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

ValueSet: Benefit Type Codes

Official URL: http://terminology.hl7.org/ValueSet/benefit-type Version: 0.2.0
Standards status: Draft Maturity Level: 1 Responsible: Financial Management Computable Name: BenefitTypeCodes
Other Identifiers: : urn:oid:2.16.840.1.113883.4.642.3.606

Copyright/Legal: This is an example set.

This value set includes a smattering of Benefit type codes.


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 12 concepts

Expansion based on Benefit Type Codes v0.1.0 (CodeSystem)


Maximum benefit allowable.


Cost to be incurred before benefits are applied


Service visit


Type of room

  copayhttp://terminology.hl7.org/CodeSystem/benefit-typeCopayment per service

Copayment per service

  copay-percenthttp://terminology.hl7.org/CodeSystem/benefit-typeCopayment Percent per service

Copayment percentage per service

  copay-maximumhttp://terminology.hl7.org/CodeSystem/benefit-typeCopayment maximum per service

Copayment maximum per service

  vision-examhttp://terminology.hl7.org/CodeSystem/benefit-typeVision Exam

Vision Exam

  vision-glasseshttp://terminology.hl7.org/CodeSystem/benefit-typeVision Glasses

Frames and lenses

  vision-contactshttp://terminology.hl7.org/CodeSystem/benefit-typeVision Contacts Coverage

Contact Lenses

  medical-primarycarehttp://terminology.hl7.org/CodeSystem/benefit-typeMedical Primary Health Coverage

Medical Primary Health Coverage

  pharmacy-dispensehttp://terminology.hl7.org/CodeSystem/benefit-typePharmacy Dispense Coverage

Pharmacy Dispense Coverage

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
System 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.