HL7 Terminology (THO)
5.0.0 - Publication International flag

This page is part of the HL7 Terminology (v5.0.0: 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

: Benefit Category Codes - TTL Representation

Page standards status: Draft Maturity Level: 1

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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 "ex-benefitcategory"];
  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/ex-benefitcategory</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\">1<a name=\"ex-benefitcategory-1\"> </a></td><td>Medical Care</td><td>Medical Care.</td></tr><tr><td style=\"white-space:nowrap\">2<a name=\"ex-benefitcategory-2\"> </a></td><td>Surgical</td><td>Surgical.</td></tr><tr><td style=\"white-space:nowrap\">3<a name=\"ex-benefitcategory-3\"> </a></td><td>Consultation</td><td>Consultation.</td></tr><tr><td style=\"white-space:nowrap\">4<a name=\"ex-benefitcategory-4\"> </a></td><td>Diagnostic XRay</td><td>Diagnostic XRay.</td></tr><tr><td style=\"white-space:nowrap\">5<a name=\"ex-benefitcategory-5\"> </a></td><td>Diagnostic Lab</td><td>Diagnostic Lab.</td></tr><tr><td style=\"white-space:nowrap\">14<a name=\"ex-benefitcategory-14\"> </a></td><td>Renal Supplies</td><td>Renal Supplies excluding Dialysis.</td></tr><tr><td style=\"white-space:nowrap\">23<a name=\"ex-benefitcategory-23\"> </a></td><td>Diagnostic Dental</td><td>Diagnostic Dental.</td></tr><tr><td style=\"white-space:nowrap\">24<a name=\"ex-benefitcategory-24\"> </a></td><td>Periodontics</td><td>Periodontics.</td></tr><tr><td style=\"white-space:nowrap\">25<a name=\"ex-benefitcategory-25\"> </a></td><td>Restorative</td><td>Restorative.</td></tr><tr><td style=\"white-space:nowrap\">26<a name=\"ex-benefitcategory-26\"> </a></td><td>Endodontics</td><td>Endodontics.</td></tr><tr><td style=\"white-space:nowrap\">27<a name=\"ex-benefitcategory-27\"> </a></td><td>Maxillofacial Prosthetics</td><td>Maxillofacial Prosthetics.</td></tr><tr><td style=\"white-space:nowrap\">28<a name=\"ex-benefitcategory-28\"> </a></td><td>Adjunctive Dental Services</td><td>Adjunctive Dental Services.</td></tr><tr><td style=\"white-space:nowrap\">30<a name=\"ex-benefitcategory-30\"> </a></td><td>Health Benefit Plan Coverage</td><td>Health Benefit Plan Coverage.</td></tr><tr><td style=\"white-space:nowrap\">35<a name=\"ex-benefitcategory-35\"> </a></td><td>Dental Care</td><td>Dental Care.</td></tr><tr><td style=\"white-space:nowrap\">36<a name=\"ex-benefitcategory-36\"> </a></td><td>Dental Crowns</td><td>Dental Crowns.</td></tr><tr><td style=\"white-space:nowrap\">37<a name=\"ex-benefitcategory-37\"> </a></td><td>Dental Accident</td><td>Dental Accident.</td></tr><tr><td style=\"white-space:nowrap\">49<a name=\"ex-benefitcategory-49\"> </a></td><td>Hospital Room and Board</td><td>Hospital Room and Board.</td></tr><tr><td style=\"white-space:nowrap\">55<a name=\"ex-benefitcategory-55\"> </a></td><td>Major Medical</td><td>Major Medical.</td></tr><tr><td style=\"white-space:nowrap\">56<a name=\"ex-benefitcategory-56\"> </a></td><td>Medically Related Transportation</td><td>Medically Related Transportation.</td></tr><tr><td style=\"white-space:nowrap\">61<a name=\"ex-benefitcategory-61\"> </a></td><td>In-vitro Fertilization</td><td>In-vitro Fertilization.</td></tr><tr><td style=\"white-space:nowrap\">62<a name=\"ex-benefitcategory-62\"> </a></td><td>MRI Scan</td><td>MRI Scan.</td></tr><tr><td style=\"white-space:nowrap\">63<a name=\"ex-benefitcategory-63\"> </a></td><td>Donor Procedures</td><td>Donor Procedures such as organ harvest.</td></tr><tr><td style=\"white-space:nowrap\">69<a name=\"ex-benefitcategory-69\"> </a></td><td>Maternity</td><td>Maternity.</td></tr><tr><td style=\"white-space:nowrap\">76<a name=\"ex-benefitcategory-76\"> </a></td><td>Renal Dialysis</td><td>Renal dialysis.</td></tr><tr><td style=\"white-space:nowrap\">F1<a name=\"ex-benefitcategory-F1\"> </a></td><td>Medical Coverage</td><td>Medical Coverage.</td></tr><tr><td style=\"white-space:nowrap\">F3<a name=\"ex-benefitcategory-F3\"> </a></td><td>Dental Coverage</td><td>Dental Coverage.</td></tr><tr><td style=\"white-space:nowrap\">F4<a name=\"ex-benefitcategory-F4\"> </a></td><td>Hearing Coverage</td><td>Hearing Coverage.</td></tr><tr><td style=\"white-space:nowrap\">F6<a name=\"ex-benefitcategory-F6\"> </a></td><td>Vision Coverage</td><td>Vision Coverage.</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 "draft" ]
