  fhir:DomainResource.extension [
     fhir:index 0;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg" ];
     fhir:Extension.valueCode [ fhir:value "fm" ]
  ], [
     fhir:index 1;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status" ];
     fhir:Extension.valueCode [ fhir:value "trial-use" ]
  ], [
     fhir:index 2;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm" ];
     fhir:Extension.valueInteger [ fhir:value "2"^^xsd:integer ]
  ];
  fhir:CodeSystem.url [ fhir:value "http://terminology.hl7.org/CodeSystem/coverage-copay-type"];
  fhir:CodeSystem.identifier [
     fhir:index 0;
     fhir:Identifier.system [ fhir:value "urn:ietf:rfc:3986" ];
     fhir:Identifier.value [ fhir:value "urn:oid:2.16.840.1.113883.4.642.1.1149" ]
  ];
  fhir:CodeSystem.version [ fhir:value "0.1.0"];
  fhir:CodeSystem.name [ fhir:value "CoverageCopayTypeCodes"];
  fhir:CodeSystem.title [ fhir:value "Coverage Copay Type Codes"];
  fhir:CodeSystem.status [ fhir:value "draft"];
  fhir:CodeSystem.experimental [ fhir:value "false"^^xsd:boolean];
  fhir:CodeSystem.date [ fhir:value "2022-09-14T03:23:03-06:00"^^xsd:dateTime];
  fhir:CodeSystem.publisher [ fhir:value "Financial Management"];
  fhir:CodeSystem.contact [
     fhir:index 0;
     fhir:ContactDetail.telecom [
       fhir:index 0;
       fhir:ContactPoint.system [ fhir:value "url" ];
       fhir:ContactPoint.value [ fhir:value "http://hl7.org/fhir" ]     ]
  ], [
     fhir:index 1;
     fhir:ContactDetail.telecom [
       fhir:index 0;
       fhir:ContactPoint.system [ fhir:value "url" ];
       fhir:ContactPoint.value [ fhir:value "http://hl7.org/fhir" ]     ]
  ];
  fhir:CodeSystem.description [ fhir:value "This value set includes sample Coverage Copayment Type codes."];
  fhir:CodeSystem.copyright [ fhir:value "This is an example set."];
  fhir:CodeSystem.caseSensitive [ fhir:value "true"^^xsd:boolean];
  fhir:CodeSystem.valueSet [
     fhir:value "http://terminology.hl7.org/ValueSet/coverage-copay-type";
     fhir:link <http://terminology.hl7.org/ValueSet/coverage-copay-type>
  ];
  fhir:CodeSystem.content [ fhir:value "complete"];
  fhir:CodeSystem.concept [
     fhir:index 0;
     fhir:CodeSystem.concept.code [ fhir:value "gpvisit" ];
     fhir:CodeSystem.concept.display [ fhir:value "GP Office Visit" ];
     fhir:CodeSystem.concept.definition [ fhir:value "An office visit for a general practitioner of a discipline." ]
  ], [
     fhir:index 1;
     fhir:CodeSystem.concept.code [ fhir:value "spvisit" ];
     fhir:CodeSystem.concept.display [ fhir:value "Specialist Office Visit" ];
     fhir:CodeSystem.concept.definition [ fhir:value "An office visit for a specialist practitioner of a discipline" ]
  ], [
     fhir:index 2;
     fhir:CodeSystem.concept.code [ fhir:value "emergency" ];
     fhir:CodeSystem.concept.display [ fhir:value "Emergency" ];
     fhir:CodeSystem.concept.definition [ fhir:value "An episode in an emergency department." ]
  ], [
     fhir:index 3;
     fhir:CodeSystem.concept.code [ fhir:value "inpthosp" ];
     fhir:CodeSystem.concept.display [ fhir:value "Inpatient Hospital" ];
     fhir:CodeSystem.concept.definition [ fhir:value "An episode of an Inpatient hospital stay." ]
  ], [
     fhir:index 4;
     fhir:CodeSystem.concept.code [ fhir:value "televisit" ];
     fhir:CodeSystem.concept.display [ fhir:value "Tele-visit" ];
     fhir:CodeSystem.concept.definition [ fhir:value "A visit held where the patient is remote relative to the practitioner, e.g. by phone, computer or video conference." ]
  ], [
     fhir:index 5;
     fhir:CodeSystem.concept.code [ fhir:value "urgentcare" ];
     fhir:CodeSystem.concept.display [ fhir:value "Urgent Care" ];
     fhir:CodeSystem.concept.definition [ fhir:value "A visit to an urgent care facility - typically a community care clinic." ]
  ], [
     fhir:index 6;
     fhir:CodeSystem.concept.code [ fhir:value "copaypct" ];
     fhir:CodeSystem.concept.display [ fhir:value "Copay Percentage" ];
     fhir:CodeSystem.concept.definition [ fhir:value "A standard percentage applied to all classes or service or product not otherwise specified." ]
  ], [
     fhir:index 7;
     fhir:CodeSystem.concept.code [ fhir:value "copay" ];
     fhir:CodeSystem.concept.display [ fhir:value "Copay Amount" ];
     fhir:CodeSystem.concept.definition [ fhir:value "A standard fixed currency amount applied to all classes or service or product not otherwise specified." ]
  ], [
     fhir:index 8;
     fhir:CodeSystem.concept.code [ fhir:value "deductible" ];
     fhir:CodeSystem.concept.display [ fhir:value "Deductible" ];
     fhir:CodeSystem.concept.definition [ fhir:value "The accumulated amount of patient payment before the coverage begins to pay for services." ]
  ], [
     fhir:index 9;
     fhir:CodeSystem.concept.code [ fhir:value "maxoutofpocket" ];
     fhir:CodeSystem.concept.display [ fhir:value "Maximum out of pocket" ];
     fhir:CodeSystem.concept.definition [ fhir:value "The maximum amout of payment for services which a patient, or family, is expected to incur - typically annually." ]
  ].

# - ontology header ------------------------------------------------------------

 a owl:Ontology;
  owl:imports fhir:fhir.ttl.