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: Coverage Copay Type Codes - JSON Representation
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{
"resourceType" : "CodeSystem",
"id" : "coverage-copay-type",
"meta" : {
"lastUpdated" : "2020-04-09T21:10:28.568+00:00",
"profile" : [
"http://hl7.org/fhir/StructureDefinition/shareablecodesystem"
]
},
"text" : {
"status" : "generated",
"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>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
"valueCode" : "fm"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode" : "trial-use"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
"valueInteger" : 2
}
],
"url" : "http://terminology.hl7.org/CodeSystem/coverage-copay-type",
"identifier" : [
{
"system" : "urn:ietf:rfc:3986",
"value" : "urn:oid:2.16.840.1.113883.4.642.1.1149"
}
],
"version" : "0.1.0",
"name" : "CoverageCopayTypeCodes",
"title" : "Coverage Copay Type Codes",
"status" : "draft",
"experimental" : false,
"date" : "2022-11-04T18:21:49-06:00",
"publisher" : "Financial Management",
"contact" : [
{
"telecom" : [
{
"system" : "url",
"value" : "http://hl7.org/fhir"
}
]
},
{
"telecom" : [
{
"system" : "url",
"value" : "http://hl7.org/fhir"
}
]
}
],
"description" : "This value set includes sample Coverage Copayment Type codes.",
"copyright" : "This is an example set.",
"caseSensitive" : true,
"valueSet" : "http://terminology.hl7.org/ValueSet/coverage-copay-type",
"content" : "complete",
"concept" : [
{
"code" : "gpvisit",
"display" : "GP Office Visit",
"definition" : "An office visit for a general practitioner of a discipline."
},
{
"code" : "spvisit",
"display" : "Specialist Office Visit",
"definition" : "An office visit for a specialist practitioner of a discipline"
},
{
"code" : "emergency",
"display" : "Emergency",
"definition" : "An episode in an emergency department."
},
{
"code" : "inpthosp",
"display" : "Inpatient Hospital",
"definition" : "An episode of an Inpatient hospital stay."
},
{
"code" : "televisit",
"display" : "Tele-visit",
"definition" : "A visit held where the patient is remote relative to the practitioner, e.g. by phone, computer or video conference."
},
{
"code" : "urgentcare",
"display" : "Urgent Care",
"definition" : "A visit to an urgent care facility - typically a community care clinic."
},
{
"code" : "copaypct",
"display" : "Copay Percentage",
"definition" : "A standard percentage applied to all classes or service or product not otherwise specified."
},
{
"code" : "copay",
"display" : "Copay Amount",
"definition" : "A standard fixed currency amount applied to all classes or service or product not otherwise specified."
},
{
"code" : "deductible",
"display" : "Deductible",
"definition" : "The accumulated amount of patient payment before the coverage begins to pay for services."
},
{
"code" : "maxoutofpocket",
"display" : "Maximum out of pocket",
"definition" : "The maximum amout of payment for services which a patient, or family, is expected to incur - typically annually."
}
]
}
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