  ], [
     fhir:index 2;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm" ];
     fhir:Extension.valueInteger [ fhir:value "1"^^xsd:integer ]
  ];
  fhir:CodeSystem.url [ fhir:value "http://terminology.hl7.org/CodeSystem/ex-benefitcategory"];
  fhir:CodeSystem.identifier [
     fhir:index 0;
     fhir:Identifier.system [ fhir:value "urn:ietf:rfc:3986" ];
     fhir:Identifier.value [ fhir:value "urn:oid:2.16.840.1.113883.4.642.1.1175" ]
  ];
  fhir:CodeSystem.version [ fhir:value "0.1.0"];
  fhir:CodeSystem.name [ fhir:value "BenefitCategoryCodes"];
  fhir:CodeSystem.title [ fhir:value "Benefit Category Codes"];
  fhir:CodeSystem.status [ fhir:value "draft"];
  fhir:CodeSystem.experimental [ fhir:value "false"^^xsd:boolean];
  fhir:CodeSystem.date [ fhir:value "2022-11-04T18:21:49-06:00"^^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:CodeSystem.description [ fhir:value "This value set includes examples of Benefit Category 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/ex-benefitcategory";
     fhir:link <http://terminology.hl7.org/ValueSet/ex-benefitcategory>
  ];
  fhir:CodeSystem.content [ fhir:value "complete"];
  fhir:CodeSystem.concept [
     fhir:index 0;
     fhir:CodeSystem.concept.code [ fhir:value "1" ];
     fhir:CodeSystem.concept.display [ fhir:value "Medical Care" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Medical Care." ]
  ], [
     fhir:index 1;
     fhir:CodeSystem.concept.code [ fhir:value "2" ];
     fhir:CodeSystem.concept.display [ fhir:value "Surgical" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Surgical." ]
  ], [
     fhir:index 2;
     fhir:CodeSystem.concept.code [ fhir:value "3" ];
     fhir:CodeSystem.concept.display [ fhir:value "Consultation" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Consultation." ]
  ], [
     fhir:index 3;
     fhir:CodeSystem.concept.code [ fhir:value "4" ];
     fhir:CodeSystem.concept.display [ fhir:value "Diagnostic XRay" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Diagnostic XRay." ]
  ], [
     fhir:index 4;
     fhir:CodeSystem.concept.code [ fhir:value "5" ];
     fhir:CodeSystem.concept.display [ fhir:value "Diagnostic Lab" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Diagnostic Lab." ]
  ], [
     fhir:index 5;
     fhir:CodeSystem.concept.code [ fhir:value "14" ];
     fhir:CodeSystem.concept.display [ fhir:value "Renal Supplies" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Renal Supplies excluding Dialysis." ]
  ], [
     fhir:index 6;
     fhir:CodeSystem.concept.code [ fhir:value "23" ];
     fhir:CodeSystem.concept.display [ fhir:value "Diagnostic Dental" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Diagnostic Dental." ]
  ], [
     fhir:index 7;
     fhir:CodeSystem.concept.code [ fhir:value "24" ];
     fhir:CodeSystem.concept.display [ fhir:value "Periodontics" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Periodontics." ]
  ], [
     fhir:index 8;
     fhir:CodeSystem.concept.code [ fhir:value "25" ];
     fhir:CodeSystem.concept.display [ fhir:value "Restorative" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Restorative." ]
  ], [
     fhir:index 9;
     fhir:CodeSystem.concept.code [ fhir:value "26" ];
     fhir:CodeSystem.concept.display [ fhir:value "Endodontics" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Endodontics." ]
  ], [
     fhir:index 10;
     fhir:CodeSystem.concept.code [ fhir:value "27" ];
     fhir:CodeSystem.concept.display [ fhir:value "Maxillofacial Prosthetics" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Maxillofacial Prosthetics." ]
  ], [
     fhir:index 11;
     fhir:CodeSystem.concept.code [ fhir:value "28" ];
     fhir:CodeSystem.concept.display [ fhir:value "Adjunctive Dental Services" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Adjunctive Dental Services." ]
  ], [
     fhir:index 12;
     fhir:CodeSystem.concept.code [ fhir:value "30" ];
     fhir:CodeSystem.concept.display [ fhir:value "Health Benefit Plan Coverage" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Health Benefit Plan Coverage." ]
  ], [
     fhir:index 13;
     fhir:CodeSystem.concept.code [ fhir:value "35" ];
     fhir:CodeSystem.concept.display [ fhir:value "Dental Care" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Dental Care." ]
  ], [
     fhir:index 14;
     fhir:CodeSystem.concept.code [ fhir:value "36" ];
     fhir:CodeSystem.concept.display [ fhir:value "Dental Crowns" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Dental Crowns." ]
  ], [
     fhir:index 15;
     fhir:CodeSystem.concept.code [ fhir:value "37" ];
     fhir:CodeSystem.concept.display [ fhir:value "Dental Accident" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Dental Accident." ]
  ], [
     fhir:index 16;
     fhir:CodeSystem.concept.code [ fhir:value "49" ];
     fhir:CodeSystem.concept.display [ fhir:value "Hospital Room and Board" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Hospital Room and Board." ]
  ], [
     fhir:index 17;
     fhir:CodeSystem.concept.code [ fhir:value "55" ];
     fhir:CodeSystem.concept.display [ fhir:value "Major Medical" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Major Medical." ]
  ], [
     fhir:index 18;
     fhir:CodeSystem.concept.code [ fhir:value "56" ];
     fhir:CodeSystem.concept.display [ fhir:value "Medically Related Transportation" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Medically Related Transportation." ]
  ], [
     fhir:index 19;
     fhir:CodeSystem.concept.code [ fhir:value "61" ];
     fhir:CodeSystem.concept.display [ fhir:value "In-vitro Fertilization" ];
     fhir:CodeSystem.concept.definition [ fhir:value "In-vitro Fertilization." ]
  ], [
     fhir:index 20;
     fhir:CodeSystem.concept.code [ fhir:value "62" ];
     fhir:CodeSystem.concept.display [ fhir:value "MRI Scan" ];
     fhir:CodeSystem.concept.definition [ fhir:value "MRI Scan." ]
  ], [
     fhir:index 21;
     fhir:CodeSystem.concept.code [ fhir:value "63" ];
     fhir:CodeSystem.concept.display [ fhir:value "Donor Procedures" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Donor Procedures such as organ harvest." ]
  ], [
     fhir:index 22;
     fhir:CodeSystem.concept.code [ fhir:value "69" ];
     fhir:CodeSystem.concept.display [ fhir:value "Maternity" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Maternity." ]
  ], [
     fhir:index 23;
     fhir:CodeSystem.concept.code [ fhir:value "76" ];
     fhir:CodeSystem.concept.display [ fhir:value "Renal Dialysis" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Renal dialysis." ]
  ], [
     fhir:index 24;
     fhir:CodeSystem.concept.code [ fhir:value "F1" ];
     fhir:CodeSystem.concept.display [ fhir:value "Medical Coverage" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Medical Coverage." ]
  ], [
     fhir:index 25;
     fhir:CodeSystem.concept.code [ fhir:value "F3" ];
     fhir:CodeSystem.concept.display [ fhir:value "Dental Coverage" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Dental Coverage." ]
  ], [
     fhir:index 26;
     fhir:CodeSystem.concept.code [ fhir:value "F4" ];
     fhir:CodeSystem.concept.display [ fhir:value "Hearing Coverage" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Hearing Coverage." ]
  ], [
     fhir:index 27;
     fhir:CodeSystem.concept.code [ fhir:value "F6" ];
     fhir:CodeSystem.concept.display [ fhir:value "Vision Coverage" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Vision Coverage." ]
  ].

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

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